Pinched Nerve

A pinched nerve occurs when surrounding structures — such as bones, discs, or ligaments — put excessive pressure on a nerve.
This compression disrupts normal nerve signaling and can lead to pain, numbness, tingling, or weakness.

Pinched nerves are most common in the neck (cervical spine) and lower back (lumbar spine) but can also occur in other parts of the body.
When they occur in the spine, they often cause radiating pain into the arms or legs.

A variety of spinal and lifestyle factors can lead to a pinched nerve.
The underlying cause is usually related to changes in the spine that reduce space around the nerve.

• Herniated or bulging discs: Disc material pushes outward and presses directly on a nerve root.
• Bone spurs (arthritis): Overgrowth of bone caused by degenerative changes narrows the nerve passageway.
• Spinal stenosis: Overall narrowing of the spinal canal puts multiple nerves under pressure.
• Poor posture or repetitive strain: Long periods of sitting or repetitive movements can cause inflammation and nerve irritation.
• Spondylolisthesis: A vertebra slips forward, pinching the nerve between bones.
• Injury or trauma: Sudden impact can displace tissue or bone, compressing the nerve.
   

Symptoms vary depending on where the nerve is compressed and how severe the pressure is.

• Localized pain in the neck or lower back.
• Radiating pain:
  • Cervical spine (neck): pain travels down the shoulder, arm, and into the hand.
  • Lumbar spine (lower back): pain radiates through the buttock, leg, or foot (often called sciatica).
• Numbness or tingling (“pins and needles”) in the affected limb.
• Weakness in the arm, hand, leg, or foot, making it difficult to grip, lift, or walk normally.
• Pain that worsens with certain positions, such as sitting, standing, or turning the head.
• Severe or urgent symptoms: sudden loss of bladder or bowel control or rapidly worsening weakness — these require immediate medical attention..

Dr. Fried uses a thorough and systematic process to diagnose a pinched nerve and pinpoint its exact location.

• Medical history: review of symptoms, onset, and daily activity impact.
• Physical and neurological exam: checking reflexes, muscle strength, range of motion, and sensation.
• Imaging studies:
  • MRI: best for visualizing nerve compression and soft tissues like discs and ligaments.
  • X-rays: show spinal alignment, bone spurs, or instability.
  • CT scans: provide detailed bone imaging when needed.
• Diagnostic injections: can confirm which nerve is the source of pain.
  
   

Most pinched nerves can be treated successfully without surgery, especially when identified early.
Dr. Fried focuses on relieving pressure on the nerve while restoring mobility and function.