Doctor insights on:
Pinched Nerve Alcohol
Will pt help a pinched nerve on l -4 I had an emg today and the said the nerve is not damaged or cut.?
Yes: Physical therapy can help control some of the pain associated with radicular symptoms. It does not necessarily resolve the actual pathology (although certain exercises involving spinal extension may help facilitate resolution), but the combination of exercises and modalities can help control pain. ...Read more
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
Usually no surgery: Most just get better with time. So anyone can claim a 90% success rate with their care as this is the natural history but lifestyle changes including exercise, smoking cessation and weight control are important especially in minimizing recurrences. Sometimes, physical therapy, activity modifications, medication and epidural steroid injections can be of benefit. ...Read more
Depends: Pinched nerves can be safe ly treated at any age. The decision depends on many factors, severity, disablement, health status and failure of conservative treatment. Minimally invasive surgery can be quick, efficient and helpful. Evaluation critical. ...Read more
None to multiple: This is typically a layman's term for a disc herniation. Most have no symptoms and are seen fairly frequently on imaging studies. Symptoms can range from pain in the spine, in the extremities, numbness, tingling, weakness & bowel/bladder problems. If at a thoracic or cervical level maybe gait, balance or spasticity issues as well as dexterity problems. This is known as a myleopathy. ...Read more
Generic answer: Variety of different approaches based on which nerve, and where. Surgery might be an answer for ruptured disc, pinching nerve in neck or back. Carpal tunnel, cubital tunnel, nerves decompressed at wrist and elbow. Sometimes local steroid injections, even epidural steroids may stabilize the compression. Never hurts to supplement with one b-100 complex daily, and meds useful for symptoms. ...Read more
Disc herniation: Natural history, or the normal healing process, varies between people. However, symptoms can begin and disappear in days. Generally, I give my patients 6 weeks to 3 months for healing. Thereafter, it is likely to be prolonged without surgical treatment. The benefit of surgery is faster return to work/activities, but ultimate result years down the road is equivalent with/without surgery. ...Read more
Bone or cartilage: Most commonly, a pinched nerve in the spine is caused by a nerve being compressed by arthritic calcifications from the joint, or from cartilage that lines a joint, or from a slipped disc. Symptoms should be checked by your doctor as severe cases can lead to permanent damage to the nerve and muscles supplied by that nerve. ...Read more
A pinched nerve's main symptom is pain. This pain is typically described as shooting or radiating pain. If one particular nerve is pinched or irritated one could typically expect to have radiating pain is a consistent pattern (dermatome). The best things to diagnose this are a good physical exam, MRI and/or emg.
http://arizonapain. Com/pain-center/pain-treatments/neck-pain. ...Read more
PinchedNerveTeatment: Depends on the cause, most common being nerve compression by adjacent anatomic structures (eg discs, degenerative arthritis). In absence of progressive neurological deficit, a trial of conservative (meds, pt, epidural injections) may be tried. If this fails and/or neurological deficit progressive, surgery may be next best step. ...Read more
Pinched nerve: There is no reason needed. It is a common occurrence that may or may not be symptomatic. Causes include herniated disc, bone spur, stress fracture, slipped vertebra, spinal fracture, tumor, trauma... As you can see, without further information, difficult to make an assessment. In a young person, likely a disc herniation with 80% chance of nonsurgical improvement with pt, nsaid's, and time. ...Read more
Dizziness and pain.: Usually not. However, a sudden sharp pain by nerve acute irritated might induce dizziness due to pain induced blood pressure disturbance. Most case pain medications, especially narcotics and nerve membrane stabilizers, such as Neurontin (gabapentin) might induced dizziness like feeling. ...Read more
Its possible: I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more
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