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Neuropathic Pain
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What Is Neuropathic Pain?
Neuropathicpain iscausedby damage or dysfunction of the nervous system itself — rather than tissue injury or inflammation. It is characterised by a distinct set of sensations that ordinary painkillers often fail to control. At Nexus Pain & Spine, Mumbai, we are equipped with the expertise and tools to manage even the most difficult neuropathic pain conditions.
How Neuropathic Pain Feels
- Burning, hot,or’on fire’ sensationinthe affected area
- Electric shock-like jolts of pain
- Shooting or stabbing pain along a nerve pathway
- Allodynia — pain from stimuli that shouldn’t cause pain (e.g., light touch, clothing on skin)
- Hyperalgesia — heightened response to normally mildly painful stimuli
- Pins and needles, tingling, or numbness
- Cold sensitivity in the affected limb
Common Causes of Neuropathic Pain
- Diabeticperipheralneuropathy —oneofthemostcommon causes in India
- Postherpetic neuralgia following shingles
- Radiculopathy from herniated discs or spinal stenosis Complex Regional Pain Syndrome (CRPS)
- Peripheral neuropathy from chemotherapy (CIPN)
- HIV/AIDS-related neuropathy
- Alcohol-related nerve damage
- Phantom limb pain after amputation
- Nerve injury from trauma or surgery
Treatment Options at Nexus Pain & Spine
Neuropathic Pain Medications
Weuseastructured,evidence-based approach to prescribing — starting with first-line agents (gabapentin, pregabalin, duloxetine, amitriptyline) and adjusting based on your response and tolerance.
Spinal Cord Stimulation (SCS)
Forpatientsnot respondingadequately to medications, SCS is a life-changing intervention. Electrical pulses delivered to the spinal cord interfere with pain signals, providing substantial relief for CRPS, diabetic neuropathy, and failed back surgery syndrome.
Sympathetic Nerve Blocks
Particularly effective for CRPS and vascular neuropathic pain. Can interrupt the sympathetically maintained pain cycle and restore circulation.
Intrathecal Drug Delivery (Pain Pump)
Forsevere,refractoryneuropathicpain,a small pump implanted under the skin delivers pain medication directly to the spinal fluid — requiring much lower doses than oral medications and with fewer side effects.
Topical Analgesics
Lidocaine patchesand high-concentration capsaicin patches are effective non-systemic options for localised neuropathic pain, especially in elderly patients who cannot tolerate oral medications.
Neuropathic pain is complex, but it is treatable. Our Mumbai specialists are experienced in the full range of neuropathic pain management strategies. Don’t suffer in silence — book your consultation at Nexus Pain & Spine today.
Our Process
Our Treatment Process
We believe every ones pain is personal hence all our treatments are personalised.
Our team of pain specialists will be with you every step of the way.
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