This is when the nerves themselves are damaged, similar to taking a wire and scraping the insulation off of it. The nerves don’t function like they used to. The most common cause is diabetes and the second most common cause is alcoholism. One third of all people with neuropathy never get an answer to what caused it. The most common cause in the world is leprosy (rarely seen in the US).
Type of Pain: It’s like your feet and hands are on fire. A burning stabbing type pain. Your brain is getting abnormal signals from your feet and/or hands because the communication isn’t working right (like a computer with a bad wire). Your brain thinks your feet and/or hands are in a fire because that is the signal being sent to it.
Treatment: Unfortunately, a cause is not always found and many of the causes of neuropathy cannot be treated. If related to diabetes, strict control of glucose (sugar) can help prevent progression. Seeing a podiatrist to get good foot care is also important. Most medication treatment is geared towards treating the pain. This includes compounded creams and nerve pain medicine (Neurontin, Lyrica, Galise, Cymbalta, Savella, etc). Narcotics are poor at treating neuropathic pain. Vitamins such as Metanax can help pain and nerve functions. If above fails, spinal cord stimulators can make dramatic improvements in neuropathic pain.
Spinal Cord Stimulator (Implant) – SCS is a proven safe and effective treatment for chronic pain of the lower back and legs. This type of stimulation therapy is often considered when medications or surgery are not an option or when the side effects of your current therapy are impacting your quality of life. Since its introduction 40 years ago, more than 400,000 chronic pain patients worldwide have taken control of their pain—and their life. Excellent for use on nerve pain, radiculopathy, complex regional pain syndrome, neuropathy, shingles, phantom limb syndrome, post laminectomy pain syndrome and migraines. A fine wire inserted into the spinal cord that sends electrical currents to the sensory portion of the spinal cord. It cuts the pain signal before it gets to the brain. Meaning it intercepts the pain.