A pinched nerve in the lower back happens when a nerve in the lower part of the spine becomes compressed by nearby tissue or bone. The pressure may cause pain, numbness, burning, or tingling in the lower back, legs, or feet. Show In this article, we discuss pinched nerves in more detail, including their causes, diagnosis, and treatment. We also explain exercises that people can try at home to relieve the symptoms.
The spine contains many nerves, which carry signals to the brain. If bones or tissues in the spine press on a nerve, this disrupts the signals. This disruption causes the symptoms of a pinched nerve. In the lower back, a pinched nerve may cause symptoms that extend into the pelvis, legs, and feet. Pinched nerves can occur suddenly, due to injury, or gradually, as the result of aging. When a pinched nerve occurs in the lower back, a person may experience symptoms that radiate to the lower extremities, such as the legs, buttocks, and feet. Some people also call this condition sciatica or radiculopathy. Symptoms may include:
Pinched nerves can also occur in the upper spine and neck, which causes different symptoms. According to Cedars Sinai, if the pinch occurs in the neck, a person may experience symptoms such as:
Nerve pain often feels different than other types of back pain. Nerve pain tends to be sharp and include burning, tingling, and numbness. In contrast, muscular pain typically causes muscles and joints to feel stiff, achy, or tender. If a person has lower back pain that does not affect their legs or feet or does not involve numbness, tingling, or burning sensations, they may have a different type of condition. There are many possible causes of pinched nerves in the lower back. These include:
Certain risk factors make it more likely that someone will develop nerve pain or a pinched nerve in the lower back. These factors include:
Aging and inactivity may weaken the muscles around the spine and make someone more likely to develop age-related conditions, such as spinal stenosis. Obesity and uneven posture put additional pressure on the spine, which increases the chance of a nerve becoming compressed. To diagnose a pinched nerve, doctors typically perform a thorough physical exam to test a person’s range of movement and reflexes, and to determine the site of the pain. In some cases, a doctor may need to carry out further testing to discover the cause of chronic or reoccurring back pain. The Columbia University Department of Neurological Surgery note that doctors may use the following tests:
The treatments that a doctor prescribes will depend on the nature of a person’s back pain. Most lower back pain resolves on its own within a few days. A person can try to speed their recovery by:
For severe or chronic pain that does not resolve in a few weeks, a person may need more in-depth testing to determine the underlying cause. At this point, a doctor may recommend:
In addition to rest and pain medication, a person can take other steps to help their recovery and prevent a pinched nerve from occurring again. Maintaining a neutral posture while sitting or standing may benefit overall back health. A neutral posture places the head and spine in alignment, with the ears directly over the shoulders. Other ways to reduce strain on the back include:
At-home exercises may also help a person regain strength and range of motion after their back pain has lessened. A physical therapist will be able to provide a person with specific exercises and stretches for their individual needs. However, a person can also try the following exercises when they are no longer experiencing pain, tingling, or numbness. It is important to note that a person should not try at-home exercises if they are still in pain or if exercises make their symptoms worse. Single knee to chestLying flat on the back with the legs straight, bring one knee to the chest, hold it there for 15 seconds, and then place it back down. Repeat 5–10 times on each leg. Lumbar rotationLying on the back with the knees bent and the feet flat on the floor, slowly rock the knees from side to side, allowing the back to twist slightly. Repeat 10–15 times. Cat-Cow poseStart on all fours with the hands and knees shoulder-width apart. Arch the back upward and hold the position briefly before slowly lowering the back into a concave position and holding it there for a moment. Repeat 10–15 times. Tail wagOn all fours, hold the spine straight and then bend it to one side, drawing the hips toward the ribs. Hold the bend briefly, and then repeat the exercise on the other side. Repeat the whole exercise 10–15 times. People should seek emergency medical attention if they experience:
These symptoms may indicate a spinal cord injury, which is a serious condition that requires immediate treatment. In addition, a person should see their doctor for lower back pain if they also have numbness or tingling in the legs or feet that does not improve with rest and OTC medications. If the pain gets worse or does not resolve within a few weeks, the doctor will be able to recommend further tests or treatments. A pinched nerve in the lower back occurs when the nerve becomes compressed by surrounding tissue or bone. This type of nerve pain can radiate through the lower back, buttocks, legs, or feet. Sometimes, it also causes burning or tingling. Treatment usually involves resting, taking OTC medications to reduce pain and swelling, and doing gentle physical therapy. In some cases, doctors may recommend steroids or surgery. How do I get rid of a pinched nerve in my lower back?Home-based remedies. Activity modification. You may find that certain seated positions or activities that cause you to twist or lift make your pinched nerve worse. ... . Ice and heat. Applying ice or heat for 20 minutes a few times a day may reduce pain and muscle spasms. ... . Frequent movement. ... . Sleeping position modifications.. Will a pinched nerve in lower back go away on its own?Will a pinched nerve go away on its own? How long does it take? Yes, most will with time (normally four to six weeks). You can improve symptoms with rest and pain medications such as naproxen, ibuprofen or acetaminophen.
What does pinched nerve in lower back feel like?Pinched nerve signs and symptoms include: Numbness or decreased sensation in the area supplied by the nerve. Sharp, aching or burning pain, which may radiate outward. Tingling, pins and needles sensations (paresthesia)
How do you know if a pinched nerve is healing?It usually means an unpleasant tingling feeling in the affected area, whether it be the arm, shoulder, neck, leg, or back. If this pain and tingling moves over time, it's a sign that the pinched nerve is healing!
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