The experience of nerve pain is described with a variety of terms: burning, hot poker, itching, tingling, lightening, shooting, electrical, and so on. In medical terms, words like hyperalgesia and allodynia are used. Hyperalgesia means that an area is overly sensitive to painful (noxious) stimuli like a pinprick. Allodynia means that an area is overly sensitive to normally non-painful (non-noxious) stimuli like light touch. Both of these phenomena are hallmarks for nerve pain.
Many common ailments cause nerve pain. The most recognizable cause of nerve pain is diabetic peripheral neuropathy. The nerve damage caused by abnormal blood sugar levels cause the nerve to dieback in a "stocking and glove" distribution. First, the area of the foot and ankle region (stocking area) is usually affected with numbness and tingling. As the neuropathy progresses, burning pain will begin as well. Diabetic peripheral neuropathy is a classic example of nerve pain that is generated in the peripher...
Neuropathy - axillary nerve
Depending on the cause of the nerve disorder, some people do not need treatment. They will get better on their own. However, the rate of recovery can be different for everyone. It can take many months to recover.
Anti-inflammatory medications may be given if you have:
Small changes in sensation or movement
No history of injury to the area
No signs of nerve damage
These medicines reduce swelling and pressure on the nerve. They may be injected directly into the area or taken by mouth.
Other medicines include:
Over-the-counter pain medicines may be helpful for mild pain (neuralgia).
Other medications (phenytoin, carbamazepine, gabapentin, pregabalin, duloxetine, or tricyclic antidepressants such as nortriptyline) may reduce the stabbing pains that some people experience.
Opiate pain relievers, such as morphine or fentanyl, may be needed to control s...
Neuropathy - distal median nerve
Pain in the wrist or hand that wakes you up at night
May be severe Pain may be felt in other areas, for example in the upper arm (this is called referred pain)
Sensation changes in the thumb and pointer (index), middle, and part of the ring fingers, such as:
Weakness of the hand that causes you to:
Drop things Have difficulty grasping objects
Signs and tests
Your doctor will examine your wrist and ask questions about your medical history. The examination may show decreased sensation in the thumb side of the hand. This is called the "radial" side. There may be weakness of the thumb and difficulty using it to pinch.
Tests that reveal distal median nerve dysfunction may include:
Nerve conduction tests
Tests are ...
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