Understanding Pinched Nerve Disease – The pinched nerve or HNP (hernia nucleus pulposus) is a condition in which the soft and gelatinous spinal bearing is protruding, thus compressing the surrounding nerve. Generally, HNP occurs in the lower back and neck.

The complication of HNP that can occur is cauda equina syndrome. Symptoms are a weakness in both limbs, unable to feel touch, and cannot resist or control bowel movements.

Pinched nerve cause

Diagnosis of Pinched Nerve Disease

Pinched nerve or HNP (hernia nucleus pulposus) can be detected through the medical interview, physical examination, and investigation. Physical examination is a reflex rate, muscle strength (motor), walking ability, and sensory function.

To support the diagnosis, doctors will usually suggest a radiological examination, in the form of:


  • Can not detect the presence of HNP, but may exclude other possible causes of spinal pain-such as infection, deformity or spinal damage, and spinal position.

CT scan

  • Can assess the condition of the spine from various directions and assess the soft tissue-bone structure.

MRI (magnetic resonance imaging)

  • It is the best investigation to detect HNP and assess which parts of the nerve are affected.


  • Done by injecting contrast (the material to clarify the radiographic examination) to the spinal fluid located in the spine, then an X-ray examination will be performed. This test may show pressure on the spine or nerves due to HNP or other causes.

Symptoms  of Illness Pinched Nerve

A common symptom of a pinched nerve is a pain. A mild case of a pinched nerve often causes no symptoms, but there may also be severe symptoms of pain. The pinched nerve or HNP most commonly occurs in the lower back and neck.

Symptoms will appear on the occurrence of a pinched nerve or HNP, such as HNP that occurs in the lower back, will cause symptoms of low back pain.

The following are the symptoms of HNP:

– Pain

If HNP (hernia nucleus pulposus) occurs in the lower back, it will show symptoms of back pain that can spread to the buttocks to the thighs, calves, and legs. If HNP occurs in the neck, the symptoms are a pain in the neck that radiates to the shoulder or arm. Pain usually increases if coughing, sneezing, or changing position.

– Tingling

People with HNP (hernia nucleus pulposus) usually complain of tingling in the affected part of the body.

– Weakness

Muscles on the pinched nerve will usually weaken. As a result, HNP sufferers will experience difficulties in lifting weights or even grasping.

Pinched nerve treatment

Treatment of Disease Pinched Nerve

Treatment for a pinched nerve or HNP is divided into three, such as:

  1. Drugs
  • Anti-pain medication: if the degree of pain is still mild, you can buy over-the-counter anti-pain medications, such as ibuprofen.
  • Opioids: if the degree of pain is severe, the doctor will usually give opioid-type antimonial drugs. Side effects that can arise include nausea, vomiting, and constipation. These drugs can only be purchased with a prescription and should be under the supervision of a doctor.
  • Nerve pain reliever: This is the second drug routinely given to people with HNP after anti-pain. For example amitriptyline and gabapentin.
  • Muscle relaxant: This drug is given to reduce muscle tension or stiffness.
  • Steroid steroids: These drugs are injected into the affected part of the nerve as anti-inflammatory drugs.

  1. Physiotherapy

      Several types of therapies that can be done, namely:

  • Transcutaneous electrical nerve stimulation (TENS)
  • Using electrical energy to stimulate the nervous system through the surface of the skin to relieve pain.
  • Traction

Using objects with a certain weight to deal with damage to or damage to bones and muscles.

  • Use of a corset or brace.

  1. Operation

Operative measures are performed to reduce the emphasis on the nerves. The indications are:

  • There was no change after 6 weeks of drug therapy and physiotherapy.
  • Symptoms appear in the form of weakness of certain body parts, sensory disturbances, difficulty moving, cannot control urination or defecation.

Handling HNP that can be done at home is:

  • Break. Sleep on the floor or on a plated mattress beneath it, so the mattress does not curve. If you still want to sleep on a mattress, add a pillow under your head and under your knees, or sleep on your side. Do not sleep in the same position for a long time.
  • Drink anti-pain medicine. do not wait for the pain to get worse.
  • Warm or cold compresses for 15-20 minutes every 2-3 hours.

Cause of Disease Pinched Nerve

Several factors can cause pinched nerve or HNP, including:

  • Age factor. Increasingly aging, the vertebral disc (connector between the bones) becomes inflexible and tear easily.
  • Genetic factors.
  • Often do activities that incriminate the spine, such as lifting heavy loads.
  • Excess weight. This causes the spinal load to increase.

Prevention of Disease Pinched Nerve

To avoid the HNP, you can do the following:

– Keep your weight to stay ideal.

– Regular exercise. Type of exercise that can be done is that strengthens the back muscles.

– Do not smoke.

– Pay attention to body position when sitting, moving, or lifting weights.