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Pinched Nerve Treatment

Pinched nerve treatment may include surgery when conservative measures fail to alleviate signs. By eliminating surrounding tissues that compress the afflicted nerve, such as thicker ligaments, herniated discs, or bone spurs, the surgical technique aims to reduce pressure on the nerve. Typically, minimally invasive methods like laminectomy or microdiscectomy are used by surgeons to access the afflicted area with the least amount of tissue disruption possible. Reducing pinched nerve discomfort, numbness, tingling, and weakening through surgery enables patients to resume function and enhance their quality of life. To maximize recovery, physical rehabilitation and therapy may come after surgery.

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About Pinched Nerve Treatment


Treatment: The first line of treatment for a pinched nerve typically consists of rest, reducing activity, and conservative methods including using heat or ice, over-the-counter painkillers, and physical therapy. Surgical treatment may be required to relieve pressure on the afflicted nerve in extreme cases or when conventional treatments are ineffective.

Types of Pinched Nerves

  1. Cervical Radiculopathy: Cervical Radiculopathy occurs when a nerve in the neck is compressed, often due to a herniated disc or bone spur. It can cause pain, numbness, or weakness that radiates into the shoulder, arm, or hand.

  2. Lumbar Radiculopathy: Lumbar Radiculopathy, a nerve in the lower back is pinched, usually from a herniated disc or spinal stenosis. Symptoms may include lower back pain, leg pain, numbness, or weakness in the legs or feet.

  3. Carpal Tunnel Syndrome: This happens when the median nerve in the wrist is compressed, often due to repetitive movements or fluid retention. It causes pain, numbness, and tingling in the hand and fingers.

  4. Sciatica: This involves compression of the sciatic nerve in the lower back or buttocks, often due to a herniated disc. It leads to sharp pain, tingling, or weakness that radiates down the leg.

Symptoms of Pinched Nerves

Pinched nerve symptoms can involve tingling, pain, weakness, or fragility in the area that is impacted. These symptoms may cause discomfort and functional limits as they spread along the length of the injured nerve.

  1. Pain: Sharp or aching pain can occur in the area where the nerve is compressed. This pain might radiate to other parts of the body, like the arms, legs, or back.

  2. Numbness: You may experience a loss of feeling or numbness in the affected area, such as the fingers, hands, or feet.

  3. Tingling: A pinched nerve can cause a "pins and needles" sensation, often described as tingling, in the area served by the affected nerve.

  4. Weakness: Muscle weakness can occur, making it difficult to lift objects, grip things, or perform everyday tasks.

  5. Burning Sensation: Some people feel a burning or electric shock-like sensation in the area where the nerve is compressed.

Causes of Pinched Nerves

When a nerve is compressed by surrounding tissues including muscles, tendons, cartilage, or bones, the result is a pinched nerve. Numerous conditions, such as bad posture, repetitive motions, arthritis, ruptured discs, and spinal stenosis, can cause this compression.

  1. Herniated Discs: When the soft center of a spinal disc pushes through a crack in the tougher outer layer, it can press on nearby nerves, causing pain and other symptoms.

  2. Bone Spurs: These are bony growths that can develop on the spine due to aging or arthritis. Bone spurs can compress nerves, leading to discomfort.

  3. Spinal Stenosis: This condition involves a narrowing of the spinal canal, which can put pressure on the nerves that travel through the spine.

  4. Injuries: Traumas, such as fractures or dislocations, can injure the spine or joints, resulting in nerve compression.

  5. Repetitive Strain: Repeated motions or poor posture, such as typing on a keyboard or lifting heavy objects, can lead to nerve compression, especially in areas like the wrist or neck.

What Helps with Nerve Compression

  1. Rest: Taking breaks and avoiding activities that worsen the symptoms can reduce pressure on the affected nerve.

  2. Physical Therapy: Exercises and stretches can help relieve nerve compression and strengthen surrounding muscles.

  3. Medications: Over-the-counter pain relievers or anti-inflammatory drugs can reduce pain and inflammation.

  4. Heat/Ice Therapy: Applying heat or ice packs can help ease pain and swelling.

  5. Proper Posture: Maintaining good posture and ergonomics, especially while sitting or working, can prevent further nerve compression.

  6. Splints or Braces: These can immobilize the affected area and reduce pressure on the nerve.

Procedure of Pinched Nerve Treatment

Diagnosis: The initial stage in treating a pinched nerve is a comprehensive assessment by a medical practitioner, which may include a physical examination and imaging tests like an MRI or CT scan to identify the compressed nerve.

Conservative Measures: To alleviate symptoms and lessen nerve compression, non-surgical methods such as physical therapy, activity moderation, rest, and pain treatment may be suggested at first. 

Injections: Corticosteroid injections may be used in the vicinity of the compressed nerve to minimize inflammation and relieve symptoms if conservative measures are ineffective. 

Surgical Evaluation: Surgery may be considered if conservative methods fail to alleviate symptoms or if they worsen. The surgeon will assess the degree of nerve compression and choose the best surgical strategy. 

Surgical Approach: A variety of surgical methods, such as a laminectomy, foraminotomy, and microdiscectomy, which are decompression treatments, are available to treat pinched nerves. The location and origin of the nerve compression dictate the exact procedure that is chosen. 

Nerve Decompression: The doctor carefully eliminates or relaxes the structures pinching the spinal nerve, such as thicker the ligaments, disc herniation, or bone spurs, in order to reduce pressure and reestablish nerve function. 

Recovery and Rehabilitation: Following surgery, patients undergo a period of recovery and rehabilitation in an effort to optimize outcomes and restore function. physiotherapy, treatment of pain, and activity modification may be necessary during this period. Following surgical instructions and attending follow-up appointments are essential if you want to get the care and supervision you need while your body heals. 


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