19Feb

Varieties, causes and ways of treating neuropathic pain

In this article, we learn what neuropathic pain is.

In this article, we learn what neuropathic pain is.

Pain is a symptom that prevents living and causes a lot of trouble, especially if the sensations are strong and persistent. And if there is neuropathic pain, then it can even bring adults and even children to depression. Because of what such a symptom arises? And how to deal with such a problem? It is necessary to understand this.

Contents:

  1. What is it?
  2. Types and manifestations of
  3. Reasons for
  4. How to treat?

What is it?

Conventional pain is the body's response to some kind of physical, mechanical or other impact. For example, when a person is struck, he will certainly feel it, it will hurt him. Unpleasant sensations arise due to the fact that the nerve endings, scattered throughout the body, react to aggressive influences and transmit signals to the brain. But the nerves for some reason may not work properly( due to lesions or inflammations).And in this case, neuropathic pain can occur, which is both sudden and arising for no apparent reason, and due to insignificant influences( even touching).

Neuropathic pain is what a person feels when injured or struck.

Neuropathic pain is what a person feels when injured, struck.

Pain, especially the neuropathic, can lead a person to depression, if not to eliminate it. That is why treatment should be timely and carried out strictly under the supervision of a doctor.

Types and manifestations of

A constant headache is also a symptom of a neuropathic one.

Persistent headache is also a symptom of the neuropathic.

It would seem that discomfort for everyone is equally unpleasant. But their manifestations may differ significantly. Below are the main forms and options:

  • Constant unpleasant pain, tingling, burning. They are most often localized in the area of ​​the hands and feet, especially around the fingers. Such pain can be not strong and do not bother the person( some get used to it and live normally), but sometimes the manifestations are quite obvious and long, which prevents them from living a normal life, disturbs and annoys.
  • Neuropathic compressive or constrictive pain. It is often localized in the legs, namely in the feet and in the legs, although it may also affect other parts of the body. Such feelings can interfere with walking, moving and performing their usual tasks. In addition, this symptom is often accompanied by other equally irritating pains. This manifestation can be difficult to eliminate.
  • Short-term and severe pain. They can be felt in the fingers, legs and hands. For example, the pain can be felt in the finger of a few seconds, then it suddenly shifts to another part of the body. This is probably due to a spasm of nerve endings and subsequent transmission of the signal to the brain.
  • Hypersensitivity to skin and touch. With this form the patient can experience extremely unpleasant sensations after any touch. Some people literally jiggle. Patients try to wear soft and imperceptible clothes on the body and even sleep, wrapped in a blanket and almost in one pose, as they can wake up when they change position.
  • Neuropathic "cold" pain. A person can experience a feeling of cold. Especially often this form affects the limbs, and even more often the fingers. The patient may feel that he frostbitten his arm or leg. Sometimes there is numbness. All this is extremely unpleasant.

Causes of

What can cause neuropathic pain? Let's list some possible reasons:

  • Herpes infection. With herpes zoster, the patient develops a rash. And when it passes, pain can begin. More often this happens in the elderly, whose nervous system does not work as impeccably as in young people( as is known, nerve cells can not be restored).Unpleasant sensations arise in the area of ​​localization of rashes, they are burning. When you touch clothes, a symptom may also appear. Many have insomnia, often there is increased nervous excitability.
  • Diabetes mellitus. With this disease, the blood glucose level rises, which significantly affects the nervous system. Such a defeat of the nerves in medicine is called diabetic polyneuropathy. Neuropathic not too strong pain is localized most often in the area of ​​the feet and manifests itself as a burning or tingling sensation in the soles of the feet and in the fingers. And if a person has walked for a long time, unpleasant sensations can intensify. Often the symptom is manifested at night and interferes with normal sleep. This problem occurs in about every second diabetic.
  • Post-stroke central pain. Stroke is a serious brain damage and a major trauma to the entire nervous system. A person who has undergone the disease, after a certain period of time( from a month to a year or a year and a half), can feel a tingling or burning sensation in the affected side( especially when contacting objects whose temperature is different from room temperature).Sometimes it seems that the limb freezes.
  • Damaged spinal cord.

    Damaged spinal cord.

    Spinal cord injuries. All major nerve endings pass through the spinal cord, so that if damaged, they too may suffer. After injury, a person can feel strong shooting, squeezing or stitching pain in the trunk, legs, or hands.

  • Surgical operations and suturing. Sometimes the patient after the operation in the area of ​​suturing feels tingling, burning, running "creepy."All this arises from the fact that the nerve endings in the region of the incision have been touched and now they do not work as they should.
  • Neuralgia of the trigeminal nerve. This nerve is responsible for the sensitivity of the face. And if it is squeezed( for example, after trauma or as a result of the expansion of a nearby vessel), neuropathic pain may occur. When chewing, talking or just after touching the skin, there may be quite strong pain. It's annoying and hinders life. Most often this problem is found among the elderly.
  • Back problems. Any changes or displacements of the vertebrae can lead to nerve damage, which causes unpleasant and sometimes rather strong sensations.
  • Shingles can also provoke the appearance of such a sign.
  • After the amputation, pain can also arise, it is also called "phantom".The limb is gone, but the nerve endings still send impulses to the brain, which he responds with unpleasant sensations.
  • Multiple sclerosis and other disorders of the nervous system lead to the fact that the nerve endings function pathologically, resulting in unpleasant sensations.
  • AIDS affects the nervous system, so in this case, neuropathic pain, too, may well arise.
  • Chemical or radiation effects can also have extremely negative effects on neurons. It is clear that the functioning of the latter because of this can be severely disrupted.

How to treat?

The principle of therapy of neuropathic pain.

Principle of therapy for neuropathic pain.

What should be the treatment for such pain? First of all, you need to find out the reason for the pain. Only by eliminating it, you can get rid of this problem forever. So, with spinal injuries it is necessary to eliminate them. When diabetes is important to monitor blood sugar levels.

With regard to eliminating the pain symptom, this is most important. To achieve this, it is necessary to carry out complex treatment in several directions. Usual analgesics, habitual for many, in this case will not help and will not be effective, since the nature of unpleasant sensations is completely different. Often, doctors prescribe anticonvulsants that relieve tension from muscles and blood vessels.

Antidepressants are an important component of therapy, they will fix the nervous system and help reduce the symptoms and reduce irritability of the patient, which only exacerbates the situation.

If there is an inflammation, then it can be rational and effective to take non-steroidal anti-inflammatory drugs.

If the pain is very severe, the doctor will consider the need to prescribe narcotic pain medications. But their long reception is contraindicated because of the addictive and negative effects on the body.

For the best effect, it is worth combining two or three means. In addition, sometimes methods of physiotherapy or acupuncture help.

If the treatment has not given any positive effect, then the doctor can advise the newest methods of therapy. So, some devices can be implanted under the skin and with the help of electrical impulses to control the functioning of the nerve endings of

Unfortunately, this problem sometimes can not be eliminated. Medicine is powerless before the complex mechanism of the nervous system. So it is possible and such that therapy not only will not have any effect, but will worsen the condition.

It only remains to add that compliance with the recommendations of the attending physician and patience is the key to successfully eliminating the problem.
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