Lumbar radiculopathy is a common condition resulting from nerve root impingement or inflammation from a herniated disc. Distribution of symptoms and signs are based on the nerve root involved. History and examination are key to rule out other sinister causes such as infection and malignancy. Any evidence of bladder or bowel dysfunction and weakness requires urgent neurosurgical review to rule out cauda equine syndrome. Most patients will improve within six to eight weeks with conservative management. Surgery should only be reserved for patients who fail conservative therapy.