Back Clinic Nerve Injury Team. Nerves are fragile and can be damaged by pressure, stretching, or cutting. Injury to a nerve can stop signals to and from the brain, causing muscles not to work properly and losing feeling in the injured area. The nervous system manages a great majority of the body’s functions, from regulating an individual’s breathing to controlling their muscles as well as sensing heat and cold. But, when trauma from an injury or an underlying condition causes nerve injury, an individual’s quality of life may be greatly affected. Dr. Alex Jimenez explains various concepts through his collection of archives revolving around the types of injuries and condition which can cause nerve complications as well as discuss the different form of treatments and solutions to ease nerve pain and restore the individual’s quality of life.
The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
The neck is an extremely flexible part of the upper body that allows the head to move without causing pain or discomfort. It is part of the musculoskeletal system‘s cervical spinal region, which supports the spinal column and is surrounded by various muscles, tissues, and ligaments that protect the spinal cord. However, poor posture, spending too much time hunched over a computer, or looking down at our cellphones can cause neck muscles to become overstretched, leading to compression of the cervical spinal discs. This can cause the cervical discs to bulge or herniate, aggravating the spinal cord and causing neck pain and other associated conditions. This post will discuss how cervical disc compression affects neck pain and how decompression surgery and spinal decompression can help alleviate this condition. We work with certified medical providers who use our patients’ valuable information to treat individuals dealing with cervical disc compression affecting their necks and causes mobility issues. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer
What Is Cervical Disc Compression?
Have you been experiencing neck pain or muscle aches in your shoulders? Do you feel numbness or tingling running down your arms and fingers? These symptoms may be signs of cervical disc compression. The cervical spinal discs act as shock absorbers for the spine, preventing unwanted pressure and mobility issues. Research studies revealed that age-related degenerative properties like dehydration could cause herniated and compressed cervical discs, leading to posterior disc protrusion into the spinal cord. Trauma can also cause extreme hyperflexion or hyperextension of the posterior neck muscles, resulting in various neck symptoms. Additional research studies stated cervical disc displacement could cause compression or impingement on spinal nerve roots, leading to inflammation and neck pain.
How Is It Associated With Neck Pain?
When the spinal cord and nerve roots in the cervical region are affected by cervical disc compression, the pain can be dull or sharp, depending on how it affects many individuals. According to research studies, many people are unaware that repetitive normal factors or traumatic forces can cause a challenge in determining the origin of the pain from symptomatic or asymptomatic disc compression. Additional research studies mentioned that cervical disc compression could cause upper and lower extremities abnormalities, such as loss of deep tendon reflexes in the arms and legs, loss of motor function in the hands and feet, muscle weakness, headaches, and gait imbalances. However, various treatments can alleviate the pain-like symptoms associated with cervical disc compression and help the body’s natural healing process.
From Inflammation To Healing-Video
Are you experiencing inflammation and pain in your neck? Do you notice a tingling or numb sensation in your hands or feet? Or do you feel stiffness in your shoulders or neck? These symptoms can be caused by compressed cervical discs, which many people are unaware of. The compression of cervical discs is a common source of neck pain and can even cause referred pain in the upper and lower extremities. Repetitive motions to the neck can cause the posterior neck muscles to overstretch and lead to pain. Normal or traumatic factors can also lead to neck pain associated with cervical disc compression, resulting in disc herniation. Fortunately, non-surgical therapies like chiropractic care and spinal decompression can help alleviate the symptoms of pain, discomfort, and inflammation caused by cervical disc compression. Check out the video above for more information on these treatments.
Posterior Cervical Disc Decompression Surgery
If you experience cervical compression on your neck, it can lead to persistent neck pain and discomfort if left untreated. Many people opt for posterior cervical disc decompression surgery to alleviate the effects of disc herniation. According to “The Ultimate Spinal Decompression” by Dr. Perry Bard, D.C., and Dr. Eric Kaplan, D.C., FIAMA, cervical disc herniation can sometimes affect the back of the neck and cause persistent pain. In such cases, decompression surgery is often performed. During the procedure, a small incision is made at the back of the neck, and a portion of the damaged disc is removed to ease the irritated nerve. This brings relief to the individual suffering from neck pain.
Non-Surgical Decompression For Compressed Cervical Disc
If you’re not interested in surgery for cervical disc compression, consider non-surgical spinal decompression instead. Studies have shown that spinal decompression is a safe, non-invasive treatment involving gentle cervical spine traction to reposition the herniated disc. This treatment can also help rehydrate the spinal disc by bringing in nutrients and oxygenated blood to promote natural healing. Additionally, spinal decompression can alleviate any remaining symptoms of neck pain.
Conclusion
The neck is a highly flexible area that enables smooth head movement without discomfort or pain. However, it is also a part of the musculoskeletal cervical region that can be prone to injuries. Compression of the disc due to normal or traumatic factors can result in herniation, causing pain if left untreated. Fortunately, several treatments are available to alleviate neck pain caused by cervical compression and make the neck mobile again.
When temperatures are elevated in summer, heat-induced and severe headaches like migraines are common during the hot months. However, a migraine caused by heat is not the same as a headache caused by heat, as the two have different symptoms. What they have in common is that they’re both triggered by the way hot weather affects the body. Understanding the causes and the warning signs of a heat headache can help prevent and treat potentially dangerous heat-related conditions. Injury Medical Chiropractic and Functional Medicine Clinic use various techniques and therapies customized to the individual to relieve pain and improve function.
Heat-Induced Headaches
Headaches and migraines are common, affecting 20 percent of women and nearly 10 percent of men. An increase in frequency can be caused by
Dehydration.
Environmental factors.
Heat exhaustion.
Heat stroke.
A heat-induced headache can feel like a dull pulsing ache around the temples or in the back of the head. Depending on the cause, a heat-induced headache may escalate to a more intensely felt internal pain.
Causes
A heat-induced headache may not be caused by the hot weather but by how the body responds to heat. Weather-related triggers of headaches and migraine include:
Hormonal fluctuations are common migraine triggers that can also cause headaches.
Dehydration – can trigger both headaches and migraine.
When exposed to higher temperatures, the body needs more water to compensate for the lost water as it uses and sweats it out. Prolonged exposure to high temperatures puts the body at risk for heat exhaustion, one of the stages of heat stroke, with headaches as a symptom of heat exhaustion. Any time the body is exposed to high temperatures or spends a long time outside in the hot sun, and a headache occurs afterward, a heat stroke is possible.
Heat Headache Symptoms
Symptoms of a heat-induced headache can vary according to the situation. If the headache is triggered by heat exhaustion, the body will have heat exhaustion symptoms and head pain. Heat exhaustion symptoms include:
Dizziness.
Muscle cramps or tightness.
Nausea.
Fainting.
An extreme thirst that does not go away.
If the headache or migraine is related to heat exposure but not connected to heat exhaustion, the symptoms may include the following:
A throbbing, dull sensation in the head.
Dehydration.
Fatigue.
Sensitivity to light.
Relief
Individuals can be proactive about prevention.
If possible, limit time outside, protect the eyes with sunglasses, and wear a hat with a brim when staying outdoors.
Exercise indoors in an air-conditioned environment if able.
Increase water consumption as temperatures rise, and utilize healthy sports drinks to replenish electrolytes.
Craniocervical mobilization involves gentle chiropractic pressure on the neck to adjust the joints.
Spinal manipulation involves applying more force and pressure at certain points along the spine.
Neuromuscular massage includes kneading joints and muscles and relieves pain by releasing pressure from compressed nerves.
Myofascial release massage is aimed at the tissues that connect and support muscles and focuses on trigger points in the back and neck or head to relax muscles and improve blood circulation.
Trigger point therapies target tense areas to help relax muscles while improving blood flow and relieving stress.
Traction therapy.
Decompression therapy.
Exercises designed specifically to reduce pain.
From Inflammation to Healing
References
Bryans, Roland, et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of Manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008
Demont, Anthony, et al. “Efficacy of physiotherapy interventions for the management of adults with cervicogenic headache: A systematic review and meta-analyses.” PM & R: the journal of Injury, Function, and Rehabilitation vol. 15,5 (2023): 613-628. doi:10.1002/pmrj.12856
Di Lorenzo, C et al. “Heat stress disorders and headache: a case of new daily persistent headache secondary to heat stroke.” BMJ case reports vol. 2009 (2009): bcr08.2008.0700. doi:10.1136/bcr.08.2008.0700
Fernández-de-Las-Peñas, César, and María L Cuadrado. “Physical therapy for headaches.” Cephalalgia: an international journal of Headache vol. 36,12 (2016): 1134-1142. doi:10.1177/0333102415596445
Swanson JW. (2018). Migraines: Are they triggered by weather changes? mayoclinic.org/diseases-conditions/migraine-headache/expert-answers/migraine-headache/faq-20058505
Victoria Espí-López, Gemma, et al. “Effectiveness of Physical Therapy in Patients with Tension-type Headache: Literature Review.” Journal of the Japanese Physical Therapy Association = Rigaku ryoho vol. 17,1 (2014): 31-38. doi:10.1298/jjpta.Vol17_005
Whalen, John, et al. “A Short Review of the Treatment of Headaches Using Osteopathic Manipulative Treatment.” Current pain and headache reports vol. 22,12 82. 5 Oct. 2018, doi:10.1007/s11916-018-0736-y
The central nervous system transmits information between the brain, muscles, and organs through 31 nerve roots from the spinal cord. These nerve roots are interconnected with the body’s muscles and organs, ensuring each body section is connected to the upper and lower extremities. The neuron signals transmitted through these nerve roots provide sympathetic and parasympathetic signaling, allowing the body and its systems to function correctly. However, injuries and pathogens affecting the nerve roots can cause the neuron signals to become unstable, involving the muscles, tissues, and vital organs and leading to chronic conditions and pain-like symptoms. Fortunately, small changes in diet and supplements can help reduce nerve pain and improve a person’s quality of life. This article will discuss nerve pain and its symptoms, how nutrients and supplements can help reduce it, and non-surgical treatments that can help restore the body from nerve pain. We work with certified medical providers who use our patients’ valuable information to provide non-surgical treatments for nerve pain combined with nutrients and supplements from reoccurring. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer
How Does Nerve Pain Occur In The Body?
Have you been experiencing pins and needles in your hands or feet or constant muscle twitches? Maybe you’re feeling pain in your upper or lower extremities. If you’ve had these sensations all over your body, it could be due to nerve pain affecting your musculoskeletal system. Research studies have shown nerve pain is often caused by a lesion or disease that is affecting the brain’s somatosensory system. This can cause an imbalance in neuron signaling and disrupt information traveling to the brain. The somatosensory system is responsible for our ability to feel, touch, and experience pressure and pain. When it’s affected by injuries or pathogens, information can be disrupted in the spinal cord and brain. Additional research studies revealed that nerve pain could be caused by compressed nerve roots, leading to ongoing or intermittent pain that may spread to different areas and cause structural changes involving peripheral and central sensitization. This can lead to associated symptoms that can disrupt normal body functions.
Nerve Pain Symptoms
It might be nerve pain if you are feeling pain in your upper or lower extremities. Research studies revealed that this type of pain can cause symptoms that feel like pain in your muscles or organs, but neurological disorders may cause it. The severity and specific symptoms can vary from person to person. Some common symptoms of nerve pain include:
Referred pain
Numbness
Tingling
Cognitive deficits
Loss of sensory and motor function
Inflammation
Pain to light touches
Nerve pain is a common issue for those with chronic conditions, and research shows that nociceptive and neuropathic pain mechanisms are interconnected. For instance, back pain and radiculopathy are often linked, causing referred pain. This means that the pain receptors are in a different location from where the pain originated. However, there are ways to alleviate nerve pain symptoms and address underlying factors contributing to this discomfort.
The Functional Medicine Approach- Video
Suppose you suffer from nerve pain and seek to alleviate the symptoms and restore your body’s natural state. While making small changes can help, they may not provide quick results. However, functional medicine and non-surgical treatments can help with nerve pain and associated symptoms. The video above explains how functional medicine is safe and personalized and can be combined with other therapies to strengthen surrounding muscles and ligaments. By being more mindful of your body’s needs, you can find relief from nerve pain and improve your overall health.
Nutrients For Nerve Pain
Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., wrote “The Ultimate Spinal Decompression” and explained that our body’s nerves require constant nutrients for maintenance and repair. It’s crucial to incorporate various nutrients and supplements to reduce nerve pain and its symptoms. Here are some essential body nutrients that can help alleviate nerve pain.
Nitric Oxide
The body produces a vital nitric oxide nutrient, which can help alleviate nerve pain. Insufficient nitric oxide production can result in health issues such as high blood pressure, erectile dysfunction, and respiratory and cardiovascular problems. Nitric oxide works as a vasodilator, relaxing the blood vessels in the inner muscles, promoting increased blood flow, and reducing elevated blood pressure levels. Nitric oxide is crucial in supporting the nervous and cardiovascular systems, ensuring that neuron signals in nerve roots remain stable. Research studies indicate that taking nitric oxide supplements can enhance exercise performance.
ATP
ATP is a crucial nutrient that the human body naturally produces. Its primary role is to store and generate energy within the cells. ATP plays a significant role in the proper functioning of various organs and muscles in the body. The body’s metabolic pathway, cellular respiration, creates ATP, one of the most efficient processes. We use ATP in our daily lives by consuming food and drinks, and the air we breathe helps break down ATP, thus producing water in the body. Additionally, when the body is in motion, ATP works with nitric oxide to produce energy output in the nerves, muscles, and organs.
Supplements For Nerve Pain
The body requires supplements in addition to nutrients to alleviate symptoms of fatigue, inflammation, and pain caused by nerve pain. Nerve pain can affect the parasympathetic and sympathetic nerves, leading to disrupted neuron signals, resulting in the brain sending the immune system to attack healthy cellular structures as if they were foreign invaders. However, research has shown that incorporating supplements can help reduce the inflammatory effects of nerve pain, improve neural regeneration, reduce oxidative stress, and enhance motor and functional recovery from injured nerves.
Treatments For Nerve Pain
To effectively reduce the impact of nerve pain, individuals often consult with their primary doctor to develop a personalized treatment plan. Nutrients and supplements are only half of the recovery process. Non-surgical treatments such as chiropractic care, physical therapy, and spinal decompression can significantly lower chronic conditions associated with nerve pain. Studies have shown that compressed nerve roots caused by pathological factors can lead to overlapping risk profiles that affect the body. Spinal decompression is a treatment that relieves compressed nerves through gentle traction on the spinal disc. Spinal decompression, combined with a healthy diet, exercise, and other therapies, can educate people on preventing nerve pain from returning.
Conclusion
Nerve pain can severely impact a person’s life, causing disability and reduced quality of life due to its potential risks to muscles, organs, and tissues. However, incorporating a variety of nutrients and supplements into the body can help reduce the effects of nerve pain. By combining these methods with non-surgical treatments, individuals can better understand what’s happening to their bodies and work to restore them to normal. A personalized plan for health and wellness that includes these techniques can alleviate nerve pain and its symptoms and promote natural healing.
The central nervous system is responsible for sending neuron signals to all the organs and muscles in the body, allowing for mobility and proper functioning. These signals are constantly exchanged between the organs, muscles, and brain, informing of their activities. However, environmental factors and traumatic injuries can impact the nerve roots, disrupting the flow of signals and leading to musculoskeletal disorders. This can result in misalignments in the body and chronic pain if left untreated. Today’s article will inform us about peripheral neuropathy, a nerve injury correlated with back pain, and how spinal decompression can relieve this condition. We work with certified medical providers who use our patients’ valuable information to provide non-surgical treatments, including spinal decompression, to relieve pain-like symptoms associated with peripheral neuropathy. We encourage patients to ask essential questions and seek education about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer
What Is Peripheral Neuropathy?
Peripheral neuropathy refers to a range of conditions that affect the nerve roots and can cause chronic symptoms throughout the body, as research studies revealed. The nerve cells in our body transmit messages between the brain and other body parts. When these cells are damaged, it can disrupt communication between the central nervous system, leading to muscle and organ problems. Studies have linked peripheral neuropathy to pain and other symptoms, which can have a negative impact on daily activities, quality of life, and mental and physical well-being. Additionally, peripheral neuropathy may increase the risk of falls.
How Peripheral Neuropathy Correlates With Back Pain
Have you recently felt a tingling or sharp sensation when you stepped or experienced constant lower back pain? These symptoms could be related to peripheral neuropathy, which can cause back pain. “The Ultimate Spinal Decompression,” a book by Dr. Perry Bard, D.C. and Dr. Eric Kaplan, D.C., FIAMA, explains that peripheral neuropathy is nerve damage that affects the legs, causing numbness, pain, tingling, and oversensitivity to touch in the toes and feet. This can cause the muscles in the lower back to shift weight away from the painful areas, leading to low back pain. Research studies have revealed that chronic low back pain can involve both nociceptive and neuropathic pain mechanisms. Nociceptive pain is a response to tissue injury that activates the muscles. In contrast, neuropathic pain affects nerve roots branching from the spine and lower limbs, often resulting from damaged spinal discs. Fortunately, there are ways to manage peripheral neuropathy and its associated back pain.
Peripheral Neuropathy Relief & Treatment- Video
Peripheral neuropathy is a nerve injury that affects people differently and can cause sensory symptoms in the upper and lower body. Those with peripheral neuropathy may experience constant pain in their extremities, which can lead to compensation in other muscles and spinal misalignment. This can result in chronic musculoskeletal conditions. Studies show that peripheral neuropathy, especially in cases of low back pain, can cause a malfunction in the brain’s pain modulatory system, leading to overlapping risks and dysfunction. However, various treatments are available to restore the body and reduce neuropathic pain, including chiropractic care and spinal decompression. The video above explains more information on how these treatments can help alleviate neuropathic pain and release the body from subluxation.
Peripheral neuropathy can cause a lot of pain, and many people consider surgery to treat it. However, this can be expensive, so some people opt for non-surgical treatments like spinal decompression and chiropractic care. Studies have shown that spinal decompression can be very helpful in relieving nerve entrapment and improving low back pain symptoms. It’s a safe and gentle treatment that uses traction to help the spine return to its position and allow fluids and nutrients to flow back in. Combining spinal decompression with other therapies can also help reduce peripheral neuropathy symptoms, improving people’s quality of life and helping them become more mindful of their bodies.
Conclusion
Peripheral neuropathy is a condition that results from nerve injuries and can affect both the upper and lower parts of the body. This disorder can cause sensory symptoms that may lead to musculoskeletal conditions, spinal misalignment, and disability. Pain and discomfort are common experiences for those with this condition, which can negatively impact their daily lives. Fortunately, spinal decompression can help alleviate the effects of peripheral neuropathy by gently stretching the spine, releasing entrapped nerves, and correcting subluxation. These treatments are safe, non-invasive, and can be incorporated into an individual’s health and wellness plan.
A pinched, compressed, overly stretched, twisted, and entangled nerve can happen throughout the body. The most common locations are the neck, shoulder, upper back, upper chest, arm, elbow, hand, wrist, low back, legs, and feet. This disrupts the nerve’s ability to function properly. Each nerve stimulates muscles and detects sensations in specific areas of the skin or internal organs so they work properly. Common symptoms are tingling, numbness, pain, weakness, and musculoskeletal problems. The average pinched nerve duration can last a few days to as long as 4 to 6 weeks or, in some cases, longer, in which case individuals should see a doctor or neurologist. Injury Medical Chiropractic and Functional Medicine Clinic can relieve, release, and restore nerve health.
Pinched Nerve
A pinched nerve is caused by pressure from surrounding tissues that place added stress on it. Muscles, bones, cartilage, and tendons can all press, pull, or entangle a nerve. This can result in a loss of function, which can then lead to symptoms including:
Tingling
Numbness
Muscle weakness
Various types of pain – sharp, electrical, throbbing, aching, and radiating/spreading out to other areas.
Burning sensation
A pinched nerve can become serious, cause chronic pain conditions and lead to permanent nerve damage.
More severe cases may require surgery.
Pinched Nerve Duration
Pinched nerve duration depends on the injury, which can happen suddenly or gradually. A temporary case with an acute cause, such as injury or poor posture, can last several days. Cases related to chronic conditions, like arthritis, may last longer. Treatment, as well as recovery, also vary based on the location of the injury and what’s causing the pressure.
Body Locations
Neck
A pinched nerve in the neck can cause tingling sensations and pain, which can travel to the shoulders and arms. This type can be caused by:
Sleeping position
Repetitive movements
Injuries
The pain will usually ease within several days unless a chronic health condition is the cause of the pinching.
Lower back
A pinched nerve in the lower back is often brought on by herniated discs that compress nerve roots.
It may also be caused by arthritis or injuries.
Individuals may feel a sharp pain in the lower back, as well as in the buttocks and back of the leg.
Sciatica may be a symptom.
Lower back pain may be acute, lasting only a few days.
If the injury doesn’t resolve, it may cause chronic back pain that can last 12 weeks or more.
Leg
The legs can develop pinched nerves from herniated discs or injuries.
If left untreated can lead to peripheral neuropathy.
This can develop over several weeks or years.
Hip
A pinched nerve in the hip can last a few days if related to an injury. If the pain lasts longer than a few days, consult a doctor. Possible causes of chronic hip pain may include:
Obesity
Bone spurs
Arthritis
Shoulder
Shoulder pain brought on by a pinched nerve usually starts in the upper spine and is caused by:
Injury
Tendinitis
Arthritis
To tell if the pain symptoms are from a pinched nerve and not a muscle strain, the pain tends to occur in one shoulder, and there is a sharpness to the aches.
Left untreated, arthritis or tendinitis can lead to chronic pain that can come and go for several weeks, months, or years.
Wrist
Repetitive overuse is commonly linked to pinched nerves in the wrist.
Pinched nerves can lead to carpal tunnel syndrome – pain and numbness extending through the arm, hand, and fingers.
Pain lasting over two months could indicate other underlying conditions, like arthritis.
Chiropractic Relief
Chiropractic adjustments identify the impacted nerve/s and use various therapies to remove the compression, relieving symptoms and the injury or issue. A personalized treatment plan can include the following:
Cornwall, R, and T E Radomisli. “Nerve injury in traumatic dislocation of the hip.” Clinical orthopedics and related research, 377 (2000): 84-91. doi:10.1097/00003086-200008000-00012
Dmytriv, Mariya, et al. “PT or cervical collar for cervical radiculopathy?.” The Journal of family practice vol. 59,5 (2010): 269-72.
Hochman, Mary G, and Jeffrey L Zilberfarb. “Nerves in a pinch: imaging of nerve compression syndromes.” Radiologic clinics of North America vol. 42,1 (2004): 221-45. doi:10.1016/S0033-8389(03)00162-3
Lopez-Ben, Robert. “Imaging of nerve entrapment in the foot and ankle.” Foot and ankle clinics vol. 16,2 (2011): 213-24. doi:10.1016/j.fcl.2011.04.001
Needham, C W. “Pinched nerves and signature signs.” Connecticut Medicine vol. 57,1 (1993): 3-7.
Siccoli, Alessandro, et al. “Tandem Disc Herniation of the Lumbar and Cervical Spine: Case Series and Review of the Epidemiological, Pathophysiological and Genetic Literature.” Cureus vol. 11,2 e4081. 16 Feb. 2019, doi:10.7759/cureus.4081
The nervous system communicates with the entire body and reacts to internal and external changes using electrical and chemical impulses to send and receive messages. Messages travel/synapse from one neuron to another using specialized chemicals known as neurotransmitters. Paresthesia refers to sensations of numbness, tingling, prickling, skin crawling, itching, or burning, usually in the arms, hands, legs, and/or feet, but can affect other areas of the body. Chiropractic care, massage therapy, decompression therapy, and functional medicine can relieve tissue and nerve compression, improve flexibility, range of motion, and mobility, and strengthen the muscles surrounding the affected nerve to maintain optimal health and prevent worsening or further injury.
Paresthesia
The sensation comes on without warning and is usually painless and described as tingling or numbness. There are different causes of paresthesia, including:
Some individuals have chronic or long-term paresthesia, which can be a sign of a more serious nerve injury or condition. Added physical stress can cause surrounding tissues to irritate or entangle the nerve leading to building pressure. This pressure causes paresthesia in the area interrupting circulation and function. A pinched nerve can happen anywhere in the body, like the neck, shoulder, wrist, back, and face.
A herniated disc in the lower spine can cause back pain and paresthesia in the leg or foot on the affected side.
Carpal tunnel syndrome is a pinched nerve in the wrist that causes numbness and tingling in the hand and fingers.
Pinched nerve symptoms can be intermittent or constant.
Usually, a temporary sensation is caused when pressure is placed on the affected nerve.
Once that pressure is relieved, the discomfort goes away.
Individuals with an Increased Risk
Overuse Injury
Individuals with jobs or hobbies requiring repetitive motions are at a higher risk for nerve compression, paresthesia, or injury.
Anyone can get a pinched nerve, and most individuals will experience paresthesia at some point.
Weight and water gain can cause swelling and increase pressure on nerves.
Thyroid Disease
This puts individuals at risk for carpal tunnel syndrome.
Rheumatoid arthritis
This causes inflammation, which can also compress nerves in the joints.
Diagnosis
To diagnose paresthesis, a doctor will look at the individual’s medical history and ask questions about the symptoms. They will perform a physical examination and, depending on the findings, may recommend tests that can include:
Nerve Conduction Study
This measures how fast nerve impulses travel in the muscles.
Electromyography – EMG
To look at the electrical activity of how nerves and muscles interact.
Magnetic Resonance Imaging – MRI
This looks at the different areas of the body in high definition.
Ultrasound
Used to produce images, this can be applied to the smaller areas to look for nerve compression or damage.
Chiropractic
Treatment options depend on the cause of the paresthesia. Body misalignments can cause nerve interference that can lead to health problems such as migraines, or can disrupt nerve communication and block proper circulation. Chiropractic care focuses on treating the nervous system and is a safe and effective method for treating nerve problems that cause discomfort and sensations. After a thorough examination of problem areas, massage, decompression, and chiropractic adjustments will:
Bova, Joseph, and Adam Sergent. “Chiropractic management of a 24-year-old woman with idiopathic, intermittent right-sided hemiparesthesia.” Journal of chiropractic medicine vol. 13,4 (2014): 282-6. doi:10.1016/j.jcm.2014.08.002
Christensen, Kim D, and Kirsten Buswell. “Chiropractic outcomes for managing radiculopathy in a hospital setting: a retrospective review of 162 patients.” Journal of chiropractic medicine vol. 7,3 (2008): 115-25. doi:10.1016/j.jcm.2008.05.001
Freihofer, H P Jr. “Parästhesien” [Paresthesia]. Schweizerische Monatsschrift fur Zahnheilkunde = Revue mensuelle suisse d’odonto-stomatologie vol. 89,2 (1979): 124-5.
Karne, Sampada Swapneel, and Nilima Sudhakar Bhalerao. “Carpal Tunnel Syndrome in Hypothyroidism.” Journal of Clinical and diagnostic research: JCDR vol. 10,2 (2016): OC36-8. doi:10.7860/JCDR/2016/16464.7316
It’s not unusual for runners to experience tingling, pins and needles, and numbness in their feet while running. Running foot numbness is a relatively common problem for runners and can be easily remedied. Numbness will present in one part of the foot or just the toes. Sometimes it can spread throughout the whole foot. Different causes, most of which are not serious, can be easily dealt with. Serious causes can be treated with chiropractic, massage, decompression therapy, and functional medicine.
Running Foot Numbness
Reasons, why the feet experience numbing sensations when running, include:
Improper footwear.
Laces that are tied too tightly.
Foot strike pattern.
Foot structure.
Training schedule.
Muscle tightness.
Compressed nerve.
Medical conditions like neuromas or peripheral neuropathy.
Footwear
A common cause of running foot numbness is having overly tight shoes that place added pressure on nerves.
If this could be the reason, the remedy is to get new shoes.
Try to find a store that specializes in running shoes and ask for help.
Footwear professionals look at the size of the foot, the shape, and running gait.
For example, individuals with a wide foot may need a style with a wider/larger toebox or the front of the shoe that houses the forefoot.
Get a pair that’s one-half to a full size larger than a regular everyday shoe size.
This is because when running, the feet swell, especially in hot and humid weather.
Going up a half or whole size will also accommodate thicker socks for individuals that run in cold weather.
Sometimes numbness can result from biomechanical issues that can be corrected with the proper shoe.
Tight Laces
Sometimes it’s not the shoes but the laces that are too tight.
Pulling a little tighter to get a firm fit around the ankle is common, but this can entrap nerves on top of the foot at the ankle/anterior tarsal tunnel, similar to the carpal tunnel in the wrist.
This can be problematic for individuals with high arches.
Loosening the laces are recommended.
However, runners may feel insecure with looser laces.
Experimenting with different lacing techniques is recommended to find one that keeps the shoes comfortable without creating undue pressure over the top of the foot.
Using padding under the tongue of the shoe can help.
Foot Fall Pattern
Sometimes running form can put pressure on nerves that, lead to numbness.
Overstriding– Landing heel first with the foot ahead of the body’s center of gravity places the feet on the ground for too long.
Correcting this issue can be achieved by shortening the stride and focusing on landing on the midsole.
This way, the feet will land directly under the body.
Running like stepping on hot coals is recommended, keeping the movements light and quick.
Correcting overstriding saves energy and lowers the risk of shin splints.
A sports chiropractor, physical therapist, or running coach can help fine-tune form for specific guidance.
Foot Structure
The anatomy of the feet, specifically the arches, can contribute to running foot numbness.
Flat feet mean the entire bottom of each foot is in contact with the floor when barefoot.
Overly flexible feet are more likely to experience nerve compression.
This can be corrected with shoe orthotic inserts.
Over-the-counter orthotics may work, but custom orthotics are another option if they don’t.
Muscle Tightness
Stiff, inflexible muscles can lead to anatomical conditions that generate nerve pressure.
Warm-up exercises before running will get the muscles loose and ready.
Stretching is very important before and after running.
Individuals prone to muscle tightness should include flexibility exercises.
Yoga can improve flexibility and body alignment.
Foam rollers and other massage tools will work out kinks in areas where tightness forms and affects nerves, like the quadriceps, calves, hamstrings, and I.T. band.
Regular sports massage and chiropractic can help keep the body pliable.
Sciatic Nerve Issues
A compressed nerve causes a decrease in the sensation to the areas the nerve supplies.
Foot numbness, especially around the heel or the sole, can be caused by sciatic nerve compression.
The pain from sciatica might originate in the back but can end up causing numbness in the feet and/or toes.
Poor posture, tight piriformis muscles, or other back injuries can also cause sciatica.
A chiropractor or physical therapist can prescribe decompression therapy, MET stretches, and rehabilitative exercises.
Prevention
Most of the time, running foot numbness can be treated by adjusting footwear or technique. Here are a few tips for injury prevention:
Evaluate Shoes
First, make sure the shoelaces are not overly tight.
If the shoes are uncomfortable when running, look for another set and get a custom fitting.
Running Form
Avoid overstriding by focusing on landing on the midsole instead of the heel.
This will take the pressure off of the feet.
Foot Orthotics
Individuals with flat feet, high arches, or overly flexible feet should consider orthotics.
Avoid Overtraining
Work rest days into the training schedule and gradually build up to avoid overuse injuries.
Stretch to prevent muscle imbalances, keep muscles loose, and improve the range of motion.
Chiropractic and Physical Therapy
If symptoms don’t improve, see a doctor, podiatrist, or chiropractor so they can rule out conditions and develop a personalized treatment plan.
Benefits of Custom Foot Orthotics
References
Aldridge, Tracy. “Diagnosing heel pain in adults.” American family physician vol. 70,2 (2004): 332-8.
Atik, Aziz, and Selahattin Ozyurek. “Flexible flatfoot.” Northern Clinics of Istanbul vol. 1,1 57-64. 3 Aug. 2014, doi:10.14744/nci.2014.29292
Jackson, D L, and B L Haglund. “Tarsal tunnel syndrome in runners.” Sports medicine (Auckland, N.Z.) vol. 13,2 (1992): 146-9. doi:10.2165/00007256-199213020-00010
Souza, Richard B. “An Evidence-Based Videotaped Running Biomechanics Analysis.” Physical Medicine and rehabilitation clinics of North America vol. 27,1 (2016): 217-36. doi:10.1016/j.pmr.2015.08.006
Sridhara, C R, and K L Izzo. “Terminal sensory branches of the superficial peroneal nerve: an entrapment syndrome.” Archives of physical medicine and Rehabilitation vol. 66,11 (1985): 789-91.
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