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Neuropathic Pain: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Neuropathic pain occurs when the nerves are unable to transmit sensation to the brains. It is often a result of an injury or disease. It is a very common symptom but only few people go on to experience pain that is called neuropathic pain. There are lots of ways to treat neuropathic pain, the most common of them are anticonvulsants and tricyclic anti depressants such as Amitriptyline, Nortriptyline and Desipramine. There are also other prescribed anti depressants which are very effective for some people such as Venlafaxine and bupropion. There are also selective Serotonin reuptake inhibators (SSRI) like Paroxetine and Citalopram that is also used by many medical practitioners. Some doctors prefer pain killers as well in treating neuropathic pain especially the non-steroidal anti-inflammatory drugs (NSAID) such as Aleve or Motrin. In very extreme cases which are difficult to treat with drugs, pain specialist may also use an implantable device to manage the pain. Another very common drug in treating neuropathic pain is anti-seizure medicines such as Carbamazepine, Phenytoin, Gabapentin and Lamotrigine. There are also medicines for topical application but are given only to those who have minor pains. Lidocaine and Capsaicin are the most common topical application medicines.

How is the treatment done?

The greatest challenge that the doctors go through in treating neuropathic pain is to diagnose and detect the underlying cause. The treatment of neuropathic pain is done mostly by pharmaceutical drugs. Anticonsulvants and tricylic anti depressants are the most common form of drugs used by doctors. In minor cases of neuropathic pain, certain medicines are given for topical application either in gel or patch forms. Certain injections are also available in the market to treat neuropathic pain such as Steroid injections and Opinoid injections. In some cases local anesthetics is also used. Nerve blocks are the last resort for treating neuropathic pain. In this procedure, medicine is injected to the affected part of the body which disrupts the pain signal. In very extreme cases of neuropathic pain, there are other surgical mode such as neurolytic blocks using cryzogenic freezing, radio frequency ablation, surgical nerve block and radio surgery.

Who is eligible for the treatment? (When is the treatment done?)

All person who is diagnosed with neuropathic or even show the symptoms can go for a checkup and treatment. There can be very minute symptoms which can be hard to detect initially. Tingling and numbness are also related with neuropathic pain which is ignored by most people. It is better to go for a medical and nerve checkup in order to get a proper diagnosis and treat neuropathic pain.

Who is not eligible for the treatment?

If a person experiences pain due to certain injury, then it is not neuropathic pain. However, if that pain continues for a long period or becomes chronic then you need a checkup.

Are there any side effects?

The side effects of neuropathic pain treatment vary greatly depending on the mode of treatment. Like any other drugs and its side effects, the drugs used in treating neuropathic pain also has some side effects such as constipation, dizziness, blurred vision and stomach upset. The side effects of nerve block can be identified as elevated blood sugars, weight gain, and soreness at the site of injection, rash and itching. Steroid and opinoid injections may increase your body temperature, blood sugar, anxiety and sleeplessness. Respiratory depression, nausea and somnolence are some side effects related to surgical and anesthetics treatment of neuropathic pain.

What are the post-treatment guidelines?

One of the most important post treatment guidelines is to take proper and complete rest in order to recover from the pain and also to prevent the pain from becoming chronic. Exercising can be a part of the post-treatment guidelines or sometimes be a continuation of the treatment. Checking the blood sugar level daily is also prescribed and finally changing your eating habits can prove to be beneficial as well. Vitamin B12, anti-oxidants and anti-inflammatory foods are very effective in nerve building. Increasing the amount of water that a person consumes daily also helps in quick recovery.

How long does it take to recover?

Neuropathic pain treatment is a slow and gradual process even if you are opting for surgical nerve blocks. The reason for that is nerve takes a very long time in healing completely. As it is very delicate and complex at the same time, treatment of neuropathic pain can last quite long. On an average, minor neuropathic pain may take at least 3 to 6 months for proper healing. Severe neuropathic pain requires a lot more time especially if it is chronic, it can take a lifetime to recover.

What is the price of the treatment in India?

The price of treatment varies greatly depending on the diagnosis, methods of treatment and the type of interventions used. If you have a minor neuropathic pain that can be treated with drugs, it may cost INR 5000 up to INR 20000. However, for surgeries and other advance mode of treatment, the total cost may fall between 6 lacs to 15 lacs depending on the hospital and your city.

Are the results of the treatment permanent?

Neuropathy is a very delicate and complex study as it deals with nerves and so are the problems and treatments related to it. There is always a chance of neuropathic pain becoming chronic. So the results are not permanent in many cases. Proper diagnosis and treatment of the cause of origin may have permanent result.

What are the alternatives to the treatment?

Treating neuropathic pain is an ancient thing so there are lots of natural remedies and alternative for treating neuropathic pain. Turmeric is very much effective in treating nerve pain. Green juices which include vegetable such as cucumber, parsley, spinach, and broccoli heal nerve pain. Ginger and some wild herbs such as wild lettuce and vervain are also used in some parts. Other important natural intake should include water, Vitamin B6 and B12, anti oxidants and anti inflammatory rich foods. Apart from these natural remedies, acupuncture and yoga has proven to be very effective against neuropathic pain.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: High Time For Recovery: Medium Price Range: Rs 5000 to Rs 20000

Popular Health Tips

Neuropathy And Its Types

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Neuropathy And Its Types

Heath tip - Neuropathy

Neuropathy is a condition where high levels of glucose in the blood can lead to nerve damage and poor circulation. When circulation gets affected blood doesn't move around the body as well as it should. Cuts and grazes will not heal easily and the person may experience pain and and cramps in the legs. And it might develop as atherosclerosis an inflammatory disease that causes thickening of the blood vessels neuropathy is of three types they are


A. Sensory neuropathy which affects the nerves carrying information around the body from the bones skin and muscles to the brain.


B. Motor neuropathy which damages the nerves that send information about movement


C. Autonomic neuropathy which affects functions that happen automatically such as sweating and can lead to dry skin by way of reduced moisture

2 people found this helpful

Peripheral Neuropathy - How To Avoid It?

D.N.B Neurosurgery
Neurosurgeon, Ahmedabad
Peripheral Neuropathy - How To Avoid It?

The sensation of pain and numbness are quite common in patients suffering from high blood sugar. If you are suffering from nerve damage from high blood sugar, chances are you have diabetic peripheral neuropathy. The discomfort can affect your mood and overall quality of life. But with some easy to follow steps can help you keep peripheral neuropathy under control.

  1. Keep your blood sugar levels under control: Your first task is to manage your blood sugar levels under control and with the passage of time it will damage the peripheral nerves and pave the way for diabetic neuropathy. If you can keep your blood sugar levels within a healthy range, you will be able to reduce the risk of nerve damage by about 60 percent. You should talk to your doctor first since a rapid drop in the blood sugar levels can prove to be even worse.
  2. Get the right level of Vitamin D: Your skin functions by producing Vitamin D in response to sunlight and it is immensely helpful in shielding against nerve pain. It has been found people who have lower levels of this nutrient are more likely to suffer from more pain. In case it is hard to get the recommended daily intake from food only, you will have to take supplement pills.
  3. Keep away from smoking: We all know that smoking causes the blood vessels to constrict which hampers circulation. If you don’t quit smoking, your peripheral nerves may not be able to nutrient-rich blood which would make pain worse.
  4. Take a warm bath: Warm water is not just relaxing, it can also improve circulation all through the body. It can provide instant relief. But it is worthy of mention here that since diabetic neuropathy leads to loss of sensation, you should ensure that the water isn’t too hot before you jump in.
  5. Seek resort to over the counter medications: There is a host of painkillers available for easing mild to moderate ache stemming from diabetic neuropathy. These include ibuprofen, aspirin, naproxen and acetaminophen. But before taking any of these pills, you should consult with an expert who can choose the right medicine for you.
  6. Get up and move: Exercise can combat pain in a variety of ways. It helps in keeping blood sugar levels under control which, in turn, can hinder nerve damage. Workout increases blood flow to the extremities while also uplifting your mood. It will help you get rid of stress so that you can better deal with the symptoms of peripheral neuropathy. In a study conducted by the University of Kansas, it was found that people who exercise regularly didn’t face any trouble in doing daily activities.
  7. Consider carpal tunnel surgeryWhen the patient is suffering from localized peripheral nerve compression that affects the hands, carpal tunnel surgery can be considered as a last resort to achieve pain relief, reduced incidence of ulceration, increased range of movement and balance, preservation of limbs and improved quality of life.

With these few tips, you will be able to manage the peripheral neuropathy better.

2371 people found this helpful

Danger Signs in Diabetic Neuropathy

MCh - Plastic & Reconstructive Surgery
Cosmetic/Plastic Surgeon, Bangalore
Danger Signs in Diabetic Neuropathy

Global statistics state that 60% of the diabetics are known to have foot neuropathy and almost 1 in 5 diabetic foot ulcers end in amputation. This is a known fact. But what is unknown is that the acting earliest and taking a podiatrist advice on the appearance of the danger signs, reduce this likelihood of amputation by 85%. In a normal lifetime the feet support a human being for over a hundred thousand steps, which is roughly equal to 4 times around the world. So it’s time you show how much you support your feet

Danger signs

  1. Pins and needles sensation, leg cramps, numbness over the bottom of feet or the feeling as if feet is on fire.
  2. Pain or difficulty in walking, swelling in the feet.
  3. Excessive smelly feet.
  4. Red spots, bruising, colour change.
  5. Cuts, sores, blisters.
  6. Ulcer, pus, discharge.
  7. Corns, calluses, hard skin.
  8. Ingrown toe nails or the Infected ones with thick/ brittle/ yellowish discoloration.
  9. Change in the structure of the toes, foot or sole.

    Any of these danger sign necessitates your urgent consult with a podiatrist. Never hesitate to consult for the silliest of the reason. It is your foot and you have to act. Taking care of these simple things will definitely keep your feet far from the worse. 

2 people found this helpful

Role Of Physiotherapy In Peripheral Neuropathy!

Master of Physiotherapy (MPT-Neuro), Bachelor of physiotherapy(BPT)
Physiotherapist, Ahmedabad
Role Of Physiotherapy In Peripheral Neuropathy!

Peripheral neuropathy (PN) is damage to or disease affecting nerves, which may impair sensation, movement, gland or organ function, and affects other aspects of health, depending on the type of nerve affected. The treatment by a physical therapist helps in reducing symptoms and improves an individual’s quality of life. As the cause, type, and symptoms of peripheral neuropathy can vary, the approach to care also varies. Physical therapy is helpful in maintaining strength, mobility, and function. 

Strengthening exercises for peripheral neuropathy moderately improve muscle strength. Exercising can help, when done regularly. They further reduce the neuropathic pain and also helps in controlling the blood sugar levels.

Objectives of physiotherapy include:

  • Maintaining and improving functions via a range of motion through stretching.

  • Strengthening muscles which include exercising against increasing resistance, use of weights and isometric exercise.

  • Balance training helps in providing stability and prevents falls.

  • Braces or splints can be used to enhance balance and posture.

  • Splinting is used in the treatment of compression mononeuropathies, such as carpal tunnel syndrome.

Following recommendations and care are provided by physiotherapist:

  • Moderate intensity exercise- It helps to improve strength and physical function.

  • Never gliding activities- Includes exercises shown by a physiotherapist who will help you move and glide your nerves.

  • Balance and coordination activities - Your physiotherapist works on strategies to improve your balance and coordination. Improving balance and coordination helps to decrease your risk of falling and injuries that arise due to it. Balance exercises are a crucial part of the recovery of peripheral neuropathy. Balance training is important in overcoming the feeling of stiffness and unsteadiness, especially among elderly people.

  • Education – Your physiotherapist educates you on how to safely manage peripheral neuropathy. It mainly focuses on improving your safety, preventing further complications, and finding alternative ways to perform certain tasks.

  • Kinetic therapy in peripheral nerve injuries- It should not be started until the late stage of nerve regeneration when progressive strength return can be seen. After an injury to the nerve, physiotherapeutic methods are used to eliminate paresis and to restore normal function of muscles as well as to improve circulation.

  • Electrostimulation – It plays an important role in the treatment of various neuromuscular dysfunctions.

  • Magnetotherapy- It is used where a pulsed low-frequency magnetic field is applied. It has well-known effects on enhancing enzymatic activity, oxy-reductive processes and proper blood circulation resulting in better oxidation and conduction characteristics of regenerating peripheral nerves. It enhances the regeneration of nerve fibers.

  • Bio-laser stimulation- where low energy biostimulation lasers are used in palatial, continuous manner. Laser radiation can also be used to rejoin the nerve stumps.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5225 people found this helpful

Peripheral Neuropathy - 6 Things You Should Know!

MBBS, Diploma in Anesthesia, FIPM, Clinical Fellowship Training in Chronic Pain Management
Pain Management Specialist, Mumbai
Peripheral Neuropathy - 6 Things You Should Know!

Leading a life with peripheral neuropathy is quite similar to riding a roller coaster. Managing the pain can be frustrating at one time and overwhelming on the other as patients can experience alternating symptoms with debilitating pain. So you should learn about the various treatment options as they can help you go a long way in managing the pain.

The peripheral nerves are considered the longest in the body which extend from the hands to feet. When these nerves are damaged, you may feel some sort of pain, tingling in the hands and feet and even numbness, and these symptoms can even get worse and you may experience stabbing pain with increasing weakness.

There are many things that you should know about peripheral neuropathy as they would help you to manage the condition much more effectively.

  1. Diabetes is the leading cause of neuropathy: More than 70% of diabetics develop symptoms of peripheral neuropathy. So you should keep your blood sugar within optimum levels as a means of reversing diabetic neuropathy.
  2. A melange of causes behind neuropathy: Though diabetes is the number 1 cause of peripheral neuropathy, other causes include deficiency of vitamin B12, alcoholism, traumatic injury, chemotherapy and exposure to toxic substances. Physicians may find it difficult to pin-point the cause and when this happens. This is often termed as ‘idiopathic neuropathy’.
  3. Medications causing neuropathy: If you are suffering from diabetes and being treated with the drug named metformin, you may develop peripheral neuropathy.
  4. Preventing neuropathy is the most recommended way: While it is the fact that some nerves may potentially get damaged from certain surgeries or injury, peripheral neuropathy can be potentially prevented or sometimes stopped from spreading. As diabetes is a major cause of diabetes, being watchful about your diet and exercising regularly can help you go a long way to prevent diabetes as well as neuropathy.
  5. Pain is not simply confined to a tingling sensation: Though pain and a tingling sensation is the commonest and easiest way of recognising the symptoms of peripheral neuropathy, each of your sensory, motor and autonomic nerves can show different set of symptoms that you should be watchful of.
  6. A diet may make the symptoms even worse: You can either help or hurt your nerves with your choice of foods. For improving symptoms, you should avoid food with excessive sugar, refined grains and artificial sweeteners as they may strain your nerves and irritate them further.

Whether you are recently diagnosed with peripheral neuropathy or living with it for many years, understanding a few conditions would help you make informed decisions about your well-being. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

2572 people found this helpful

Popular Questions & Answers

Whether dubinor and nervite plus has the same composition? Can a patient with one kidney take nervite plus?

General Physician, Mumbai
Medication needs to be prescribed after clinical examination and vitamin tablet can be taken with prescription

I am taking d venizep 100 and pregabin m od 100 from 4 days since then I feel heaviness in my head and tiredness sleepy. What are the reason sir and how can it be cured. Is it side effect? If then how can I get rid from this?

B.H.M.S, M.D in Homoeopathy
Homeopath, Anand
Some times recent stress, overburden, some occasion, late night watching, fast may put you in a condition where you have to take rest. If you will take rest drowsiness will be cured. Take more food specially refreshing fruits, soups, juices. You may be having electrolyte imbalance so take care of it by rehydrating your body by water juices and lite food. So hyponatremia or any other electrolyte imbalance can be corrected.
2 people found this helpful

i have neuropathy problem i. feel heavy sensation in my foot. feel some thick thing stuck beneath my feet. Walking trouble but bearable. Please refer me some ayurvedic allopathy. Or homeopathy oil for massage. Thanks.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Get treated with Ultrasonic therapy which would directly heal the calcaneal spur (inflammation of the calcaneum bone) which causes the heel pain in majority of the cases. Along with ultrasonic therapy, shortwave diathermy also can be given. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the weight evenly in the feet so that the weight will be completely felt in the heel area. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the Plantar Fascitis weight evenly in the feet so that the weight will be completely felt in the heel area. You shall do contrast bath to relieve this pain. Contrast bath is nothing but keeping in one tub hot water (bearable heat) and in another tub cold water.
1 person found this helpful

I am suffering from peripheral Neuropathy. Kindly suggest some devices to get rid of it.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Get treated with Ultrasonic therapy which would directly heal the calcaneal spur (inflammation of the calcaneum bone) which causes the heel pain in majority of the cases. Along with ultrasonic therapy, shortwave diathermy also can be given. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the weight evenly in the feet so that the weight will be completely felt in the heel area. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the Plantar Fascitis weight evenly in the feet so that the weight will be completely felt in the heel area. You shall do contrast bath to relieve this pain. Contrast bath is nothing but keeping in one tub hot water (bearable heat) and in another tub cold water Ask your father to apply ice in the painful area which would definitely help to greater extent. If still the pain persists then it is better to keep TENS stimulation at one of the nearby physiotherapy clinics.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Diabetic Neuropathic Foot Ulcers
Mai Dr Suhas Shah,

Ashwini Accident Hospital Mumbai se bol raha hoon. Main Orthopaedic surgeon hoon. I am Russian surgery specialist, my speciality is cosmetic limb lengthening but recently I have started a new surgery for diabetic foot and diabetic neuropathy, the name of the surgery is Ilizarov angioplasty with that we can save the leg from amputation in patients of diabetic foot and a gangrene and non healing also. The results of this surgery are miraculous and within 6 hours, in diabetic neuropathic patients recover their sensation back. With this surgery the 300 blood cent, blood supply of the leg increases. We solve the problem of diabetic foot, non healing ulcer and diabetic foot with gangrene it awards amputation and many patients of mine who was advocated amputation of the diabetic foot required this surgery and they save their leg and this is the miraculous surgery for diabetic foot and diabetic neuropathy. I am expert in cosmetic limb lengthening , I get international patients to increase their height by 3 and a half inches to 7 inches and any person can increase his height by 3 and a half inches to 7 inches with the cosmetics lengthening surgery. It is a Russian surgery, Ilizarov method surgery and you can increase the height of any normal individual at any age by 3 and a half inch.

Any patient who is suffering from diabetic foot should contact me through and take appointment through
Play video
Post Surgical Pain Management

So in this video I will be speaking about post-surgical pain management. Welcome to another set of educational video. So what is post-surgical pain? It is any kind of pain happens after surgery. Usually it is limited to few hours after surgery or may be a few days. But problem occurs when it continues for more than 2 months when it is known as chronic post-surgical pain or CPSP. So now what to do with this pain? Don t worry because we international spinal pain are here to help you. So what we actually do is we take care of the patients who are suffering from chronic post-surgical pain. So how common is this chronic post-surgical pain? It is very common. In around the one study found that in around 20-30% of the patients this pain persist beyond 2 months. Yes in such a large number of patients they have this kind of pain. So what is the possible cause? There are many possible causes many theories and there are some which can be minimize some which cannot be minimize e.g. no matter what you do in patients who have undergone thoracotomy i.e. their thoracic cage or their chest has been cut the incidence is very high it is as high as 40-50%. Then almost every 5 patients out of 10 will have this kind of pain. So what can we do to manage this kind of pain and what can we do to prevent this kind of pain? Apparently there are many things which we can do and to manage these kind of pain you have to consult if it occurs you need to consult spinal pain specialist who can help you with this kind of pain. To prevent it you need to talk to your anesthesiologist and your surgeon. So that they can help you and take the best precautions so that they can prevent this kind of pain. So now what happens if you already develop this kind of pain? So when you go to spinal pain specialist so what he does actually is examine the possible cause of this kind of pain. Obviously you have already gone to your surgeon and there is no surgical cause which can be found which is a very definition of this pain because it is non-surgical cause related pain. So the pain is still persisted but the disease has healed the wounds have healed but the patient is still having pain or you still have having pain. So in these cases often there is something which is known as neuropathic pain which has sat in that means your body is everything is perfectly fine but the nervous system either the nerves which carries pain sensations or the brain which perceives this brain sensation has a problem. So now what to do with this type of problem? First we need to identify what is the possible problem and then we need to treat this cause. If the nerves are the causative factor then there are various techniques like radio frequency modulation, stimulation or the dorsal root ganglion stimulation. We can use various techniques to help you and to help these nerves carry proper sensations. Okay! Or the second possible cause is if your brain is responsible in that case we have many drugs which are available which act on the brain and reduce or eliminate these kind of sensations. So if you have undergone any type of surgery and 2 months have passed and your doctor says that you still have pain but there is no disease you have cure out of your disease and you are feeling that you are still have pain so don t ignore it and don t get distress don t get you can say depress. Just visit spinal pain specialist or and evasion pain physician and I m sure your pain will be sorted.

Thank you for watching this video and you can also visit my Lybrate website on Thank you!
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Shoulder Pain
What Can We Expect from Nonoperative Treatment for Shoulder?
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Knee Pain
Can Cartilage Regeneration Prevent Knee Replacement?
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Pain Management
Why is pain management so important?
Having issues? Consult a doctor for medical advice