You just left your doctor’s office……

Or you Googled your symptoms on your way home — and now the words “pinched nerve” are staring back at you.

Maybe it started with neck pain…
Then your fingers went numb.
Or your back hurt… possibly a pinched nerve?

And now the pain shoots down your leg like electricity

You’re not imagining things.
What you’re feeling is real — and it’s a condition called a pinched nerve.

Also known as:

  • Cervical radiculopathy (if it’s in your neck and affects your arms)
  • Sciatica or lumbar radiculopathy (if it’s in your lower back and radiates into your leg)

Good news? Most pinched nerves don’t need surgery.
With the right treatment, they often heal fully.

In this guide, I’ll explain everything clearly — what’s happening inside your spine, what symptoms mean something serious, and what you can do to fix it.

What Is a Pinched Nerve?

Picture your spine as a towering highway made of stacked bones.
But it’s not just concrete and structure.
It’s wired — with delicate electrical lines (nerves) running through it, branching out to every part of your body

Now imagine those wires exiting through narrow tunnels between the bones.
These are the nerve roots — and they’re meant to move freely, like cars exiting a highway ramp.

But sometimes, that exit gets crowded.
A bulging disc swells into the space.
Or a bone spur grows from wear and tear.
Maybe a ligament thickens, inflamed from years of use.

Suddenly the nerve has less room.
It’s squeezed

And that’s when the body starts speaking up — not with words, but with signals:

  • A sudden, sharp pain that shoots down your leg when you stand
  • A burning sensation crawling from your neck to your fingertips
  • Numbness in your toes that wasn’t there yesterday
  • A hand that forgets how to grip

💡 The signal isn’t flowing right — it’s distorted, delayed, or blocked.
Just like a frayed wire causes flickering lights, a compressed nerve causes misfiring in your body.

Some feel it as pain. Others feel it as a weakness .
But almost everyone describes the same thing:
“Something feels off, like my body isn’t listening.”

Where It Happens Most

  • Neck (Cervical spine): Pain, tingling, or numbness in shoulder, arm, or hand
  • Lower back (Lumbar spine): Pain running down leg — commonly known as sciatica

What It Feels Like

Neck (Cervical):

  • “My neck feels tight, and I can’t grip things properly.”
  • “My shoulder burns and my fingers go numb after typing.”

Lower Back (Lumbar):

  • “Pain shoots from my hip to my foot when I stand up.”
  • “There’s a burning feeling behind my thigh, like electricity.”

If you’re losing control of your bladder or bowel, seek emergency care immediately.
This could be a condition called cauda equina syndrome — a surgical emergency.

What Causes a Pinched Nerve?

  • Bulging or herniated disc
  • Bone spurs from arthritis
  • Thickened ligaments due to age or repetitive strain
  • Spinal misalignment or injury
  • Repetitive stress or poor posture

It’s usually a mix of wear-and-tear + posture habits that narrow the space where nerves exit the spine.

How I Diagnose a Pinched Nerve in My London Clinic?

Mr. Rajesh providing expert spine care in London

Mangattil Rajesh

I am one of the best spinal surgeons in London and the Head of the Department of Complex Spine Surgery at The Royal London Hospital. With 3 advanced Fellowships in Complex Spine Surgery, I’ve dedicated my life to helping those who suffer from Back pain and Neck pain.

Your health and well-being are at the heart of everything I do. Together, we’ll find the best path to recovery.

I understand the need for flexible consultation options and urgent professional advice. Whether you prefer an online session from the comfort of your home or an in-person visit at the clinic, I accommodate your needs, ensuring you receive the best possible care. 

As a spine surgeon, I rely on your detailed history , clinical examination, and imaging.

1. Detailed History

We discuss your:

  • Pattern of pain
  • Severity
  • What makes it worse
  • Impact on your life
  • Numbness in your arms / legs
  • Weakness of your arms / legs

2. Clinical Examination

We test:

  • Walking pattern
  • Tingling sensation
  • Muscle strength in your arms and legs
  • Sensory response in your hands and legs
  • Reflexes

3. MRI Scan

We scan:

  • The extent narrowing of pinching of the nerve
  • Whether the spinal cord or nerves are compressed
  • Any signs of myelopathy (cord damage)

In some cases, I may order X-rays to check spine alignment or CT scans if we need to assess the bony structure more clearly to plan surgery if needed.

Non-Surgical Treatments That Work for a pinched Nerve

Most pinched nerves respond well to non-surgical care.

Here’s what I typically recommend:

  • Medications: Anti-inflammatories, nerve stabilisers like pregabalin or gabapentin
  • Physiotherapy: Gentle stretches, strengthening, nerve glides
  • Spinal Injections: Steroids reduce swelling and give rapid pain relief
  • Lifestyle Fixes: Posture correction, ergonomic setup, movement habits

 

⏳ With consistent treatment, many patients feel better within 3–6 weeks.

It is the combination of the Spine steroid injection and physiotherapy that offers lasting pain relief and rapid return of function

When Is Surgery for a Pinched Nerve the Right Option?

We only consider surgery if:

  • Pain persists after 6 months of treatment
  • Loss of sensation and worsening
  • Weakness is getting worse
  • MRI shows severe compression
  • There’s loss of bladder/bowel control or foot drop

Common Surgical Procedures for Cervical Stenosis

1. Microdiscectomy

  • Single or Multiple levels as required
  • Removes Bone or disc pressing in the nerve root
  • Relieves pressure on the nerve

2. Posterior Foraminotomy

  • Single or Multiple levels as required
  • Removes Bone pressing on the nerve root
  • Relieves pressure on the nerve
  • Minimally invasive procedure

3. Laminectomy

  • Single or Multiple levels as required
  • Removes Soft Tissue & Bone pressing on the nerve root
  • Relieves pressure on the nerve

4. Decompression + Fusion

  • Single or Multiple levels as required
  • Removes Bone pressing in the nerve root
  • Relieves pressure on the nerve
  • Join up the bones to give stability

All surgeries are minimally invasive whenever possible — allowing faster recovery and better long-term outcomes.

Most patients go home in 2 days and return to work within 8–10 weeks

Pinched Nerve Treatment Recovery Timeline

Timeline for Pinched Nerve Treatment | Mangattil Rajesh | Spine Surgeon London | www.spinesurgeon.london

My Advice to You:

If you’re here, you’re already doing the right thing — trying to understand your body.

Pinched nerves are painful. But they’re also highly treatable.

With early care and the right plan, most people return to full strength, sleep well again, and get back to living — without surgery.

📞 Book a Consultation

  • 📞 WhatsApp available 24/7
  • 📅 Book online in 1 minute
  • 🏥 In-person and online consultations available

 

…… and don’t wait for it to “go away.”

5 Star Patient Reviews

JolitaV

Mr Rajesh was excellent and I count myself very fortunate that he is my consultant surgeon. I could not have asked for a more courteous and professional experience. I could not fault anything. Mr Rajesh was very professional he explained everything in detail on all my visits. From initial consultation to post op Mr Rajesh took care of everything.

Eloise Morse
Mr Rajesh is the best spine surgeon I have seen and I wouldn’t hesitate to recommend him. I have had chronic issues with my pelvis and lumbar spine for years but was referred to Mr Rajesh for a disc herniation in my neck. His care was faultless. He is technically excellent with brilliant, practical advice beyond just surgical solutions. Read more…
Terri Spires

When it became necessary to have a discectomy decompression in my lower spine Mr Rajesh explained the procedure very clearly and in a way I understood, he is very good at putting your mind and nerves at ease. Mr Rajesh is an excellent surgeon who cares for his patients and goes the extra mile. I wouldn’t hesitate to recommend him to anyone.

Pinched Nerve FAQs – by Dr. Rajesh

Not quite. A slipped (herniated) disc is one of the most common causes of a pinched nerve.

Mild cases often do — but if symptoms last more than a few weeks, it’s best to get a diagnosis.

Yes — with the right guidance. Your posture and habits are key to recovery.

It depends. Most pinched nerves aren’t dangerous but can become harder to treat if ignored too long.