Pinched Nerve


What is a Pinched Nerve or Nerve Impingement?

Pressure or impingement on nerve roots in the Spinal canal can be caused by:

A herniated disc, (also called bulging disc or slipped disc) is a rupture that extrudes into the spinal canal often brought on by repeated vibration or motion (as during machine use or sport activity, or when lifting improperly), or by a sudden heavy strain or increased pressure to the lower back. Back pain and leg pain can result when the herniated disc pinches one of the nerves. A herniated disc in the lumbar region can affect the nerves, which runs from your Spinal cord to your leg. Compression or inflammation of this nerve causes Sciatica - a sharp, shooting pain in your lower back, buttocks and leg. A herniated disc is also referred to as a bulging disc, ruptured disc or slipped disc. As a disc degenerates, it can herniate (the inner core extrudes) back into the spinal canal. The light blue oval area is the disc and it is bulging into the spinal canal on the lower right side of the disc. A lumbar herniated disc can cause pain to radiate all the way down the legs and into the foot. In the area of the cervical spine, the pain would radiate from the neck down the arm into the fingers.

Approximately 90% of disc herniations will occur at L4- L5 (lumbar segments 4 and 5) or L5- S1 (lumbar segment 5 and sacral segment1), which causes pain in the L5 nerve or S1 nerve, respectively. Although disc herniations are most commonly diagnosed in the lumbar region, cervical herniated discs are not unheard of and occur in about 1 in 10 patients. Recommended treatment is usually open back surgery, with higher risks, hospital stays and lengthy recuperation time.

Disc Herniation may occur as you grow older, your discs become flatter -- less cushiony. If a disc becomes too weak, the outer part (annulus) may tear. The inside part of the disc pushes through the tear and presses on the nerves beside it. Herniated discs are most common in people in their 30's and 40's.


The spine is made up of a series of connected bones called "vertebrae". The disc is a combination of strong connective tissues that hold one vertebra to the next, and acts as a cushion between the vertebrae. The disc is made of a tough outer layer called the "annulus fibrosus" and a gel-like center called the "nucleus pulposus."

As you get older, the center of the disc may start to lose water content, making the disc less effective as a cushion. This may cause a displacement of the disc's center (called a herniated disc or ruptured disc) through a crack in the outer layer. This can occur in the neck (cervical region) or the back (lumbar region) and the mid back (thoracic spine).

At Spine Pain be Gone, pain from a herniated disc is treated with a percutaneous Microscopic Discectomy procedure. The professional surgeons at Spine Pain be Gone have performed the procedure hundreds of times, providing freedom from back pain to many satisfied patients. We encourage you to take a moment and read through a few of our patient testimonials to see for yourself.

If you have been diagnosed with a herniated disc and you are fed up with having to conform to a lower standard of life, Spine Pain be Gone has a minimally invasive, outpatient, technique that can relieve the symptoms of a herniated disc and typically leave the patient free of the painful symptoms. The procedure used to treat herniated discs is called a percutaneous microscopic Discectomy.

Minimally Invasive Spine and Back Procedures will remove the portion of the extruding or herniated disc that is now pressing against a nerve causing the symptoms. By removing or shrinking the herniated disc we can decompress the spinal cord or nerve root that is being impinged. At this point excess disc material is removed and the symptoms of a herniated disc generally disappear.

Once the procedure is complete, the patient (with a companion) is free to go after 1 - 2 hours of monitoring. We generally encourage patients to take a long walk the afternoon or evening of their procedure. You can discover how our minimally invasive procedure can help you reclaim your freedom while increasing the quality of your lifestyle.


We accept Medicare and most Medicare Replacement plans. Call us to find out more 210-672-2812

Patient Portal

We are pleased to provide patients with secure, 24/7 access to their health records through Spine Pain Be Gone. Patients can safely and easily:

  • Request prescription refills
  • Update insurance/demographic information
  • Review financial statements/make secure payments
  • View lab and test results
  • Access relevant health education materials

Patient Portal Login

Read more
Call to request a free review of your MRI or CT scan today!

Call to request a free review of your MRI or CT scan today!

Spine Pain Be Gone

  • Back Neck and Spine Pain Stops Now


    Are you in need of back pain treatment? Looking for a back doctor in the San Antonio, TX area? Dr. Fogel of the Spine Pain Be Gone Clinic offers an alternative to traditional open back and neck surgeries. Utilizing world-class technologies and highly-advanced tools, Dr. Guy Fogel specializes with innovative minimally invasive spine surgery techniques for his patients.



    Common Conditions & Treatments


    Dr. Fogel offers his patients less painful and time-consuming surgical procedures as compared to traditional open back and neck surgeries, motion limiting fusion surgeries and artificial disc replacements.  He does this by utilizing the latest technologies and techniques for pain causing neck and back conditions through minimally invasive endoscopic procedures. 




Words from our patients

  • Vitals

    "He is warm, friendly, courteous and polite. He takes his time and answers all your questions. He did a lumbar fusion on me and I have had no problems."

    Verified Patient
  • Demandforce

    "Dr. Fogel is the most caring Dr. I have ever met. He always takes the extra time to make sure I understand everything that is going on in my treatment."

    Elizabeth S.
  • Demandforce

    "The best doctor I ever met and his staff go way beyond expectations to try to help. Seeing him was the best thing I ever did."

    Ronald P.
  • Demandforce

    "Dr. Fogel's surgical procedure on my spine three years ago totally eliminated my back pain. I highly recommend Dr. Fogel to any one needing back pain relief."

    Luis J.
  • Demandforce

    "He is an awesome doc! I highly recommend Dr. Fogel. I can say that I have my life back and can do a lot of things that I couldn't do before my surgeries."

    Joanne G.
  • Demandforce

    "They do their utmost best to get their patients back to living as well and as actively as possible. You will not find a better spinal team!"

    Michele P.
  • Demandforce

    "Dr. Fogel is awesome! He was very clear on my diagnosis and his recommendation of the procedure that I needed to fix the problem in my spine."

    Jaclyn R.
Guy Fogel, MD, FAAOS
2833 Babcock
Suite 306
San Antonio, TX 78229