03Conditions we treat

Nerve & Neuropathic Pain

Woman holding her wrist, the nerve pain in her hand highlighted

Understanding

Understanding the Condition

Neuropathic pain occurs when a nerve or the nervous system itself is injured, irritated, compressed, or functioning abnormally. Unlike pain caused primarily by inflammation or joint damage, nerve pain is often described as burning, shooting, electric, stabbing, tingling, or hypersensitive. Even light touch can sometimes be painful. Symptoms may occur in a small, well-defined area or involve larger regions of an arm, leg, hand, foot, chest wall, or other part of the body.

Causes

How It Develops & Common Causes

Neuropathic pain can result from diabetes, spine-related nerve compression, surgery, trauma, chemotherapy, shingles, nerve entrapment, amputation, or direct peripheral nerve injury. Conditions such as peripheral neuropathy, radiculopathy, postherpetic neuralgia, painful diabetic neuropathy, meralgia paresthetica, intercostal neuralgia, occipital neuralgia, and other focal neuralgias fall within this category. Because nerve pain may persist even after the original injury has healed, treatment often combines medication, rehabilitation, targeted nerve procedures, and neuromodulation.

Treatment options

Potential Treatments at Apico Pain and Wellness

Neuropathic pain medications and multimodal medication management

Physical therapy and desensitization Ultrasound-guided peripheral nerve blocks Selective nerve root blocks Sympathetic blocks when appropriate

Peripheral nerve radiofrequency procedures in selected conditionsUltrasound-Guided Peripheral Nerve Blocks Peripheral Nerve Stimulation (PNS)

Peripheral nerve stimulation Spinal cord stimulation Dorsal root ganglion stimulation Neuralace Axon Therapy Infusion therapy for selected refractory neuropathic pain

Final treatment recommendations depend on the diagnosis, examination, imaging or testing when appropriate, medical history, previous treatment, and individual goals.

Treatments & services

Explore related treatments

Illustration of a needle delivering medication into the epidural space beside the spinal nerves

Epidural Steroid InjectionsEpidural steroid injections are image-guided procedures used to place anti-inflammatory medication near irritated spinal nerves.

Illustration of a needle at the nerves of the groin

Pelvic & Groin Peripheral Nerve BlocksNerves such as the ilioinguinal, iliohypogastric, genitofemoral, and pudendal nerves can become irritated or injured after surgery, hernia repair, trauma, entrapment, or other pelvic conditions.

Patient in a head scarf resting during an infusion

Cancer & Treatment-Related Pain ProceduresCancer pain may arise from tumor involvement, bone disease, nerve compression, surgery, radiation, chemotherapy, or treatment-related nerve injury.

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