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Dr. Oindrila Dutta

Neurologist, hyderadad

500 at clinic
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Dr. Oindrila Dutta Neurologist, hyderadad
500 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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Causes Behind Nerve Pain And How To Control It?

FIPP ( UK ), DA, MBBS
Pain Management Specialist, Navi Mumbai
Causes Behind Nerve Pain And How To Control It?

Nerve pain or peripheral neuropathy, as it is medically known, is characterized by pain, numbness and weakness that arise out of nerve damage. This pain is usually restricted to the feet and the hands.

What are the common causes?

Diabetes is the most common cause for this condition. However, other causes, such as injuries, infections and prolonged exposure to certain toxins can also trigger nerve pain.

How can you control nerve pain?

Nerve pain can be managed and taken care of at home taking into consideration the points that have been mentioned below:

  1. Topical Painkillers: Certain over the counter ointments and creams can help relieve nerve pain. These medications act as local anesthetics; that is they numb the area of the pain. Capsaicin, a derivative of chili peppers, is one of the major ingredients used in these medicines. Others use botanical oils as the major ingredients.
  2. Painkillers: There are painkillers available OTC which can curb nerve pain. However, painkillers such as ibuprofen, aspirin and acetaminophen do not really work well for severe pain of the nerves.
  3. Supplements: The lack of Vitamin B12 is considered to be a very important cause, and at times, a catalyst for nerve pain. In a case such as this, Vitamin B12 supplements or injections might be administered. Although more research needs to go into this, but certain supplements, especially gamma-linolenic and alpha-lipoic acid can help soothe nerve pain caused by diabetes.
  4. Acupuncture: This time honored Chinese approach is a proven alleviator of nerve pain. Acupuncture releases chemicals which numb the pain, or prevent the pain signals from travelling to the brain.
  5. Physical Therapy and Massages: Physical Therapy can especially heal and strengthen weak muscles that can stem from acute nerve damage and pain. Though more evidence is needed, according to a few sufferers of this condition, massages can be helpful with the tremendously painful muscle spasms that can so often result from nerve pain.
  6. Relaxation Techniques: In combination with the above mentioned approaches, relaxation techniques can go a long way in relieving debilitating neural pain. Besides being helpful with dealing and reducing a few stress phases of life which can cause nerve pain, these techniques might actually root out the actual pain itself.
  7. Lifestyle Modifications: This one’s always a winner! Eating a well-balanced diet that guarantees all nutrients in uniform amounts can never go wrong. Regular exercises for about 30-45 minutes can remedy different types of pain; nerve pain being one of them. Try and limit alcohol intake (a peg once a week won’t harm one, but binge drinking can play the ultimate spoilsport and make all health plans go topsy-turvy!). Abstain from smoking or chewing tobacco as this is usually the primary contributor towards any medical condition or disorder. 
  8. Interventional pain therapy: It is newer mode of pain therapy for many neuropathic pain conditions, where regular pain therapies don't work. It is done in operation theater under fleuroscopy guidance as per MRI or other investigation report with clinical examination.

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

3780 people found this helpful

I am 37 yrs old male. I am having pins and needles in my right foot and numbness too. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. These sensations are actually called as paraesthesias and are an indication of either a nerve compression somewhere, systemic pathology like diabetes etc or some local foot pathology. Can you please tell me whether there is any associated back pain, radiating pain in legs etc? do you feel any weakness in right leg region? you can start with physical therapy- tens modality and medications like pregabalin or gabapentin in small dosage. We will get some investigations done in your case if there is no improvement after 10-14 days. Do not hesitate to contact me if you need any further assistance.
1 person found this helpful
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I am suffering from migraine problem since last few months. Please give me some effective suggestions so that I can get rid of this problem.

MBBS, MD - Internal Medicine, MRCP (UK), DM - Clinical Haematology
Hematologist, Kolkata
Hi, Lybrate-user. Headache can have a varied cause and at your age we need to rule out other possibilities before we can treat for migraine. Also drugs for the prevention of migraine have their specific set of indication. Please get in touch with a neurologist. In case you need help online, you can book an online consult and I will be happy to help.
2 people found this helpful
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Seizures - Know The Common Types!

MBBS, MD - Medicine, DM - Neurology
Neurologist, Ahmedabad
Seizures - Know The Common Types!

When particular nerve cells in the brain don't function properly, it leads to epilepsy, which is a common brain disorder. There are several variants of epilepsy, and the one that you are suffering from would play a major role in the type of seizure you are likely to have. Here are the two most common type of seizures:

Common types of Seizures

  • Generalized seizures: This type of seizures take place when nerve cells on both sides of the brain start misfiring. They may lead to black out, fall or muscle spasms.
  • Focal seizures: It starts in a particular area of the brain, and the names of the seizure are based on the affected area of the brain. They may lead to both emotional and physical effects which may affect the way a person feels or sees or hear things that have no real presence. In particular cases, the symptoms of focal seizures are regarded of some other kinds of mental or nervous disorder.

Seizures are not considered an either-or thing since some people tend to have a particular type of seizure which gradually alters its course. It is not always easy to classify certain types of seizures which are called unknown-onset seizures and may lead to both physical and sensory symptoms. Both focal and generalized seizures can be categorized into various groups. The most common are listed below:

Subcategories of focal and generalized seizures

  • Simple focal seizures: It may change how the senses read the surroundings of a person. It can make a familiar taste or smell appear strange. Some people feel dizzy or visualize flashes of light or make the affected individual feel nauseated or sweaty.
  • Complex focal seizures: It normally happens when a part of the brain which controls emotion and memory gets affected. The affected person may feel awake even when he has lost consciousness. It can take several minutes for a person to come out of the problem.

Secondary generalized seizures: It starts when a part of the brain spreads to the nerve cells. They may lead to a few physical symptoms including muscle slackness and convulsions.
On the other hand, there are six variants of generalized seizures:

  • Clinic seizure: The muscles tend to have spasms which make a face, neck, and arms jerk rhythmically. It can last for minutes together.
  • Tonic-clonic seizure: These are the most notable type of seizures and leads to stiffening of the body, jerking and shaking along with the loss of consciousness. It can last between 1 to 3 minutes, and in case they go for a longer span, it is important to seek immediate medical attention. It may lead to breathing issues and may cause the person to bite his tongue or cheek.
  • Tonic seizures: When the muscled in the legs or arms or trunk tense up for more than 20 seconds, it is called a tonic seizure. If the affected person is in standing position, he or she may end up falling.

Other types of generalized seizure include atonic seizure, absence seizure and myoclonic seizure which are commonly seen in people who have epilepsy. If you wish to discuss about any specific problem, you can consult a Neurologist.

1882 people found this helpful

I am 24 years old male. I am suffering from tremor from last 2 years.(hands shakes while writing) could you please help me. Even my dad also has some problem. Is there any cure for it. Tell me if there is any medical precaution.

MD - Psychiatry, MBBS
Psychiatrist, Patna
This is called writer's cramp. But also tell me about you drinking habits/ anxiety problem if any. If not then you should consult a neurologist.
1 person found this helpful
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I have old migrain problem from last 9 years its only in 1 side, right side also I feel so much pain pl suggest me.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
First of all the diagnosis of migraine is to be confirmed if its not done till now. Many patients diagnose their headache as migraine without doctors opinion. Treatment will vary with the cause of headache. Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. There are triggers for migraine like sun exposure, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Migraine attacks can be managed by simple painkillers like paracetamol but in resistant cases drugs like Sumatriptan may be needed. For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. Don't take painkillers daily for migraine headaches, it's better to take the preventive medicines. Painkillers on long term basis can further aggravate the migraine headache into Medication Overuse Headace (Read my health tip on Medication Overuse Headache) Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 6. Do pranayam daily. You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem. Consult again for further queries.
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I'm 22 years old and having migraine and thyroid at high level of 7.5. My weight is 71 kg. What should I do to reduce all my problems? Please advice me as soon as possible.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
for headache take nat mur 200 once day for 4 days ANTHRACINUM 12c 4tims day for 10 days GLONOINUM 200 once day for 4 days Bell 3c 4 4tims day Take Nat mur 12c 4tims day for 10days Sanguinaria 12c 3tims day for 10days Iris versi3c as above Iod200 once a day for 4days
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I am 22 year old man. I am feeling reduced sensation on the right foot upper part near the toe are in comparison to the sensation of left foot on the same area. There is no body pain and I am not diabetic. What it is? What to do?

PGDHHM, MBBS
General Physician, Delhi
I am 22 year old man. I am feeling reduced sensation on the right foot upper part near the toe are in comparison to t...
It could be due to injury to the foot, neuropathy , and poor circulation to the foot (such as with diabetes and peripheral vascular diseases ). Get check up done
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Hello sir, My age is 27 and I am facing a problem of hand shivering past 6 months so please suggest me to free from problem.

MBBS
General Physician, Mumbai
Hello sir, My age is 27 and I am facing a problem of hand shivering past 6 months so please suggest me to free from p...
I will suggest you to take injection vitcofol 2cc intramuscularly every alternate days for five pricks over the buttocks through a health professional and follow up with finding
1 person found this helpful
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I have weak musscles,had an attack of facial paralysis 10-15 years ago,now I am 70,a male taking ashwa sheelajeet of Patanjali and Chandraprabhavati daily still when I speak some effect of face right side yet tiltes.Kindly suggest remedy.Thanks

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
Please start I.G.Stimulation of fascial muscles and fascial exercise like blowing, wistiling, frowning etc .Go 4 weeks physiotherapy.
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