Pinched Nerve


What is a Pinched Nerve?

A pinched nerve occurs when neurons in your nervous system are compressed by the actions of bones, muscles, ligaments, cartilage, tendons or the contents of an intervertebral disc. The pressure activates a pain signal in your nerves that alerts your brain that something is not right at a specific location.

Sometimes the signal may be numbness, tingling, a feeling of pinpricks, or a sharp radiating pain somewhere in the patient’s legs or arms. Some patients may feel muscle weakness. This radiating pain is called radiculopathy. To a physician, radiculopathy is a little bit like a curveball. The source of the pain is referred or coming from another location. So actually, there is nothing wrong with the patient’s legs at all. The problem is a pinched nerve located somewhere in the lower part of the spine. Your neurosurgeon is trained to pinpoint the location using a range of simple exercises and advanced imaging tools if needed.

The same type of radiating referred pain can be felt by patients who complain of tingling in their hands, arms and shoulders. The actual location of the nerve that is triggering the referred pain is in the neck, the cervical region of the spine.

What causes a pinched nerve?
There are many reasons that a nerve can be pinched including injuries caused by car accidents and sports. For people over forty who complain of neck or back pain, or who have pain sensations that resemble radiculopathy, the pain may be a sign of degenerative spine disease caused by osteoarthritis. A disc may have herniated and is pressing on a nerve. It could be stenosis which narrows pathways and compresses nerves. Your neurosurgeon is trained to locate and diagnose the slew of conditions that are caused by pinched nerves.
How is a pinched nerve treated?
Your neurosurgeon is tasked with the challenge of relieving pain and decompressing pinched nerves as safely as possible. Acetaminophen will reduce pain while the nonsteroidal anti-inflammatory drugs (NSAIDS) such as aspirin, naproxen and ibuprofen will treat pain and inflammation.

For intense pain, some doctors may prescribe opioid-based pain relievers and muscle relaxers. Dr. Nourian conservative treatment avoids opioids and treats chronic pain with a combination of holistic alternatives such as acupuncture, Tai-Chi and yoga. He may recommend structured, low-impact, exercise programs, including water therapy with pool-based resistance training.

Additional treatments such as acupuncture, TENS electrical stimulation and epidural corticosteroid injections may also be recommended to manage pain.

Fortunately, the good news is that most patients fully recover without any surgical intervention. If surgery is needed, Dr. Nourian can provide the full range of minimally invasive microdecompression treatments.

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What Patients Think About Dr. Nourian

Awesome awesome doctor!!!very nice to all his patient! Dr. Nourian is very kind and caring. A very pleasant man and easy to communicate with. He saw my son when he injured his hip and He took extra good care of him. After 2 wks he was able to resume sports. He’s not only a very good orthopedic surgeon but also an amazing Spine doctor. He always make sure he always gets the job done. 2 Thumbs up to this Doctor!!!??

Regz Ramos


Dr. Nourian was fantastic! He was able to alleviate my back pain. I would recommend him to anyone

Nikesh Patel


Dr. Nourian is the best. His bedside manner is friendly and professional and his staff is excellent. I went to see him after a terrible whiplash injury when I rear-ended while driving. After receiving my MRI results, the doctor was quick to reach out and went over my options with me. He really cares about his patients.

Michelle Sadighpour Shophet


Dr. Nourian is an outstanding physician. I injured my back while exercising recently. I went to see him, and he explained my injury to me in detail. He told me that my injury would most likely heal without surgery, but if I needed surgery in the future he would get me through it. He is honest, intelligent, and forthcoming. I am thankful for him as my spine physician.

Michael Broukhim


Dr. Nourian was absolutely fantastic. I was struggling with intense lower back pain. He took his time 40 minutes to be exact to see me and review everything with me after another follow up we decided to do surgery. Thank god!!! I’m back to working out, picking up my child, and living my best life. I was so hesitant to do surgery but he was a true god send. He would call me weekly to see how I’m doing.

Sara Sadig


Dr. Nourian is smart, caring, attentive and super knowledgeable. I highly recommend him as an orthopedic surgeon!

Sharon Darouvar Greiner


Great with patients and consciences of patient’s time as well as needs. He will spend time to assure the patients with respect to treatment plan and follow-up was amazing with my auntie’s back issues.

Connie Esparza


An extremely knowledgeable doctor with wonderful bedside manner. He clearly explained every step of the procedure and eased all my worries. My back is feeling great thanks to Doctor Nourian

Ashley Sadig


After seeing three doctors and all of them saying I should operate Dr Nourian was able to address and issue without and surgery. I got an epidural and did physical therapy and I’m able to run around with my grand child. He’s truly a gem. Everyone at the office was friendly and supportive.

Katrin Sadighpour


Dr. Nurian explained everything very well and preformed the surgery exactly as planned. I woke up pain free and the surgery pain was gone in five days. Could not give him enough praise.

Wade Savage