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Pinched Nerve Conditions

Cervical & Lumbar Radiculopathy

Radiculopathy — a compressed or pinched spinal nerve root — can send pain, numbness, and weakness radiating into your arm or leg. Dr. Tyndall takes a conservative-first approach, relieving most cases without surgery and reserving minimally invasive, motion-preserving procedures for when they are truly needed.

What Is Radiculopathy?

Radiculopathy is the medical term for a compressed, pinched, or irritated spinal nerve root — the point where a nerve branches off the spinal cord and exits between two vertebrae. When something presses on that nerve root, the nerve becomes inflamed and stops signaling normally. The result is pain, numbness, tingling, or weakness that travels along the path of that specific nerve, often felt far from the spine itself.

Cervical radiculopathy happens in the neck. A pinched nerve there typically causes neck pain that radiates into the shoulder, arm, and hand, sometimes with numbness, tingling, or grip weakness.

Lumbar radiculopathy happens in the lower back. A pinched nerve there typically causes low back pain that radiates into the buttock and down the leg — a pattern most people know as sciatica.

Because each nerve root supplies a predictable area of the body, Dr. Tyndall can often identify exactly which nerve is involved from your symptom pattern, physical examination, and imaging — then target treatment precisely.

Interactive — choose where it hurts

Cervical vs. Lumbar Radiculopathy

Select your area to see which nerves are usually involved and where symptoms radiate.

Cervical Radiculopathy

A nerve root in the neck is pinched where it exits the spine, often by a herniated disc or a bone spur. The irritated nerve sends pain, numbness, or weakness down a specific path into the shoulder, arm, or hand.

Common levels
C5, C6 & C7 (the lower neck)
Symptoms radiate
Neck → shoulder → arm → hand & fingers
Typical signs
Burning or electric arm pain, finger numbness or tingling, grip or arm weakness, pain worse with certain neck positions
Often eases with
Resting the neck; some patients feel relief by placing the hand on top of the head
Cervical vertebra Spinal cord Pinched nerve root to arm

Lumbar Radiculopathy

A nerve root in the lower back is pinched where it exits the spine, commonly by a herniated disc, bone spur, or narrowing of the nerve's exit canal. The classic result is sciatica — pain that shoots from the low back or buttock down the leg.

Common levels
L4, L5 & S1 (the lower lumbar spine)
Symptoms radiate
Low back → buttock → thigh → calf → foot
Typical signs
Sharp or burning leg pain (sciatica), numbness or tingling in the leg or foot, foot or ankle weakness, pain worse with sitting, bending, coughing, or sneezing
Often eases with
Standing, walking, or lying down in a comfortable position
Lumbar vertebra Nerve bundle Pinched nerve root to leg

Diagrams are simplified illustrations for education and are not exact anatomical depictions.

What Causes a Pinched Nerve Root?

Radiculopathy develops when something narrows the space a nerve root needs and presses against it. The most common causes are degenerative changes in the spine that build up over time. Identifying the underlying cause is the key to choosing the right treatment.

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Could Your Pain Be Radiculopathy?

Check the symptoms you've experienced. Your tally updates as you go.

Radiculopathy symptom self-check

You've noted 0 of 7 common signs so far. Check the boxes above to see your result.

This self-check is for education only and is not a diagnosis. Only an in-person evaluation and imaging can confirm radiculopathy. If you have concerning symptoms, contact Dr. Tyndall's office.

When to Seek Care Right Away

Some symptoms are warning signs that need urgent attention. Seek emergency care or call 911 if you experience progressive or severe weakness, rapidly spreading numbness, numbness in the groin or inner thighs ("saddle" numbness), or any loss of bladder or bowel control. These can signal cauda equina syndrome, a rare but serious condition that requires immediate treatment.

Interactive — click each step

The Treatment Ladder: Conservative First

Dr. Tyndall works up this ladder one step at a time. Most patients improve well before reaching the top — surgery is the last resort, not the first option.

Treatment is individualized. Dr. Tyndall recommends the least invasive option that effectively relieves your symptoms.

Why Choose Dr. Tyndall for Radiculopathy

A pinched nerve deserves a specialist who will exhaust conservative options before ever discussing surgery — and who, when surgery is truly needed, offers the most advanced minimally invasive and motion-preserving techniques available in Northwest Indiana.

Conservative-First Philosophy
Physical therapy, medication, and injections are explored fully before surgery is ever considered
20+ Years of Experience
Board-certified orthopedic spine surgeon with two decades of specialized expertise treating pinched nerves
Elite Training
NYU medical degree, Stanford residency, fellowship at Hospital for Special Surgery (HSS) — the nation's #1 orthopedic hospital
Technology Pioneer
First spine surgeon in Indiana to use computerized navigation for outpatient minimally invasive spine surgery
Motion-Preserving Options
When surgery is needed, Dr. Tyndall favors disc replacement and other motion-sparing techniques over fusion when possible
Trusted by Patients
4-time Patients' Choice Award winner with a 4.9 out of 5 rating across more than 300 reviews

Frequently Asked Questions About Radiculopathy

Radiculopathy is the medical term for a compressed or irritated spinal nerve root, commonly called a pinched nerve. When a nerve root is pinched where it exits the spine, it can cause pain, numbness, tingling, or weakness that travels along the path of that nerve. Cervical radiculopathy affects nerves in the neck and sends symptoms into the shoulder, arm, or hand, while lumbar radiculopathy affects nerves in the lower back and sends symptoms into the buttock and leg. Dr. Tyndall identifies the exact nerve involved using your symptoms, examination, and imaging.
Sciatica is a specific type of lumbar radiculopathy. Radiculopathy is the general term for any pinched or irritated spinal nerve root, anywhere in the spine. Sciatica refers specifically to radiculopathy that involves the sciatic nerve in the lower back, producing pain that radiates from the low back or buttock down the leg. In other words, all sciatica is a form of lumbar radiculopathy, but radiculopathy can also occur in the neck (cervical radiculopathy), where it causes arm symptoms rather than leg symptoms.
Cervical radiculopathy occurs in the neck, most often at the C5, C6, and C7 levels, and causes neck pain that radiates into the shoulder, arm, and hand, sometimes with numbness or hand weakness. Lumbar radiculopathy occurs in the lower back, most often at the L4, L5, and S1 levels, and causes low back pain that radiates into the buttock and down the leg, commonly known as sciatica. Both are caused by pressure on a spinal nerve root, but the location determines where you feel the symptoms.
No. Most cases of radiculopathy improve without surgery. Dr. Tyndall takes a conservative-first approach, beginning with activity modification, physical therapy, and anti-inflammatory medication, and adding epidural steroid injections or selective nerve root blocks when needed. Surgery is considered only when conservative care has not relieved symptoms after several weeks, or when there is progressive weakness, severe pain, or nerve damage. When surgery is appropriate, Dr. Tyndall uses minimally invasive, often motion-preserving techniques.
Many cases of radiculopathy improve within four to six weeks of conservative treatment, and the majority of patients recover without surgery. The exact timeline depends on the cause, the severity of nerve compression, and how well symptoms respond to therapy and injections. If minimally invasive surgery becomes necessary, many patients experience rapid relief of arm or leg pain, often returning to light activities within one to two weeks. Dr. Tyndall provides an individualized recovery plan for every patient.
Many cases of radiculopathy do improve on their own or with simple measures over several weeks, as inflammation around the nerve root settles. However, symptoms that persist, worsen, or are accompanied by weakness should be evaluated by a spine specialist. You should seek care urgently for progressive weakness, severe or unrelenting pain, or any loss of bladder or bowel control. Dr. Tyndall can determine whether your symptoms are likely to resolve with conservative care or need more active treatment.
Dr. Dwight S. Tyndall, MD, FAAOS, is a board-certified orthopedic spine surgeon who treats cervical and lumbar radiculopathy at Lakeshore Bone & Joint Institute, with offices in Crown Point and Schererville, Indiana. With more than 20 years of experience and elite training at NYU, Stanford, and the Hospital for Special Surgery, he offers conservative-first care and, when surgery is needed, minimally invasive and motion-preserving options. Call (219) 250-5035 to schedule an evaluation.

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Get Answers About Your Pinched Nerve

If radiating pain, numbness, or weakness is holding you back, find out what's really causing it. Dr. Tyndall will review your symptoms and imaging and build a conservative-first plan tailored to you. Call today to schedule a consultation.

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Schererville, IN 46375