Getting to Know a Pinched Nerve and the BESS Method

Pinched Nerves is a medical condition that occurs when a nerve in the body is pinched or compressed by other tissues, such as bone, muscle, or connective tissue. This can cause pain, numbness, tingling, or weakness in the area it is innervated. Pinched nerves can occur in many parts of the body, including the spine, elbows, wrists, hips, and knees.

The causes of a pinched nerve vary, but several factors can increase your risk of developing this condition, such as injury, inflammation, repeated pressure on a certain area, or medical problems such as osteoarthritis, herniated disc, or nerve cyst. Generally, this condition is more common in older people, workers who perform repetitive movements, or people who are not physically active.

Symptoms of a pinched nerve can vary depending on the part of the body affected. Some common symptoms include:

  • Pain
  • Numbness, numbness or tingling
  • Weakness of limbs
  • Difficulty moving limbs
  • Stiffness and tension in certain body parts

Treatment for a pinched nerve varies depending on the cause and severity. Some common therapies include:

  • Drug therapy such as pain relievers, steroids and swelling reducers can help reduce the symptoms of a pinched nerve.
  • Physiotherapy such as heating therapy, massage therapy and physical exercise can help increase flexibility and relieve tension in the muscles surrounding a pinched nerve.
  • Cooling or heating therapy on the affected area can help reduce swelling and relieve pain.
  • Surgical Therapy. In some cases, surgery may be needed to relieve pressure on the pinched nerve. This can include pressure relief due to a herniated disc, tumor or a displaced tailbone.

Currently it is also known that the Biportal Endoscopic Spine Surgery (BESS) technique is a minimally invasive method to treat pinched nerve problems in the back. The BESS procedure is performed with two small holes measuring less than 1 cm for access to the endoscope. Thus the patient will have a smaller scar, lower risk of infection and faster postoperative recovery time.

The BESS technique is also effective in dealing with various causes of pinched nerves. Starting from a herniated disc, stenosis due to connective tissue, tumors, infections or various other degenerative causes. The endoscope tool used will provide a clearer picture for the surgeon in dealing with the part that causes the pinched nerve problem.

A pinched nerve can cause discomfort and limit daily activities, but with the right treatment, most people can fully recover from the condition. It is important to consult a doctor if you experience symptoms of a pinched nerve, because nerve disorders that are not treated properly and appropriately can cause permanent damage to nerves.

Article written by dr. I Made Buddy Setiawan, M.Biomed, Sp.OT(K)Spine (Orthopedic & Traumatology Specialist, Spine Consultant at EMC Cikarang Hospital, Pekayon and Sentul).