Lumbar Radicular Pain
Pain can range from mild to severe and can significantly impact a person’s quality of life.
Lumbar Radicular Pain is a common condition affecting millions of people worldwide. It can occur at any age, but it is more prevalent in people over the age of 40. In fact, research shows that Lumbar Radicular Pain is the most common reason for lower back surgery in this age group.
Lumbar Radicular Pain has several causes, but it often results from compression or irritation of the nerve roots exiting the spinal cord. This can be due to degenerative changes, trauma, or overuse injuries of the spine.
It’s important to note that Lumbar Radicular Pain can be debilitating and impact a person’s ability to perform daily activities. Therefore, it’s essential to seek medical attention promptly if you’re experiencing symptoms of Lumbar Radicular Pain. With proper diagnosis and treatment, most people can effectively manage their pain and regain their quality of life.
Symptoms and Diagnosis
Symptoms of Lumbar Radicular Pain can vary depending on the location and severity of the nerve compression or irritation. Some common symptoms include: Sharp, shooting pain in the lower back that radiates down one or both legs; Numbness or tingling in the legs or feet; Weakness in the legs or feet; Difficulty standing or walking; Loss of bladder or bowel control (in severe cases).
If you’re experiencing any of these symptoms, it’s essential to seek medical attention promptly. Your healthcare provider will likely perform a physical exam and ask you questions about your symptoms and medical history.
Diagnostic tests may also be performed to confirm the diagnosis of Lumbar Radicular Pain. These may include: X-rays: These can help identify bone spurs or other bony abnormalities in the spine; MRI (magnetic resonance imaging): This imaging test can provide detailed images of the spine and nerve roots, allowing healthcare providers to identify herniated discs or other structural abnormalities; CT (computed tomography) scan: This test uses X-rays and computer technology to provide detailed images of the spine; Electromyography (EMG): This test measures the electrical activity in your muscles and can help determine if the nerve roots are being affected.
Once a diagnosis of Lumbar Radicular Pain has been made, your healthcare provider will work with you to develop a treatment plan tailored to your specific needs. Treatment options may include medications, physical therapy, chiropractic care, or surgery, depending on the severity and underlying cause of your symptoms.
Síndromes mais comuns
Lumbar Radicular Pain can present in several different ways, depending on the underlying cause of the nerve compression or irritation. Here are some of the most common syndromes associated with Lumbar Radicular Pain.

Ciática
Sciatica is a type of Lumbar Radicular Pain that occurs when the sciatic nerve, which runs from the lower back down to the legs, becomes compressed or irritated. This can cause pain, numbness, or tingling in the legs or feet.
Foraminal Stenosis
Foraminal stenosis occurs when the openings through which the nerve roots exit the spine become narrowed, leading to compression or irritation of the nerves. This can cause pain, numbness, or weakness in the legs or feet.


Espondilolistese
Spondylolisthesis is a condition in which one vertebra in the spine slips out of place and onto the vertebra below it. This can lead to compression of the nerve roots and cause pain, numbness, or weakness in the legs or feet.
Piriformis Syndrome
Piriformis syndrome occurs when the piriformis muscle in the buttocks compresses the sciatic nerve, causing pain, numbness, or tingling in the legs or feet.


Spinal Disc Herniation
A spinal disc herniation occurs when the outer layer of a disc in the spine tears, allowing the soft inner material to bulge out and press against the nerve roots. This can cause pain, numbness, or weakness in the legs or feet.
Doença Degenerativa do Disco
Degenerative disc disease is a condition in which the intervertebral discs that sit between the vertebrae break down over time, leading to decreased cushioning and support for the spine. This can cause the vertebrae to shift and put pressure on the nerve roots, leading to pain, numbness, or weakness in the legs or feet.
It’s essential to work with your healthcare provider to determine the underlying cause of your Lumbar Radicular Pain and develop a treatment plan tailored to your specific needs.

Abordagens de Tratamento
The treatment of Lumbar Radicular Pain typically involves a combination of approaches aimed at relieving pain and inflammation, improving function, and preventing further nerve damage. It’s essential to work with your healthcare provider to determine the best treatment approach for your specific needs. In some cases, a combination of approaches may be necessary to achieve the best possible outcome

Gestão Farmacológica
A gestão farmacológica da dor é frequentemente parte do tratamento, e uma ampla variedade de medicamentos pode ser utilizada para controlar a dor.

Radiofrequência
A ablação por radiofrequência é um procedimento minimamente invasivo guiado por ultrassom ou fluoroscopia.

Injeção de Corticosteroides
Os medicamentos corticosteroides são utilizados para reduzir a dor e a inflamação, podendo ser administrados por via oral ou através de injeção.

Crioablação
A crioablação utiliza temperaturas frias e é um procedimento minimamente invasivo guiado por ultrassom ou fluoroscopia.

Nucleoplastia
A nucleoplastia é um procedimento avançado de injeção guiado por fluoroscopia para o tratamento de hérnias discais.
Prevention and Lifestyle Changes
Maintaining a healthy spine is important for overall health and wellbeing. The spine plays a vital role in supporting the body and facilitating movement, and it is susceptible to injury and wear and tear over time. Here are some tips for maintaining a healthy spine.
Pratique uma boa postura
Uma má postura pode sobrecarregar a coluna e causar dor nas costas. Ao sentar ou ficar em pé, mantenha uma posição neutra da coluna, com os ouvidos, ombros e quadris alinhados. Evite curvar-se ou inclinar-se para a frente.
Exercite-se regularmente
Exercitar-se regularmente pode ajudar a fortalecer os músculos que suportam a coluna e melhorar a flexibilidade e a amplitude de movimento. Exercícios de baixo impacto, como caminhada, natação e ciclismo, são particularmente benéficos para a coluna.
Mantenha um peso saudável
O excesso de peso pode colocar stress adicional na coluna, especialmente na região lombar. Manter um peso saudável pode ajudar a reduzir o risco de condições relacionadas à coluna, como discos herniados e osteoartrite.
Use técnicas adequadas de levantamento
Ao levantar objetos pesados, dobre os joelhos e mantenha a coluna reta. Evite torcer ou dobrar-se na cintura, o que pode sobrecarregar a coluna.
Faça pausas de estar sentado
Sentar-se por períodos prolongados pode exercer pressão na coluna e causar dor nas costas. Faça pausas a cada 30 minutos para se levantar, alongar e mover-se.
Pratique técnicas de redução de stress O stress pode causar tensão muscular e contribuir para a dor nas costas. Praticar técnicas de redução de stress, como meditação ou yoga, pode ajudar a reduzir a tensão nos músculos e promover o relaxamento.
Sleep on a Supportive Mattress
A supportive mattress can help to maintain proper spinal alignment and reduce the risk of back pain. Choose a mattress that is firm enough to provide support but soft enough to contour to the body.
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