Expert stem cell therapy in Southern California at Integrative Sports & Spine. Our board-certified physicians provide advanced regenerative treatments for joint pain, sports injuries, and chronic conditions. Experience the healing power of stem cell therapy at our state-of-the-art facilities.
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Available at all ISS clinics - Long Beach, Alhambra, Riverside, and City of Industry.
Nerves are the body's communication network. They carry sensory signals from every tissue and organ to the brain, transmit motor commands that drive movement, and regulate the autonomic functions that keep the body running without conscious effort. When a nerve is compressed, inflamed, damaged, or trapped, that communication breaks down producing a distinctive class of symptoms that can include burning, stabbing, electric-shock sensations, numbness, tingling, hypersensitivity to touch, and progressive weakness.
What makes nerve pain particularly challenging is its capacity to travel. A compressed nerve root in the lumbar spine generates pain that radiates down the leg. An entrapped nerve at the elbow produces numbness in the hand. An inflamed occipital nerve at the base of the skull causes debilitating headaches at the top of the head. The symptom and the source are often separated by considerable distance, making accurate diagnosis the most critical step in any nerve pain treatment plan.
At Integrative Sports & Spine, our physicians bring focused expertise in the diagnosis and interventional treatment of nerve pain conditions. We use detailed clinical examination, selective diagnostic nerve blocks, and imaging analysis to map the precise anatomy of each patient's nerve pain before any therapeutic procedure is performed. The result is a targeted, personalized treatment plan built around the actual source of your pain, not a generic protocol applied to a symptom pattern.
Nerve pain is one of the most commonly misdiagnosed categories of pain in medicine. Symptoms that travel, fluctuate, or do not correspond to a single obvious structural finding are frequently undertreated or mislabeled. Our diagnostic process combining neurological examination, imaging review, and selective diagnostic nerve blocks identifies the precise nerve or nerve pathway responsible for your symptoms before treatment begins.
Chronic nerve irritation does not simply persist at a steady level it progressively lowers pain thresholds, sensitizes surrounding tissue, and can evolve into central sensitization that is significantly harder to treat. Early interventional treatment interrupts this cycle, preventing a manageable nerve pain condition from becoming an entrenched, system-wide pain problem.
Many patients with chronic nerve pain have been managed on escalating doses of gabapentin, pregabalin, duloxetine, or opioid analgesics for months or years. Targeted interventional treatment addresses the underlying nerve pathology directly, often allowing patients to meaningfully reduce or discontinue medication they never intended to take indefinitely.
Nerve pain does not only hurt it disrupts. Numbness limits fine motor control. Weakness affects balance and strength. Hypersensitivity makes ordinary contact unbearable. Our treatments address nerve function as well as nerve pain, helping patients recover sensation, strength, and the ability to engage with daily activities without fear or limitation.
Lumbar Radiculopathy (Sciatica)Compression or inflammation of lumbar nerve roots, most commonly due to disc herniation or spinal stenosis resulting in radiating leg pain, numbness, and weakness.
Cervical Radiculopathy
Compression of cervical nerve roots causing neck pain with radiation into the shoulder, arm, and hand, often accompanied by sensory deficits or motor weakness.
Peripheral Neuropathy
Damage or dysfunction of peripheral nerves due to metabolic, inflammatory, toxic, or idiopathic causes, producing burning pain, paresthesia, numbness, and distal weakness.
Occipital Neuralgia
Irritation or entrapment of the greater or lesser occipital nerves, resulting in sharp, stabbing, or electric-like pain radiating from the upper neck across the scalp.
Piriformis Syndrome (Sciatic Nerve Entrapment)Compression or irritation of the sciatic nerve in the deep gluteal region, producing buttock pain with radiating symptoms down the leg.
Meralgia Paresthetica
Entrapment of the lateral femoral cutaneous nerve, causing burning, tingling, and numbness over the anterolateral thigh without motor involvement.
Genicular Nerve Pain
Chronic knee pain driven by sensitization or irritation of the genicular nerves, which provide sensory innervation to the knee joint.
Intercostal Neuralgia
Irritation or injury of the intercostal nerves causing sharp, burning, or band-like pain along the chest wall, often exacerbated by movement or breathing.
Post-Herpetic Neuralgia
Chronic neuropathic pain following shingles (herpes zoster), characterized by persistent burning, hypersensitivity, or electric-like pain along the affected dermatome.
Complex Regional Pain Syndrome (CRPS)
A chronic pain disorder marked by severe, disproportionate neuropathic pain following injury or surgery, often accompanied by autonomic and trophic changes.
Tarsal Tunnel Syndrome
Compression of the posterior tibial nerve within the tarsal tunnel, resulting in plantar foot pain, tingling, and numbness.
Carpal Tunnel Syndrome
Median nerve compression at the wrist, producing numbness, tingling, and weakness in the thumb, index, and middle fingers, often worse at night or with repetitive use.
Preparation Guidelines• Avoid applying heat or ice to the knee before your appointment.
• Bring all existing imaging relevant to your nerve pain, including MRI, CT scans, nerve conduction studies, and electromyography reports if available.
• Provide a complete list of current medications and supplements, particularly blood thinners, anticoagulants, and any neurological medications such as gabapentin or pregabalin.
• Notify our team of any known allergies to local anesthetics, corticosteroids, or contrast agents.
• Prepare a clear description of your symptoms including their location, character, timing, aggravating and relieving factors, and how they have changed over time as this information is essential to nerve pain diagnosis.
• Wear loose, comfortable clothing that allows easy access to the area being evaluated and treated.
Initial ConsultationNerve pain diagnosis demands a level of clinical detail that goes well beyond standard pain evaluations. Our physicians conduct a thorough neurological examination assessing sensation, reflexes, and motor strength throughout the relevant nerve distributions alongside a careful review of your symptom history, imaging findings, and any previous nerve conduction or electromyography studies. We take time to understand the full pattern of your pain, including where it travels, how it behaves, and how it has responded to previous treatments. Where the diagnosis requires further confirmation, we use selective diagnostic nerve blocks to map the precise anatomy of your nerve pain before committing to a therapeutic approach.
Comfort and Preparation• The skin overlying the treatment area is thoroughly cleaned before any injection is performed.
• A local anesthetic is applied to numb the area, ensuring you remain comfortable throughout the entire procedure.
• You will be awake and at ease the whole time our team will walk you through each step as it happens.
• Most nerve procedures are completed within 15 to 45 minutes, and you are monitored briefly before being cleared to return home the same day.
Targeted Treatment• All nerve procedures are performed under real-time ultrasound or fluoroscopic imaging guidance.
• Live imaging ensures that every block and injection is placed with the precision that effective nerve pain management demands.
• Your physician uses this guidance to navigate accurately to the exact nerve structure being treated, minimizing the risk of error.
• This image-guided approach ensures that the right medication reaches the right location every time, maximizing the effectiveness of your treatment.
Immediate Recovery• Temporary numbness or weakness in the treated nerve distribution is expected following many nerve block procedures and typically resolves within a few hours as the local anesthetic wears off.
• Mild soreness at the injection site during the first 24 to 48 hours is normal and resolves quickly in most patients.
• Avoid driving or operating machinery for the remainder of the day following any procedure that involves significant nerve block anesthesia.
• Apply ice to the treatment site for 15 to 20 minutes every two to three hours to manage any localized swelling or post-procedure discomfort.
• Contact our office immediately if you experience severe worsening pain, prolonged or unexpected neurological symptoms, fever, or any redness or discharge at the injection site.
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First 72 Hours• Some mild soreness or a temporary increase in discomfort at the injection site during the first 24 to 48 hours is completely normal and will typically resolve on its own.
• You may experience brief numbness or altered sensation in the treated area due to the local anesthetic this is expected and will wear off within a few hours.
• Avoid driving or operating heavy machinery for the remainder of the day following your nerve procedure.
Long-Term Recovery• Resume light daily activities gradually over the first one to two weeks in accordance with your physician's specific guidance for your procedure and diagnosis.
• Follow your prescribed nerve rehabilitation program including nerve mobilization exercises, postural correction, and ergonomic modifications consistently and as directed.
• Attend all scheduled follow-up appointments so your physician can evaluate your neurological response, monitor recovery progress, and adjust your treatment plan as needed.
• Report any changes in your pain pattern whether improvement, worsening, or a shift in location or character at your follow-up visits, as these observations guide important decisions about subsequent treatment steps.
Specialized Expertise in Nerve Pain Diagnosis
Nerve pain is one of the most diagnostically demanding areas of pain medicine. Our physicians bring focused expertise in identifying the precise nerve structures responsible for a patient's symptoms using clinical examination, imaging, and diagnostic nerve blocks to map the anatomy of each patient's pain before treatment is applied.
Diagnostic Blocks That Confirm Before Treating
We do not assume the source of nerve pain based on imaging alone. Where diagnostic clarity is needed, we use selective nerve blocks to confirm which nerve pathway is responsible for a patient's symptoms before any therapeutic intervention is applied ensuring that every treatment is directed at the actual pain generator.
A Full Range of Interventional Nerve Therapies
From perineural injections and nerve blocks to radiofrequency ablation and sympathetic interventions, our treatment capabilities span the full spectrum of nerve pain conditions. We match the appropriate therapy to the confirmed diagnosis rather than defaulting to a single approach regardless of presentation.
Nerve pain typically has distinctive characteristics that set it apart from muscle or joint pain. It may present as a burning, electric, shooting, or stabbing sensation. It can also involve numbness or tingling and increased sensitivity to light touch. In many cases, the pain radiates along the distribution of a nerve rather than remaining in a single location.
Common causes include nerve compression (such as a pinched nerve), herniated discs, spinal conditions, injuries, and chronic conditions like diabetes. In some cases, inflammation around a nerve can also trigger symptoms.
Treatment options may include targeted injections, physical therapy, medications, and regenerative therapies. The goal is to reduce inflammation, relieve pressure on the nerve, and restore normal function.
This depends significantly on the type of nerve pain condition, the nerve involved, and your response to initial treatment. Some patients achieve prolonged relief from a single therapeutic block. Others benefit from a series of injections spaced over several weeks.
Absolutely and it should be. Nerve blocks and injections reduce pain and inflammation, but they do not correct the postural, ergonomic, or movement factors that often contribute to nerve compression and sensitization. Physical therapy addresses these underlying contributors, consolidating the relief achieved through interventional treatment and significantly reducing the risk of recurrence.
Mild cases may improve over time, but persistent nerve pain often requires treatment to address the underlying cause and prevent long-term nerve damage or chronic symptoms.
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Treated for occipital neuralgia and cervicogenic headaches
I had debilitating headaches for three years that no one could explain. Every scan came back normal and I was told it was stress. The team here identified occipital neuralgia immediately, performed nerve blocks, and for the first time in years I am living without constant head pain. I finally have my life back."
Treated for lumbar radiculopathy and sciatica
"The shooting pain down my right leg was so severe I could not sleep through the night or sit at my desk for more than ten minutes. After two epidural injections and a rehabilitation program here, the sciatica is gone and I am back to running something I thought I would never do again."
Treated for post-herpetic neuralgia
"After shingles, I was left with burning pain across my ribs that my doctors said might never fully go away. The nerve block treatments here reduced the pain dramatically. It has not disappeared completely but it is manageable now in a way it simply was not before."
Nerve pain that burns, radiates, and steals your ability to sleep, work, and move freely is not something you should have to simply endure. At Integrative Sports & Spine, our nerve pain specialists combine precise diagnosis, targeted interventional therapies, and comprehensive rehabilitation to address your pain at its neurological source and help you recover the function, comfort, and confidence that chronic nerve pain takes away.
Call (833) 476-7377 or click the appointment button below to schedule a consultation at any of our four Southern California pain clinic locations.
Comprehensive non-surgical care for cervical, thoracic, and lumbar spine conditions including the disc herniations, spinal stenosis, and nerve root compression that are among the most common drivers of radiating nerve pain in the arms and legs.
View MoreA full overview of our interventional and regenerative treatment options for acute and chronic pain conditions providing context for where nerve pain care fits within our broader non-surgical approach to pain management.
View MoreSpecialized care for nerve pain arising from acute trauma, sports injuries, motor vehicle accidents, and workplace incidents combining precise nerve injury assessment, targeted interventional treatment, and structured rehabilitation to support complete neurological recovery.
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