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Conditions we treat

Nerve pain: finding out exactly which nerve, and why

Nerve pain has a distinct feel, burning, shooting, electric, and it responds best when the actual source is identified first.

Nerve pain, or neuropathic pain, feels different from typical muscular or joint pain, often described as burning, shooting, electric, or accompanied by numbness and tingling. It happens when a nerve is irritated, compressed, or otherwise not functioning normally, and it can arise from many different points along the nerve’s pathway.

Common examples we see include sciatica from a lower back nerve root, and pain or tingling in the arm related to the neck. Occasionally nerve pain arises from a site further along its path, such as at the elbow or wrist, rather than the spine.

Because nerve pain can stem from several different locations, a careful neurological and movement examination is essential before treatment, trying to treat the painful area without confirming the source rarely gets good results.

Common signs & symptoms

  • Burning, shooting, or electric-shock-like pain
  • Numbness or reduced sensation along a specific pathway
  • Pins and needles, particularly at rest or overnight
  • Weakness in the muscles supplied by the affected nerve
  • Pain that worsens with specific postures or movements
  • Sensitivity to light touch in the affected area
  • Symptoms that follow a clear line down an arm or leg rather than a general ache

What causes nerve pain?

  • Nerve root irritation — compression or inflammation where a nerve exits the spine

    as seen in sciatica (sciatica)

  • Disc-related compression — a bulging disc can press on or irritate a nearby nerve root ([disc injuries](/conditions/disc-injuries/))

  • Nerve entrapment — a nerve can become compressed at specific points along its path

    such as the wrist or elbow

  • Prolonged postures — sustained positions can compress or stretch nerves

    particularly in the neck and arm

  • Systemic conditions — some medical conditions can cause nerve pain independent of any mechanical cause

    which is important to screen for

How we help at IA Chiropractic

We carry out a thorough neurological examination, testing reflexes, sensation and strength, to localise which nerve is involved and how significantly it’s affected, before deciding whether Chiropractic care is appropriate.

Where the cause is mechanical, treatment typically involves Chiropractic adjustments or soft tissue therapy to reduce pressure on the nerve, combined with graded exercise prescription to restore normal movement and strength.

If our assessment suggests a systemic or non-mechanical cause, or if there’s significant or progressive weakness, we’ll refer you for appropriate medical investigation rather than continuing with Chiropractic treatment alone.

Good to know

Nerve Pain: your questions answered

Can a Chiropractor help with nerve pain?
Yes, when the nerve pain has a mechanical cause we can identify, such as a disc or joint irritating a nerve. We assess this carefully first, and refer for further investigation if the cause appears systemic or if there are signs of significant nerve involvement.
What’s the difference between nerve pain and muscle pain?
Nerve pain typically has a distinct burning, shooting or electric quality and follows a specific pathway, often with numbness or tingling, whereas muscle pain tends to feel more like a dull ache or tightness in a broader area.
Is nerve pain permanent?
Not usually, especially when the underlying cause is identified and addressed early. Outcomes vary depending on the cause and how long symptoms have been present, which is why timely assessment matters.
Do I need special tests for nerve pain?
Often a thorough clinical examination is enough to guide initial treatment. If your symptoms are significant, progressive, or not responding as expected, we’ll refer you for nerve conduction studies or imaging as appropriate.

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