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A pinched nerve, also known as nerve compression, can occur for a variety of reasons. Compression of a nerve in the neck or, less commonly, in the shoulder itself can trigger shoulder blade pain. Overuse, age-related changes and injuries are among the most common causes of this type of nerve compression. The signs and symptoms of a pinched nerve vary, and can occur intermittently or persistently.
Pinched Nerve Pathology. The two nerves most commonly pinched in the lower back are L5 (lumbar 5) and S1 (sacral 1). 1  Pinched nerve at L5. 2  The L5 nerve supplies the nerves to the muscles that raise the foot and big toe, and consequently, impingement of this nerve may lead to weakness in these muscles.