Doctor insights on:
What To Do For A Pinched Nerve In The Back
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
Exercise and aspirin: Of course the answer may be different if the nerve is truly pinched & is either in the shoulder or in the neck. The best treatments for mechanical problems, like pinched nerve, are mechanical. Symptomatic relief with anti-inflammatories may reduce pain but more importantly allow corrective exercise to be used to lessen symptoms. Find out what caused your trouble, then do something about it. ...Read more
Inactivity: Having your hips flexed in the seated position for an extended period of time can cause your psoas muscle to spasm. You can reduce that spasm by stretching the psoas(ie lunges) and the hamstrings. If driving long distances, try stretching for 5-10 minutes every 2-4 hrs. ...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 moreSee 1 more doctor answer
Piriformis: Lumbosacral disc disease can cause pain that radiates into the buttock and down the leg. Compression of the sciatic nerve by the piriformis muscle in the butt cheek can do the same but pain rarely goes below the knee. There are exercises that help stretch the muscle to take pressure off the nerve. If pain radiate to the foot, see a doctor. Pain can radiate form the hip to knee if tfl is tight. Pt. ...Read more
What are the synptoms of a pinched nerve in the right upper back..Also whete to go chiropractor or doctor.?
Pain, numb, weak: A pinched nerve in the neck (cervical radiculopathy) causes pain, paresthesias, numbness, and/or weakness. The radiation pattern is dependent upon which nerve root is being entrapped. For instance, a c5 radiculopathy can present as neck pain with radiation into the medial scapular border and deltoid. It would rarely go below the elbow. Being a doctor I am a bit biased but would rec a doc. ...Read more
Seen a doctor yet?: A pinched nerve (e.g. Sciatica) may cause severe pain and disability. If anti-inflammatories and usual pain meds have not controlled the pain then oral steroids (e.g. Medrol dose pak) followed by an injection may get the 'inflamed nerve' -under control. Other meds for 'nerve pain' may also help: Gabapentin or lyrica (pregabalin). Hope you are better soon! ...Read more
Physical therapy: Exercise to strengthen your back muscles is the only long term solution. For temporary relief try heat, acupuncture, muscle relaxants or pain meds from an md, or over-the-counter migralex (it's not just for headaches - magnesium on it helps relax muscles and Aspirin relieves pain and inflammation. ...Read moreSee 1 more doctor answer
Diagnosis ???: "pinched nerve" means someone is guessing but has no clue. Which nerve? Pinched or swollen? Where? How long? What is pinching it? See a reputable neurologist, get EMG and nerve conduction velocity testing. Pinpoint the diagnosis (exact identification of the problem). Treatment may include fixing hypothyroidism, controlling diabetes, removing a cervical disc, carpal tunnel surgery, ulnar release.. ...Read moreSee 1 more doctor answer
Back pain: Often times, conservative treatment such as physical therapy (including strengthening and stretching) and anti-inflammatory medications will work. It would also be reasonable to try massage, ice or heat, or over the counter creams such as aspercreme or capsaicin creme. See a physician if your symptoms do not improve - further treatment options would include spinal injections and even surgery. ...Read more
What can be done for a pinched nerve in the neck at levelc5 c6? How can a nerve get pinched in that area? I just had a positive EMG. Please help
Several things : Time is biggest healer -90% resolve with no surgery. Lifestyle changes, not smoking & regular exercise are important & can be learned in physical therapy. Some people like to use inversion tables for traction or try acupuncture or even chiropractic . Medication & epidural steroid injections can be considered if no medical reasons not to use. Disc herniations have multiple causes. ...Read moreSee 2 more doctor answers
The most common: Pinched neve n the wrist is the median nerve and compression of that nerve is called carpal tunnel. One can also have compression of the ulnar nerve in guyons canal and even entrapemtn of the radial sensory nerve as it exits the velar forearm . Get evaluated as loss of sensation can occur from many things. ...Read more
Meds for spinal pain: First line for pain should be nsaid's i'd you tolerate them. Aleve is more convenient as it is twice daily, but Ibuprofen is fine if taken 4x daily. Tylenol (acetaminophen) is also good for pain, but not an anti-inflammatory. Next for sciatic/nerve pain would be lyrica/neurontin--both nonaddictive. Elavil, Cymbalta also good options especially if trouble sleeping. Narcotics only short time for severe/acute pain. ...Read moreSee 3 more doctor answers
I have a lot of pain in my right leg. It starts in the butt andthigh. What type of tests are there to find out if and where a pinched nerve is in the back?
This diagnosis is : Made by taking a careful history & doing a thorough physical examination with testing used to confirm the diagnosis if needed for further treatnent if initial care with time, activity modification, medication & physical therapy do not help. Then a lumbar MRI or ct if MRI contraindicated would be the ideal tests usually after 6 weeks of symptoms to help confirm diagnosis & guide further care. ...Read moreSee 2 more doctor answers
Time: The epidural injection helps most people with documented herniations that are the source of there sciatica type pain. That said the question is how long will you get relief for and there is no real good answer for that. Some people can get relief for months and others it can be days/weeks. We notice most people get relief for a longer time if at least 2 injections are planned. ...Read moreSee 1 more doctor answer
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