Physiotherapy for Pinched Nerve
Physiotherapy is an important intervention for pinched nerve or nerve compression. As nerves exit the spine through holes called foramina, anything that encroaches into this space can put pressure or “pinch” the nerve. Nerve compression results in significant discomfort for patients. With appropriate physiotherapy most compressions can be managed conservatively without surgery.
Causes
- Degenerative disk disease
- Herniated disk
- Trauma, muscle spasms
Symptoms
- Pain
- Numbness
- Tingling
- Muscle weakness
- Muscle spasms
Goal of Physiotherapy
The goal of physiotherapy is dependent on the extent of injury. Upon immediate injury, goal is to remain conservative and not aggravate the existing injury. Once the initial inflammation has subsided, a stepwise approach to care is initiated. After a thorough spinal examination therapy is directed to:
- Improve strength
- Increase flexibility
- Evaluate and correct posture
- Reduce clinical symptoms of pain, tingling, and numbness
Treatment
After the immediate injury and a thorough exam, a program of stretching and strengthening will be initiated to restore flexibility to the joint and muscles involved. Your program will be tailored to your area of injury. Common treatments include:
- Manual therapeutic technique
- Soft tissues massage, stretching and joint mobilization
- Therapeutic Exercises
- Stretch and strengthening exercises to reduce stress while improving mobility
- Neuromuscular re-education
- Improve posture, stability, and body mechanics to protect the injury
- Other modalities include
- E-stim, ultrasound, ice, cold laser, traction
- Establish home programs
- Establish daily task to advance function to the next level.