Nerve Root Entrapment
Definition
Nerve root entrapment occurs when a spinal nerve root becomes compressed or irritated as it exits the spine, usually due to disc herniation, arthritis, or narrowing of the spinal canal.
Prevalence
Common in adults over 30. A major cause of radiating arm or leg pain.
Symptoms
Sharp, shooting pain in the arms or legs
Numbness or tingling
Muscle weakness
Pain worsened by coughing, bending, or sitting
Reduced reflexes
Diagnosis
Physical examination focusing on nerve function
MRI to identify compression
CT scan if MRI isn't suitable
EMG/nerve conduction studies in unclear cases
Treatment Options
Physiotherapy and posture correction
Anti-inflammatory medications
Epidural steroid injections
Surgical decompression when symptoms persist or worsen