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doctor treating pinched nerve in foot

Pinched Nerve Treatments

Pinched Nerve Treatments

Having nerves running all over the body means a one can be pinched virtually anywhere. Bone, cartilage, or a combination of tissues put pressure on a nerve or, causing tingling, numbness, pain, or even muscle weakness or immobility. Whether minor or severe, a pinched nerve can get in the way of everyday activities and make more intense activities downright impossible. Here are a few treatment options.

Rest

Treatment may vary depending upon where the pinched nerve is located. While it’s always a good idea to go to a doctor (particularly to rule out other issues that may have similar symptoms, like neuropathy), very often there is little to be done for a newly pinched nerve. Resting the affected area is the first step. Some parts of the body may benefit from immobility devices. 

For example, carpal tunnel syndrome, in which the nerves leading to the fingers are pinched by pressure from surrounding tissues pushing on the median nerve, can be aided by wearing a splint or brace that immobilizes the wrist and parts of the hand. A splint allows the area to rest almost completely still, particularly at night when you tend to curl your wrists forward and backward. A soft collar may be used when the issue occurs in the neck. For other parts of the body, simply rest and avoid activities that strain the affected area. 

Therapy

Physical therapy may also be extremely beneficial for pinched nerves. A physical therapist can provide methods of movement that won’t cause stress or injury to a sensitive part of the body—particularly as it’s often very easy for the same area to become pinched again. Physical therapists can teach clients exercises that will improve strength and mobility without further damaging the nerve, while building muscle and increasing flexibility for a healthier, stronger body. 

Medication

When rest and immobility are ineffective, mild to more intensive pharmaceutical interventions may be necessary. Nonsteroidal antiinflammatories (NSAIDs), over the counter or prescription, are often helpful in controlling mild pain. Acetaminophen, an over the counter analgesic, may also help with mild pain. Corticosteroids, both oral and injectible, may also be helpful. 

In some cases, pinched nerves may cause muscle spasms and severe pain, making it necessary to see a doctor for more intensive medications. Carisoprodol is a sedative muscle relaxant that interferes with the signals for pain the brain sends out, allowing fewer pain signals to reach your nerves. Flexeril, diazepam, and orphenadrine are other medications used for severe pinched nerves.

Surgical Interventions

In very chronic or acute situations, surgical interventions may be necessary; the type depends upon exactly where the pinched nerve is. The goal of this type of surgery is to relieve the pressure on the nerve. According to the Mayo Clinic, this may entail taking out a bone spur, dealing with a herniated disk, or making more room in the wrist for the nerves by cutting the carpal ligament. Carpal tunnel may also be dealt with surgically by severing wrist tissue to relieve pressure. If you suspect you have a pinched nerve, talk to your doctor about your treatment options. 

Last Updated: August 26, 2016