Request Telehealth
Request in office visit
Book now
A pinched or compressed nerve can cause incessant pain that ranges from nagging to debilitating, interfering with your work performance and quality of life. Nerves typically glide smoothly between other structures in your body, sending and receiving messages to and from the brain. Nerves can become entrapped when other structures like bones, muscles or connective tissues come in contact with them, causing painful friction and compression.
Many things can contribute to pinched nerve pain, including:
If you think your pain is due to a pinched nerve, there are some things you can do right away to relieve pressure and reduce pain.
While self-treatment can temporarily relieve pinched nerve pain, it does not get at the underlying cause. To eliminate pain at its source, you should seek professional help. A chiropractor or physical therapist can help identify the source of your pinched nerve pain and provide treatment to eliminate it for good.
Our location: NYC Midtown Manhattan, 130 W 42nd St. Suite 1055
Get all the benefits of physical therapy and chiropractic care via safe and effective online sessions, all from the privacy and convenience of your home, office or hotel room. Never miss a session, and keep moving toward your goals from anywhere in the world.
Watch our video to hear Dr. Kalika talk about pinched nerve pain treatment at NYDNRehab.
Dr. Lev Kalika is clinical director of NYDNRehab, located in Manhattan. Lev Kalika is the author of multiple medical publications and research, and an international expert in the field of rehabilitative sonography, ultrasound guided dry needling and sports medicine Dr. Kalika works with athletes, runners, dancers and mainstream clients to relieve pain, rehabilitate injuries, enhance performance and minimize the risk of injuries. His clinic features some of the most technologically advanced equipment in the world, rarely found in a private clinic.
Below is a prime example of how ultrasound can take the guesswork out of diagnosis.
A bad physical therapy experience is one of the primary causes of unnecessary surgery
In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.
Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.
The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.
Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup
Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)
Complete tear of rectus femoris
with large hematoma (blood)
Separation of muscle ends due to tear elicited
on dynamic sonography examination
