Pinched Nerves

John How, M.D. -  - A Private Medical Practice

The How Clinic

John How, M.D.

A Private Medical Practice & Bioidentical Hormone Specialist located in Encinitas, CA

Your nerves play an essential role in providing sensory information from all over your body to your brain, as well as direct muscle movement. When you have pinched nerves, these functions may be affected and cause other symptoms such as pain, numbness, or weakness. At The How Clinic in Encinitas, California, John How, MD, offers innovative therapies to treat the underlying cause of your pinched nerves and alleviate symptoms. To schedule an appointment, contact the office by phone or online today.

Pinched Nerves

What are pinched nerves?

Pinched nerves occur from excess pressure or compression from surrounding tissue on the nerve. The pressure affects normal nerve function, which may alter sensation and muscle movement. 

You can develop a pinched nerve in many parts of your body. Some of the most common conditions resulting from a pinched nerve include:

  • Carpal tunnel syndrome
  • Sciatica
  • Cervical or lumbar radiculopathy


You may develop a pinched nerve after an injury, from repeated use, or a herniated disc. Your medical history may also increase your risk of developing a pinched nerve, such as a history of obesity or diabetes. 

What are the symptoms of a pinched nerve?

Your pinched nerve symptoms may vary depending on the nerve and body part affected. Common symptoms include:

  • Pain, burning, or tingling sensation
  • Electric shock-like shooting pain
  • Muscle weakness
  • Poor muscle coordination
  • Symptoms that radiate to the extremities
  • Frequent “pins and needles” sensation


In most cases, pinched nerve symptoms resolve within a few days or a few weeks with at-home care. However, if your pinched nerve affects your daily life or your symptoms are severe or prolonged, contact The How Clinic for an evaluation.

The private medical practice specializes in treating patients with high-stress occupations who push their bodies to the limits, but also rely on body function and mobility to continue to work and enjoy their active lifestyle. 

What can I expect during a pinched nerve evaluation?

You can expect a comprehensive evaluation when you come to The How Clinic for a pinched nerve evaluation. During the exam, your provider reviews your symptoms, daily activities, and the effect your symptoms have on your life.

To better understand the underlying cause of your pinched nerve, your provider performs a musculoskeletal ultrasound. 

How are pinched nerves treated?

In addition to diagnosing your pinched nerves, The How Clinic uses the images gathered during your musculoskeletal ultrasound to treat your pinched nerve. Through ultrasound-guided imagery, your provider releases your pinched nerve to alleviate symptoms, a procedure called hydrodissection.

If needed, they may also include additional treatments to support healing, such as platelet-rich plasma (PRP) orthobiologic injections or prolotherapy.

To schedule an appointment at The How Clinic, to get relief from your pinched nerves, call the office or use the online booking tool.