Neuropathic pain is a pain that is usually caused by the problems with one or more nerves; they may be damaged, injured or dysfunctional, these nerves cannot work to transmit the feelings to the brain. This pain is a complex pain which is consort by tissue injury. The neuropathic pain is associated with peripheral nerves problem like the injuries in the spinal cord or brain can be a cause of chronic pain or neuropathy may be cause by spinal stenosis or diabetes.
In neuropathic pain three types of nerves may be involved that are sensory nerves, autonomic nerves and motor nerves. This pain may be a cause of different other medical conditions.
Neuropathic pain is common in 7 in every 100 individuals in UK. It is much common in older people who can develop the conditions of neuropathy.
Causes of Chronic Neuropathic Pain
There is no obvious cause of having chronic neuropathic pain. Some of the common causes of neuropathic pain are
- Facial nerves problems
- Spine surgeries
- Multiple sclerosis
- Hip, back and leg problems
- HIV infections
Diagnosis of Chronic Neuropathic Pain
To diagnose the cause of the neuropathic pain the doctor manipulates a physical examination and interview. The doctor may ask about the duration of pain, any specific condition that triggers pain and when the pain starts. The doctor may do several lab tests to validate and accomplish the diagnosis. The doctor take a detailed account of symptoms, physical examination, alcohol consumption, consumption of different other medications, general health, sexual history and other psychological conditions.
Symptoms of Chronic Neuropathic Pain
The identification of neuropathic pain is tough, unlike other neurological conditions. The doctors take a collection of words from the patients to make an assemblage of symptoms. The common symptoms as described by the patients are
- Hot and cold sensations
- Tingling and numbness
- Burning and shooting pain
- Feelings of pain with a light touch or pressure
Treatment of Chronic Neuropathic Pain
There are various reasons behind the causes of neuropathic pain. To treat neuropathic pain it is important to overcome the causes. There are some treatment options for neuropathic pain that includes psychological treatments, physical treatments and medicines.
- Epilepsy drugs such as carbamazepines, gabapentin etc.
- Opioid pain killer such as tramadol and oxycodone.
- Serotonin and norepinehrine reuptake inhibitors.
- Tricyclic antidepressants such as imipramine, nortriptyline desipramine etc.
Pain can get worse with anxiety, stress and depression. The sensation of pain can modify depending on how a person reacts towards pain and circumstances. The treatment for anxiety and depression is helpful in preventing the pain. The treatment for anxiety and depression include pain management programs, cognitive behavioral therapy, counseling and stress management.
Depending on the cause and site of the pain the specialist may advices one or more physical treatments. These treatments include acupuncture, physiotherapy, percutaneous electrical nerve stimulation, transcutaneous electrical nerve stimulation and nerve blocks with injected local anesthetics machines.