Nerve pain

Nerve pain can have several causes. The most commonly known nerve pain is a back or neck hernia. WIth a spinal hernia, the nerve root is compressed by a bulging intervertebral disc. All nerve entrapments that happen within the spine, like the hernia, are called central nerve entrapments. Every nerve compression outside of the spine is called a peripheral nerve entrapment.  

 

Peripheral nerve entrapment

What many people don’t know is that nerve pain can also be caused by muscles that compress and entrap nerves. Nerves run through and along muscles and tendons. In the ideal world, they slide and glide smoothly relative to each other. Through fibrosis, scar tissue or muscular stiffness, nerves can get entrapped by the surrounding tissues.

Often times hernia complaints are misdiagnosed as central nerve entrapments but they are actually caused by a peripheral nerve entrapment. 

 

Nerve entrapment symptoms are:

  • A tingling sensation
  • A burning sensation
  • Increased or decreased sensitivity
  • Electrical shock sensation
  • Dull ache
  • Muscular weakness
  • Circulatory changes

Often times nerve entrapments are misdiagnosed and mistreated. When there is a nerve entrapment, training or deep tissue massage often does not help. The reason for that is that massage or training actually increases the tension in the surrounding tissue and thus increases the pressure on the nerve.

 

Examples of common peripheral nerve entrapments are

  • Piriformis syndrome in the glutes
  • Sciatica in the leg
  • Thoracic outlet syndrome in the neck and shoulder region
  • Carpal tunnel syndrome in the hand and wrist
  • Morton’s neuroma / neuralgia between the toes
  • Nervus Ulnaris Syndrome / elbow nerve
  • Peroneal neuropathy

Our treatment

Most physical therapists don’t know how to solve peripheral nerve entrapments.

We do!

With Active Release Techniques we can find and resolve the exact location of the entrapment. Often only a few sessions are needed to resolve a nerve entrapment.

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