by poohhel » Fri Apr 20, 2007 7:23 pm
[quote="Brian C."]Ow! The best of luck poohhel.
I know nothing about pinched nerves and their treatment.
What is the gabapentin supposed to do?
Statins are history and we know more than most docs, who are head-down in the trough.
Brian.[/quote]
Brian...Here some information I researched on pinched nerves specifically the 5 regions where my doctor says my nerves are being pinched...
A Pinched nerve is the term for pain or impaired function of a nerve that is under pressure. It happens to nerves that control muscle movements or relay sensations to the brain.
The initial symptoms of a pinched nerve may be tingling, numbness, burning sensation or shooting pains down the buttocks and legs or in the neck, shoulders, arms and fingers.
Sometimes the pains and sensations are distant from the point of pressure. For instance, a pinched nerve in the low back may cause pain in the calf as the only symptom. When there is nerve damage from constant pressure, pain and weakness may increase. There may be a loss of reflexes, movement skills, sensation in the affected area, and withering (atrophy) of the affected muscles can occur.
If a nerve gets "pinched" the flow up and down the inside of the hose is reduced or blocked and the nutrients stop flowing. Eventually the membrane starts to loose its healthy ability to transmit the tiny electrical charges and the nerve fiber may eventually die. When enough fibers stop working, the skin may feel numbness or a muscle may not contract.
When one has a pinched nerve in the low back, pain is usually perceived as radiating down the leg. When one has a pinched nerve in the neck, pain emanates from the neck, through the shoulders, down the arms and into the hands.
Pinched nerve at L5 - The L5 nerve supplies the nerves to the muscles that raise the foot and big toe, and consequently, impingement of this nerve may lead to weakness in these muscles. Numbness for L5 runs over the top of the foot. Pain will be in the lower back running to the hip, down the lateral part of your thigh and calf and to the top of the foot. a lumbar segment 5 (L5) nerve impingement can cause weakness in extension of the big toe and potentially in the ankle (foot drop).
Pinched nerve at S1 - Impingement of the S1 nerve can lead to weakness with the large gastronemius muscle in the back of the calf, causing difficulty with foot push off. Numbness for the S1 nerve runs on the outside of the foot. Pain will be in the lower back running to the buttocks, down the back of the thigh and calf to the lateral aspect of the foot (to the little toe).
Pinched nerve at C5 - This can cause shoulder pain, deltoid weakness, and possibly a small area of numbness in the shoulder. On physical exam, a patient's biceps reflex may be diminished.
Pinched nerve at C6 - This can cause weakness in the biceps and wrist extensors, and pain/numbness that runs down the arm to the thumb. On physical exam, the brachioradialis reflex (mid-forearm) may be diminished.
Pinched nerve at C7 - This can cause pain/numbness that runs down the arm to the middle finger. On physical exam, the triceps reflex may be diminished. Also causing the beginning of carpal tunnel in my left hand.
Some complications or secondary illnesses resulting from pinched nerves is the perpherial neuropathy. My doctor says that he believes now my Neuropathy is a result of the Pinched Nerves and as soon as we have that managed my P.Neuropathy should go a way...hope so.
Initial Treatment is meds to keep down inflammation, neurontins (which are pain killers that work on nerve endings and not kidney or liver), and physical therapy.
If this does not relieve pain, next is cortizone shots in the specific locals on the spine
Lastly, surgery to remove bone spurs or discs... etc.
The Gabapentin is a brand of neurontin medication for relieving neuropathy symptoms and the pain, it works on the nerves.