
A pinched nerve occurs when surrounding tissues such as bones, muscles, or ligaments press against a nerve, disrupting its normal function. This pressure can cause tingling, numbness, burning, or sharp pain. Though the term “pinched nerve” is commonly used, healthcare professionals often identify the condition more precisely as radiculopathy or nerve entrapment, depending on the location.
Several factors can lead to nerve compression. Structural changes in the spine, such as herniated discs or bone spurs, can reduce the space through which nerves travel. Muscle tightness or inflammation can also put pressure on nearby nerves. Repetitive tasks, prolonged sitting, and poor posture — common among office workers and commuters — are frequent triggers.
Underlying conditions like osteoarthritis, rheumatoid arthritis, or spinal stenosis can further narrow nerve pathways. Even something as simple as sleeping in an awkward position can temporarily pinch a nerve. Over time, these stresses can accumulate, making proper body mechanics and movement habits crucial to prevention.
A pinched nerve can affect anyone, but certain habits and conditions make it more likely. Age-related changes in the spine, such as worn discs or bone spurs, can narrow nerve pathways and cause compression. Poor posture, obesity, and repetitive motions also increase risk.
People who sit at desks or use computers for long hours often develop neck or shoulder discomfort from slouching. Those who lift heavy objects or perform physical labor may experience lower back or leg pain from nerve pressure. Repetitive wrist or elbow movements—common in typing, construction, or racket sports—can also lead to nerve entrapment and tingling sensations in the arms or hands.
Neck (Cervical Radiculopathy)
When a nerve root in the neck becomes compressed—often from a herniated disc, bone spur, or poor posture—it can lead to cervical radiculopathy. This causes sharp pain, tingling, or burning sensations that radiate from the neck into the shoulders, arms, or fingers. Muscle weakness or stiffness may also occur, making it hard to turn the head or lift objects. Prolonged phone use, awkward sleeping positions, or holding the neck forward for long periods often worsen symptoms.
Lower Back (Lumbar Radiculopathy)
Lumbar radiculopathy occurs when nerves in the lower spine are compressed, often affecting the sciatic nerve. It leads to pain, numbness, or weakness that radiates from the lower back into the hips, buttocks, and legs—commonly known as sciatica. Prolonged sitting, heavy lifting, or degenerative disc disease are common triggers. Pain often worsens with standing or walking, while gentle stretching or lying down may ease symptoms.
Wrist (Carpal Tunnel Syndrome)
Carpal tunnel syndrome develops when the median nerve in the wrist is compressed as it passes through the carpal tunnel. This nerve controls movement and sensation in the thumb, index, and middle fingers. Common symptoms include numbness, tingling, or a “pins and needles” feeling—often worse at night. People who type frequently, play instruments, or use handheld devices for long periods are most at risk. If untreated, it can lead to weak grip strength and poor hand coordination.
Elbow (Ulnar or Radial Nerve Entrapment)
Compression of the ulnar or radial nerve around the elbow can cause tingling, numbness, and weakness in the forearm, hand, or fingers. The ulnar nerve—running along the inner elbow or “funny bone”—is irritated by repetitive bending or resting on hard surfaces. The radial nerve, on the outer side, can be strained from overuse in activities like weightlifting or tennis. This may lead to difficulty gripping objects or a dull ache that travels down the arm.
Physical therapy focuses on addressing the root cause of nerve compression rather than masking the symptoms. At Manhattan Physical Therapy, treatment begins with a detailed evaluation to pinpoint where and why the nerve is being compressed. Once identified, a personalized plan is created to restore mobility, improve posture, and reduce inflammation around the affected nerve.
Your therapist may combine several techniques, including:
Manual therapy to relax tight muscles and restore natural joint movement.
Stretching and mobility exercises to improve flexibility and relieve tissue pressure.
Strengthening routines that stabilize the spine, shoulders, or hips and prevent future compression.
Postural training to correct alignment during work, walking, and daily tasks.
Nerve gliding techniques to help the nerve move freely through its pathway
The right exercises help reduce tension around the affected nerve, improve posture, and strengthen the muscles that support your spine, shoulders, and hips. Physical therapists often begin with light stretches to improve mobility, then gradually introduce strengthening and stability training to restore balance.
Below are some effective exercises that can aid recovery, depending on where the nerve is compressed.
For Neck and Shoulder Discomfort
Trapezius Stretch
This stretch targets the large muscle along the back and sides of your neck, which often becomes tight when a nerve is compressed in the cervical spine.
Sit upright on a chair with your back straight.
Place your right hand under your thigh to anchor the shoulder.
With your left hand, gently tilt your head toward the left side until you feel a light stretch along the right side of your neck.
Hold for 20–30 seconds, then slowly return to center.
Repeat on the opposite side.
Chin Tuck
The chin tuck helps strengthen the deep neck flexor muscles and encourages better posture, reducing strain on the cervical nerves.
Sit or stand tall with your shoulders relaxed.
Place two fingers on your chin and gently push your chin straight back, keeping your eyes forward.
Avoid tilting your head up or down.
Hold the position for three to five seconds, then relax.
Repeat 10 times.
Shoulder Rolls
Shoulder rolls promote circulation and release tension in the upper back and shoulder region.
Sit or stand with your arms relaxed at your sides.
Slowly lift your shoulders up toward your ears, then roll them back and down in a circular motion.
Repeat 8–10 times, then reverse the direction.
For Lower Back and Hip Pain
Piriformis Stretch
The piriformis muscle runs deep in the buttocks and can irritate the sciatic nerve when tight.
Lie flat on your back with your knees bent.
Cross your right leg over your left thigh, so your right ankle rests just above the left knee.
Using your hands, pull the left thigh gently toward your chest until you feel a stretch in your right hip or buttock.
Hold for 20–30 seconds, then switch sides.
Bridge Exercise
This strengthening movement supports the lower back, glutes, and core — muscles that help stabilize the spine and prevent nerve compression.
Lie on your back with your knees bent and feet flat on the floor, hip-width apart.
Keep your arms at your sides, palms facing down.
Engage your core and lift your hips off the ground until your body forms a straight line from shoulders to knees.
Hold for 5–10 seconds, then slowly lower your hips back down.
Repeat 8–12 times.
Side Bends
Side bends stretch the muscles along the sides of your torso and lower back, relieving tightness that can restrict spinal movement.
Stand with your feet shoulder-width apart and place your hands on your hips.
Slowly bend to the left side, keeping your upper body aligned and your hips stable.
Hold for a few seconds, then return to the center.
Repeat on the right side.
"Can you get a prescription for physical therapy? PT can do amazing things." - From a forum on Well Trained Mind
"Had a herniated and two bulging discs in my upper spine that caused this kind of pain for me. I've made some stretches recommended to me by a physical therapist a part of my workout routine, and when I start to feel twinge add a few more stretches to my daily routines. Haven't had any pain in 3ish years and have continued to make personal records in the gym.” – From a Reddit discussion
“My physical therapist recommended this to me and it works reasonably well, at least on neck pain: sit up straight and essentially try and press your shoulder blades towards your back pockets. It opens up some pathways and can be helpful.” - From a Reddit discussion
Call us at (212)-213-3480 to schedule your appointment today.
Alexander Liu
"Everyone on the team at Manhattan Physical Therapy is super nice and caring. They were able to pretty quickly diagnose my knee and hip problems and immediately put me to work to reduce the pain.."
Henry Myerberg
"You're not just a patient when you come to the Manhattan Physical Therapy. You feel like family there. In particular, Erica with her colleagues John, Lidia and Joe not only fix and improve you physically, they make you feel welcomed and cared for.."
Hakyung Kim
"Everyone is so kind and helpful! my knee and hip pain have improved massively since starting Manhattan PT, highly recommend to anyone. special thanks to Bianca, Lidia, Joe, and John!"
Manhattan Physical Therapy
✆ Phone (appointments):
(212) 213-3480
Address: 385 5th Ave, Suite 503, New York, NY 10016