Spine Nerve Conditions
Pinched Nerve
Understanding Nerve Compression in the Spine
When too much pressure is placed on a spinal nerve root, the result is often referred to as a pinched nerve. This pressure may come from a herniated disc, bone spur, or narrowed spinal canal. The result can be pain, tingling, numbness, or weakness radiating into the arms or legs. At Desert Spine and Pain, we know the phrase “pinched nerve” can sound alarming, but it’s a treatable condition. Under the care of Dr. David L. Greenwald, M.D., FAANS, FACS, one of the nation’s leading neurosurgeons, patients in Phoenix receive compassionate, expert treatment starting with conservative options and offering advanced minimally invasive surgery when needed.
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What Is a Pinched Nerve?
A pinched nerve occurs when surrounding tissues press against a nerve root as it exits the spinal column. This pressure can:
Irritate the nerve
Disrupt normal signal transmission
Cause pain and neurological symptoms in the area served by that nerve
Causes and Risk Factors
Herniated disc – Disc material presses on a nerve See Herniated Disc
Spinal stenosis – Narrowing of the spinal canal compresses nerves See Spinal Stenosis
Bone spurs (osteophytes) – From arthritis or degeneration
Degenerative disc disease – Loss of disc height reduces space for nerves
Spondylolisthesis – Slipped vertebra pinches a nerve
Trauma or injury – Fractures or swelling can compress nerves
Symptoms of a Pinched Nerve
Radiating pain (sciatica from the lower back, or arm pain from the neck)
Tingling or “pins and needles” sensations
Numbness in the arms, hands, legs, or feet
Muscle weakness in the affected area
Pain that worsens with bending, lifting, or prolonged sitting/standing
Diagnosis
At Desert Spine and Pain, evaluation includes:
Physical exam – Checking strength, reflexes, and sensation
Imaging –
MRI to visualize discs, nerves, and soft tissues
X-rays for bone alignment and arthritis
CT in complex cases
Electrodiagnostic studies (EMG/NCV) – When needed to confirm nerve involvement
Treatment Options
Non-Surgical Care
Rest and activity modification
Medications (anti-inflammatories, pain relievers)
Physical Therapy for posture correction and core strengthening
Heat, ice, and ergonomic adjustments
Epidural Steroid Injections for reducing nerve inflammation
Surgical Care
If symptoms persist or nerve damage is progressing:
Microdiscectomy – Removes herniated disc material pressing on a nerve root
Laminectomy / Foraminotomy – Relieves stenosis by widening nerve pathways
Minimally Invasive Surgery (MIS) – Smaller incisions, less muscle disruption, quicker recovery
Fusion – Considered only if instability is also present
Recovery Timeline
Conservative care – Many patients improve within 6–12 weeks
Injections – Relief may last several months, allowing therapy to be more effective
Surgery – MIS recovery may take 4–12 weeks; fusion recovery may take longer
Why Choose Desert Spine and Pain?
Expert neurosurgical care – Dr. Greenwald has decades of experience treating nerve compression
Conservative-first philosophy – Prioritizing therapy and injections before surgery
Advanced minimally invasive options – Faster recovery and less disruption
Patient-focused care – We make complex diagnoses clear and reassuring
Frequently Asked Questions
Is a pinched nerve the same as radiculopathy?
Yes. Radiculopathy is the medical term for symptoms caused by a pinched spinal nerve.
Can a pinched nerve heal without surgery?
Yes. Many improve with conservative care such as rest, therapy, and injections.
How long does it take for a pinched nerve to get better?
Most improve within weeks to months, though severe compression may require surgery.
What happens if a pinched nerve is left untreated?
Prolonged compression may lead to permanent nerve damage, weakness, or loss of function.
How does Desert Spine and Pain treat pinched nerves differently?
We provide advanced imaging, conservative-first management, and minimally invasive surgical options — all guided by Dr. Greenwald’s expertise.
Dr. David L. Greenwald, MD
Neuro-Spine Surgeon
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If you’re living with pain, tingling, or weakness caused by a pinched nerve, relief is possible. Dr. Greenwald and his dedicated team are here to help you understand your condition and find the most effective path to recovery. Through expert diagnosis and personalized treatment, we’ll help you get back to doing what you love—without the pain holding you back. Schedule your consultation today and take the first step toward lasting relief and better spinal health.
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Over 30 Years Experience in Orthopedic & Neuro Spine Surgeries.
Dr. David L. Greenwald, M.D., F.A.C.S.
Neurosurgeon | Spine Surgeon | Regenerative Medicine
Dr. David L. Greenwald, MD, FACS, is a board-certified spine surgeon specializing in the diagnosis and treatment of pinched nerves in the spine, a common cause of radiating pain, numbness, or weakness in the arms or legs. These symptoms often result from herniated discs, bone spurs, or spinal stenosis compressing nearby nerves. Dr. Greenwald uses advanced imaging and minimally invasive techniques to pinpoint the exact location of the nerve compression and develop a personalized treatment plan. His approach emphasizes conservative care first—such as physical therapy, medication, and targeted injections—while offering precise surgical options when necessary to relieve pressure, restore nerve function, and reduce pain. Patients throughout South Florida trust Dr. Greenwald for his experience, skill, and compassionate care.
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