At present there is no recognized treatment to cure or stop neuropathic pain (nerve pain or neuropathy). In its place, the main treatment goals are to decrease the pain as much as conceivable, balance the undesirable treatment side effects, and help the patients to cope any unresolved pain.
It is supposed that early recognition and treatment of intractable, chronic pain can benefit in efficiently treating the pain. Once neuropathic pain is well recognized, though, it tends to turn out to be more difficult to positively manage and more aggressive treatments might be needed.
Given the extreme nature of neuropathic pain, medicines are often be a first line of treatment. However, finding an effective medicine takes a trial and error method and can sometimes be frustrating to both the doctor and the patient. Furthermore, the side effects of numerous pills can be difficult.
Neuropathic Chronic Pain and Back Pain
Nerve pain treatment of comparative to the spine or back has usually been through a mixture of medicines and nerve blocks, and might include implantable systems. Furthermore, transcutaneous electrical nerve stimulation (TENS), physical therapy, and/or mental therapy and work-related therapy for coping with the pain might be effective.
Owing to the multifaceted nature of neuropathic pain, which is a multi-disciplinary, cohesive approach for the management of the pain is frequently useful. For instance, a complete pain management and rehabilitation program back pain patients having neuropathic, chronic pain might comprise of working with:
A pain management specialist or spine specialist, for example anesthesiologist, a spine surgeon, neurologist,or physiatrist, for medical pain management.
Types of Medications for neuropathic chronic pain
The three neuropathic chronic pain management types prescribed for nerve pain comprise:
- Antidepressants, such as Nortriptiline and Amitriptyline. The newer selective serotonin reuptake inhibitors (SSRI) antidepressant medicines (for example Prozac) are not measured as operational for this condition as compared to the tricyclic antidepressants.
- Anticonvulsants (also known as neuroleptic medicines) for example felbamate, carbamazepine, clonazepam, valproic acid, and phenytoin. A newer medication, gabapentin (Neurontin), is also measured operative and is typically well tolerated by most of the patients.
- Local anesthetics, for example intravenous application of tocainide, lidocaine, or mexiletine can frequently offer a relief.