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If you are suffering from burning pain or tingling sensation in hands or feet; sharp shooting pain in legs; numbness in hands or feet, then you might be suffering from Neuropathic pain.
What is neuropathic pain?
Neuropathic pain is a special type of pain which occurs when there is damage to nerve fibers,which produces tingling or burning type of pain.It is of two types:
1. Peripheral Neuropathic pain: It occurs when there is injury to peripheral nerve fibers (A-delta or C-fibers)which carries pain sensation to brain (Thalamus) for interpretation.
2. Central Neuropathic pain: It occurs due to sensitization of central pain interpreting mechanisms (Thalamus) to falsely feel pain, when peripheral nerve fibers are no longer sending pain impulses to them.
Worldwide-estimates of prevalence of neuropathic pain are 7% i.e. 7 persons out of 100 people are suffering from different types of neuropathic pain.
a.Tingling sensation or feeling of ants crawling under skin
c. Sharp shooting pain or electric current-like sensation
d. Stabbing pain
e. Dull pain with numbness or heaviness
Reasons for neuropathic pain:
1. Diabetes mellitus: Most common cause worldwide due to uncontrolled blood sugar levels, causing damage to nerve fibers.
2. Alcohol consumption/Cigarette smoking: Damage to nerve fibers or damage to blood vessels supplying nerve fibers.
3. Neck pain/Low Back pain/ Glutei pain
4. Vit. B12 deficiency
5. Chemotherapy for cancer patients
6. Post-Herpes virus infection
7. Post-Spine surgery
9. Diseases like Spinal cord injury,multiple sclerosis, HIV, Lead toxicity, etc.
a. Carpal tunnel syndrome: Tingling, burning sensation in hand which occurs due to compression of median nerve in wrist area. It occurs in women especially due to pregnancy, hypothyroidism,diabetes, etc. and in men due to improper position of wrist during working on computers.
b. Cervical Radiculopathy: Pain in neck and shoulder region (which increases with neck movements), along with sharpshooting pain radiating from neck to hand occurs in cases of cervical radiculopathy. This is due to compression of cervical nerve root by disc prolapse, facet subluxation, muscle spasm, trauma,etc.
c. Lumbar Radiculopathy: Pain in lower back or glutei region with sharp shooting pain radiating from hip to leg/foot region, occurs in cases of Lumbar radiculopathy or Sciatica. This is due to compression of lumbar nerve root or sciatic nerve by disc prolapse, facet joint, trauma, hypertrophied ligamentum flavum, piriformis syndrome, etc.
d. Meralgia paresthetica: Tingling or burning sensation in front of thigh, occurs due to compression of lateral cutaneous nerve of thigh, near waist region. Usual causes are tight or constrictive clothing at waist region, prolonged sitting, protuberant abdomen,etc.
Prevention of Neuropathy:
a. AVOID Alcohol consumption and cigarette smoking.
b. Maintain ideal body weight / BMI (Body mass index)
c. Life-style changes: Daily exercises (>30 minutes per day) or brisk walking or swimming; Avoid prolonged sitting or standing (>30 minutes).
d. Food/Diet should have following components:
- Green vegetables e.g. spinach, fenugreek leaves (methi), radish,etc.
- Coloured vegetables e.g. Tomato, carrot, Capsicum (green/red), ladies-finger (bhindi).
- Milk products e.g.Milk, buttermilk, curd, cheese (paneer)
- Protein-rich foods e.g. Fish, egg, chicken, pulses(daal)
- Fiber-rich foods e.g. Bran, oats, Brown-rice.
- Fruits e.g. Apple, orange, guava, papaya, pomegranate, Berries.
e. Blood sugar control (in diabetics)
f. Care of feet:
- Regular inspection of feet (with mirror).
- Comfortable,well-fitted shoes.
- Regularconsultation with podiatrist.
- Treatmentof wounds, foot deformities
g. Adequate sleep
h. Warm water bath (increases blood flow to affected area)
- Consult Pain medicine specialist.
- Neuropathic pain killers e.g. Amitriptyllline, Pregabalin, Gabapentin, capsaicin,Duloxetine, etc.
- Vit.B12 supplements, Anti-oxidants, multi-vitamins.
Knee pain is a common phenomenon that plagues most of the people irrespective of their age. It can be the outcome of a torn cartilage or a ruptured ligament. Medical complications, such as infections, gout or arthritis (painful inflammation and stiffness of the joints) can also give way to knee pain. Minor knee pain can be eased by self-care remedies such as physical therapy or by putting on knee braces. However, few complications might demand surgical repair. Pain can be managed by the pain management specialists.
Tips to manage knee pain:
1. Medications such as naproxen, ibuprofen and acetaminophen can be administered to help remedy knee pain.
2. You can seek relief by massaging your knees with ointments constituting of a number of agents such as capsaicin or lidocaine.
3. Keep away from your usual chores to prevent repetitive strains on the knees, thus, allowing the injury to heal as well as to stay safe from further damage.
4. Applying an ice pack in a towel can ease the inflammation and pain. But do not extend its usage for more than 20 minutes because that might harm the skin and nerves.
5. Compression bandages can inhibit fluid accumulation in the damaged tissues aiding knee alignment stability. Ensure that it is tight enough to render support to your knees without actually obstructing blood circulation.
6. To pacify the swelling, try resting your sore leg on a pillow (the idea here is to keep the affected leg elevated to reduce further pain).
7. Shed off your extra pounds as being overweight increases chances of other disorders such as osteoarthritis problem.
8. Go for regular work outs to enhance and maintain the flexibility of your muscles as excessively weak or abnormally tight muscles can contribute to injuries. Be smart while choosing your method of exercise based on the condition you are suffering from. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
I have nerve problem fribrolgia the nerves if my hands r painful at times also there is tingling sensation & numbness in the fingers of palms & feet.
What you must know about Body ache
Affecting your entire body, body ache is usually an indicator of a condition that requires your attention for the pain to stop or a reaction of your body's immune system to an infection. Understanding the symptoms and the cause of the pain is the first step towards getting the right treatment for your problem.
The causes of Body ache can be any one of these:
- An increase in your body's lactic acid as a result of overused muscles (that you normally experience when you perform strenuous exercises) leads to body aches that are not severe but temporary in nature.
- Temporary body aches can also occur if you suffer from flu caused by the influenza virus and other medical conditions like fever and viral infections, among others.
- A cause of body aches can be the presence of a serious condition such as Lyme disease or pneumonia that brings about major infection affecting your entire body.
- Inflammation of body cells or damage to your body's nervous system in the form of chronic ailments like autoimmune diseases and psychiatric problems can also cause pains and aches to develop all over the body.
What can you do to manage it?
There are simple ways that you can employ to relieve your body aches based on the root cause and these are:
- If the cause of your body ache is the flu, the best way to alleviate your condition is to take a hot bath. The hot water works by eliminating the body pains you may be suffering from. Even a gentle massage can soothe the ache affecting your entire body.
- For body aches that are caused due to overused muscle, you need to apply ice packs for 2-3 weeks on the affected area to bring down the inflammation. Even the application of a heating pad can help in relieving body aches brought on by muscle soreness.
- Shoulder and neck pains can be easily prevented by performing simple exercises from time to time such as shoulder shrugs or head turns. Also, the practice of using wrist and forearm rests can reduce your chances of getting shoulder and neck aches.
- Reducing your stress levels can also help in effectively lowering the instances of body ache. From sleeping on time to meditating for about 20 minutes a day can help in lowering stress.
In case, you do not get relief from any of the suggested ways, you need to consult a doctor who will guide you on the right treatment course.
My fast sugar is 117 ,pp is 182. Now I am taking 1/2 glycomet gp 1. Kindly prescribe me batter medicine.
Hello sir or mam. Mere pair (foot) ke neeche walle hisse me boht khaarish (itching) hoti hey. Or me bada irritate hota hu. Fir me ATRAX 10 mg ki tablet khaa leta hu. Usse mujhe aram toh milta hey but neend bhi boht aati hey. Pls koi or tablet ho jis se neend naa aye or khaarish bhi na ho pls suggest me. Im very tens. Becoz mujhe neend boht aati hey uss tablet se.
Pain related sleep disruption has affected a large number of people around the globe. Statistics has it that, in India, about 25% of the population suffers from pain-related sleep deprivation. Studies call it ‘the vicious cycle of pain and sleep’ as pain affects your ability to sleep and lack of sleep makes the pain even worse.
Back pain and arthritis are examples of some common pain-related medical disorders. People with these types of chronic pains have reported persistent sleeplessness or have had immense trouble falling asleep.
The following are the primary sleep disorders associated with chronic pain:
- Insomnia: It is a medical condition that is characterized by an inability to fall asleep no matter how physically exhausted you are. Insomnia can be acute (lasting for one night to a week) or chronic (that lasts for more than 3 weeks).
- Hypersomnia: It is a condition wherein you tend to sleep excessively; in this condition, you will have trouble being awake throughout the day or can fall asleep at any point of time.
- Sleep Apnoea: This is a sleep disorder wherein breathing pauses and resumes repeatedly. Risk factors include obesity, age and gender; it is more commonly observed in men. This condition can be chronic with symptoms such as snoring loudly or feeling very tired even after one has had a night’s sleep.
- Restless leg syndrome: It is a sleep disorder wherein you continuously move your legs while sleeping. However, this condition can also cause you to move your legs even if you aren’t sleeping.
Some of the causes of sleep disorders due to chronic pain are:
- Worry and anxiety
- Sweating at night
- Depression and other mental disorders
A pain and sleep disorder should be simultaneous as both the components of it, pain and sleep, are interrelated. Some of the ways people with chronic pain can still have a good night’s sleep are:
- Limiting caffeine intake
- Abstaining from alcohol and smoking, as these disrupt the sleep cycles, thus aggravating the existing pain.
- Practicing meditation and other relaxation techniques
- Pain killers or sleeping pills can be administered, but only with the doctor’s advice.
- Hot water fomentation over painful area during night, for better sleep.
If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
I am 34 years male and I have tingling, burning sensation in my body along with weakness and numbness especially in hands and legs. This is there since December 4, 2016. How much should I be worried? I had done few tests per the physician including blood sugar, TSH, Uric acid, Vitamins-D and B12. My fasting BS is 97 mg/dl, HbA1c is 5.90, Total T3 is 0.96, Total T4 is 10.20, Calcium is 8.80, Cholesterol is 161 mg. DL, Urea is 21.4, Uric acid is 5.80, TSH is 5.56, and Vitamin-D level (D-25 Hydroxy) is 15.34. Kindly let me know what kind of dietary habits I need to follow and what basically should be a healthy lifestyle here in this case. Now, I am having Jneuron (Methylcobalamin Pregabalin), faster (herbal extracts with vitamins, minerals etc.) tablets along with D-rise (this one is once a week). The weakness, numbness seem to be little reduced, but it still persists to some extent along with transient tinglings. I have to also mention that I somehow did not follow a proper lifestyle for last few months like waking up late in afternoon, empty stomach for a long time, delayed meals, food irregularities, less veggies, too much tea etc. Kindly suggest, if I need to be concerned and any further tests if required to rule out some larger possibilities. Thank you.
Anyone with lower back pain can benefit from these simple, everyday modifications:
1. A good ergonomic office chair which provide adjustable lower back support, arm rests, and seat height. All of these features help support your lower back and encourage good posture.
2. Luggage with wheels: to help lighten the load on your shoulder or back. Also try to pack less items and use several small bags instead of one large one.
3. Bed mattress: a medium-firm mattress is always best. Avoid too soft or too hard mattresses. Also, you may also benefit from an adjustable bed; as this allows you to sleep in a reclining position.
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