Nerve Pain

Nerve Pain

What Causes Nerve Pain?

Nerve pain can develop if peripheral nerves are irritated, compressed, or injured. Common sites of nerve irritation include neck and lower back nerve root impingement (radiculopathy or sciatica), thoracic outlet syndrome, carpal tunnel syndrome, tarsal tunnel syndrome, and cubital tunnel syndrome. If severe enough, these are corrected with surgical decompression.

Standard Treatments

In mild cases these nerve impingement syndromes are treated conservatively with physical therapy, activity modification, bracing, and often corticosteroid injections. Often with these conservative treatments, the irritated or injured nerve can calm down and the pain can improve.

Corticosteroids are often utilized when attempted to postpone or avoid surgical intervention. As we have seen over the years, these steroids are detrimental to the body and should ideally be minimized or avoided all together. Some of these effects include, alter cortisol levels, negatively affect bone density (osteopenia/osteoporosis), and increase blood sugar levels in diabetics.

Regenerative Medicine

There have been studies showing alternative options for non-surgical nerve entrapment cases with platelet rich plasma for conditions including lumbosacral radiculopathy (sciatica) and carpal tunnel syndrome. The results have been comparable if not better outcomes when compared to steroid injections.