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Neuropathic Pain

Chronic pain due to nerve damage, its causes, and pain management methods.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Neuropathic Pain?

Neuropathic pain is a chronic pain condition caused by damage or dysfunction in the peripheral or central nervous system. Unlike ordinary tissue damage-related nociceptive pain, the pain signal originates directly from the nerve.

Diabetic peripheral neuropathy, postherpetic neuralgia (after shingles), carpal tunnel syndrome, and nerve compression due to lumbar or cervical disc herniation are among the most common causes of neuropathic pain. Central nervous system diseases such as MS and stroke can also cause central neuropathic pain.

Neuropathic pain is described as burning, electric shock, stabbing, or freezing sensation. Pain caused even by light touch (allodynia) is one of the characteristics of this type of pain. Response to standard painkillers is weak; special treatment protocols are required.

Symptoms

Burning, electric shock, or stabbing-type pain
Light touch causing pain (allodynia)
Numbness and tingling
Increased pain with cold or hot stimuli
Pain intensifying at night
Weakness in the affected area

Risk Factors

Diabetes (diabetic neuropathy)
Having shingles
Chemotherapy or certain drugs (drug-induced neuropathy)
Alcoholism
Kidney failure
Autoimmune diseases (MS, lupus)
History of spine or nerve surgery

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If burning or electric shock-type pain does not resolve within weeks
  • If numbness and weakness are progressively increasing
  • If no response is obtained to standard painkillers
  • If daily life is severely restricted
  • If there is foot pain, numbness, or wound healing problem in a diabetic patient

Treatment Methods

01
Gabapentin and pregabalin (alpha-2-delta ligands — first-line)
02
Tricyclic antidepressants (amitriptyline) and SNRIs (duloxetine)
03
Topical treatments: lidocaine patch, capsaicin cream
04
Opioid analgesics (in severe pain resistant to other treatments)
05
Nerve blocks and spinal cord stimulation
06
Control of the underlying disease (diabetes, shingles)

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.