Neuropathic Pain and Neuralgias

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Neuropathic Pain and Neuralgias

Neuropathic Pain and Neuralgias

Neuropathic pain and neuralgia are pains that occur due to nerve damage in the body for various reasons.

This damage may be due to a trauma, a systemic disease such as diabetes, a microbial disease, or sometimes pain in the form of neuralgia, the cause of which cannot be understood.

The most common causes of neuropathic pain can be listed as follows:

  • Inflammation
  • Infections such as shingles
  • cancer chemotherapy
  • radiation therapy
  • Surgical
  • Nerve compression due to tumors
  • Compression on the nerves coming out of the spinal cord (such as disc herniation)
  • Diabetes, thyroid diseases, anemia (anemia)
  • Spontaneous age-related or genetic deterioration in nerves
  • Brain injuries such as stroke.
  • Neuropathic pain is felt differently from many other types of pain. It is often expressed by the words sharp, throbbing, flammable, and electrocuted. It can be exacerbated at night. It can be in the form of constant pain after stroke and diabetes. Trigeminal neuralgia and sciatic pain can come and go.


Types of neuropathic pain include:

Allodynia: It is the appearance of pain with stimuli that do not normally cause pain, such as the touch of a wind breeze on the arm or the rubbing of a sheet on the leg.

Hyperalgesia: It is an increased painful response to stimuli expected to cause mild pain. An example of this situation can be given as an example of pain as if touching a hot iron with a slight bump on the arm.

Dysesthesia: Uncomfortable pricking sensations that cannot be described as pain. Examples include feeling like the foot is swollen or feeling like maggots are crawling on the skin.

X-rays, blood tests, and nerve conduction tests may be done to determine the cause of the pain. Also, the doctor may send you to a neurologist, neurosurgeon, or physical therapist for additional examinations.


The vast majority of prescription or over-the-counter pain relievers do not work for neuropathic pain. Antidepressants and epilepsy drugs that stop pain signals to the brain can be used. They can be used alone or in combination with other drugs. The effects of these drugs begin within days or weeks, so they should be used regularly to reduce pain. These drugs will usually reduce the pain to a bearable level, although they will not completely eliminate it. However, we do Pulsed Radiofrequency Thermocoagulation therapy, Nerve Blockages:


In neuropathic pain, the following treatment methods can also be applied:

  • Massage
  • Applying heat to the painful area
  • Applying cold to the painful area
  • Biological feedback (a method of controlling body responses through the brain)
  • Electronic nerve stimulating devices
  • Anesthetic (local drug) tapes applied to the skin, such as menthol or lidocaine
  • Surgery to cut the nerve causing the pain
  • Injection of local anesthetic, cortisone, or other medication to block the pain
  • Injection of drugs into or around the nerve can numb the nerve, sometimes providing temporary and sometimes permanent pain relief.

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