Understanding Nerve Pain: Symptoms, Causes, Diagnosis and Treatment

Nerve pain, also known as neuralgia or neuropathic pain, is caused by a health condition that affects the nerves that carry sensation from the body to the brain. There is a particular type of pain that feels different from others.

Pain in the nerves: what are the symptoms?

It is common for nerve pain to feel like a shooting, stabbing, or burning sensation. It can sometimes be as sharp and sudden as an electric shock. A person who suffers from neuropathic pain is often very sensitive to touch or cold and can experience pain from stimuli that are normally not painful, such as brushing their teeth. It’s usually worse at night. Depending on the severity, it may be mild or severe. It is common for people with nerve pain to experience problems with sleep, sex, work and exercise. Nerve pain can lead to anger, frustration, anxiety, and depression in some people.

Nerve pain: what causes it?

The central nervous system (brain and spinal cord) or the nerves that run from there to muscles and organs may be responsible for nerve pain. A disease or injury usually causes it. Among the most common causes are:

  • Injuries to the brain, spine, or nerves
  • Nerves with poor blood supply
  • Drinking excessively
  • Amputation-induced phantom pain

Nerve pain can be caused by the following conditions:

  • HIV/AIDS and shingles are among the most common infections
  • MS (multiple sclerosis)
  • Diabetic diseases
  • Bruise
  • Radiation, surgery, or chemotherapy for cancer
  • Carpal tunnel syndrome is caused by trapped nerves

Nerve pain is associated with other conditions as well. Sciatica is caused by pressure on the nerves in the lower back, causing leg pain. There may be numbness, pins and needles, or weakness in the leg along with the pain. Fibromyalgia is a chronic pain syndrome characterised by burning or aching pain throughout the body. There is no clear cause of this disorder, but emotional distress and poor sleep can trigger it. Genetic factors may also play a role. The peripheral nerves that connect the brain and spinal cord to the rest of the body are damaged in peripheral neuropathy. Diabetes, autoimmune diseases, and other conditions can cause it.

What is the diagnosis of Nerve Pain ?

A Neurologist will conduct a Nerve Conduction/EMG Test in order to diagnose the nerve pain you are experiencing. During the examination, they will probably test your nerves by testing your muscles, checking your reflexes, and feeling how sensitive your skin is. The neurologist my/will;

  • Checking your general health and looking for underlying conditions with blood tests
  • A nerve conduction study measures how fast electrical signals are transmitted through your nerves
  • Check for any nerve compression with a CT scan or MRI

What are the treatments for Nerve Pain ?

Nerve pain treatments can be done in a variety of ways. The pain specialist will  treat the underlying cause, if one exists. Medications and non-drug treatments such as exercise and relaxation techniques can help ease pain. It can be difficult to treat nerve pain. Managing underlying conditions such as diabetes and vitamin B12 deficiency is possible. Other treatments aim to alleviate the pain directly. Medications and non-medicine strategies are available.

Nerve Pain

Nerve pain medicines

Painkillers like paracetamol, or non-steroidal anti-inflammatory drugs (NSAIDs) can control some nerve pain. In some cases, stronger painkillers like opioids are used, but these have serious side effects and can be addictive, especially in the long term. There are many other medicines that can be used to treat nerve pain. Among them are medicines that were used to treat depression (such as amitriptyline and duloxetine) and seizures (such as gabapentin, pregabalin, and
carbamazepine).

Treatments that do not involve medicine

A variety of non-medicine treatments can help people cope with pain and understand it. Among them are:

  • Counseling and education
  • Physiotherapy
  • Hydrotherapy
  • Intuitive therapy
  • Transcutaneous electrical nerve stimulation (TENS) blocks the transmission of pain sensations to
    the brain
  • Spinal Cord Stimulators

In multidisciplinary pain clinics, such as Painmed, Dr Ramanchandran can develop a personalised pain management plan for people with chronic pain. To attend a pain clinic, you will need a referral from your doctor. The Pain Australia website has a list of pain services.

Questions & Answers Nerve pain can be relieved by walking? Nerve damage in the feet and lower legs can cause pain and other symptoms of neuropathy. The benefits of walking and other light aerobic exercises for people with neuropathy, which involves peripheral nerve damage and disease, are numerous.

How serious is nerve damage?

Nerve injuries can affect the brain’s ability to communicate with muscles and organs.The peripheral nerves are damaged in peripheral neuropathy. A peripheral nerve injury should be treated as soon as possible. Complications and permanent damage can be prevented with early diagnosis and treatment.
What is the healing time for nerve pain?

It depends on how seriously you were injured and the type of injury you sustained as to how long it will take for your nerve to regenerate. If your nerve is bruised or traumatised but not cut, it should heal within 6-12 weeks..

Is it possible to cure nerve damage?

There are many instances in which nerve damage cannot be completely cured. However, there are several treatments that can reduce your symptoms. Symptoms of nerve damage are often progressive, so consult a doctor as soon as you notice them.

Dr. Sally Wride

Originally from England, Sally graduated from St George’s Hospital, University of London in 2004 with a BSc (First Class Hons) in Physiotherapy. Since settling in Australia, Sally has worked in private practice and in the public hospital setting across Sydney.

Sally gained a Masters in Medicine Pain Management from the University of Sydney in 2019 and is a Titled Pain Physiotherapist (as awarded by the Australian Physiotherapy Association).

In addition to private practice, Sally currently works as a Senior Physiotherapist at Westmead Hospital Pain Management Service.

Sally is highly skilled in assessing, diagnosing and treating people who experience chronic pain. She enjoys working with injured workers and CTP claimants. She has a deep understanding of the impact of pain on the whole person and on their functioning in daily life. In partnership with her colleagues, Sally enjoys applying her knowledge and clinical skills to provide a safe space for exploration of the physical and emotional meaning of pain and for recovery of function.

Qualifications and Experience

Education
MSc in Medicine Pain Management (Sydney University) Accreditations

Dr. Baraa Kassim

Dr. Baraa Kassim is a highly skilled rehabilitation and pain management specialist. With experience in treating patients with complex medical conditions, her expertise spans strokes, neurological, orthopedic, musculoskeletal, and geriatric conditions, as well as spasticity management and spinal and brain injury rehabilitation.

Dr. Adam Mir

Dr. Adam is a Fellowship-trained Pain Medicine Specialist with a Fellowship from the Faculty of Pain Medicine (FFPMANZCA) and a Master of Pain Medicine from the University of Sydney. He is dedicated to the comprehensive management of chronic pain across all age groups.

Dr. Adam trained in adult pain medicine at Liverpool Hospital, Nepean Hospital, and the Department of Pain Medicine, and completed additional training in paediatric chronic pain at The Children’s Hospital at Westmead. He currently serves as a Staff Specialist at Westmead and St George Public Hospitals (NSW Health), and is a Visiting Medical Officer (VMO) at Liverpool Public Hospital, St George Private, Sydney Southwest Private, Holroyd Private, Norwest Private, and Nepean Private Hospitals.

He adopts a whole-person, multidisciplinary approach rooted in the socio-psycho-biomedical model, utilising both pharmacologic and interventional techniques. These include:

Dr. Adam is an Authorised Prescriber of Medicinal Cannabis and holds a Diploma in Medicinal Cannabis. He is also certified in Opioid Treatment Programs, including Methadone, Suboxone, and Buprenorphine injections. His areas of interest include opioid dependence management, medicinal cannabis, and interventional pain procedures.

He also completed advanced training in Virtual Reality Therapy for chronic pain and mental health disorders in Barcelona, Spain, and has further qualifications in Focused Psychological Strategies, Cognitive Behavioural Therapy (CBT), and Clinical Hypnosis.

Qualifications:

Languages Spoken: English, Persian (Farsi), Dari

Dr. Alister Ramachandran

Dr. Alister Ramachandran, a dual specialist in Anaesthesia and Pain Medicine, boasts 20+ years of experience. FIPP-certified, he leads Westmead’s pain service, teaches at Sydney University, and is a Faculty of Pain Medicine examiner. His focus remains on delivering evidence-based chronic pain treatment, ensuring comprehensive and effective pain management intervention.

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