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Nerve Pain Treatment in Canberra

Where Do You Feel Nerve-Related Symptoms?

Nerve-related pain, tingling, numbness or altered sensation can occur in different areas depending on which part of the nervous system may be involved. Symptom location can provide useful clues, but nerve-related symptoms do not always follow a perfect textbook pattern.

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Neck

Cervical radicular pain

Pain involving a cervical nerve root
Cervical radiculopathy

Loss of function involving a cervical nerve root

Elbow

Cubital tunnel syndrome

Ulnar nerve affected at the elbow Radial tunnel syndrome

Radial nerve affected near the elbow

Shoulder

Brachial plexopathy

Disorder affecting the brachial plexus

Neurogenic thoracic outlet syndrome

Brachial plexus affected at thoracic outlet

Wrist

Carpal tunnel syndrome

Median nerve affected at the wrist Guyon canal syndrome

Ulnar nerve affected at the wrist

Back

Lumbosacral radicular pain
Pain involving a lumbosacral nerve root

Lumbosacral radiculopathy
Loss of function involving a lumbosacral nerve root

Hip

Deep Gluteal Syndrome

Sciatic nerve in the deep gluteal region

Meralgia Paresthetica

Lateral femoral cutaneous nerve affected at the hip/groin

Knee

Common Fibular Neuropathy
Common fibular nerve near outer knee

Saphenous Neuropathy
Saphenous nerve affected around inner knee

Ankle

Tarsal Tunnel Syndrome
Tibial nerve affected at the inner ankle

Superficial Fibular Neuropathy
Superficial fibular nerve affected in the distal lower leg

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Understanding Nerve-Related Symptoms 

Shoulder pain is rarely caused by a single structure alone. ​Whether your symptoms started gradually or after an injury, understanding the factors influencing your shoulder pain is often the first step toward recovery.

1. Characteristics of Nerve-related symptoms

Nerve-related symptoms can feel different from typical muscle or joint pain. People may describe their symptoms in a number of ways. However, symptoms below do not automatically mean that a nerve is damaged or compressed.​

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A sudden, sharp sensation that may travel into an arm or leg​

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An electric-current, jolting or shock-like sensation

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A hot or searing sensation

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Increased sensitivity to touch, pressure or temperature.

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Altered or reduced sensation

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“pins and needles” sensation

2. Understanding Different Nerve-Related Presentations

Pain that travels into an arm or leg does not always mean that a nerve is damaged or compressed. Different nerve-related presentations can produce similar symptoms. Especially, radicular pain can occur with or without radiculopathy.

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Radicular Pain

Affected Structure

  • Spinal nerve root

  • Dorsal root ganglion

Mechanism

  • Neural Gain-of-Function (hyperexcitability and ectopic neural activity), influenced by inflammation, ischaemia or mechanical deformation

Common Presentation

  • Electric, Burning, Tingling, Shooting, Sharp, Stabbing (may resemble dermatomal pattern)

Common Examples

  • Disc herniation

  • Spinal stenosis

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Radiculopathy

Affected Structure

  • Spinal nerve root

Mechanism

  • Loss-of-Function of the spinal nerve root due to compression or ischemia

Common Presentation

  • Reduced Sensation

  • Altered Reflexes

  • Muscle Weakness (Feeling Weak ≠ Neurological Weakness)

Common Examples

  • Disc herniation

  • Spinal stenosis

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Peripheral Nerve Entrapment

Affected Structure

  • Peripheral Nerves

Mechanism

(Not simply a "Pinched Nerve")

  • Mechanical Loading, Swelling, Local Ischaemia, Blood–Nerve Barrier Disruption, Demyelination, Abnormal Neural Activity, Neuroimmune Responses

Common Presentation

  • Pain, Tingling, Numbness, Pins & Needles, Weakness, Altered Sensation (symptoms may extend beyond the expected nerve territory. 

Common Examples

  • Carpal Tunnel Syndrome

  • Tarsal Tunnel Syndrome

Common Questions About Nerve Pain

When Should I Seek Medical Attention?

Most episodes of neck pain are not caused by a serious medical condition, but some symptoms require urgent medical assessment.

🚨 Seek Emergency Medical Care if you develop:

  • New Bladder or Bowel Dysfunction 

  • Numbness Around the Saddle or Genital Area 

  • Sudden or Rapidly Worsening Weakness 

  • Severe or Rapidly Progressive Neurological Symptoms 

  • Significant Neurological Symptoms Following Major Trauma

🩺 See Your GP or Seek Prompt Medical Assessment if you develop:

  • Progressive Muscle Weakness

  • Increasing Difficulty Walking or Changes in Balance

  • Loss of Hand Dexterity or Coordination

  • Persistent or Progressive Loss of Sensation

  • Widespread or Bilateral Neurological Symptoms

2. Understanding your condition & Making sense of your pain

Many ankle and foot conditions can sound complicated or concerning. Our goal is to help you understand what may be contributing to your symptoms, what current research tells us about your condition, and what recovery may realistically look like.

Understanding your condition often helps people feel more confident about returning to normal activities, exercise, and sport.

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How We Help With Your Nerve Pain

At Evergreen Spine & Wellness, we focus on helping you understand why your knee pain developed and what can be done to improve it.

1. Thorough Assessment

Every person experiences nerve-related symptom differently. Rather than simply looking for something "out of place," our assessment aims to understand what may be contributing to your symptoms and determine the most appropriate management plan for you.

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Detailed history

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Neurological assessment

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Movement assessment

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Strength assessment

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Special Test

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X-ray if indicated

2. Understanding Your Condition & Making Sense Of Your Nerve Pain

Nerve Pain Is Rarely Influenced by One Factor Alone. We help you understand the factors that may be contributing to your symptoms and recovery.

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  • Stress or anxiety

  • Fear of movement

  • Concern about pain or imaging findings

  • Previous pain experiences

  • Confidence in your recovery

  • Muscles, joints, discs and nerves

  • Recent injury or physical overload

  • Movement and physical capacity

  • Previous episodes of back pain

  • Nerve-related symptoms

  • Increased sensitivity to movement or touch

  • Widespread or disproportionate pain

  • Sustained postures

  • Repetitive activities

  • Poor sleep & diet

  • Low physical activity

  • ​Overall health and wellbeing

  • Other medical conditions

3. Personalised Treatment

Our treatment is tailored to your individual needs and goals. Depending on your condition, care may include hands-on treatment, exercise, education and lifestyle guidance to help you move with greater confidence and return to the activities that matter most to you.

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Manual therapy may be used when appropriate to help improve comfort, reduce pain sensitivity, and support movement.

  • Chiropractic adjustment

  • Joint mobilisation

  • Manual stretching

  • Soft tissue therapy

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Individualised exercises designed to improve movement, physical capacity, and confidence.

  • Stretching exercise

  • Strengthening exercise

  • Nerve gliding exercise

  • Functional training

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Neck pain can be coming from various factors, including stress, sleep, activity, and work

  • Stress management

  • Sleep intervention

  • Activity modification

  • Workstation advice

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Helping you better understand:

  • Your pain & symptoms

  • Contributing factors

  • Self-management

  • Recovery strategies

Reference

Ballay, C., Mansfield, C.J., Cook, C.E., Erickson, M., McCormick, Z.L. and Remis, A. (2026) ‘Spine-related leg pain: Definitions, etiology, clinical presentation, and management’, Musculoskeletal Science and Practice, 85, 103623. doi:10.1016/j.msksp.2026.103623. 

 

Dove, L., Baskozos, G., Kelly, T., Buchanan, E. and Schmid, A.B. (2024) ‘Prevalence of weakness and factors mediating discrepancy between reported and observed leg weakness in people with sciatica’, European Spine Journal, 33(11), pp. 4229–4234. doi:10.1007/s00586-024-08330-6. 

 

Finnerup, N.B., Haroutounian, S., Kamerman, P., Baron, R., Bennett, D.L.H., Bouhassira, D., Cruccu, G., Freeman, R., Hansson, P., Nurmikko, T., Raja, S.N., Rice, A.S.C., Serra, J., Smith, B.H., Treede, R.-D. and Jensen, T.S. (2016) ‘Neuropathic pain: An updated grading system for research and clinical practice’, Pain, 157(8), pp. 1599–1606. doi:10.1097/j.pain.0000000000000492. 

 

Finucane, L.M., Downie, A., Mercer, C., Greenhalgh, S.M., Boissonnault, W.G., Pool-Goudzwaard, A.L., Beneciuk, J.M., Leech, R.L. and Selfe, J. (2020) ‘International framework for red flags for potential serious spinal pathologies’, Journal of Orthopaedic & Sports Physical Therapy, 50(7), pp. 350–372. doi:10.2519/jospt.2020.9971. 

 

Fourré, A., Monnier, F., Ris, L., Telliez, F., Michielsen, J., Roussel, N. and Hage, R. (2023) ‘Low-back related leg pain: Is the nerve guilty? How to differentiate the underlying pain mechanism’, Journal of Manual & Manipulative Therapy, 31(2), pp. 57–63. doi:10.1080/10669817.2022.2092266. 

 

Fundaun, J., Kolski, M., Baskozos, G., Dilley, A., Sterling, M. and Schmid, A.B. (2022) ‘Nerve pathology and neuropathic pain after whiplash injury: A systematic review and meta-analysis’, Pain, 163(7), pp. e789–e811. doi:10.1097/j.pain.0000000000002509. 

 

Hage, R., Denis, C., Fourré, A., Finucane, L., Rynkowski, M., Pitance, L., Hoegh, M. and Dierick, F. (2026) ‘Stop guessing: A clinician’s guide to demystifying spine-related arm pain in primary care’, Musculoskeletal Science and Practice, 83, 103549. doi:10.1016/j.msksp.2026.103549. 

 

Hennessy, O., Devitt, A.T., Synnott, K. and Timlin, M. (2025) ‘Assessment and early investigation of cauda equina syndrome: A systematic review of existing international guidelines and summary of the current evidence’, European Spine Journal, 34(4), pp. 1545–1551. doi:10.1007/s00586-025-08732-0. 

 

Kapitza, C., Lüdtke, K., Tampin, B. and Ballenberger, N. (2020) ‘Application and utility of a clinical framework for spinally referred neck-arm pain: A cross-sectional and longitudinal study protocol’, PLOS ONE, 15(12), e0244137. doi:10.1371/journal.pone.0244137. 

 

Khorami, A.K., Oliveira, C.B., Maher, C.G., Bindels, P.J.E., Machado, G.C., Pinto, R.Z., Koes, B.W. and Chiarotto, A. (2021) ‘Recommendations for diagnosis and treatment of lumbosacral radicular pain: A systematic review of clinical practice guidelines’, Journal of Clinical Medicine, 10(11), 2482. doi:10.3390/jcm10112482. 

 

Lehmann, H.C., Wunderlich, G., Fink, G.R. and Sommer, C. (2020) ‘Diagnosis of peripheral neuropathy’, Neurological Research and Practice, 2, 20. doi:10.1186/s42466-020-00064-2. 

 

Schmid, A.B., Nee, R.J. and Coppieters, M.W. (2013) ‘Reappraising entrapment neuropathies: Mechanisms, diagnosis and management’, Manual Therapy, 18(6), pp. 449–457. doi:10.1016/j.math.2013.07.006. 

 

Schmid, A.B., Hailey, L. and Tampin, B. (2018) ‘Entrapment neuropathies: Challenging common beliefs with novel evidence’, Journal of Orthopaedic & Sports Physical Therapy, 48(2), pp. 58–62. doi:10.2519/jospt.2018.0603. 

 

Schmid, A.B., Fundaun, J. and Tampin, B. (2020) ‘Entrapment neuropathies: A contemporary approach to pathophysiology, clinical assessment, and management’, Pain Reports, 5(4), e829. doi:10.1097/PR9.0000000000000829. 

 

Schmid, A.B., Tampin, B., Baron, R., Finnerup, N.B., Hansson, P., Hietaharju, A., Konstantinou, K., Lin, C.-W.C., Markman, J., Price, C., Smith, B.H. and Slater, H. (2023) ‘Recommendations for terminology and the identification of neuropathic pain in people with spine-related leg pain: Outcomes from the NeuPSIG working group’, Pain, 164(8), pp. 1693–1704. doi:10.1097/j.pain.0000000000002919. 

 

Truini, A., Aleksovska, K., Anderson, C.C., Attal, N., Baron, R., Bennett, D.L., Bouhassira, D., Cruccu, G., Eisenberg, E., Enax-Krumova, E., Davis, K.D., Di Stefano, G., Finnerup, N.B., Garcia-Larrea, L., Hanafi, I., Haroutounian, S., Karlsson, P., Rakusa, M., Rice, A.S.C., Sachau, J., Smith, B.H., Sommer, C., Tölle, T., Valls-Solé, J. and Veluchamy, A. (2023) ‘Joint European Academy of Neurology–European Pain Federation–Neuropathic Pain Special Interest Group of the International Association for the Study of Pain guidelines on neuropathic pain assessment’, European Journal of Neurology, 30(8), pp. 2177–2196. doi:10.1111/ene.15831. 

 

Yousif, M.S., Occhipinti, G., Bianchini, F., Feller, D., Schmid, A.B. and Mourad, F. (2025) ‘Neurological examination for cervical radiculopathy: A scoping review’, BMC Musculoskeletal Disorders, 26(1), 334. doi:10.1186/s12891-025-08560-9.

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If you're experiencing pain, stiffness, movement limitations, or recurring symptoms, we're here to help you

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