Nerve Pain - Nerve Pain And Nerve Injury
Nerve pain and nerve pain can be both painful and bothersome. Nerve pain and nerve damage can be due to sciatica / sciatica, prolapse, diabetes, nerve disease, constipation, autoimmune diseases and drug side effects. However, we note that functional nerve irritation due to muscles and joints is the most common.
Common areas where nerves can get trapped or irritated include:
- The neck (neck prolapse or functional nerve irritation due to tight muscles and joints)
- The back (Disc prolapse or irritation from tense muscles and joint malfunction)
- The seat (Piriformis syndrome and pelvic joint problems)
- Shoulder (clamping syndrome)
Classic symptoms of nerve crushing can include:
- Fading in hands or feet
- Power weakening in grip or walking
- Numbness in the arms or legs
- Sensory impairment in the artery or bone (neuropathic hyposensitivity)
- Radiating pain down the thigh and down to the foot (neuropathic bone pain)
- Radiating pain from the neck down to the arm to the hand (neuropathic arm pain)
Scroll below for to watch two great training videos with exercises which can help you reduce nerve irritation and nervous tension.
VIDEO: 5 Exercises Against Radiation in the Legs and Nerve Clamping in the Back
Radiation and iling down the legs may be due to nerve irritation or neuropathic nausea in the back. The nerves in the low back are responsible for sending motor signals to your muscles, as well as receiving sensory information from the skin and muscles.
Click below to see five exercises that can help reduce nerve irritation in the back and help improve nerve function.
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VIDEO: Four Safe Core Exercises Against Back Prolapse and Back Nerve Pain
A spinal collapse can put local pinching on the nerves in the back. Gradual exercise is important if you suffer from a disc prolapse to increase local blood circulation, strengthen local muscles and contribute to good repair conditions. Exercises should be performed three to four times during the week.
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Common causes of nerve irritation and nausea nausea
Some of the most common causes are overload, trauma, poor sitting position, poor diet, wear and tear, muscular failure loads (especially the gluteal muscles) and mechanical dysfunction in the spine. Nerve pain will affect the vast majority of us throughout life - some of us more than others.
Some of the most common causes of nerve pain are dysfunction in musculature / myalgia (eg. piriformis syndrome), disc disorders (neck prolapse or lumbar prolapse) and local squeezing. It can also be aggravated by joint restrictions and referred pain from nearby structures.
Where are the nerves?
The nerves are the control system that controls everything that happens in your body - they are found throughout the body. We can divide the nerves into 3 main categories:
- Autonomic nervous system - These nerves control the involuntary movements and reactions in the body. It controls, among other things, blood pressure, heart rate, temperature control and digestion. They also regulate organ function.
- Motor nervous system - These are the nerves that allow you to move by sending signals from the brain and spinal cord to your muscles.
- Sensory nervous system - This system sends information from the skin and touch back to your brain. There it is 'interpreted' so that you can feel touch and the like.
- Complete overview of muscle knots and their reference pain pattern
Nerve anatomy (the 3 nervous systems)
The autonomic nervous system
The motor and sensory nervous systems
Thus, the motor and sensory nervous system works. As you can see it is the left part of the brain that determines the movements of the right part of the body - that information is particularly interesting when we think of stroke or cerebral haemorrhage, which then means that bleeding in the left hemisphere will have an effect on the right side - it naturally depends on which area is also affected.
What is pain?
Pain is the body's way of saying that you have injured yourself or are about to hurt you. This is an indication that you are doing something wrong. Not listening to the body's pain signals is really asking for trouble, as this is its only way to communicate that something is wrong. This applies to pain and aches all over the body, not just back pain as so many people think. If you do not take the pain signals seriously, it can lead to long-term problems, and you risk the pain becoming chronic. Naturally, there is a difference between tenderness and pain - most of us can tell the difference between the two.
Treatment and specific training guidance by a musculoskeletal expert (physical therapist, chiropractor or manual therapist) is often advised to overcome the problem for a long time. The treatment will target and treat dysfunctions in the muscles and joints, which in turn will reduce the incidence of pain. When the pain is attenuated, it is necessary to weed out the cause of the problem - maybe you have a slightly bad posture that leads to some muscles and joints being overloaded? Unfavorable working position? Or maybe you do not perform the exercises in an ergonomically good way?
What can I do even against pain?
1. General exercise, specific exercise, stretching and activity are recommended, but stay within the pain limit. Two walks a day of 20-40 minutes make good for the body and aching muscles.
2. Trigger point / massage balls we strongly recommend - they come in different sizes so you can hit well even on all parts of the body. There is no better self help than this! We recommend the following (click the image below) - which is a complete set of 5 trigger point / massage balls in different sizes:
3. Training: Specific training with training tricks of various opponents (such as this complete set of 6 knits of different resistance) can help you train strength and function. Knit training often involves more specific training, which in turn can lead to more effective injury prevention and pain reduction.
4. Pain Relief - Cooling: Biofreeze is a natural product that can relieve pain by cooling the area gently. Cooling is especially recommended when the pain is very severe. When they have calmed down then heat treatment is recommended - it is therefore advisable to have both cooling and heating available.
5. Pain Relief - Heating: Warming up tight muscles can increase blood circulation and reduce pain. We recommend the following reusable hot / cold gasket (click here to read more about it) - which can be used both for cooling (can be frozen) and for heating (can be heated in the microwave).
Recommended products for pain relief for nerve pain
Biofreeze (Cold / cryotherapy)
- Constant burning sensation under the foot? It can be nerve damage or nerve irritation.
Some common causes / diagnoses of nerve pain are:
pelvic locker (pelvic lock with associated myalgia can cause pelvic pain and in the seat, as well as further to the hip)
Cervical Spondylitic Myelopathy (cervical myelopathy can cause a variety of neurological symptoms)
Diabetic neuropathy (25% of diabetics have nerve damage, which can worsen with the condition. Diabetes / diabetes can cause burning symptoms and numbness in the skin and on the body. Take action today and get a better diet if you suffer from diabetes - this is necessary for to stop the development.)
Malnutrition (Lack of certain nutrients can contribute to nerve pain and symptoms, including burning sensation in the skin and motor weakness. It is especially deficient in B6 and B12 that is highlighted here. It is a common form or malnutrition among alcoholics.)
Gluteal myalgia (pain in the seat, against the hip, lower back or hip)
Iliopsoas / hip flexors myalgia (Muscular dysfunction in the iliopsoas will often cause pain in the upper thigh, the front, the groin and the seat)
Ischiofemoral impingement syndrome (most common in women, preferably athletes - involves a pinch of the quadratus femoris)
Sciatica / sciatica (Depending on how the nerve is affected, it may cause referred pain against the seat, thigh, knee, leg and foot)
Karpaltunnelsyndrom (a pinch of the nerves in the wrist)
Lumbar prolapse (nerve irritation / disc injury in the L3, L4 or L5 nerve root can cause referred pain in the seat)
Medicinal side effects (certain types of medication can cause nerve symptoms and nerve damage if you do not feel the advice of a doctor or pharmacist)
Piriformis syndrome (may give rise to false sciatica)
Trauma (All trauma and the like that cause crushing injuries can cause nerve damage and nerve pain)
Rare causes of nerve pain:
Autoimmune diseases (including multiple sclerosis, also known as MS, Guillain-Barre syndrome, myastenia gravis, lupus and IBD)
Infection (often with high CRP and fever - some forms of such infections include borelia, herpes, HIV and hepatitis C)
Cancer (can cause pain in the body by massaging the nerves, but can also cause nutritional deficiencies leading to impaired nerve function)
Nerve pain can also be caused muscular tension, joint dysfunction and / or irritation of nearby nerves. One chiropractor, manual therapist or another expert in musculoskeletal and skeletal disorders can diagnose your ailment and give you a thorough explanation of what can be done in terms of treatment and what you can do on your own exercises, ergonomic adjustment and cold treatment (eg Biofreeze) or heat treatment. Be careful not to go on with nerve pain for a long time, rather consult a clinician and diagnose the cause of the pain - this way you will make the necessary changes as early as possible before it develops further. A musculoskeletal therapist will refer you to a neurologist or rheumatologist if necessary.
Commonly reported symptoms and pain presentations of nerve pain:
- Deafness in parts of the body
- Burning in parts of the body
Deep pain in parts of the body
Electric shock in parts of the body
- Hogging i parts of the body
- Cramps in parts of the body
- Mauring i parts of the body
- Murring i parts of the body
- Nummen i parts of the body
- Tired i parts of the body
- Weakness in arms or legs
Stitching in parts of the body
- Wounds in parts of the body
- Effect i parts of the body
Tender in parts of the body
Imaging diagnostic examination of nerve pain
Sometimes it may be necessary imaging (X, MR, CT or diagnostic ultrasound) to determine the exact cause of the problem. If there is a suspicion of nerve irritation in the seat, back, wrist, shoulder or the like, an MRI examination will in most cases be taken - if this is considered necessary. Disc herniation, carpal tunnel syndrome and impingement syndrome are all different diagnoses that can cause nerve pain.
Below you see various pictures of what such conditions can look like in the various forms of examination.
MR picture of lumbar prolapse in the L4-5 level
MRI image of plaque from MS (multiple sclerosis) in the neck
Here we see one MRI examination of the neck. The picture shows a lesion called plaque. This is characteristic of demyelination occurring in multiple sclerosis.
MRI of CSM (Cervical Spondylitic Myelopathy)
The picture shows one cervical myelopathy condition. This occurs when the spinal cord gets pinched due to leg training, degenerative changes or the like.
Time classification of pain in the nerves. Is your pain classified as acute, subacute or chronic?
Nerve pain can be divided into acute, subacute and chronic pain. Acute nerve pain means that the person has had pain in the nerves for less than three weeks, subacute is the period from three weeks to three months and the pain that has a duration of more than three months is classified as chronic. Nerve pain can, in many cases, be caused muscle dysfunction / myalgia, joint locks in the neck, lower back, hip, pelvis and / or irritation of nearby nerves - but can also be other conditions (see list earlier in the article). One chiropractor, manual therapist or another expert in muscle, skeletal and nerve disorders, can diagnose your ailment and give you a thorough explanation of what can be done in the form of treatment and what you can do on your own. Make sure you do not go with nerve pain for a long time, rather contact a publicly authorized therapist (chiropractor, physiotherapist or manual therapist) and get diagnosed the cause of the pain.
First, a mechanical examination will be performed where the clinician looks at your movement patterns or any lack of this. Pressure sensitivity, muscle strength, as well as specific orthopedic tests and neurological tests (reflexes, sensory ++) are also studied here, which give the clinician an indication of what is causing the person's pain in the nerves. In case of nerve pain, it may in some cases be necessary imaging diagnostic. A publicly authorized chiropractor has the right of referral to such X-ray examinations, MR, CT and ultrasound. Conservative treatment is always worth trying for such ailments, before possibly considering more invasive interventions or measures. The treatment you receive will vary, depending on what was found during the clinical examination.
Clinically proven effect on the relief of nerve pain
A systematic review study (meta-analysis) published in 2010 (Kalichman) found that dry needling can be effective in treating musculoskeletal pain problems.
Cervical traction (including using home traction devices) can reduce nerve pain and radiculopathy symptoms (Levine et al, 1996 - Rhee et al, 2007)1,2. Research has also shown that traction therapy is most effective when the initial acute muscular pain has subsided - and that it should not be used on people with signs of myelopathy.
A Cochrane review study (Graham et al, 2008) concluded that there is a lack of evidence for the use of mechanical traction on chronic neck pain with or without radiculopathy.3 This does not mean that it is not effective, but only that at the time the study was done, there were not enough good studies that could either prove or disprove the effect.
Some forms of conservative treatment of nerve pain
home Practice is often printed and used to address improper use of musculature, with the intention of providing a long-term, long-lasting effect.
Ultrasound can be used both diagnostically and as ultrasound therapy, the latter works by providing a deep-warming effect aimed at musculoskeletal problems.
Electrotherapy (TENS) or power therapy is also used against joints and muscle problems, it is intended as a direct painkiller, aimed at the painful area.
Traction Treatment (also known as ligament treatment or flexion distraction) is a treatment used especially in the lower back and neck / transition chest to increase the movement of the joints and stretch out nearby muscles.
Joint Mobilization or corrective chiropractic joint treatment increases the movement of the joints, which in turn allows the muscles that attach to and near the joints to move more properly.
heat treatment used to give a deep-warming effect on the area in question, which in turn can give a pain-reducing effect - but it is generally said that heat treatment should not be applied to acute injuries, as is ice treatment to prefer. The latter is used for acute injuries and pains to help ease the pain in the area.
laser treatment (also known as anti-inflammatory laser) can be used at different frequencies and thus achieve different treatment effects. It is often used to stimulate regeneration and soft tissue healing, plus it can also be used anti-inflammatory.
Hydrotherapy (also called hot water treatment or heated pool treatment) is a form of treatment where hard water jets should stimulate improved blood supply, as well as dissolve in tense muscles and stiff joints.
List of treatments (both much alternative and more conservative):
- behavioral therapy
- Atlas Correction
- Ayurvedic medicine
- Bioelectromagnetic therapy
- blockade Treatment
- Soft tissue work
- Bowen Treatment
- home Practice
- Infrared light therapy
- Intramuscular needle therapy
- Cognitive processing
- crystal Therapy
- contrast Treatment
- Cold Treatment
- Joint Correction
- Joint Mobilization
- Medical treatment
- Lymphatic drainage
- Light Therapy
- magnet Treatment
- manual Therapy
- Muscle Relaxing Medications
- muscle Knute treatment
- Myofascial technique
- Neurological rehabilitation training
- Shockwave Therapy
- Foam roll / foam roll
- Pain medication
- Sports support
- Stretch bench
- Power Management
- sole Customization
- Thought Field Therapy
- Thai Massage
- Trigger point therapy
- Shockwave Therapy
- Dry needle
- Vacuum Treatment
- heat treatment
- Hot water therapy
Chiropractic treatment for nerve pain
The main goal of all chiropractic care is to reduce pain, promote overall health and improve quality of life by restoring normal functioning of the musculoskeletal system and nervous system. In case of nerve pain, the chiropractor will both treat the cause locally to reduce pain, reduce irritation and increase blood supply, as well as restore normal movement in the lower back, pelvis and hip - if this is indicated. When choosing a treatment strategy for the individual patient, the chiropractor places emphasis on seeing the patient in a holistic context. If there is a suspicion that the nerve pain is due to another disease, you will be referred for further examination.
Muscle work, stretching, traction and needle treatment can all provide symptom relief for musculoskeletal causes of nerve pain.
The chiropractor treatment consists of a number of treatment methods where the chiropractor mainly uses his hands to restore normal function of the joints, muscles, connective tissue and nervous system:
- Specific joint treatment
- Muscular techniques
- Neurological techniques
- Stabilizing exercise
- Exercises, advice and guidance
What does one do chiropractor?
Muscle, joint and nerve pain: These are things that a chiropractor can help prevent and treat. Chiropractic treatment is mainly about restoring movement and joint function that can be impaired by mechanical pain. This is done by so-called joint correction or manipulation techniques, as well as joint mobilization, stretching techniques, and muscular work (such as trigger point therapy and deep soft tissue work) on the involved muscles. With increased function and less pain, it may be easier for individuals to engage in physical activity, which in turn will have a positive effect on both energy, quality of life and health.
Exercises, exercise and ergonomic considerations.
An expert in muscle and skeletal disorders can, based on your diagnosis, inform you about the ergonomic considerations you must take to prevent further damage, thus ensuring the fastest possible healing time. After the acute part of the pain is over, in most cases you will also be assigned home exercises that also help to reduce the chance of relapse. In chronic conditions it is necessary to go through the motor movements you do in everyday life, in order to weed out the cause of your pain occurring time and time again.
Also read: - Are you struggling with 'data neck?'
Also read: - Why do I have pain in the seat?
Levine MJ, Albert TJ, Smith MD. Cervical radiculopathy: diagnosis and nonoperative management. J Am Acad Orthop Surg. 1996;4(6):305–316.
Rhee JM, Yoon T, Riew KD. Cervical radiculopathy. J Am Acad Orthop Surg. 2007;15(8):486–494.
Graham N, Gross A, Goldsmith CH, et al. Mechanical traction for neck pain with or without radiculopathy. Cochrane Database Sys Rev. 2008; (3): CD006408
Kalichman et al (2010). Dry Needling in the Management of Musculoskeletal Pain. J Am Board Fam Med. September-October 2010. (Journal of the American Board of Family Medicine)
Images: Creative Commons 2.0, Wikimedia, WikiFoundy, Ultrasoundpaedia
Frequently asked questions about pain in the nerves:
Q: Why do you get pain in the seat?
Answer: Pain is the body's way of saying that something is wrong. Thus, pain signals must be interpreted as meaning that there is a form of dysfunction in the area involved, which should be investigated and further remedied with proper treatment and exercise. Causes of pain in the seat can be due to sudden misload or gradual misload over time, which can lead to increased muscular tension, joint stiffness, nerve irritation and, if things have gone far enough, discogenic rash (nerve irritation / nerve pain due to disc disease in the lower back, so-called lumbar prolapse with affection against L3, L4 or L5 nerve root).
Q: What should be done with a sore seat full of muscle knots?
Reply: muscle knots has most likely occurred due to muscle imbalance or incorrect load. Associated muscle tension can also occur around joint locks in nearby lumbar, hip and pelvic joints. Initially, you should get qualified treatment, and then get specific exercises and stretching so that it does not become a recurring problem later in life.
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