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Best
Neuropathic Pain
Treatment in Nagpur

Neuropathic Pain Treatment in Nagpur

Neuropathic pain, which results from nerve damage or dysfunction, can be challenging to manage, but several treatment options are available. Medications like anticonvulsants and antidepressants are commonly prescribed to alleviate nerve pain. Physical therapy can help improve nerve function and reduce discomfort through targeted exercises. Nerve blocks, where medication is injected near the affected nerves, can provide temporary relief. In some cases, spinal cord stimulation or nerve decompression surgery may be considered for severe neuropathic pain. An individualized approach to treatment, often involving a combination of therapies, is essential to effectively manage neuropathic pain and enhance the patient's quality of life.

Signs and Symptoms

Neuropathic pain is characterized by distinct signs and symptoms, which may include:

  • Burning or Shooting Pain: Neuropathic pain often presents as a burning, shooting, or electric shock-like sensation.
  • Numbness or Tingling: Patients may experience numbness, tingling, or a "pins and needles" sensation in the affected area.
  • Hypersensitivity: An increased sensitivity to touch or pressure, even with light stimulation.
  • Allodynia: Pain in response to normally non-painful stimuli, such as a gentle touch or a light breeze.
  • Reduced Coordination: Neuropathic pain can lead to decreased coordination and muscle weakness in the affected area.
  • Chronic Pain: It is typically a chronic condition that persists for an extended period.
  • Localized Pain: The pain is often limited to a specific area, corresponding to the distribution of affected nerves.
  • Spontaneous Pain: Pain may occur without an obvious trigger or stimulus.
  • Nerve-Related Symptoms: Patients might experience symptoms related to the specific nerves affected, such as loss of reflexes or muscle atrophy.
  • Radiating Pain: Pain may radiate from the site of nerve damage to other areas of the body.
  • Worsening at Night: Neuropathic pain can be more pronounced at night, often interfering with sleep.

Types of Neuropthaic Pain Site of Injury

Peripheral

  • CRPS I/CRPS II (involvement of Sympathetic nervous system)
  • Painful Polyneuropathy
  • Lancinating Neuralgias
  • Phantom Pain (+/- involvement of Sympathetic nervous system)
  • Nerve Compression
  • Neuroma Formation

Causes

Polyneuropathy

  • Diabetes (IDDM & NIDDM)
  • Alcoholism
  • Human Immunodeficiency virus
  • Hypothyroidism
  • Chemotherapy induced (vincristine, cisplatinum, paclitaxel, metronidazole)
  • Renal failure
  • Anti-HIV drugs antidepressants B12 and folate deficiencies

Mononeuropathy

  • Entrapment syndromes
  • Traumatic injury
  • Diabetes

Management

Pharmacotherapy

  • Tricyclic antidepressants & SSRNI’s/SSRI’s
  • Anticonvulsants
  • Opioids
  • Topical agents
  • NMDA Antagonists
  • Other drugs

Minimally Invasive Treatment Options Available at Panax in Nagpur

  • Medication: Apart from regular pain killers, medications which act on the nerves are prescribed, which may be needed to be taken long term
  • Sympathetic plexus blocks: Certain nerves which are responsible for muscle tone and vasculature in the legs are blocked either chemically or through Radiofrequency ablation. This may help relieve the pain
  • Dry needling/IMS:This simple technique involves use of acupuncture needles for stimulation of the muscles of the legs and feet. This helps in relaxation of the muscles, improved blood flow, better nerve conduction and pain relief.
  • B0-TX injection:Injection of B0-Tx into the skin of the feet helps in reduction of pain associated with diabetic neuropathy
  • Stimpod:This involves passing of an electrical current through the leg nerves, which helps in better nerve conduction, relaxation of muscles and relief of nerve related pain

Why Choose PANAX?

PANAX is one of the first multidisciplinary pain management center offering comprehensive non surgical pain management services.

All our Treatment are:

  • Non surgical
  • Takes less than a hour
  • Painless
  • No blood loss

Diagnosis

Physical examination – it will be conducted to assess neurological function, reflexes, and sensory perception.

Neurological Examination – provider will evaluate the nervous system to identify signs of nerve damage or dysfunction. This may include assessing muscle strength, coordination, and reflexes.

Test for Ligament injuries

Comparing the functioning of the to your healthy knee.

Imaging tests, such as MRI or CT scans may be ordered to visualize the structures of the nervous system and identify any abnormalities, such as tumors or compression on nerves.