PINCHED NERVE IN MY SPINE
A pinched nerve can occur anywhere in the spine: neck (cervical spine), mid back (thoracic spine), and low back (lumbar spine). From the anatomy stand point, we called “foraminal stenosis” where the nerve gets pinched in the neuro-foramen or the hole that the nerves leaving the spine. From the clinical standpoints, we called radiculopathy or radicular symptoms which describing the pattern of pain starting from the spine and radiating do wot arms/hands or legs/feet.
Many structures that can contribute to the problems. The most common pathologies are bulge disc, herniated disc, bone spur, and facet arthritis. And it is very common that more than one structure causing the symptoms.
Diagnosis usually made from taking detail history, focused examination especially neurological examination. Radiographic images include XR and MRI can further delineate the detail of the pathologies.
The main treatment for foraminal stenosis is low impact exercise such as walking, stationary bike, biking, and swimming. Gentle range of motion exercise and stretching exercise are encouraged. Physical therapy and medications include anti-inflammatory and nerve medications can benefit.
Epidural steroid injections may be recommended by your physician. The theory is that the steroid can decrease the inflammation. If the injection does not help, it means the main problem is the mechanical component which implies that the surgery is needed.
There are various ranges of surgery from minimally invasive foraminotomy/decompression, laminectomy, and laminectomy and fusion. The main goals are to free the nerves in the neuro-foramens. You should have a detailed discussion with your surgeons on what type of surgery is best for your condition.
Please contact us to find out the best treatment for foraminal stenosis and more importantly if you are a candidate for Microspine endoscopic decompression if you need surgery.
