Pinched Nerve

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What is pinched nerve?

The term pinched nerve describes one type of damage or injury to a nerve or set of nerves. The injury may result from compression, constriction, or stretching. Symptoms include numbness, "pins and needles" or burning sensations, and pain radiating outward from the injured area. One of the most common examples of a single compressed nerve is the feeling of having a foot or hand "fall asleep". Pinched nerves can sometimes lead to other conditions such as peripheral neuropathy, carpal tunnel syndrome, and tennis elbow. The extent of such injuries may vary from minor, temporary damage to a more permanent condition. Early diagnosis is important to prevent further damage or complications. Pinched nerve is a common cause of work-related injuries.

Is there any treatment for a pinched nerve?

The most frequently recommended treatment for pinched nerve is rest for the affected area. Corticosteroids - steroids that ease inflammation - can help alleviate pain. In some cases, surgery is recommended. Physiotherapy may be recommended, and splints or collars may be used.

What is the prognosis for a pinched nerve?

With treatment, most people recover from pinched nerve. However, in some cases, the damage is irreversible.

Your nervous system is involved in everything your body does, from regulating your breathing to controlling your muscles and sensing heat and cold.

There are three types of nerves, or neurons, in the body:

  1. Autonomic nerves. These nerves control the involuntary or partially voluntary activities of your body, including heart rate, blood pressure, digestion and temperature regulation.
  2. Motor nerves. These nerves control your movements and actions by passing information from your brain and spinal cord to your muscles.
  3. Sensory nerves. These nerves relay information from your skin and muscles back to your spinal cord and brain. The information is then processed to let you feel pain and other sensations.

Nerve pain and nerve damage can be mild. But, because nerves are essential to all you do in life, nerve pain and damage can seriously affect your quality of life.

What are the symptoms of nerve pain and nerve damage?

With nerve damage there can be a wide array of symptoms. Which ones you may have depends on the location and type of nerves that are affected. Damage can occur to nerves in your brain and spinal cord. It can also occur in the peripheral nerves, which are located throughout the rest of your body.

Autonomic nerve damage may produce the following symptoms:

  • inability to sense chest pain, such as angina or heart attack
  • too much sweating (known as hyperhidrosis) or too little sweating (known as anhidrosis)
  • lightheadedness
  • dry eyes and mouth
  • constipation
  • bladder dysfunction
  • sexual dysfunction

Damage to motor nerves may produce the following symptoms:

  • weakness
  • muscle atrophy
  • twitching, also known as fasciculation
  • paralysis

Sensory nerve damage may produce the following symptoms:

  • pain
  • sensitivity
  • numbness
  • tingling or prickling
  • burning
  • problems with positional awareness

In some instances, people with nerve damage will have symptoms that indicate damage to two, or even three, different types of nerves. For instance, you might experience weakness and burning of your legs at the same time.

What causes nerve pain and nerve damage?

There are more than 100 different types of nerve damage. The various types may have different symptoms and may require different types of treatment.

Peripheral nerve damage becomes increasingly more common with age. In one out of every three people with peripheral nerve damage, the damage comes from diabetes. In another third, the cause of the nerve damage remains unknown.

While not an exhaustive list, the following are some of the possible causes of nerve pain and nerve damage:

  • Autoimmune diseases. A variety of different types of autoimmune diseases can produce symptoms of nerve pain and nerve damage. These include multiple sclerosis, Guillain-Barré syndrome (a rare condition in which the immune system attacks the peripheral nerves), myasthenia gravis,lupus and inflammatory bowel disease.
  • Cancer. Cancer can cause nerve pain and nerve damage in multiple ways. In some instances, cancerous masses may push against or crush nerves. In other cases, certain types of cancer may result in nutritional deficiencies that affect nerve function. Additionally, chemotherapy and radiation may produce nerve pain and nerve damage in certain individuals.
  • Compression/trauma. Anything that results in trauma or compression of nerves can result in nerve pain and nerve damage. This includes pinched nerves in the neck, crush injuries, and carpal tunnel syndrome.
  • Diabetes. About 50% of people with diabetes suffer from nerve damage, which becomes more likely as the disease progresses. Diabetic neuropathy is a serious complication and may affect all three types of neurons. Sensory nerves are most often affected, causing burning or numbness. If you have diabetes and are experiencing symptoms of nerve pain or nerve damage, you should consult a medical professional as soon as possible.
  • Medication side effects and toxic substances. Various substances that are taken into the body intentionally or unintentionally have the ability to cause nerve pain and nerve damage. These include medications, such as chemotherapies for cancer and certain medicines used to treat HIV. Toxic substances that may be ingested accidentally, including lead, arsenic and mercury, may also cause damage to your nerves.
  • Motor neuron diseases. The motor neurons are nerves in your brain and spinal column that communicate with the muscles throughout your body. Diseases that affect these nerves, including amyotrophic lateral sclerosis or Lou Gehrig’s disease, can result in progressively worsening nerve damage.
  • Nutritional deficiencies. Deficiencies of certain nutrients, including vitamins B6 and B12, may produce symptoms of nerve pain and nerve damage, including weakness or burning sensations. Nutritional deficiencies that cause nerve damage may also result from excessive alcohol ingestion or develop after gastric surgery.
  • Infectious disease. Certain infectious diseases have the ability to affect the nerves in your body. These conditions include Lyme disease, the herpes viruses, HIV and hepatitis C.

In many instances, nerve damage cannot be cured entirely. But there are various treatments that can reduce your symptoms. Because nerve damage is often progressive, it is important to consult with your GP when you first notice symptoms. That way you can reduce the likelihood of permanent damage.

Often, the first goal of treatment is to address the underlying condition that’s causing your nerve pain or nerve damage. This may mean:

  • regulating blood sugar levels for people with diabetes
  • correcting nutritional deficiencies
  • changing medications when drugs are causing nerve damage
  • physical therapy or surgery to address compression or trauma to nerves
  • medications to treat autoimmune conditions

Additionally, your GP may prescribe medications aimed at minimising the nerve pain you are feeling. These may include:

  • pain relievers
  • tricyclic antidepressants
  • certain anti-seizure medications

Complementary and alternative approaches may also help alleviate your nerve pain and discomfort. These include:

  • acupuncture
  • hypnosis
  • meditation
 

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A selection of Common Ailments and their Treatments, together with some Alternative Therapies.

A Acupressure Acupuncture Addison's Disease Alexander Technique Ankylosing Spondylitis
  Anxiety Disorders Apitherapy Appendicitis Applied Kinesiology Arachnoiditis
  Aromatherapy Arthritis      
  Ayurveda        
B Back Pain Bells Palsy Biofeedback Burns  
C Cancer Pain Carpal Tunnel Syndrome Central Pain Syndrome Cervical Spondylosis Chelation Therapy
  Chinese Medicine Chiropractic Care Chronic Fatigue Syndrome   Colour Therapy
  Complex Regional Pain Syndrome Craniosacral Therapy Crohn's Disease etc Cushing's Syndrome  

D

Dementia

Depression

Dupuytren's Contracture

   

E

Environmental Medicine

Exercise and Fitness

     

F

Feldenkrais

Fibromyalgia

Flower Essences

Foot Pain

Frozen Shoulder

G

Guided Imagery

 

     
H Healthy Indulgences Heart Attack Heart Disease Heel Pain Herbs and Herbal Medicine
  Hernia (Hiatus) Hernia (Inguinal) High Blood Pressure Homeopathy Huntington's Disease
  Hydrotherapy Hypnotherapy      
I Iridology Irritable Bowel Syndrome      

J

         

K

         
L Leg Cramps Light Therapy Low Blood Pressure Lupus Lyme Disease
M Magnetic Therapy Massage Therapy Meditation Ménière's Disease Migraine and Headache
  Morton's Neuroma Multiple Sclerosis Music & Sound Therapy Musculoskeletal Pain Myofascial Pain
N Naturopathic Medicine Neck Pain Nerve Pain Neuralgia Neurofibromatosis
  Neuromyelitis Optica        
O Osteoarthritis Osteopathy Osteoporosis Otitis Externa Otitis Media
 

Oxygen & Ozone Therapy

       
P Pain & Chronic Pain Panic Attacks Parkinson's Disease Period Pain Peripheral Neuropathy
  Phantom Limb Pain Physiotherapy Pinched Nerve Polarity Therapy Polymyalgia Rheumatica
  Prolotherapy Psoriatic Arthritis      
Q Qigong        
R Raynaud's Disease Reactive Arthritis Reflexology Reiki Relaxation
  Repetitive Strain Injury Rheumatoid Arthritis Rickets Rolfing  
S Sciatica Scoliosis Shiatsu Massage Shingles Shoulder Pain
  Slipped Disc Sports Injuries Sprains and Strains Stroke  
T Tai Chi Temporomandibular Disorders Tendonitis Tennis Elbow Tens Machine
  Therapeutic Touch Tietze's Syndrome Tinnitus Trager Approach Transient Ischaemic Attack
  Trigger Finger        

U

Uveitis

       

V

         

W

Whiplash Injury

 

     
X          
Y Yoga        
Z          

Glenrothes Pain Awareness and Support Group.  A forum dedicated to helping and advising the many people, in GLENROTHES and district who suffer from chronic pain, with links to other support groups in the UK and the rest of the world.