Nerve pain often feels like a shooting, stabbing or burning sensation. Sometimes it can be as sharp and sudden as an electric shock. People with neuropathic pain are often very sensitive to touch or cold and can experience pain as a result of stimuli that would not normally be painful, such as brushing the skin.
The signs of nerve damage
Numbness or tingling in the hands and feet. Feeling like you're wearing a tight glove or sock. Muscle weakness, especially in your arms or legs. Regularly dropping objects that you're holding.
Nerves recover slowly, and maximal recovery may take many months or several years. You'll need regular checkups to make sure your recovery stays on track. If your injury is caused by a medical condition, your doctor will treat the underlying condition.
The test involves lightly and briefly (1-2 seconds) touching the tips of the first, third and fifth toes of both feet with the index finger to detect a loss in sensation, and can be performed by patients and relatives alike in the comfort of their own home.
Identifying the cause of a neuropathy
The GP can usually identify the underlying cause of a peripheral neuropathy. If diabetes is suspected, they can usually make a confident diagnosis based on your symptoms, a physical examination, and checking the levels of sugar in your blood and urine.
A variety of blood tests may be performed to determine the cause of nerve damage. These tests may look for high blood glucose levels, diabetes onset, vitamin deficiencies, etc.
Does an MRI scan show nerve damage? A neurological examination can diagnose nerve damage, but an MRI scan can pinpoint it. It's crucial to get tested if symptoms worsen to avoid any permanent nerve damage.
If the underlying cause of peripheral neuropathy isn't treated, you may be at risk of developing potentially serious complications, such as a foot ulcer that becomes infected. This can lead to gangrene (tissue death) if untreated, and in severe cases may mean the affected foot has to be amputated.
But sometimes, nerve damage can be permanent, even if the cause is treated. Long-term (chronic) pain can be a major problem for some people. Numbness in the feet can lead to skin sores that do not heal. In rare cases, numbness in the feet may lead to amputation.
Diabetes. This is the most common cause. Among people with diabetes, more than halfwill develop some type of neuropathy.
Peripheral nerves can be damaged in several ways: Injury from an accident, a fall or sports, which can stretch, compress, crush or cut nerves. Medical conditions, such as diabetes, Guillain-Barre syndrome and carpal tunnel syndrome. Autoimmune diseases including lupus, rheumatoid arthritis and Sjogren's syndrome.
People with nerve pain feel it in different ways. For some, it's a stabbing pain in the middle of the night. For others, symptoms can include a chronic prickling, tingling, or burning they feel all day. Uncontrolled nerve pain can be hard to bear.
Nerve grafting – taking a sensory nerve from another part of the body, or from a donor, and suturing it into the damaged nerve to help it to regenerate. Nerve transfer – using a small part of a functional nerve to connect to and salvage muscle function when a nerve is too damaged to be repaired.
Regeneration time depends on how seriously your nerve was injured and the type of injury that you sustained. If your nerve is bruised or traumatized but is not cut, it should recover over 6-12 weeks. A nerve that is cut will grow at 1mm per day, after about a 4 week period of 'rest' following your injury.
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Seddon2 classified nerve injuries into three broad categories; neurapraxia, axonotmesis, and neurotmesis.
CT or MRI scans can look for herniated disks, pinched (compressed) nerves, tumors or other abnormalities affecting the blood vessels and bones. Nerve function tests. Electromyography (EMG) records electrical activity in your muscles to detect nerve damage.
Chronic stress can lead to neuropathy by damaging the nervous system. When the nervous system is damaged, it can cause pain, numbness, tingling, and other symptoms. The end result is pain, discomfort, or even worse.
Nerve Pain
It's best to use cold when the pain is still sharp and move on to heat once that sharpness has subsided. The heat will increase blood flow and help tissues heal faster.
Multimodal therapy (including medicines, physical therapy, psychological counseling and sometimes surgery) is usually required to treat neuropathic pain. Medicines commonly prescribed for neuropathic pain include anti-seizure drugs such as: Gabapentin (Neurontin®). Pregabalin (Lyrica®).
Nerve damage can usually be diagnosed based on a neurological examination and can be correlated by MRI scan findings. The MRI scan images are obtained with a magnetic field and radio waves.
Nerve damage is known to cause some of the worst pain a human being can experience, along with disability that can result in an inability to work temporarily or permanently. However, proving in a personal injury case that disabling nerve damage has occurred can be difficult.
Nerve conditions can be hard to diagnose, and many patients live for years without an explanation or effective treatment for their muscle weakness or pain. Our specialists understand that the cause of a nerve condition is not always obvious and often requires a bit of detective work to uncover.
An EMG test helps find out if muscles are responding the right way to nerve signals. Nerve conduction studies help diagnose nerve damage or disease. When EMG tests and nerve conduction studies are done together, it helps providers tell if your symptoms are caused by a muscle disorder or a nerve problem.