Diagnosis of a nerve entrapment is derived from the patient’s history and physical exam with no indicators of potentially serious pathology.
Chiropractors perform a thorough history of complaint and examination (orthopaedic, neurological and chiropractic testing).
Assessment may also include the use of diagnostic imaging including X-ray and MRI.
Back-in-Action Clinic Comment
Chiropractic treatment of a nerve entrapment initially is based on improving the movement, position and stability of the regions related to the site of your nerve entrapment to reduce the risk of stress and further tissue damage. Self help recommendations of using ice or heat is often given in the acute stage and limiting of aggravating activities. Nutritional approaches can be beneficial to help support soft tissue healing. Chiropractic adjusting techniques (manipulation) and mobilisation may be applied to improve the function of related joints. Various muscle and nerve release techniques may be applied. An emphasis is placed on self help exercise which might include self mobilisation, stretching, strengthening and balance training. Core stability exercise often is useful for improving the position of the low back, pelvis and hip. Areas of severe muscle spasm may also benefit from massage or acupuncture. Foot orthotics, heel lifts, sitting advice and other ways to improve posture on daily activities may be suggested. Functional neurological treatment and exercises are sometimes helpful.
Some patients may benefit from anti-inflammatory medication. In some severe cases surgical decompression may be required
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