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Dr Parnavi Prabhune, Borivali, mumbai
Physiotherapy Clinic in Borivali, Mumbai, Maharashtra
Office No 5, Fifth Floor, Devkrupa Building CHS Ltd, Meghdoot, Hari Om Nagar, Swami Vivekanand Road, Nearby ICICI Bank Ltd, Borivali, mumbai, maharashtra - 400092
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“It just hurts.” That’s what most patients say. But as a Pain Specialist, I need the details because muscle, disc, and n...
“It just hurts.”
That’s what most patients say.
But as a Pain Specialist, I need the details because muscle, disc, and nerve pain speak very different languages.
Here’s the quick Diagnostic Cheat Sheet I use to start differentiating the dominant pain generator:
1️⃣ Muscle Pain (The “Ache”)
The Feeling: Dull, aching, tight, or “grabbing.”
The Behavior: Usually localized. Often worse with direct use or stretching of that muscle, and may feel better with rest or gentle unloading.
The Pattern: You can often point to it with one finger. “It hurts right here.”
2️⃣ Disc Pain (The “Pressure”)
The Feeling: Deep, central, and heavy or throbbing. Patients often describe it as feeling like their spine is in a vice.
The Behavior: Commonly hates flexion. Sitting, bending forward, or putting on socks makes it worse. Standing up can feel like “unfolding” a rusty hinge.
The Pattern: It feels structural to the patient - not because the spine is unstable, but because deep spinal tissues are sensitized.
3️⃣ Nerve Pain (The “Electricity”)
The Feeling: Sharp, burning, shooting, buzzing, or zapping. Often described as water running down the leg or an electric shock.
The Behavior: It travels. Rarely stays in one spot. Shoots into the glute, thigh, calf, or foot.
The Sign: The “Sneeze Test.” If coughing or sneezing sends pain down the leg, this is suggestive of nerve root irritation, often related to disc or foraminal pressure.
The Reality:
It’s often a combination.
A disc problem (structure) irritates a nerve (electricity), causing surrounding muscles to spasm (ache) to protect the area.
Identifying which signal is dominant helps us treat the cause - not just numb the symptom.
⚠️ SHARE this with your friend who complains about “Sciatica” (it might not be sciatica).
COMMENT "HEALTH" and we will guide you
#discherniation #backpain #discbulge #spinepain #lowerbackpain
That’s what most patients say.
But as a Pain Specialist, I need the details because muscle, disc, and nerve pain speak very different languages.
Here’s the quick Diagnostic Cheat Sheet I use to start differentiating the dominant pain generator:
1️⃣ Muscle Pain (The “Ache”)
The Feeling: Dull, aching, tight, or “grabbing.”
The Behavior: Usually localized. Often worse with direct use or stretching of that muscle, and may feel better with rest or gentle unloading.
The Pattern: You can often point to it with one finger. “It hurts right here.”
2️⃣ Disc Pain (The “Pressure”)
The Feeling: Deep, central, and heavy or throbbing. Patients often describe it as feeling like their spine is in a vice.
The Behavior: Commonly hates flexion. Sitting, bending forward, or putting on socks makes it worse. Standing up can feel like “unfolding” a rusty hinge.
The Pattern: It feels structural to the patient - not because the spine is unstable, but because deep spinal tissues are sensitized.
3️⃣ Nerve Pain (The “Electricity”)
The Feeling: Sharp, burning, shooting, buzzing, or zapping. Often described as water running down the leg or an electric shock.
The Behavior: It travels. Rarely stays in one spot. Shoots into the glute, thigh, calf, or foot.
The Sign: The “Sneeze Test.” If coughing or sneezing sends pain down the leg, this is suggestive of nerve root irritation, often related to disc or foraminal pressure.
The Reality:
It’s often a combination.
A disc problem (structure) irritates a nerve (electricity), causing surrounding muscles to spasm (ache) to protect the area.
Identifying which signal is dominant helps us treat the cause - not just numb the symptom.
⚠️ SHARE this with your friend who complains about “Sciatica” (it might not be sciatica).
COMMENT "HEALTH" and we will guide you
#discherniation #backpain #discbulge #spinepain #lowerbackpain