Neuropathic Pain overview
Neuropathic pain refers to chronic pain originating from the nervous system being damaged or different from the normal. It can arise from a disease process, trauma, or specific treatments. Unlike regular pain that warns the brain of injury, this maladaptive pain has no protective function. Neuropathic pain can affect either:-
- Peripheral Nervous System (PNS): Nerves outside the brain and spinal cord (hands, feet, arms, legs).
- Central Nervous System or CNS: Brain & spinal cord.
Patients describe it as burning, tingling, numbness, or sharp jolts of pain. Pain severity can fluctuate from mild discomfort to severe, disabling pain.
Causes of Neuropathic Pain
There are numerous ways in which neuropathic pain can develop. Some examples are:-
- Diabetes (Diabetic Neuropathy): Damage to nerves caused by high blood sugar, especially in the feet and hands.
- Spinal Disorders: Herniated discs, spinal stenosis, or injuries compressing nerves.
- Post-Herpetic Neuralgia: Pain following shingles infection.
- Chemotherapy-Induced Neuropathy: Certain cancer drugs damage peripheral nerves.
- Alcoholism: Long-term alcohol use leads to nerve degeneration.
- Vitamin Deficiencies: Especially Vitamin B12 deficiency.
- Infections: HIV, syphilis, Lyme disease.
- Multiple Sclerosis (MS): Demyelination damages nerve pathways.
- Stroke or Brain Injury: Can cause central neuropathic pain.
- Neuropathic damage post-surgery: Unintentional damage to nerves occurring during operations.
Symptoms of Neuropathic Pain
Neuropathic pain will present differently to the patient when compared with muscular or joint pain. Symptoms include:-
- Burning, shooting, or stabbing pain.
- Tingling or feeling of "pins and needles."
- Subjective numbness in hands or feet.
- Touch sensitivity (even light touch feels painful).
- Pain that worsens in sleep and has an increase in nighttime discomfort.
- Sudden electric shock-like jolts.
- Muscle weakness or decreased reflexes.
- Radiating pain changes along nerve pathways (e.g., sciatica). Symptoms can be constant or intermittent, most of the time unpredictable, and emotionally distressing.
Diagnosis of Neuropathic Pain
Dr Ekta's Pain Management Clinic's approach to diagnosing neuropathic pain includes the following:-
- Getting a medical history that helps identify health conditions posing as underlying causes (such as diabetes or cancer treatment).
- The physical & neurological examination assesses reflexes, strength, sensation, and nerve pathways.
- Nerve Conduction Studies (NCS) & Electromyography (EMG) register electrical activity and nerve health.
- Imaging (MRI/CT) detects nerve compression involving spinal or brain entities.
- Blood Test: Check for health issues such as vitamin deficiencies or infections. check
- Diagnostic Nerve Blocks compound the concept of the actual pain origin.
The correct diagnosis means that the matched treatment can be initiated.
Why We Are Different
No
Surgery
30-Minute Procedure
Targets Root Cause
Minimal Downtime
Long-Lasting Results
Proven, Safe Methods
Treatment Options at Dr Ekta's Pain Management Clinic
We are focused on non-surgical and evidence-based best practices to address pain intensity and nerve health.
Medication Therapy
- Neuropathic Pain Medicines: Gabapentin, Pregabalin, Duloxetine, Amitriptyline.
- Topical Agents: Lidocaine patches, capsaicin creams.
- Anti-Inflammatories: For temporary relief of any associated swelling.
- Muscle Relaxants: To relieve muscle spasms owing to nerve irritation.
- Antidepressants: In low doses to assist in pain processing and mood.
Interventional Pain Procedures
- Nerve Blocks: Injections are given in a way that causes painful signals to switch off temporarily.
- Radiofrequency Ablation (RFA): Long-term relief caused by targeting pain fibers.
- Spinal Cord Stimulation: Interferes with the pain signals before they reach the brain.
- Peripheral Nerve Stimulation: Very useful in localized nerve pain.
- PRP (Platelet Rich Plasma) Therapy: Stimulates the healing processes of the nerve tissues.
- Stem Cell Therapy (BMAC): Stimulates the regeneration of damaged nerves.
- Hydro Dissection: Rescues the nerves entrapped in scar tissue or a narrowed space.
Exercises and Rehabilitation
- Nerve mobilization workouts.
- Strengthen your muscles and improve posture.
- Balance training for patients with numbness.
- Low-impact aerobics such as walking and swimming.
Lifestyle & Holistic Care
- Diet: Balanced nutrition with vitamins, especially B12.
- Exercise: Improves circulation and nerve health.
- Stress Management: Yoga, meditation, etc.
- Sleep Hygiene: Making a schedule to promote higher quality rest.
Self-Care & Prevention Tips
- Keep blood sugar levels under control if diabetic.
- Cigarette smoking and drinking alcohol must be stopped as both of these worsen nerve damage.
- Maintain normal body weight.
- If prone to neuropathy, wear comfortable shoes and check your feet daily.
- Engage in gentle stretching and strengthening.
- Warm baths and heating pads give temporary relief.
- Seek medical advice early on; delaying treatment can aggravate nerve damage.
FAQs on Neuropathic Pain
Is neuropathic pain curable?
Not always. However, treatment can control symptoms and improve the quality of life.
Why don't standard painkillers work for neuropathic pain?
Standard painkillers don't work for neuropathic pain because the pain arises from nerve dysfunction rather than from the stimulus of normal injury or inflammation. They require specialized medicines and treatments.
Is neuropathic pain permanent?
It can be chronic, but with the proper treatment, many patients experience prolonged relief.
Do lifestyle changes help neuropathic pain?
Yes. A healthy diet, stress management, and physical activities are the primary tools to lessen its symptoms.
Is surgery needed sometimes?
It is only the case if the pain stems from a structural nerve compression (like severe spinal stenosis). Most of the cases are treated conservatively.
Why Choose Dr Ekta's Pain Management Clinic for Neuropathic Pain?
- Expertise in nerve-related pain conditions.
- Advanced interventional techniques include RFA, nerve stimulation, PRP, and stem cell therapy.
- Personalized treatment care plans are developed around each patient's condition and lifestyle.
- Holistic rehabilitation, including physiotherapy, counseling, and lifestyle care.
- A compassionate patient-centered approach that emphasizes long-term relief and wellness.
At Dr Ekta's Pain Management Clinic, we feel that neuropathic pain can be devastating. Using the latest innovations in therapies and care, we will try to convert your suffering into comfort, restore mobility, and help patients regain confidence in their everyday lives.
Why Choose Us
We’re the most trusted Pain Specialists in West Delhi.
Our expert clinical approach and treatment framework extends beyond just ordinary pain-relief practices to precise and targeted comprehensive pain treatment and management that ensures faster recovery and quicker return to an active life.
With robust expertise in advanced non-surgical Neuropathic Pain Treatment in West Delhi, our Pain Specialists at Dr Ekta’s Pain Management Clinic, strives to ensure the best of care for lasting pain relief and comfort.
Here’s why we’re the best at what we do:
- Expertise
- Compassionate Care
- Advanced Techniques
- Personalized Treatment Plans
- Commitment to Quality
- Transparent