Nerve Compression

Nerve Compression

Overview

Nerve compression, often referred to as a pinched nerve, occurs when surrounding tissues—such as bones, cartilage, muscles, or tendons—apply too much pressure on a nerve. This pressure disrupts the nerve’s function, causing pain, tingling, numbness, or weakness along the nerve pathway.

Nerve compression can happen at various points in the body but is most common in the neck (cervical spine), lower back (lumbar spine), wrist (carpal tunnel), and elbow (cubital tunnel).

Symptoms

Symptoms depend on the location and severity of compression, and may include:

  • Sharp, burning, or aching pain
  • Tingling or “pins and needles” sensation
  • Numbness in the affected area
  • Muscle weakness
  • Pain radiating to arms or legs
  • Worsening of symptoms with certain movements or positions

Common Causes

  • Herniated or bulging disc
  • Bone spurs from arthritis
  • Poor posture or prolonged sitting
  • Repetitive motion (typing, lifting)
  • Injury or trauma
  • Obesity, increasing pressure on nerves
  • Swelling or inflammation around the nerve

Risk Factors

  • Age (degenerative changes over time)
  • Sedentary lifestyle or poor posture
  • Physically demanding work
  • Diabetes (can increase risk of neuropathy)
  • Repetitive activities (typing, heavy lifting)
  • Pregnancy (fluid retention and weight gain)

Diagnosis

Diagnosis involves:

  • Physical examination: Assessing reflexes, muscle strength, and sensation
  • Medical history reviewImaging tests:
  • MRI or CT scan to view soft tissues
  • X-rays to check for bone spurs or spinal alignment issues
  • Nerve conduction studies (EMG/NCV): To test how well electrical impulses travel through the nerve