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Neuropathic Pains

Neuropathic pain is a condition whose cause cannot be determined from time to time and that seriously reduces the quality of life. Sometimes it can be short-term, sometimes it can take many years. In severe cases, it can cause sleep problems, and this can also cause psychological wear. So what is neuropathic pain, what are its symptoms and how is it treated?


What is Neuropathic Pain?

Neuropathic pain, which can be called a complex pain syndrome, can be described as pain that occurs within the pain transmission systems of the nerves and does not go away even when painkillers are used.

It can occur due to nerve damage or any problem in the nervous system. The disorder that has occurred in the pain system may have arisen in the nerves in the spinal cord, brain, arm or leg. The pain may last for 1 week, sometimes for 1 month, and sometimes for many years, and may increase in severity over the years.

Neuropathic pain may worsen at rest and at night in some cases. In some cases, severe pain is felt when touched, while in some cases it may even interfere with habits such as sleeping and eating.

The difference between neuropathic pain and normal pain can be explained as follows: In normal pain, body tissues are damaged, this situation is transmitted to the brain as pain, and the brain stimulates the pain nerves by secreting certain substances. In neuropathic pain, on the other hand, the nervous system itself is directly affected.

What Are the Causes of Neuropathic Pain?

Neuropathic pain is caused by damage to the nervous system. Damaged nerves become sensitive over time and can cause pain. At the same time, many different diseases can cause neuropathic pain. Let's list these diseases as follows:

  • Viral infections such as postherpetic neuralgia after shingles,
  • Metabolic diseases such as diabetic neuropathy in diabetics,
  • Neurological diseases such as stroke or multiple sclerosis,
  • Side effects of drugs such as cancers and chemotherapy,
  • Nerve pressure or damage after trauma or surgical intervention,
  • Heavy alcohol use.

Apart from all these, it can also occur due to disorders such as nerve compression in the hands and feet, nerve lesions, rheumatic diseases, genetic nerve diseases, nerve inflammations, vitamin B deficiency, poisoning, lumbar and neck hernia, canal narrowing or nerve root damage.

The cause of neuropathic pain can usually be understood after examinations and examinations. However, there are situations where the cause of the pain cannot be found.


Neuropathic Pain Symptoms

The most common symptom of neuropathic pain is, of course, pain.

However, from time to time, it may present with symptoms such as burning, stinging, numbness, tingling, cold and freezing sensation, extreme pain to light touch, and abnormal skin sensation.

In cases where these symptoms occur, it is useful to consult a doctor in order to diagnose and develop appropriate treatment methods in a timely manner.

Diagnosis and Treatment of Neuropathic Pain

To diagnose neuropathic pain, a physical examination is first performed, followed by an electromyography to see if the nerves and muscles are working properly. Depending on the result, the treatment methods to be applied may differ.

Treatment of neuropathic pain is usually carried out with lifestyle changes and drug therapy. The most commonly used treatment method is drug therapy. Depending on the condition of the disease, the drugs to be used may also differ.

Epilepsy drugs can be preferred in terms of affecting excessively active nerves, and depression drugs in terms of stimulating areas in the brain that process pain. Sprays, creams or pain reliever injections can also be applied. As a result, it can be said that the treatment to be applied in the case of neuropathic pain is personal.

Physical therapy practices, relaxation techniques and meditation are also recommended as a treatment method by some physicians.

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