Degenerative disc disease is a common condition that causes chronic neck and lower back pain. Although the term “disease” is used, it actually refers to age-related changes in the spinal discs that can lead to discomfort, stiffness, or nerve compression.
At Princeton Neurological Surgery, patients in Hamilton and Jersey City, NJ receive comprehensive evaluation and treatment for degenerative disc disease. The surgical team, led by board-certified neurosurgeon Dr. Edward H. Scheid, Jr., emphasizes accurate diagnosis and conservative treatment first, recommending surgery only when necessary to preserve neurologic function and improve quality of life.

Where Do Pinched Nerves Occur In The Spine?
Most spinal pinched nerves occur in the cervical (neck) or lumbar (low back) regions. These areas are more mobile and bear significant mechanical stress, making them more vulnerable to disc problems and degenerative changes.
Pinched nerves in the mid-back are less common because this region is stabilized by the rib cage and is less flexible. However, when mid-back nerve compression does occur, it can result in significant discomfort.
Common spinal causes of a pinched nerve include:
Identifying the precise cause of compression is essential for effective treatment.
Signs And Symptoms Of A Pinched Nerve
Symptoms vary depending on which nerve is compressed and where it is located.
When nerves are pinched in the neck, symptoms may involve:
- Neck pain
- Shoulder pain
- Arm or hand numbness
- Tingling in the fingers
- Weakness in the arm
When nerves are compressed in the lower back, symptoms may include:
- Lower back pain
- Buttock pain
- Leg pain
- Numbness or tingling in the foot
- Weakness in the leg
A common example is sciatica, which involves shooting leg pain caused by compression of the sciatic nerve in the lumbar spine.
If nerve compression is temporary, symptoms may resolve on their own. However, prolonged pressure can lead to sustained weakness, loss of reflexes, muscle atrophy, or permanent nerve damage. Sudden onset of weakness, such as foot drop, requires immediate neurosurgical evaluation.
Treatment Options For A Pinched Nerve
Many pinched nerves improve with conservative treatment. Early management focuses on reducing inflammation and relieving pressure on the affected nerve.
Non-surgical treatment may include:
- Rest and activity modification
- Physical therapy and guided exercises
- Postural correction
- Medications to reduce inflammation and relax muscles
Maintaining good posture, staying physically active, and avoiding excessive back strain may also help prevent recurrent episodes.
If conservative measures fail to relieve symptoms, or if significant neurological deficits develop, surgery may be recommended. Surgical treatment is directed at decompressing the affected nerve by removing the structure causing compression, such as a herniated disc or bone spur.
The decision to proceed with surgery is based on the severity of symptoms, imaging findings, and the degree of functional impairment.
Why Choose Princeton Neurological Surgery For Pinched Nerve Treatment?
Princeton Neurological Surgery is guided by the expertise of Dr. Edward H. Scheid, Jr., a board-certified neurosurgeon and President and Founder of NeuroSpine Plus, LLC. With more than 6,000 spine surgeries performed, the practice has extensive experience treating nerve compression in the cervical and lumbar spine.
What distinguishes the team is its deliberate, step-by-step approach to diagnosis and treatment. Each patient receives a detailed evaluation to identify the exact source of nerve pressure before a customized treatment plan is developed. Advanced techniques, including minimally invasive spine surgery when appropriate, are utilized to relieve compression while preserving surrounding structures. Patients in Hamilton and Jersey City benefit from experienced, patient-centered spine care close to home.
Pinched Nerve Treatment In Hamilton, NJ
A pinched nerve can significantly impact daily comfort and mobility, but timely evaluation and appropriate treatment can help restore function and prevent long-term complications.
Princeton Neurological Surgery provides advanced spine care in Hamilton, NJ and serves patients from Jersey City and surrounding communities. To schedule a consultation, call Princeton Neurological Surgery in Hamilton, NJ at (609) 890-3400 today.