Radicular Pain

If you are experiencing sharp, shooting pain, electric sensations, or numbness that travels down your arm or leg, you are likely dealing with radicular pain. Unlike a localized muscle strain, radicular pain happens when a nerve root in your spine becomes compressed or inflamed.

At OSO Physical Therapy, we specialize in identifying the specific spinal level involved and creating a movement-based plan to "decompress" the nerve and get you back to full activity.

What is Radicular Pain?

Commonly known as a "pinched nerve" or "sciatica" (when it affects the leg), radicular pain follows a specific path called a dermatome.

• Cervical Radiculopathy: Originates in the neck and radiates into the shoulder, arm, or hand.

• Lumbar Radiculopathy: Originates in the lower back and radiates into the hip, calf, or foot.

This isn't just "tightness." It is a neurological event where the nerve is sending a distress signal because its space has been compromised—usually by a disc herniation, narrowing of the spinal canal (stenosis), or local inflammation.

The OSO Approach: Moving Beyond the "Band-Aid"

Many people are told to "just rest" or "stop lifting" when they have radicular symptoms. At OSO, we take the opposite approach: strategic loading.

1. Directional Preference: We identify specific movements that "centralize" your pain—moving the symptoms out of your limb and back toward your spine where they can be managed.

2. Neural Mobilization: We use "nerve glides" and "tensioners" to help the nerve move smoothly through the spinal "tunnels" (foramina) without getting snagged.

3. Core & Spinal Stability: We don't just do "planks." We build functional strength that allows your spine to handle the heavy loads of weightlifting or the repetitive impact of running without irritating the nerve roots.

Working with Your Medical Team

If your symptoms are severe, we may recommend a consultation with your Primary Care Physician (PCP) or a Physiatrist (PM&R Specialist). It is important to remember that a referral does not equal a surgery.

A medical consultation is often used to:

• Confirm the Diagnosis: Using clinical testing or imaging (like an MRI) to see exactly which nerve root is involved.

• Chemical Decompression: Utilizing oral steroids or anti-inflammatories to reduce the "chemical soup" of inflammation around the nerve. This can provide immediate relief, making it easier to progress in physical therapy.

• Rule out Non-Orthopedic Causes: Ensuring the pain isn't stemming from vascular or other medical issues.

When to Seek Immediate Medical Attention

While most radicular pain resolves with conservative care, you should see a physician or specialist immediately if you experience:

• "Drop Foot" or Hand Weakness: Inability to lift your toes while walking or a sudden loss of grip strength.

• Saddle Anesthesia: Numbness in the groin or "saddle" area.

• Bowel or Bladder Changes: Any sudden loss of control or difficulty going to the bathroom.

• Night Sweats/Unexplained Weight Loss: Symptoms that may indicate a non-mechanical cause for your spinal pain.

Medical Disclaimer: The information on this page is for educational purposes only and does not constitute medical advice. Radicular pain and numbness can be symptoms of serious neurological conditions. Always consult with a qualified healthcare professional—such as a Physical Therapist, PCP, or Specialist—before beginning a new exercise program or if you are experiencing neurological symptoms.