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Understanding Nerve Pain Through Spine Anatomy

Understanding Nerve Pain Through Spine Anatomy

Radicular or nerve pain, is one of many different types of pain in the upper and lower extremities, some of which may be caused by arthritic, muscular, and circulatory conditions, among others.

Most people describe radicular pain as a sharp or burning pain that travels down the arm or the leg. Sometimes it can be accompanied by numbness, tingling, and muscle weakness. When it happens in the legs it is frequently called sciatica or sciatic pain.

The pain caused by compressed nerve roots generally has specific patterns. These patterns of nerve pain depend on the level of the nerve being compressed.

Let’s briefly discuss the basic anatomy of the spine and spinal dermatomes to better understand the condition.

Spinal Anatomy

Central Nervous System (CNS)– The brain and the spinal cord
Peripheral Nervous System (PNS)-The nerve roots that exit the spinal cord/spinal canal into the body

spinal anatomy and nerve pain


It’s defined as an area of the skin supplied by nerves from a single spinal root. When the nerves exit the spinal cord they branch out and travel along certain regions of the body.

The spinal nerves that control the dermatomes are located along the vertebrae as follows:

The Neck or Cervical Spine (C2 to C7) — nerves corresponding to the neck, shoulders, arms, hands, fingers

spinal anatomy nerve pain neck cervical spine

Mid Back or Thoracic Spine (T1 to T12) – nerves corresponding to the chest and abdomen

spinal anatomy nerve pain thoracic

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The Lower Back or Lumbar Spine (L1 to L5) — nerves corresponding to the hips, front of the legs, knees, shins and feet

The Tailbone or Sacral Spine (S1 to S5) — nerves corresponding to the genitals, buttocks, back of the legs and calves

spinal anatomy nerve pain lumbar sacral spine

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Extremity nerve pain or radiculopathy is a common problem that occurs when nerve roots are compressed or irritated. It can be due to a variety of causes such as disc bulges/herniations, degenerative narrowing of the space for the nerves (spinal stenosis or foraminal stenosis), spinal instability or deformity of the vertebrae.

After reviewing your history, and performing some orthopedic and or diagnostic tests, your physician will determine if your symptoms are due to a problem caused by spinal nerve root compression. This type of pain is very commonly seen in practice and can be safely treated by spinal manipulation, decompression therapy and physical therapy modalities.

If you suffer from pain in the arms or legs or have any questions about our services, feel free to contact us, we’re here to help.


Dr. Allamm Morales, M.D.

Dr. Allamm Morales has over 15 years experience in personal injury and a wide range of neurological disorders. He has privilege, and provides patient care in local Baptist hospitals.

He was Chief Resident at the Neurology Residency Program of the University of South Florida, and worked at the Florida Hospital of New Smyrna, and St. Luke Hospital in Ponce, Puerto Rico. He also served many years with the Florida Neurology Institute, Inc.

Dr. Morales is a Diplomate of the American Board of Vascular Neurology, and a Diplomate of the American Board of Psychiatry and Neurology.

Dr. Morales studied in Nova Southeastern University, Davie, FL, had residency at the Caibarien General Hospital, Cuba, and obtained the MD degree at the Superior Institute of Medical Science in Cuba.

Fiaz Jaleel, M.D.
Physical Medicine & Rehab, Pain Management

“Life is short and precious. As a Physiatrist and Pain Physician my goal for my patients is to reduce their pain and suffering, enhance form, improve function and ultimately promote the best quality of life for that individual.”

Dr. Fiaz Jaleel graduated from the University of The West Indies in 1987. He completed a two year internship at Port of Spain General Hospital in Trinidad and Tobago. He completed his internship in Internal Medicine at St. Francis Hospital in Evanston, IL and went on to do a residency in Physical Medicine and Rehabilitation at Barnes Jewish Hospital in St. Louis , MO. In 2007, Dr. Jaleel joined the team at Absolute Injury and Pain Physicians as Medical Director. He is currently Board Certified in Physical Medicine and Rehabilitation as well as Pain Medicine via the American Board of Pain Medicine.

In Trinidad and Tobago, Dr. Jaleel held positions as an Intern, House officer, and District Medical Officer. He has also practiced in Illinois, Missouri, South Dakota and Central and North Florida.

While practicing in Trinidad , Dr. Jaleel also worked in Internal Medicine, General Surgery, Pediatrics, Neonatology, Obstetrics and Gynecology, Ear, Nose and Throat Surgery, Ophthalmology, Radiology, Neurosurgery, Plastic Surgery, Orthopedics, Emergency Medicine and Community Medicine.

Dr. Jaleel has encountered many diseases, disorders and clinical situations related to multiple aspects of trauma including penetrating and non-penetrating injuries, motor vehicular accidents and concomitant injuries including intra-abdominal injuries, closed head injuries, fractures and burns.

When not treating his patients, Dr. Jaleel enjoys travelling, reading and spending time with friends and family.

Dr. Jaleel has the following affiliations:
Diplomate, American Board of Physical Medicine and Rehabilitation
Diplomate, American Board of Pain Medicine
Fellow, American Academy of Physical Medicine and Rehabilitation
Member, American Academy of Pain Medicine
Member, Florida Society of Physical Medicine and Rehabilitation
Member, Florida Academy of Pain Medicine
Member, Florida Medical Association

Deric L. D’Agostino, D.C.
Chiropractic Physician

“The health of a body is in direct proportion to the health of its nervous system. The nervous system controls every cell, tissue and organ in your body, tap into that and “miracles” will most certainly happen!”

Dr. Deric D’Agostino attended the Logan College of Chiropractic and has been helping patients at Absolute Injury and Pain Physicians for the past nine years. Around here we call him “Dr. D.”

Dr. D’Agostino specializes in Koren Specific Technique and in the treatment of injuries resulting from motor vehicle accidents. He is a master of his craft and firmly believes that chiropractic treatment can not only help the body but also the mind. His sense of humor and the personal attention that he provides really puts patients at ease.

Dr. D’Agostino genuinely listens to the patient while working very hard to erase their pain-inducing symptoms. He is always seeking out continuing education and new methodology to add to his care repertoire.

When he is not helping patients find relief, Dr. D’Agostino enjoys training for sprint triathlons, gardening, as well as being an awesome father and husband. You will most likely find him at our Arlington location dawning a huge smile while drinking his homemade juice.