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Neuropathic Pain

Diabetic Neuropathy
Chemotherapy-Induced Neuropathy
Complex Regional Pain Syndrome/RSD
Phantom Limb Pain
Shingles Related Pain/Post Herpetic Neuralgia


Neuropathic pain compromises a wide range of different conditions. It is pain that arises from damage to nerves. This damage can affect your central nervous system (CNS) or your peripheral nervous system (PNS), or both, but most commonly we are talking about damage to the peripheral nerves. The PNS is a vast communication network that sends signals between the CNS (the brain and spinal cord) and all other parts of the body. The peripheral nerves are like the cables that connect the different parts of a computer or connect the Internet. When they malfunction, complex functions can grind to a halt.

Neuropathy Classifications:

Motor nerves: control the movement of all muscles, such as those used for walking, grasping things, or talking. Damage to a nerve affects muscle movement only.

Sensory nerves: transmit information such as the feeling of a light touch, temperature, or the pain from a cut. Damage to a nerve affects sensation only.

Autonomic nerves: control organs to regulate activities that people do not control consciously, such as breathing, digesting food, and heart and gland functions. Damage to a nerve affects the autonomic system only.


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Symptoms

Symptoms vary depending on the type of nerves—motor, sensory, or autonomic—that are damaged.

Sensory Neuropathy

  • Numbness

  • Tingling/pins and needles sensation

  • Burning 

Autonomic Neuropathy

  • Excessing fatigue

  • Excessive thirst

  • Lightheadedness

  • Abnormal heart rate or blood pressure

  • Gastrointestinal problems

  • Excessive sweating or lack of sweating

  • Temperature intolerance.

Motor Neuropathy

  • Weakness

  • Impaired balance/coordination

  • Muscle cramps

  • Muscle atrophy


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Causes

  • Diabetes

  • Physical Injury (Trauma)

  • Vascular Disease

  • Complex Regional Pain Syndrome/RSD

  • Phantom Limb Pain

  • Shingles Related Pain/Post Herpetic Neuralgia

  • Chemotherapy

  • Autoimmune Disease

  • Nutritional or Vitamin Imbalance

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Treatment Options

Correcting the underlying cause: Correcting underlying causes can result in the neuropathy resolving on its own as the nerves recover or regenerate. Nerve health and resistance can be improved by healthy lifestyle habits such as maintaining optimal weight, avoiding toxic exposures, eating a balanced diet, and correcting vitamin deficiencies.

Medications: Certain antidepressant medications such as duloxetine modulate pain by increasing the brain’s ability to inhibit incoming pain signals. Gabapentin and Pregabalin are another class of medications used to treat epilepsy that quiet nerve cell electrical signaling.

Minimally Invasive Procedures: