Doctor Bella Zimilevich, MD of Mill Basin, Brooklyn (NY)

Nerve Pain & Pinched Nerves

Nerve Pain & Pinched Nerves Treatment

“Nerve pain and pinched nerves can cause sharp, burning, or radiating symptoms that may affect the neck, back, arms, or legs. These conditions often develop when surrounding tissues place pressure on a nerve, leading to irritation or dysfunction. With proper evaluation and a targeted treatment plan, most cases can be managed effectively without surgery. I can help guide you toward relief, improved nerve function, and long-term recovery.”

-Dr. Anatoly Pisman, MD

What is Nerve Pain / A Pinched Nerve?

Nerve pain, also known as neuropathic pain, occurs when a nerve is irritated, compressed, or damaged. A pinched nerve typically refers to physical compression of a nerve by surrounding structures such as bones, discs, muscles, or ligaments.

These conditions can occur anywhere along the body and are often categorized by location and cause. Common examples include conditions such as radiculopathy, peripheral neuropathy, and carpal tunnel syndrome, each affecting different nerves and regions.

Common Causes of Nerve Pain & Pinched Nerves

Nerve compression or irritation can develop due to a variety of structural and functional factors:

Key contributors:

  • Herniated or bulging spinal discs
  • Degenerative changes in the spine (arthritis or disc degeneration)
  • Spinal stenosis causing narrowing of nerve pathways
  • Poor posture or repetitive strain
  • Trauma or injury to the spine or surrounding tissues

Symptoms of Nerve Pain & Pinched Nerves

Symptoms vary depending on the location and severity of nerve involvement. They may develop gradually or appear suddenly after injury or strain.

Typical signs:

  • Sharp, burning, or shooting pain
  • Numbness or tingling sensations
  • Muscle weakness in the affected area
  • Pain that radiates along a nerve pathway (arms, chest, or legs)

In more severe cases, nerve compression may interfere with normal movement, coordination, or sensation.

When to See a Doctor

Medical evaluation is recommended if nerve-related symptoms persist, worsen, or interfere with daily activities. Symptoms such as progressive weakness, persistent numbness, or radiating pain should be assessed promptly. Early diagnosis helps identify the source of nerve compression and supports more effective treatment.

Diagnosis & Testing

Diagnosis begins with a review of symptoms and a physical examination to assess strength, reflexes, sensation, and range of motion. Imaging studies such as MRI or CT scans may be used to identify structural causes of nerve compression. In some cases, specialized testing like EMG/NCV Testing may be recommended to evaluate nerve function and confirm the diagnosis.

Non-Surgical Treatment Options

Most cases of nerve pain and pinched nerves can be treated without surgery. Treatment focuses on relieving pressure on the affected nerve, reducing inflammation, and restoring normal function.

Non-surgical options may include physical therapy, activity modification, and medications to manage pain and inflammation. In certain cases, targeted treatments such as Epidural Steroid Injections or Trigger Point Injections may be used to reduce symptoms and improve mobility.

What to Expect at Your Visit

During your visit, your symptoms, medical history, and functional limitations will be carefully evaluated. A physical examination will assess nerve function, muscle strength, and areas of tenderness. Imaging or diagnostic testing may be recommended if needed. Based on your evaluation, a customized treatment plan will be created to relieve nerve pressure, reduce pain, and restore function.