HERNIATED DISC/ RADICULOPATHY This disease is often caused by direct pressure from a herniated disc or degenerative changes in the spine that cause irritation and inflammation of the nerve roots. Radiculopathy usually creates a pattern of pain and numbness that is felt in your arms or your legs in the area of skin supplied the by sensory fibers of the nerve root, and weakness in the muscles that are also supplied by the same nerve root. If the affected area is your neck and arm you are most likely suffering from Cervical Radiculapathy, and if you experience pain in your back and legs it might be due to Lumbar Radiculopathy. Sciatica is a form of Lumbar Radiculopathy. Treatment consists of the entire myriad of pain management continuum including physical therapy, pharmacological management, and nerve blocks such as Interlaminar or Transforaminal epidural steroid injections. In patients that are not surgical candidates and experience radiculopathic symptoms spinal cord stimulation is an option. Furthermore, in selected opioid responsive patients with escalating dose requirements, implantation of a Intrathecal Drug Delivery System might be indicated.