Medications such as gabapentin (Gralise, Neurontin, Horizant) and pregabalin (Lyrica), developed to treat epilepsy, may relieve nerve pain.
Commonly used painkillers such as ibuprofen (a nonsteroidal anti-inflammatory drug, or NSAID) are not usually considered to be effective in treating neuropathic pain, but in some parts of the world they are used commonly for neuropathic pain conditions.
SNRIs inhibit the reuptake of serotonin and norepinephrine at the synaptic level. Duloxetine is the most effective in reducing neuropathic pain.
Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce swelling and relieve pain in cases of minor pinched nerves. NSAIDs, such as ibuprofen, are available for purchase over-the-counter or online.
Capsaicin is used to help relieve a certain type of pain known as neuralgia (shooting or burning pain in the nerves). Capsaicin is also used to help relieve minor pain associated with rheumatoid arthritis or muscle sprains and strains.
Nutritional or vitamin imbalances, alcoholism, and exposure to toxins can damage nerves and cause neuropathy. Vitamin B12 deficiency and excess vitamin B6 are the best known vitamin-related causes.
The main medicines recommended for neuropathic pain include: amitriptyline – also used for treatment of headaches and depression. duloxetine – also used for treatment of bladder problems and depression. pregabalin and gabapentin – also used to treat epilepsy, headaches or anxiety.
Intraneural Facilitation (INF) treatment effectively restores blood flow to damaged nerves, decreasing pain caused by diabetic peripheral neuropathy (DPN), according to a new study conducted by researchers at Loma Linda University Health.
First line treatment in neuropathic pain is pregabalin, gabapentin, duloxetine and amitriptyline. Second choice drugs are topical capsaicin and lidocaine, which can also be considered as primary treatment in focal neuropathic pain. Opioids are considered as third choice treatment.
Numerous clinical studies have found that magnesium has beneficial effects in patients suffering from neuropathic pain, dysmenorrhea, tension headache, acute migraine attack, and others.
The symptoms of peripheral neuropathy may lessen or go away over time, but in some cases they never go away. These are some ways to learn to live with it: Use pain medicines as your doctor prescribes them. Most pain medicines work best if they are taken before the pain gets bad.
Vitamins B-1, B-6, and B-12 have been found to be especially beneficial for treating neuropathy. Vitamin B-1, also known as thiamine, helps to reduce pain and inflammation and vitamin B-6 preserves the covering on nerve endings.
Vitamin B1 (thiamine) provides your nerves with energy to function, while vitamin B6 relieves nerve pain and transmits nerve impulses correctly. Vitamin B12 regenerates the nerves, protecting them from damage. A deficiency in vitamins B12 or B1 may be partly responsible for your nerve pain.
Lifestyle choices can play a role in preventing peripheral neuropathy. You can lessen your risk for many of these conditions by avoiding alcohol, correcting vitamin deficiencies, eating a healthy diet, losing weight, avoiding toxins, and exercising regularly.
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.
Vicks Vapor Rub® – Massaging one's feet with Vicks, particularly at night, soothes neuropathic pain and distress in one's feet and legs. It is also excellent for softening your toe nails and diminishing common toe nail problems.
Drink lots of water
Water should be a staple in any diet, and even more so for those looking to reduce nerve pain. It's critical to stay hydrated throughout the day to reduce inflammation and avoid triggering pain receptors. Aim to drink eight 8-oz. of water each day.
The following foods have the potential to increase pain in neuropathy: dairy products, wheat, citrus fruits, corn, caffeine, meat of all kinds, nuts and eggs.
What can slow neuropathy's progression—at least for many patients—is correction of the underlying cause. If the patient's neuropathy is caused primarily by diabetes or prediabetes, strict control of blood glucose levels through diet, exercise and medication can do the trick.
Neuropathy: Capsicum may alleviate neuropathic symptoms. Muscle aches and strains: Menthol can provide relief . Osteoarthritis pain: Capsicum and menthol may alleviate this type of pain. Poor blood circulation: The key ingredient camphor may improve blood circulation.
Some nerve pain will be controlled with simple painkillers like aspirin, paracetamol or a non-steroidal anti-inflammatory drugs (NSAIDs). Stronger painkillers such as opioids are sometimes used, but these have significant side effects that can be harmful especially in the long term, and can be addictive.