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 What is neuropathic pain?

Neuropathic pain is a complex pain syndrome that occurs in pain transmission systems of the nerves and does not go through pain relievers. Disorder in the pain system can be caused by the brain, spinal cord or nerves in the arms and legs. It is very difficult to explain why. Approximately 1% of the total population is seen.

What is the difference of neuropathic pain from normal pain?

Normal pain is the result of damage to body tissues, secretion of a number of substances, and an alarm system that develops by stimulating the pain nerves of these secreted substances. In normal pain, first, the tissue becomes damaged, and then the damage is transmitted to the brain as pain. Neuropathic pain is a condition in which the nervous system is directly affected by itself. It is controversial to be considered as a disease on its own.

How and why does neuropathic pain occur?

Neuropathic pain can be described as an unpleasant sensation that is memorized through some mechanism in the brain, which is caused by the long-lasting and constant damage of the nervous system. The most important of the mechanisms of formation is the presence of pain in the brain, known as 'memory of pain in the brain'. In addition, it can also be described as abnormal and strange responses that the nerves in the spinal cord and nerves give rise to the consequences of this chronic nervous breakdown sensitization.

What are the signs of good neuropathic pain?

The most common symptoms are pain, burning, numbness, tingling, fever, chills, frostbite, impaired skin sensation, excessive pain to the touch.

What are the causes of neuropathic pain?

Nerve lesions include nerve impingement in the hands and feet, neuralgia, nerve inflammations, rheumatic diseases, diabetes, genetic nerve diseases, vitamin B deficiency, AIDS neuropathy, poisoning, waist neck hernias or nerve root injuries due to canal narrowing, spinal cord diseases and brain Neuropathic pain syndrome due to diseases can develop.

Does fibromyalgia fall into the class of neuropathic pain? Is every chronic pain a neuropathic pain?

Fibromyalgia syndrome is a chronic musculoskeletal system characterized by widespread body pain and the presence of tender points in some anatomical regions, the reason being unknown. The majority of patients have sleep deprivation, fatigue, stiffness, and numbness. Fibromyalgia is often referred to as a muscle rheumatism or muscle disorder by most practitioners, but it is not primarily a muscle disorder. It is considered to be one of the brain susceptibility syndromes because it is seen frequently with problems such as restless bowel syndrome. Fibromyalgia seems to be closer to neuropathic pain class because of these features.

Neuropathic pain treatment

The most commonly used method in the treatment of neuropathic pain is drug treatment. Finding appropriate medication is not always easy. Unfortunately, many patients need to find the right medicine by trial and error. In drug treatment, epilepsy drugs, depression drugs, drugs and anesthetic drugs and vitamins and minerals are frequently used.

Other treatment modalities include physical therapies, interventional pain treatment modalities, nerve blocks, relaxation techniques, and meditation.

Diabetic neuropathic pain

Diabetes is the leading cause of neuropathic pain. In diabetic patients, neuropathic pain can develop due to many other causes, especially diseases such as polyneuropathy, fine fiber neuropathy, carpal tunnel syndrome. One of the most important causes of this is the deterioration of the nervous vessels due to diabetes and the deterioration of the structure of the small nerves resulting in constriction.

The most important underlying cause of symptoms such as burning, numbing, numbness in hands and feet that can be seen in patients with diabetes is neuropathic pain due to nerve damage. Diagnosis is made by EMG nerve test. In the treatment, hand foot care, sugar correction and neuropathic pain medications are used.

In summary, neuropathic pain is not a single disease, but a chronic pain syndrome, which is often caused by a disease that causes nerve damage. There are multiple causes and there are many methods of medicine and physical treatment.

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