What happens after a telemedicine visit for Lumbar Radiculopathy - Triage

Audience: pediatric

After a telemedicine visit for lumbar radiculopathy in children, families often receive guidance on managing symptoms and monitoring for changes. Lumbar radiculopathy occurs when nerves in the lower back are irritated or compressed, causing pain, numbness, or weakness that may affect the legs. The telemedicine provider typically reviews symptoms, advises on safe activities, and suggests ways to ease discomfort at home. Follow-up steps may include watching for warning signs, scheduling in-person exams if needed, and possibly imaging tests. Families are encouraged to keep track of symptoms and report any worsening or new problems promptly. Telemedicine helps by providing quick access to advice and triage but cannot replace hands-on exams or emergency care. Understanding what to expect after the visit helps families support their child's recovery and know when to seek further help.

Red flags — go in person / ER

• Sudden loss of bladder or bowel control — seek emergency care immediately.
• Severe weakness or inability to move the legs — get urgent medical attention.
• Fever with worsening back pain — contact your healthcare provider promptly.

What telemedicine can do

• Initial symptom assessment and triage for lumbar radiculopathy.
• Providing advice on symptom management and activity modifications.
• Determining need for urgent in-person evaluation or imaging.
• Answering questions about the condition and recovery process.

What telemedicine cannot do

• Performing a physical examination to assess neurological function.
• Diagnosing complex or severe cases requiring imaging or specialist care.
• Managing emergency symptoms such as sudden paralysis or loss of bladder control.
• Prescribing controlled medications or interventions requiring in-person visits.

What to expect right after your telemedicine visit

After your telemedicine visit, the healthcare provider will usually summarize the findings and suggest ways to manage your child's symptoms at home. This may include rest, gentle stretching, or over-the-counter pain relief appropriate for children. You might also receive advice on activities to avoid, such as heavy lifting or prolonged sitting, to help reduce nerve irritation.

Monitoring symptoms and when to seek more care

It's important to watch your child's symptoms closely. If pain, numbness, or weakness gets worse or new symptoms appear, contact your healthcare provider. Sometimes, an in-person exam or imaging tests like an MRI may be needed to better understand the cause and guide treatment.

Possible next steps after the telemedicine visit

Depending on your child's symptoms, the provider may recommend follow-up appointments, physical therapy, or referrals to specialists. They may also advise on safe ways to stay active to support recovery and prevent future problems.

How telemedicine helps and its limits

Telemedicine allows quick access to medical advice without leaving home. It is useful for initial evaluation and guidance. However, it cannot replace physical exams or urgent care when symptoms are severe. If your child experiences serious problems, an in-person visit is necessary.

Supporting your child's recovery at home

Encourage gentle movement and avoid activities that increase pain. Use recommended pain relief methods carefully and keep a symptom diary to share with your healthcare provider during follow-up visits. Emotional support and reassurance are also important during recovery.

How to prepare for your tele-visit

• Have a list of your child's symptoms ready, including when they started and how severe they are.
• Prepare to describe any activities or injuries that may have caused the symptoms.
• Ensure a quiet, well-lit space for the telemedicine visit with good internet connection.
• Have a family member help with the visit if your child is very young or needs assistance.
• Write down any questions or concerns you want to discuss during the visit.

After your tele-visit

• Follow the provider's recommendations for symptom management at home.
• Monitor your child's symptoms daily and note any changes.
• Schedule any recommended follow-up appointments or tests.
• Seek immediate care if red flag symptoms develop.
• Keep a record of medications or treatments used and their effects.

FAQs

What is lumbar radiculopathy in children?

Lumbar radiculopathy happens when nerves in the lower back are pinched or irritated. This can cause pain, numbness, or weakness in the legs. It's less common in children than adults but can occur due to injury or other causes.

Can telemedicine visits replace in-person exams for this condition?

Telemedicine is helpful for initial advice and triage but cannot replace hands-on physical exams needed to fully assess nerve function. Some cases will require in-person visits for proper diagnosis and treatment.

What should I do if my child's symptoms get worse after the telemedicine visit?

If symptoms worsen, especially if your child develops weakness, loss of bladder or bowel control, or fever with back pain, seek urgent medical care immediately. Otherwise, contact your healthcare provider for advice on next steps.

How can I help my child feel better at home?

Encourage gentle movements and rest as advised. Use age-appropriate pain relief if recommended by your provider. Avoid activities that strain the back and keep your child comfortable and supported.

Sources

1. Lumbar Radiculopathy — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Low Back Pain in Children and Adolescents — American Academy of Pediatrics.
3. Telemedicine: What You Need to Know — Centers for Disease Control and Prevention (CDC).
4. Lumbar Radiculopathy Overview — Mayo Clinic.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child experiences severe or worsening symptoms, seek immediate medical attention.