A pinched nerve can develop from one of several causes, including repetitive motion or holding a body part in one position for an extended length of time. Pain that travels down the neck and into the arm, or from the spine and down the leg, may cause you to become worried, especially if you have never experienced this type of pain before. Treatment of pinched nerves is vital, because symptoms and pain can worsen, limiting your activities and leading to more complex problems down the road.
It is a commonly-used term collectively describing multiple mechanisms of mechanical nerve dysfunctions, such as entrapment, compression, loss of gliding, and tension.
Nerves originate at your brain and spinal cord and travel throughout every part of your body. Your brain sends messages via your spinal cord to tell your muscles when to fire, and how much force to produce. It also receives messages from proprioceptors in your joints and muscles about your body’s position in space, and alerts about pain from overuse or trauma.
A pinched nerve is a spinal nerve root that has been compressed. It can cause pain, a burning feeling or a sensation of pins and needles in your legs, arms, feet or hands. Depending on its location, a pinched nerve can impair movement and cause muscle weakness. Compression of a nerve root can usually be treated and resolved with conservative care, and rarely requires surgery.
Nerves travel in anatomical tunnels. Most of the time, these tunnels are located inside the muscles and are composed of the fascia. However, when the nerves cross in between muscular heads or from one muscle to the other, the fascia corridors are usually thicker and more tortuous. This is exactly where nerve compression can occur.
Another anatomical location for the nerve entrapment is called fibro-osseous tunnels (FOT). FOT is a muscular or fascial connection to the bone in which space and gliding are limited. These are the frequent places of nerve entrapments.
A compressed nerve in the neck or arm can lead to pain, tingling, numbness and sensations of pins and needles in the fingers, hands, wrists and elbows. Repetitive motions during physical activity may worsen the condition.
A compressed nerve in the lumbo-pelvic region can cause pain and dysfunction in the lower extremities. If the large sciatic nerve is involved, you may experience pain, numbness and/or tingling anywhere from the low back and buttocks, down the legs and into your ankles and feet.
Pinched nerves may be involved in multiple conditions:
In most cases, accurate diagnosis and conservative treatment can resolve a pinched nerve in a relatively short span of time.
In younger people, a pinched nerve often arises from physical activity or postural issues. Older adults may experience pinched nerves in response to degenerative diseases of the spine or joints.
Common causes of pinched nerves include:
The sports physical therapy and chiropractic team at NYDNRehab has on-site access to some of the most advanced rehab technologies and innovative therapies in the world. Our clinic is the only private clinic in the US to house a wide array of research-grade technology for assessment and rehab.
At NYDNRehab, we don’t just focus on pain management. We get to the source of pain through quantitative analysis, and correct motor deficiencies, muscular weaknesses and postural problems that put pressure on your nerves and keep you from doing the activities you enjoy.
Dr. Lev Kalika is a world-recognized expert in musculoskeletal ultrasonography, with 20+ years of clinical experience in advanced rehabilitative medicine. In addition to operating his clinical practice in Manhattan, he regularly publishes peer-reviewed research on ultrasound-guided therapies and procedures.
Dr. Kalika is an esteemed member of the International Society for Medical Shockwave Treatment ((SMST), and the only clinician in New York certified by the ISMST to perform extracorporeal shockwave therapy. He is also an active member of the American Institute of Ultrasound in Medicine (AIUM), and has developed his own unique approach to dynamic functional and fascial ultrasonography.