When does nerve root compression require surgery?
In the case of nerve root compression, the attending physicians only rarely decide in favor of surgical pressure relief. This is because surgery on the spine is always associated with increased risks. However, if the cause of nerve root compression is a tumor, bleeding after previous trauma or fractures, surgery must be performed.
Even if infections are present that can demonstrably form abscesses, nerve root compression must be treated surgically. Similarly, surgery is advised if the patient suffers from progressive neurological deficits, such as sensory or paralysis. In the case of persistent pain that is resistant to therapy, there is a relative indication for surgery. During the operation itself, the material pressing on the nerve root is removed. In most cases, part of the vertebral arch is also removed to create more space and thus relief for the nerve root.
Alternative treatment measures
In the case of nerve root compression, patients can also experience pain relief with kinesiotapes. These are stuck over the painful area and provide relief for the tense muscles. Acupuncture has also been shown to relieve pain.
Summary
Nerve root compression rarely affects the thoracic spine and is usually triggered by a slipped disc. Those affected have burning and pulling pains in their back that can radiate into the entire supply area of the corresponding nerve. In most cases, treatment is conservative and consists of adequate medication and early exercise. Surgery is only performed in special cases, for example, if tumors are the cause of nerve root compression, if pain is resistant to therapy or if there are existing neurological deficits.
