Conservative management for lumbar radiculopathy based on the stage of the disorder: a Delphi study.
Erik ThoomesCleofas Rodriguez-BlancoJoshua Alan ClelandMohammadreza PourahmadiAlessio GallinaMarloes Thoomes-de GraafPublished in: Disability and rehabilitation (2022)
Experts agree effectiveness of interventions differs through the evolution of LR.IMPLICATIONS FOR REHABILITATIONTo date clinical guideline for conservative management of lumbar radiculopathy do not consider the evolution of the condition.Acute stage management of lumbar radiculopathy should focus on providing information about the condition and support individualized physical activity with pain medication.Sub-acute management should add neurodynamic mobilization to strength training, while transforaminal and/or epidural injections could be considered.Chronic stage management should consider spinal manipulative therapy and focus on restoring personalized functional capacity.