Pinched Nerve
A pinched nerve in the spine can cause significant discomfort and impact daily activities. A pinched nerve in the lower back involves excessive pressure applied on the nerves around the spine by surrounding structures such as tissues, ligaments, cartilages, tendons or muscles. This pressure causes the nerves to become compressed or entrapped resulting in a variety of mild to severe symptoms.
Symptoms Of A Pinched Nerve
Sharp Pain
A common symptom of a pinched nerve is a sharp, localised pain that may radiate along the affected nerve pathway, often intensifying with movement or pressure.
Numbness or Tingling
This can often be experienced as either localised or radiating sensations along the nerve pathways affected by compression or irritation.
Burning Sensation
Commonly felt along the affected nerve pathway, often accompanied by tingling or numbness.
Muscle Weakness
Muscle weakness radiating from the affected area can be a sign your nerve has been compressed.

Causes
- Disc bulges or herniated discs
- Bone Spurs
- Spinal stenosis
- Poor posture
- Rheumatoid Arthritis
- Trauma
- Repetitive motions
Diagnosis
Accurate diagnosis by a specialist for a pinched nerve is essential to start the right treatment method and prevent future issues. A qualified doctor performs a physical examination to evaluate any pain or other symptoms associated with a pinched nerve. The doctor can ask about all relevant symptoms.
Moreover, Dr Tan may conduct diagnostic tests to determine the underlying cause and recommend treatment accordingly. These tests may include an MRI, CT Scan, Myelogram and an EMG (electromyogram and nerve conduction) test.
Pinched Nerve Treatment In Singapore
The treatment for pinched nerves involves a physical examination, symptom assessment, imaging tests and nerve conduction tests. Depending on the underlying cause, our qualified pinched nerve specialist in Singapore may recommend the following treatment modalities.

Medication
Pain medication, including over-the-counter NSAIDs, helps reduce pain and inflammation.

Physical therapy
This includes exercises, stretches, TENS stimulation and other techniques that help strengthen core muscles and improve spinal flexibility.

Injections
Injection of corticosteriods (nerve blocks) around the nerve to relieve pain for patients who are uncomfortable with surgery.

Pinched Nerve Surgery
Surgical procedures include Endoscopic Discectomy, Endoscopic Laminectomy.
FAQs on Pinched Nerve
If you experience persistent pain because of the pinched nerves in your back and the pain does not seem to improve or resolve with conservative home remedies and rest for a few days, it is a good idea to get evaluated by qualified orthopaedic doctors for pinched nerve . Some problems like disc herniation and spinal stenosis, if left untreated, can lead to chronic conditions and complications.
When treating pinched nerve in lower back, the first line of treatment would be rest, activity modification and physical therapy. Medications may also be prescribed for managing pain. In case of severe injuries, pinched nerve surgery is required.
It is a medical emergency if you feel any of the following symptoms:
- Sudden onset of numbness or weakness in the leg, foot, arm or hand.
- Paralysis of the arm and/or leg.
- Loss of sensation in the genital area.
- Loss of bladder and/or bowel control.
Contact pinched nerve surgeons such as Dr. Gamaliel Tan in Singapore in case you experience any of the above symptoms.
Exercises for pinched nerve in back and stretching may help some people relieve pressure on the nerves whereas for some individuals, it may worsen the pain. Always consult your physical therapist about any exercise or stretch you intend to do.
Adopting a healthy lifestyle and following certain good practices can help prevent spinal pinched nerve.
- Maintain a good posture while sitting or standing.
- Avoid repetitive motions and staying in the same position for long times. Take breaks whenever possible.
- Maintain a healthy weight to avoid putting pressure on the joints and nerves.
- Strengthen your core muscles and improve flexibility.
Minor pressure of the nerves may heal on their own by taking adequate rest, modifying activity patterns and avoiding repetitive movements. Over time, the pressure and inflammation that are pinching the nerves may reduce, resulting in relieved symptoms.
Surgery is considered only when non-surgical treatments fail to provide relief or if there is significant pain, weakness or functional loss. An orthopaedic specialist can assess whether surgery is the appropriate course of action.
Pinched nerve recovery time will vary, with some patients experiencing quick relief, while others may need longer-term management. Regular follow-ups may be necessary to adjust treatment plans as needed to ensure optimal healing.
Our Specialist
About Gamaliel Tan
MBBS (S'pore), MMED (S'pore), FAMS (Ortho), FRCS (Edin)Dr Gamaliel Tan is a spine surgeon in Singapore with over 25 years of experience in designing and providing effective solutions for different orthopaedic problems. He specialises in spine surgery and has experience in endoscopic spine surgery and motion preservation spine procedures (artificial disc replacements).
Qualifications and Achievements
- Head of Department, Department of Orthopaedics | NTFGH 2009 - 2018
- Council member of the AOSpine East Asia group 2017 – 2020
- Head of the Spine Division | NTFGH 2009 - 2023
- Group Chief Medical Informatics Officer (GCMIO) | NUHS 2020-2023

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