NERVE PAIN · ASSESSMENT & TREATMENT · BICTON, PERTH

Nerve Pain Treatment
in Bicton

Burning. Tingling. Electric zaps. Numbness. A dull ache that won't settle. Sharp pain travelling down a limb.

What all of those symptoms have in common is that they tell you where it hurts, not what's actually causing it.

Two people can describe almost identical symptoms and have completely different nerves involved, compressed at completely different points. Treating the symptom without finding that point is why nerve pain is one of the most common things we see that hasn't responded to previous treatment.

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WHY DOES IT KEEP COMING BACK?

Why Nerve Pain Gets Missed or Mistreated

The most common pattern we see is temporary relief that doesn't hold.

An adjustment, a massage or a stretching routine eases things for a few hours or days, then the pain comes back.

That's usually not a sign the treatment was wrong. It's a sign it was addressing the consequence of the problem rather than the actual source.

THE IMPORTANT DISTINCTION

If a nerve is being compressed, stretched or adhered to nearby tissue, relaxing the surrounding muscle will help temporarily, but the nerve is still caught.

Finding exactly where it's caught, and on what, is what determines whether treatment actually holds.
COMMON PRESENTATIONS

Nerve Pain Conditions We Treat

Some of the most common nerve entrapments we assess and treat, each with their own distinct presentation and treatment approach:

01
LOWER LIMB

Sciatica

Pain travelling down the back of the leg, often assumed to be disc-related. Frequently isn't.

We assess whether the true source is the sciatic nerve at the spine, in the deep gluteal space, or further down at the hamstring.

02
DEEP GLUTEAL REGION

Piriformis Syndrome

Deep glute pain that mimics sciatica, involving the sciatic nerve as it passes through the deep hip rotators.

Learn about Piriformis Syndrome →
03
LOWER BACK & GLUTE

Cluneal Nerve Pain

Small sensory nerves crossing the top of the pelvis, commonly mistaken for a disc or SI joint problem, and often the reason adjustments give short-lived relief for lower back and glute pain.

Learn about Cluneal Nerve Pain →
04
NECK & UPPER BACK

Spinal Accessory Nerve Irritation

A common but rarely diagnosed cause of chronic upper trap and mid-back tightness that massage and stretching only ever partially fix.

Learn about Spinal Accessory Nerve Pain →
?
Not sure which of these matches what you're feeling?

That's exactly what an assessment is for. Trying to self-diagnose from symptoms alone is difficult even for experienced clinicians. The differentiation usually comes down to specific exam findings, not just where it hurts.

DID YOU KNOW?

Nerves don't just get compressed.

They can also lose their normal ability to glide smoothly against the tissue around them as you move.

That loss of glide is often the real driver behind pain that keeps returning despite treatment.
ASSESSMENT FIRST

How We Find the Actual Source

Where you feel the pain is only one part of the puzzle.

Every assessment starts with a detailed history and a physical exam of the muscles, tendons, ligaments, bones, nerves and fascia we suspect may be involved, before we decide on a treatment plan.

01
ASSESS

Find the Structure

We work through the structures that could reasonably explain your symptoms rather than assuming the painful area is the source.

02
TREAT

Start Treatment

Where we determine it's safe to do so, we move straight into treatment rather than delaying care unnecessarily.

03
INVESTIGATE

Refer When Needed

If imaging or another provider's opinion would genuinely change the plan, we'll tell you and help arrange it.

THE SOUTHSIDE APPROACH

Find the restriction.
Treat it directly.
Retest the movement.

Once we know which structure is involved, treatment is built around it rather than a standard routine applied to everyone.

Depending on what we find, this can include soft tissue therapy and adhesion release to restore normal nerve glide, chiropractic adjustments where joint mechanics are contributing, focused shockwave therapy for chronic, stubborn cases, and rehabilitative exercise to keep the improvement once it's been made.

TREATMENT OPTIONS

How We Treat Nerve Pain

Treatment depends on what we find during your assessment.

SOFT TISSUE

Adhesion Release

Targeted soft tissue treatment aimed at restoring normal movement between a nerve and the tissues around it.

Learn more →
JOINT MECHANICS

Chiropractic Adjustments

Used where restrictions in joint movement are contributing to the overall presentation.

CHRONIC CASES

Shockwave Therapy

Focused shockwave therapy may form part of treatment for selected chronic and stubborn nerve pain presentations.

Learn about Shockwave Therapy →
REHABILITATION

Exercise & Movement

Rehabilitation can be introduced to help maintain improvement and progressively restore the movements and activities you need.

SEEK URGENT MEDICAL ATTENTION

Some nerve symptoms should not wait for a routine appointment.

Seek urgent medical attention instead of booking a routine assessment if nerve pain is accompanied by:

  • Numbness in the saddle area
  • New loss of bladder or bowel control
  • Rapidly worsening weakness in one or both legs

These can be signs of a serious spinal emergency that needs immediate assessment, not conservative care.

COMMON QUESTIONS

Frequently Asked Questions

Do I need a scan before you can help? +

Not necessarily. Most nerve pain can be assessed clinically first. We'll let you know if imaging would change the treatment plan.

How do you know which nerve is involved? +

Through a detailed history and physical exam that looks at the specific pattern of symptoms, where they start, what makes them better or worse, and targeted tests for each nerve we suspect could be involved.

I've already tried chiropractic and it only helped temporarily. Is this different? +

Often, yes. Temporary relief followed by the pain returning is a sign the correct nerve involvement hasn't been identified yet.

Is nerve pain always something serious? +

Most of the time, no. Most nerve pain we see is a mechanical entrapment issue that responds well to conservative care.

A small number of presentations need urgent referral instead, which is exactly why proper assessment matters.

NERVE PAIN ASSESSMENT · BICTON

Book a Nerve Pain Assessment in Bicton

If nerve pain has been dragging on, or hasn't responded to treatment you've already tried, book an assessment so we can find out exactly which nerve is involved and where.

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WRITTEN BY

Dr Russell Jensen

Principal Chiropractor (AHPRA: CHI0001927257), Southside Spine and Sport. Practicing chiropractor since 2015. Trained in Integrative Diagnosis (USA). Particular interest in nerve entrapment conditions.

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