Common Causes of Pain

Peripheral Nerve Entrapments

  • What is it? A nerve becomes pinched or compressed by nearby muscles, tendons, or fascia (connective tissue).  Carpal tunnel syndrome is the most common example. Nerve entrapments can occur anywhere in the body:  shoulder blades, shoulder, arm, elbow, forearm, wrist, hip, thigh, knee, leg, ankle and foot.
  • How do they occur?  Entrapped nerves can develop for a variety of reasons:  post-traumatic (after a fracture or injury), post-surgical (after surgery), overuse / repetitive strain are common. 
  • What are the symptoms? Pain, tingling, burning, numbness, weakness, and/or dysfunction.
  • How is it diagnosed? A detailed history and thorough physical exam suffice in most cases.  Diagnostic ultrasound, electrodiagnostic tests (“EMG”), and advanced imaging (MRI) may be considered.
  • What are standard treatments? Activity modification, splints and/or braces, physical therapy, and anti-inflammatories. Orthopedic surgeons may perform surgical decompression and/or transposition of affected nerves.
  • What are advanced, non-surgical treatments? Ultrasound-guided hydrodissection is a safe, well-tolerated, injection technique that decompresses an entrapped nerve and often provides immediate relief.
  • When should I schedule a consultation with Dr. Mahooti? If you have chronic / persistent pain, numbness, or weakness in a particular body part that has not improved with standard treatments. 
    • NOTE:  Sudden onset and/or progressively worsening numbness or weakness is an emergency. Do not reach out to our office in such cases.  Instead, contact your primary care physician for guidance and/or go to an emergency department or urgent care clinic as soon as possible.