Isolated radiculopathy caused by symptomatic disc herniation:
manual therapy

published in January - February 2019 - in Il Fisioterapista - issue n.1
Marco Primavera, Jennifer Baldassini

Disc herniation is considered to be the most common cause of radiculopathy. Radiculopathy is a dysfunction at the spinal nerve root. Although surgery is an option for these patients, many guidelines support the use of a conservative approach as a primary strategy for managing the initial stages of radiculopathy associated with lumbar disc herniation. Manual therapy can be a valuable tool, but the effectiveness of many conservative treatments remains unclear. Manual traction can be useful in patients with specific characteristics. Neurodynamics at the same time can be used, taking great care not to over-stress the nerve root.