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Pinched Nerve

Dr. Richard Kowal  -  - Chiropractor

Richard Kowal DC, CDN

Chiropractor and Nutritionist on the Upper West Side, NY and Westport, CT

Do you have pain or tingling that travels down your shoulder and into your arm? Do you have pain or a numb sensation that moves from your buttock down into your thigh or calf? You may be suffering from a pinched nerve. At his chiropractic practice, located on the Upper West Side of Manhattan, Dr. Richard Kowal can help you to get relief from your pinched nerve symptoms with gentle hands-on treatment and a home care program. To schedule an appointment, call the New York City office or book online today.

Pinched Nerve Q & A

What is a pinched nerve?

Pinched nerves don’t actually mean a ‘pinch,’ like something squeezed between your thumb and forefinger. It really means that there is ‘pressure’ on a nerve exiting from the spinal cord, or at another location, and causing pain along the distribution of that nerve’s pathway.

What are symptoms of a pinched nerve?

A pinched nerve can occur in any part of your spine. However, it most often affects the cervical spine (neck) or lumbar spine (lower back). Symptoms of a pinched nerve may include:

  • Dull ache in the neck or low back
  • Tingling, numbness, or burning sensations that extend down the shoulder and arm or down the buttock and into the thigh or calf
  • Muscle weakness
  • Electric shock-like sensations

Less frequently, nerves are compressed at locations other than the spine, but these peripheral pinched nerves cause the same complaints of pain, tingling, numbness, and weakness.

What causes pinched nerves in the spine?

Pinched nerves can come from a compressed spinal disc or from arthritic bones.  A common example of pinched nerve pain is pain in the shoulder blade or arm because of disc pressure on a nerve in the neck. Another example is pain in the hamstrings or calf muscles, which really comes from a compressed disc, or degenerative arthritis, in the lower back.

What happens during a pinched nerve consultation?

Dr. Kowal is an experienced chiropractor and he conducts a thorough evaluation when you come in to see him with concerns about a pinched nerve. The goal of the exam is to find the root cause of your nerve pain so he can provide the most effective treatment.

During your consultation, Dr. Kowal asks detailed questions about your symptoms, including the types of pain or nerve sensations you experience and the activities that may worsen or improve your symptoms.

Dr. Kowal then conducts a physical exam, with special emphasis on assessing the nerve pathways associated with your symptoms.

While X-rays and MRI’s aren’t usually required before beginning treatment, if needed, Dr. Kowal will make the appropriate orthopedic or neurological referral and help you to get a consultation scheduled as quickly as possible.

How are pinched nerves treated?

Dr. Kowal’s treatment for pinched nerves focuses on the causes of your symptoms – whether they originate from spinal disc compression, degenerative arthritis, or peripheral nerve compression.

Dr. Kowal’s treatments include myofascial manipulation, gentle joint mobilization, and exercise, as well as ergonomic improvements. In some cases, he will also directly treat injured peripheral nerve pathways with Transcutaneous Pulsed Radiofrequency.

A pinched nerve may cause a range of symptoms that may affect your daily life. For relief from your symptoms, contact the office of Dr. Richard Kowal by phone or online today. 

Fees & Insurance


Will you file a claim with my insurance company or is that my responsibility?

Yes. If we are under contract with your insurance company, we will collect the co-payment at the time of your visit and submit the claim for you. 


What are the rates if you are out of network with my insurance plan?

If we do not currently participate in your health insurance plan and you have out of network
benefits we will file a claim directly with your insurance company.  Please call the office to
find out what your ‘co-pay’ would be.


We never perform any service without discussing it, and its cost with you beforehand, and receiving your approval. We are very respectful around finances, and no one ever receives a bill from “out of nowhere” from us!

Give a call to discuss your specific health concerns with Dr. Kowal and he’ll be able to clarify what finances, evaluative services and/or care would look like for you personally.


Some of the plans and providers we accept

Oxford Health
United Healthcare