UCLA Comprehensive Spine Center
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The UCLA Comprehensive Spine Center is dedicated to being the leading institute for the education and comprehensive treatment of patients with complex spinal disorders.
Conditions / Diagnoses

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RADICULOPATHY—CERVICAL AND LUMBAR (PINCHED NERVE)

Degeneration of the spine can result in a variety of problem-causing conditions. Usually, they either come from mechanical problems in the neck or from nerves being irritated or pinched. A Cervical Radiculopathy results when a nerve in the neck is irritated at the point where it leaves the spinal canal and is most commonly due to a bone spur or disc herniation. Lumbar radiculopathy develops in the same way, and involves a nerve root in the low back. Usually, it happens when a herniated disc or a bone spur pinches a nerve root.

Symptoms: Weakness, tingling sensations in the neck and arm (cervical) or back and leg (lumbar), numbness, and loss of reflexes may all occur. These symptoms may worsen when the neck or back is in different positions such as flexion and extension. In lumbar radiculopathy, it may increase along with abdominal pressure from sneezing, laughing, coughing, or going to the bathroom. The distribution of sensory symptoms may follow a discrete pattern specific for each nerve root involved. We call this sensory distribution on the skin a dermatome, and it helps diagnose where the injury is.

Diagnosis: X-ray, MRI, or CT may all be used. Testing such as EMG/NCS may also be performed to examine the "electrical system" of the body and determine the severity of nerve compression.

Treatment: Treatment may consist of physical therapy modalities, injections, or medications. Surgery is necessary in cases involving neurological decline.
"Dermatome Map" showing
skin innervations of the nerver roots

 

Conditions / Diagnosis
Adult Tethered Cord
Ankylosing Spondylitis
Basilar Invagination
Chiari Malformation
Degenerative Disc
Disease (Cervical
and Lumbar)
Disc Herniation
Facet Joint Syndrome /
Facet Blocks
Fibromyalgia
Myelopathy
Osteomyelitis
Osteoporosis / Vertebral
Fractures
Osteoarthritis of the
Spine
Osteoarthritis of the
Peripheral Joint
Platybasia
Rheumatoid Arthritis
Scoliosis
Spinal Compression
Fractures
Spinal Cord Injury
Spinal Cord Tumors
Stenosis
Syringomyelia
Trochanteric Bursitis