Background <p>Lumbar radiculopathy, which affects 3–5% of adults and accounts for 5–10% of cases of low back pain, is characterized by nerve-root compression in the lumbar spine that results in radiating leg pain. Low back pain affected 619&#xa0;million people worldwide in 2020, making it the most common cause of disability.</p> Objective <p>This evidence-based narrative review evaluates the impact of telerehabilitation for lumbar radiculopathy, using a structured search and synthesis of recent literature.</p> Methods <p>A structured search was conducted, and studies were narratively synthesized to evaluate clinical outcomes, adherence, and cost-effectiveness. An evidence-based narrative review methodology was employed. Electronic databases were systematically searched for randomized controlled trials, observational studies, and systematic reviews assessing telerehabilitation interventions, including video, app-based, and wearable or sensor-assisted programs, in adults with lumbar radiculopathy or low back pain.</p> Results <p>Telerehabilitation via video, apps, and wearables overcomes access barriers and matches face-to-face care in pain and functional outcomes, with high patient satisfaction and lower cost. By eliminating travel and scheduling constraints, it expands access for rural and mobility-limited individuals and improves adherence. Yet, trials focused on confirmed lumbar radiculopathy remain scarce.</p> Conclusions <p>Current evidence suggests that telerehabilitation is a feasible, acceptable, and potentially cost-saving adjunct or alternative to conventional rehabilitation for lumbar spine conditions; however, there is a lack of high-quality trials specifically focused on radiculopathy. Future large-scale, longitudinal studies should tailor digital interventions to radicular pain and prioritize patient-centered outcomes like pain, function, and psychosocial well-being.</p>