The Honolulu Pain Management Clinic LLC will develop an effective treatment aimed to resolve the underlying cause and restore the nerve root to normal function.
Radiculopathy/Sciatica – Radiculopathy refers to a set of conditions in which one or more nerves are affected and do not work properly. The location of the injury is at the level of the nerve root. This can result in pain, weakness, numbness, or difficulty controlling specific muscles. In a radiculopathy, the pain or other symptoms often radiate to the part of the body served by that nerve. For example, a nerve root impingement in the neck can produce pain and weakness in the forearm. Likewise, an impingement in the lower back or lumbar-sacral spine can be manifested with symptoms in the foot. Radiculopathy is a mechanical compression of a nerve root usually at the exit foramen or lateral recess. It may be secondary to degenerative disc disease, osteoarthritis, facet joint degeneration/hypertrophy, ligamentous hypertrophy, spondylolisthesis, or a combination of these factors. Ideally, effective treatment aims to resolve the underlying cause and restores the nerve root to normal function. Common conservative treatment approaches include physical therapy, and pain control. While conservative approaches for rehabilitation are ideal, some patients will not improve and surgery is still an option.