Neuropathic Pain

Neuropathic pain is a complex type of pain that refers to damage to the somatosensory nervous system. This can either affect the central or peripheral nervous system. Your peripheral nervous system sends information from your brain and spinal cord (central nervous system) to the rest of the body. There are various reasons why a patient may develop neuropathic pain. On a cellular level, there is increased release of certain pain signalling neurotransmitters in combination with an impaired inability of nerves to adequately regulate these signals. This can ultimately lead to increased sensation of pain originating from the affected area. Following a traumatic event, the brain’s ability to block pain receptors can be lost. There are both central and peripheral causes of neuropathic pain.

Central Causes of Neuropathic Pain

• Spinal Stenosis: Compression Neuropathy
• Multiple Sclerosis Pain
• HIV Myelopathy
• Syringomyelia
• Pain after stroke
• Pain after Parkinson’s

Peripheral Causes of Neuropathic Pain

• Complex regional pain syndrome (CRPS)
• Entrapment Neuropathies
• Trigeminal Neuralgia
• Diabetic Neuropathy

Treatment Options?

• Rehabilitation (conservative care) TENS, Low Level Laser Therapy
• Counseling
• Relaxation Therapy
• Massage Therapy
• Acupuncture
• Medications