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Doctor insights on: Neuropathic Pain

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What to do for neuropathic pain?

What to do for neuropathic pain?

Neuropathic pain: First, if the neuropathy is from diabetes, getting your blood sugar under control is very important to prevent worsening of the condition. Medications such as gabapentin, lyrica, (pregabalin) gralise, or metanx have been shown to be helpful in certain cases. Topical creams are also used in some cases. Tens units can block painful stimuli from being interpretted by your brain. ...Read more

Dr. Jeffrey Cohen
1,922 Doctors shared insights

Neuralgia (Definition)

Can also be described as neuropathic pain or "nerve pain" which can occur anywhere in the body. It can also be due to many disorders such as direct nerve damage, diabetes, ...Read more


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How can I be cured from chronic neuropathic pain last 2 years?

How can I be cured from chronic neuropathic pain last 2 years?

Depends on the cause: Curing chronic neuropathic pain depends on the cause. In some cases neuropathic pain can be cured and in some cases it is merely managed. Discuss the cause with a pain management specialist. ...Read more

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Managing Neck Pain (Checklist)

Use your pain medication as directed
once
Avoid fast movements
Once
See your doctor if your neck pain hasn't improved in 1 week
once
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How effective is PENS in helping alleviate Neuropathic Pain? Thanks, B

How effective is PENS in helping alleviate Neuropathic Pain? Thanks, B

PENS/ Acupuncture: Percutaneous Electrical Nerve Stimulation (PENS) = electroacupuncture. I have used this with good success with patients who have different types of neuropathic pain. ...Read more

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Drugs for neuropathic pain in ms?

Drugs for neuropathic pain in ms?

Many: Amitriptyline, nortriptyline, cymbalta, lyrica, gabapentin, vimpat, (lacosamide) depakote, tegretol to name just a few. I avoid things like vicodin, percocet, oxycontin. ...Read more

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Managing Knee Pain (Checklist)

Try to determine the cause
Once
If swollen, ice the knee with a bag of ice, frozen peas, etc.
once
See a doctor
Once
Consider seeing a physical therapist
Once
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Can stress cause neuropathic pain?

Can stress cause neuropathic pain?

Neuropathic pain: Is result of disease or damage to the somatosensory nerves, such as in spinal cord injury, stroke, multiple sclerosis, diabetes, herpes zoster, hiv, tumors, nutritional deficiencies, toxins or direct nerve injury. Stress is not direct cause, but can exacerbate the pain. ...Read more

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Does morphine help neuropathic pain?

Sometimes: Neuropathic pain, or nerve pain, is classically not very responsive to opioid medication. However often times a low dose of opioids is somewhat helpful however be careful as it is a slippery slope to very quickly elevating the dosage and therefore developing tolerance and potential addiction issues. Consider trying antidepressant and anticonvulsant medications. ...Read more

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Managing Pain from Cancer (Checklist)

Ask an oncologist to refer you to a cancer pain specialist
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Ask a pain specialist about both interventional and medication options
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If you have pancreatic cancer, ask about a celiac plexus block
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If you have neuropathy, request a trial of ketamine-based topical creams
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Are there any home remedies to help diabetic neuropathic pain?

Are there any home remedies to help diabetic neuropathic pain?

Information: Diabetic neuropathy is usually in extrmeties.
Diet: some addtion of omega 3

topical capscacain ointment, other have tried easy-hot, topical Lidocaine cream, other emollients

most health food stores have section on anti inflammatory. ...Read more

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Living with Ongoing Pain (Checklist)

Go to a physician who is trained to treat chronic pain
Once
Continue to look for more therapies that might be right for you
Once
Make sure to keep moving, as pain will only get worse
Once
Consider counseling for coping strategies
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Can you tell me any home remedies for diabetic neuropathic pain?

Try alpha lipoic aci: Alpha lipoic acid, classified as a nutritional supplement in the us, can help some people with neuropathic pain. It is worth a try. ...Read more

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What is external neuromodulation? How effective is it in treating Neuropathic Pain? Many thanks, B

New: External neuromodulation can be done by conventional way using TENS or newer ways usin rTMS ie repetitive trams cranial magnetic stimulation. It is fairly effective in selected patients with a carryover effect that lasts about 3 months ...Read more

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Managing Back Pain (Checklist)

Lose weight
Daily
Reduce stress by moving gracefully with tai chi, yoga, or dance
Once
Increase flexibility with gentle exercises and/or physical therapy
Once
Gradually increase muscle tone and strength to support your back
Daily
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How long does it take for Gralise 300mg during the 1st week, 600mg 2nd week and 900 mg to start providing relief for neuropathic pain?

Often early: Have seen relief within 10-14 days in most responders, but full benefits may take up to 4 weeks. If you are using the top dose of 1800 mg daily, and do not experience benefits by a month, need to try an alternative medication. ...Read more

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Managing Chronic Pelvic Pain (Checklist)

See your doctor for an evaluation
once
Have a pelvic exam
once
Have an ultrasound
once
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What are the causes of neuropathic pain in the feet?

Several causes: Foot pain can be caused by diabetes, low back injuries, toxic metals, poor circulation, etc. In traditional chinese medicine, the liver is often prioritized for evaluation and treatment. I have found that foot pain from liver sources often are worse when getting up from bed and then subside. ...Read more

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What causes neuropathic pain in your feet?

Many possibilities: Symptoms of neuropathy can range from a numbness and tingling sensation, possibly a burning sensation, to an uncomfortable painful sensation of the extremities. For some, these symptoms are mild, while for others, they can be severe and disabling. Neuropathy can result from nerve compression, trauma, drug side effect, and some diseases such as diabetes. See your physician and get it treated. ...Read more

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Can nortriptyline help with neuropathic pain?

Combination: Combinations of nortriptyline with another psychoactive drug are also available for treatment of continuous neuropathic pain disorders. ...Read more

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Is there any cure for neuropathic pain from diabetes?

Is there any cure for neuropathic pain from diabetes?

Unfortunately, once: The nerve damage is done, there is no cure. However, there are multiple available treatments. ...Read more

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Can there be any cure for neuropathic pain caused by diabetes?

Can there be any cure for neuropathic pain caused by diabetes?

Treatments: Nerve pain from diabetic peripheral neuropathy may respond to medications such as gabapentin, lyrica, (pregabalin) lidoderm, topical medications, compound creams, tens unit usage. As a last step, spinal cord stimulation or other devices may mask the pain via an electrical impulse applied on the nerve. Optimal blood sugar control may help prevent progression of the disease. ...Read more

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Where can I find the latest information about the latest treatments for chronic neuropathic pain (that has no found cause)? Please name sources. Thx

IASP: The international association for the study of pain (iasp) is the leading professional forum for science, practice, and education in the field of pain.
All you need to know about neuropathic pain you can find there.
Here is the link: http://www. Iasp-pain. Org/am/template. Cfm? Section=home. ...Read more

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What are the latest treatments available for neuropathic pain in the last 5 years? Where can latest treatments information b found for use by public?

Nothing really new: But there are a lot of different drugs and approaches. You may have to try a number of them before you get any good results. Don't give up. Find a pain management doc willing to work with you on this. ...Read more

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Would marijuana help neuropathic pain?

Would marijuana help neuropathic pain?

Marijuana for pain: There are some who say that marijuana has helped their pain syndromes. It is a non-specific, non-directed "action" of this substance. Side effects are relevant - lower testosterone and testicular change are two important side effects; thought process changes also evolve. Smoking marijuana is more harmful to lungs that marketed tobacco. ...Read more

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Can neuropathic pain be observed by MRI and X-ray?

Can neuropathic pain be observed by MRI and X-ray?

No: Pain is a subjective symptom, and using imaging such as MRI or X-rays isn't helpful to reveal this as a neuropathic process. ...Read more

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Is there an autoimmune condition that leads to neuropathic pain and sensitive skin?

Is there an autoimmune condition that leads to neuropathic pain and sensitive skin?

A few possibilities: The sensory variant of cidp could present this way, and many small fibre neuropathies create symptoms you describe. Several nerve disorders are caused by underlying autoimmune diseases with secondary complications. Need sometimes extensive testing to pin down, . ...Read more

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What nerve blocks/anesthetic blocks work the best for bilateral leg neuropathic pain?

Depends: On where the problem lies... If epidural steroid injections are not helpful, then injections like sympathetic blocks can be helpful. Other options include spinal cord stimulation as well. ...Read more

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