Peripheral Neuropathy (PN) & Neuropathic Pain

We have written about chronic and muscle pain, as well as headaches and other kinds of pain, but what about nerve pain? Neuropathic pain has quite different treatment methods and patterns, and different classes of medications are used. Opioids and opiate-based medications are rarely completely effective for neuropathic pain, where antiepileptic/antivconvulsant medications such as pregablin and gabapentin are used. Tricyclic antidepressants are also used for neuropathic pain. SNRIs may also be useful. As neuropathic pain can often be felt at specific sites on the skin, capsaicin cream may help. High vitamin diets may also help. Steroids may also be prescribed.

Peripheral and neuropathic pain has several causes. Other conditions such as diabetes, multiple sclerosis, Parkinson’s disease, sickle cell anaemia, epilepsy and trigeminal neuralgia are associated with PN an neuropathic pain. Vitamin deficiencies may also cause PN. Other causes include a traumatic injury, use of some antibiotics such as ciprofloxacin, exposure to certain toxins in the environment and metabolic problems can also cause neuropathy. Neuropathy can affect just one nerve or many nerves.

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