Nonsurgical Treatments for Radiculopathy

When a spinal nerve root is compressed or damaged, it's called radiculopathy. In the lower back (lumbar region), this often affects the sciatic nerve, leading to a condition known as sciatica. At Chiropractic-Works and Wellness Clinic, sciatica is one of the most common reasons people come to us for help. However, surgery is rarely needed to treat lumbar radiculopathy. It’s usually only considered when other conservative, nonsurgical treatments don’t provide relief.

In many cases, sciatica gets better on its own with time and rest. While waiting for your body to heal, you might experience pain or difficulty moving. Fortunately, nonsurgical treatments can help manage the pain and speed up recovery.

5 Nonsurgical Treatments for Lumbar Radiculopathy

1. Physical Therapy

Though you may need to rest during the early stages of sciatica, light activity like walking and stretching can support your recovery. We work with a network of physical therapists who can guide you through specific exercises to strengthen the muscles that support your spine, and help you adjust activities to avoid further pain.

2. Muscle Relaxants

If muscle spasms are contributing to your pain, stronger medications, such as muscle relaxants or anti-inflammatories, to help ease your symptoms.

3. Steroids

Corticosteroids are powerful anti-inflammatory medications that can be injected near the nerve to reduce swelling, in a procedure known as an epidural injection. Steroids can also be taken by mouth, but we limit their use due to potential side effects. These treatments help reduce nerve compression and inflammation.

4. Alternative Therapies

Chiropractic care and physical treatment are both effective treatments for sciatica. Chiropractic adjustments help realign the spine, promoting healing and providing fast pain relief. Acupuncture works by stimulating specific pressure points in the body, which helps improve nerve function and blood flow, offering natural pain relief.

5. Selective Nerve Root Block (SNRB)

A selective nerve root block (SNRB) is an injection that combines steroids with an anesthetic to block pain signals from the affected nerve. While the relief is typically temporary, lasting a few months, it can give your body the time it needs to heal.

Home Care Tips

During the first 48 hours of sciatica, apply ice packs to reduce inflammation. You can use the ice for 15 minutes every few hours. After that, alternating between ice and heat may provide further relief. Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can also help ease the pain.

If your symptoms persist or interfere with your daily activities, Chiropractic-Works and Wellness Clinic can help. Book a consultation with one of our specialists to discuss treatment options. Call us or sign up online today.

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