Mon - Fri: 8:00AM - 5:00PM
Monday – Friday8:00AM - 5:00PM
Saturday Open for MRI
Sunday Closed
Migraine treatment same day as your first appointment.
Visit our Healow Portal
Visit our Healow Portal Call 214-619-1910
CALL 214-619-1910

Neuropathic Pain: Diagnosis and Daily Management

Sandeep Dhanyamraju
Medically reviewed by Chaitanya Bonda
Book appointment
Sandeep Dhanyamraju
Medically reviewed by Chaitanya Bonda

Neuropathic pain is shooting or burning. It can go away on its own but is usually chronic. Sometimes, it is unforgiving and harsh. It may come and go. This is often the result of various factors. The consequence of nerve injury is a change in its function at the injury site and surrounding areas. One example of neuropathic pain is usually called phantom limb syndrome. This rare condition occurs when an arm or leg has been generally removed. This is because of disease or injury. The brain still receives pain messages from the nerves. 

They originally carried impulses from the missing limb. These nerves are now malfunctioning. They are causing pain. It can significantly impact an individual’s quality of life. This condition leads to chronic discomfort and functional impairment. It is crucial to explore effective management strategies. They alleviate symptoms. Also, proper healing improves daily functioning. Let’s explore all particularities together.

Understanding Neuropathic Pain

It is helpful for every person to know what neuropathic pain is. You need to know the meaning of this term. Let’s understand this condition. It is essential to know the clinical presentation of neuropathic pain. Then, you can recognize it in time and take action. This will help quickly relieve pain.

What is Neuropathic Pain?

Neuropathic pain is a complex and often debilitating condition. It arises from damage or dysfunction in the nervous system. Nociceptive pain results from tissue damage or inflammation, while neuropathic pain stems from nerve abnormalities. This can occur for various reasons. They include injury, infection, or conditions like diabetes or multiple sclerosis. The hallmark of such pain is a characteristic burning, stabbing, or shooting sensation. 

Symptoms of Neuropathic Pain


Such pain manifests in various signs. Each presents unique challenges for individuals. 

Burning sensation Persistent feeling of heat in the affected area.
Electric shock-like pain Sudden, sharp, shooting pain reminiscent of an electric shock.
Tingling or pins and needles Sensations of prickling or tingling. They are often accompanied by numbness.
Stabbing or shooting pain Such pains may occur intermittently.
Increased sensitivity Hypersensitivity to touch or temperature changes. It leads to heightened pain responses.

Recognizing these neuropathic pain symptoms is crucial. It helps with accurate diagnosis and appropriate management strategies.  

Diagnosing Neuropathic Pain

The diagnosing process involves a comprehensive assessment. It helps to differentiate it from other pain types. Healthcare professionals utilize a combination of medical history, physical examination, and specialized tests. Accurate diagnosis is essential for developing an effective treatment plan. It is always tailored to the specific needs of individuals experiencing neuropathic pain.

Initial Assessment  

In evaluating such pain, healthcare professionals typically take several actions. Among them are:

  • Conduct a thorough medical history review. It focuses on the onset, duration, and characteristics of the pain.
  • Perform a detailed physical examination to assess sensory function, reflexes, and motor strength.
  • Utilize standardized pain assessment tools to quantify the severity and impact of the pain on daily activities.
  • Evaluate for underlying medical conditions or injuries that could contribute to pain.

These aspects help with frequently diagnosing neuropathic pain.

Diagnostic Tools and Tests  


Diagnostic tools and tests confirm pain and identify its underlying cause. Physicians may employ:

  • Nerve conduction studies: Assess nerve function and identify areas of dysfunction.
  • Electromyography (EMG): Measures muscle response to nerve stimulation, aiding diagnosis.
  • Imaging studies: MRI or CT scans to visualize nerve damage or compression.
  • Quantitative sensory testing: Evaluates neuropathic pain symptoms. They are numbness and tingling.
  • Blood tests: Screen for underlying conditions contributing to neuropathic pain. It is diabetes or vitamin deficiencies.
  • Skin biopsy: Assess nerve fiber density to confirm neuropathy.

The sooner you see a doctor for diagnosis, the quicker the chances of a recovery.

Challenges in Diagnosing Neuropathic Pain

The diagnosis of such pain poses several challenges. This is because of the complex nature of the condition. What neuropathic pain is may not always be immediately apparent. It is leading to delays in diagnosis. Its subjective nature, perception, and variability in symptoms among individuals can complicate assessment. 

Managing Neuropathic Pain Daily

Managing this pain daily requires a multifaceted approach. It is generally aimed at alleviating signs and enhancing quality of life. This involves a combination of pharmacological treatments, physical therapy, and lifestyle modifications. 


Medications are essential in managing neuropathic pain. They target the underlying mechanisms of nerve dysfunction. Commonly prescribed ones include:

  • anticonvulsants (gabapentin and pregabalin) for modulating nerve activity;
  • tricyclic antidepressants (amitriptyline) alter pain perception;
  • certain opioids;
  • topical agents (lidocaine patches);
  • newer drugs – serotonin-norepinephrine reuptake inhibitors (SNRIs).

These medications may be generally considered based on individual response and tolerance. 

Therapies and Procedures  

They encompass a range of interventions tailored to individual needs. Pharmacological options include antidepressants, anticonvulsants, and topical agents targeting neuropathic pain symptoms. Physical therapy, acupuncture, and transcutaneous electrical nerve stimulation (TENS) can provide relief. Nerve blocks or spinal cord stimulation may be generally considered for refractory cases. Mindfulness meditation or yoga can also supplement conventional treatments to enhance pain management.

Lifestyle Adjustments  

They are crucial in enhancing overall well-being. Some critical adjustments include:

  • Regular exercise routines are generally tailored to individual abilities. It helps to promote physical health. Also, such exercises reduce pain perception.
  • Maintaining a balanced diet rich in anti-inflammatory foods and vitamins. It supports nerve health.
  • Limiting alcohol and caffeine intake can exacerbate neuropathic pain.

It is pivotal to implement these adjustments into your everyday routine.

Innovative Treatment Strategies


Innovative treatment strategies offer promising avenues for managing pain. This condition is always characterized by damage or dysfunction in the nervous system. But what neuropathic pain is generally necessitated by novel approaches beyond traditional analgesics? It is from spinal cord stimulation to emerging therapies. 

Recent Advances in Treatment  

The latest achievements in treating pain offer diverse options for patients. Among them are:

  • Gene therapy: Targeting specific genes in pain pathways. It modulates nerve function.
  • Stem cell transplantation: They repair damaged nerves and restore function.
  • Neurostimulation: Utilizing spinal cord or peripheral nerve stimulation. It disrupts pain signals.
  • Immunotherapy: Harnessing the immune system. It helps to reduce inflammation and alleviate pain.
  • Pharmacogenetics: Tailoring medication regimens based on individual genetic profiles. They help to optimize efficacy and minimize side effects.

If you follow these advances, you can see results within a few days. Neuropathic pain will become less pronounced.

Alternative Therapies

These therapies offer additional options for managing pain. They complement traditional treatments. Some practical approaches include:

  • Acupuncture: Stimulates specific points on the body. It alleviates pain and promotes healing.
  • Massage therapy: Relieves muscle tension and improves circulation. It reduces pain and discomfort.
  • Herbal remedies: Capsaicin or St. John’s wort may have analgesic properties.
  • Mind-body techniques: Mindfulness meditation or tai chi can help manage pain perception. They enhance overall well-being.
  • Biofeedback: Teaches individuals to control physiological responses. They reduce pain intensity.

Alternative therapies can be effective in managing neuropathic pain symptoms when used in conjunction with traditional treatments.

Coping Mechanisms

Effective coping mechanisms help to enhance resilience and maintain quality of life. It is from psychological strategies to lifestyle adjustments. Individuals can develop a toolkit to manage pain. Also, they may mitigate its impact on daily activities. 

Mental and Emotional Health 

There are several strategies individuals can employ. Among them are:

  • Seek support from friends, family, or support groups. It’ll help to alleviate isolation and foster a sense of belonging.
  • Practice relaxation techniques. It is deep breathing or progressive muscle relaxation to reduce stress and anxiety.
  • Engage in enjoyable activities and hobbies. They’ll distract from pain and promote feelings of well-being.
  • Consider therapy or counseling. They address any emotional challenges and develop coping skills.
  • Prioritize self-care activities. They include adequate sleep, nutrition, and regular exercise. It’ll help to support overall mental and emotional well-being.

Maintaining mental and emotional health is paramount when coping with neuropathic pain symptoms.

Daily Living Tips  

Incorporating these practical tips can help individuals better manage pain. Consider implementing the following strategies:

  • Maintain a consistent daily routine. It’ll promote stability and reduce stress.
  • Use assistive devices or adaptive tools to minimize strain on affected areas.
  • Practice good posture to alleviate pressure on nerves. It also prevents the worsening of signs.
  • Break tasks into smaller, manageable segments. They avoid overexertion and fatigue.
  • Prioritize self-care activities. They include relaxation techniques and hobbies that bring joy and distraction.

It is essential to follow these rules on an ongoing basis to get rid of neuropathic pain.

1 Star2 Stars3 Stars4 Stars5 Stars (No Ratings Yet)
Be the first to write a review
Lone Star Neurology
Based on 905 reviews
powered by Google
Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
More reviews

Please, leave your review


Write a comment:

Book appointment