Nerve toot compression results from the nerve root being compresssed between the components of the spinal column. This can cause irritation, inflammation and swelling of the nerve root. The treatment options vary from conservative anti-inflammatory and pain medications, to injections and if severe then surgery to release the nerve root. The treatment options depend on the severity and extent of nerve root compression.
The standard of care for most nerve root compressions without alarming neurological deficits like marked weakness of major muscle groups, balance difficulties, or changes in bowel or bladder habits is to start with physical therapy or chiropractic care along with some anti-inflammatory medications, weight loss, back and core muscle strengthening, smoking cessation and sometimes work/lifestyle modifications as a first line. If things don’t improve, then consider injections. If things still don’t improve, then surgical consultation is necessary.