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All About Pinched Nerves, From Causes, Symptoms, and Treatments


There are many health problems that often appear in the joints, bones, and muscle tissue. But not a few who tend to underestimate the pain in this area of ​​​​bones and joints and hope that the pain will go away with time.

However, this cannot be underestimated. It could be, there is a medical disorder that is quite severe and can be fatal if detected too late. One of them is a pinched nerve .

The term pinched nerve is already widely known. However, not a few are still unfamiliar with the understanding and handling of this pinched nerve.

In order to understand more, dr. Harmantya Mahadhipta, Sp.OT (K)Spine from Tangerang EMC Hospital explained specifically about pinched nerves, ranging from symptoms to appropriate treatment. What’s it like?

Definition of Pinched Nerve

Literally, a pinched nerve is a condition when a nerve receives excess pressure from the surrounding tissue. This tissue can be muscle, tendon, bone, or cartilage tissue. Because nerves run the length of the body, pinched nerves can also occur in various locations in the body.

A pinched nerve or HNP (hernia nucleus pulposus) occurs when the soft, gelatinous inter-vertebral pads protrude and press on the surrounding nerves.

Causes of Pinched Nerves

Several things can be the cause of a pinched nerve. Here are some of the contributing factors.

• Age factor. As we age, the vertebral discs (connections between bones) become inflexible and tear easily.

• Genetic factors.

• Injury to the spine.

• Often do activities that burden the spine, such as lifting heavy weights.

• Overweight. This causes the load on the spine to increase.

• And others

Emerging Symptoms

When experiencing a pinched nerve, the body will send signals that become indicators. This depends on the condition of each patient

But in general the symptoms of HNP are pain and tingling. Mild cases of HNP are often asymptomatic, but severe pain may also occur. Here are some of the symptoms that can appear due to a pinched nerve.


Pain is a common symptom of a pinched nerve. Complaints of this pain usually appear at the site of the occurrence of HNP. For example, if a pinched nerve occurs in the spine or lower back, symptoms of back pain will appear. Likewise, if HNP occurs in the neck, the symptoms that appear can include pain in the neck and tingling/weakness in the hands, for example, when you are about to button a shirt.

Burning Sensation to Feel Like a Needle

Some people with pinched nerves describe pain that appears as a stabbing or burning pain.

Pain Spread

Unbearable pain is usually also accompanied by propagation. Usually the pinched nerves in the back provide pain radiating to the buttocks area to the thighs, calves, and feet. Meanwhile, if a pinched nerve occurs in the neck area, it can cause pain to radiate to the shoulder or arm.


In addition to pain, people with pinched nerves can also complain of tingling in the affected body part.

Numbness in the area affected by the pinched nerve

In addition to causing tingling, pinched nerves can also cause complaints of lack of sensation to numbness in the affected part. This complaint is generally quite disturbing because it makes the sufferer uncomfortable.


The muscles in the pinched nerve will usually weaken. As a result, people with HNP will find it increasingly difficult to lift weights, move, or even grip.

If you have the same symptoms as above, it is better to consult a Spine Consultant Orthopedic Doctor (Spine).

Pinched Nerve Diagnosis

A pinched nerve or HNP can be detected clinically through medical consultation and physical examination (reflexes, muscle strength (motor), walking ability, and sensory function, and so on). At the Tangerang EMC Hospital , the pinched nerve was immediately handled by an expert, namely dr. Harmantya Mahadhipta Sp.OT (K) Spine . To support the diagnosis, the doctor can also suggest radiological examination options according to the patient’s medical indications such as X-rays, CT Scans, and MRI Magnetic Resonance Imaging.

Pinched Nerve Treatment

Of the many symptoms and a series of necessary diagnoses, treatment is a wise step in overcoming the problem of a pinched nerve. The duration of treatment for a pinched nerve can vary from person to person, but in general there is a series of treatments and therapies that are divided into several aspects, namely:


• Painkillers If the degree of pain is still mild, you can buy over-the-counter painkillers, such as ibuprofen.

• Nerve Pain Reliever This drug is the second drug routinely given to people with pinched nerves after painkillers. For example, amitriptyline and gabapentin.

• Muscle Relaxant or muscle relaxant This drug is given to reduce muscle tension or stiffness.

• Epidural Steroid Injections Epidural steroid injections help reduce complaints of pain due to HNP.


• Transcutaneous Electrical Nerve Stimulation (TENS) Uses electrical energy to stimulate the nervous system through the skin’s surface to relieve pain.

• Traction Using objects of a certain weight to treat damage or disorders of bones and muscles.

• Use of Corset or Brace


If after about 6 weeks but drugs and / or physiotherapy can not give the expected results, it is necessary to try the option of surgery.

Cases of pinched nerves or HNP 80-85% can be treated without surgery, but in contrast to the other 15-20% who require surgery.

The good news is that the development of medical technology in almost all lines currently leads to minimally invasive techniques. Today’s society does not need to worry about the risk of pinched nerve surgery because EMC Tangerang Hospital as a service center for pinched nerve treatment continues to develop minimally invasive techniques. This treatment method also has a number of advantages such as safe, effective, and fast recovery .

All surgical techniques for handling pinched nerves can be done at EMC Tangerang Hospital which is handled directly by an expert, namely dr.Harmantya Mahadhipta Sp.OT (K) Spine. This treatment is also supported by sophisticated medical support equipment and professional medical personnel.

RS.EMC Tangerang has served all spinal procedures including:

Endoscopic Spine Surgery

• PECD ( Percutaneous Endoscopic Cervical Discectomy)

• PELD (Percutaneous Endoscopy Lumbar Decompression)

• PSLD (Percutaneous Stenoscopy Lumbar Decompression)

• PETD (Percutaneous Endoscopic Thoracal Discectomy)

• BESS – TLIF (Biportal Endoscopic Spinal Surgery Transforaminal Interbody Fusion)

• ENDO – TLIF (Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

• Endoscopic Rhizotomy

• Endoscopic Debridement for Spine Infection

• Scoliosis Correction Surgery

• ACDF ( Anterior Cervical Discectomy and Fusion)

• ACCF Anterior Cervical Corpectomy and Fusion)

• MISS TLIF (Minimally Invasive Transforaminal Lumbar Interbody Fusion)

• PLIF (Posterior Lumbar Interbody Fusion)

• ALIF (Anterior Lumbar Interbody Fusion)

• PLDD (Percutaneous Laser Disc Decompression)

• Kyphoplasty

• Vertebroplasty

• Radiofrequency ablation (RFA)

• Facet Joint Injection

• Sacroiliac (SI) joint injections

• And others

And has succeeded in carrying out the procedure more than 1000 times and has served patients from within and outside the country.

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