For the millions of people who suffer from chronic pain, there are many possible paths to manage the pain. Doctors often try medication first. Other options include physical or psychological therapy, surgery, nerve blocks, or medical devices like neurostimulators and drug pumps.
Talk to your doctor about the right pain treatment for your painful neuropathy. Not all treatments may be applicable to your type of pain. Treatments include:
Doctors often try medication first. Because each person responds differently to medication, your doctor may try a variety of doses and drugs. Medications range from over-the-counter pain relievers, such as aspirin, acetaminophen, and anti-inflammatory steroids, to stronger pain medicine.
Physiotherapy attempts to build or recondition muscles – allowing you to move more normally and with less pain. Your doctor may recommend passive physical therapy, such as massage and applying heat/cold, or active therapies, such as exercise.
Chronic pain can bring stress that affects you, your relationships, and your body. Psychologists are available to work with you on relaxation techniques and coping and self-monitoring skills.
Your doctor may do tests, such as MRI or CT scans, to look for the cause of your pain. If the test reveals a problem that is known to be corrected by surgery, your doctor may recommend this treatment.
Therapeutic nerve blocks are local anaesthetic and/or steroid injections given at the origin of pain. Nerve blocks usually provide temporary pain relief. If your pain is not managed after multiple injections, your doctor may consider other treatments.
Medical devices, such as neurostimulators or drug pumps (intrathecal drug delivery systems), are surgically implanted systems that modulate pain signals before they reach the brain.
Medical devices for the treatment of pain include:
Your doctor can turn off or remove the system completely if required. In addition, you can try these therapies temporarily before you receive a permanent implant.
With neuroablation, doctors destroy (usually with heat) the nerves that serve as pathways to the brain. Neuroablation is often a last resort when other treatments have failed. The results of neuroablation cannot be reversed.
Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.