You will be asked about your symptoms and health history. A physical exam will be done. It will focus on the lower spine.
Electromyography (EMG) may be done to check the electrical activity of the muscles.
Images may be taken of the spine. This can be done with:
- MRI scan
- CT scan
- Contrast myelography
Most people feel better when the cause of the symptoms improves. Others may need to manage symptoms. This can be done with:
Corsets and back braces can be used to support the spine and ease pain. Traction may also be used to pull spinal discs apart to ease pressure around pinched nerves.
Medicines used to treat this problem are:
- Over-the-counter pain relievers, such as ibuprofen or acetaminophen
- Prescription pain relievers
- Muscle relaxers
- Corticosteroid injections into the spine to ease swelling
Some activities may need to be limited if they cause pain. Physical therapy can help improve balance, strength, and range of motion during this time.
Some people may need surgery when other methods do not help. The goal of surgery is to ease pain and pressure on the pinched nerve. This may be done with:
- Laminectomyto take out a part of the bony arch of the spine through open surgery
- Microdiscectomy to take out a part of the herniated disc using instruments or a laser
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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American Chronic Pain Association http://www.theacpa.org
Ortho Info—American Academy of Orthopaedic Surgeons http://www.orthoinfo.org
Canadian Orthopaedic Foundation http://www.canorth.org
Canadian Pain Society http://www.canadianpainsociety.ca
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