Causes And Other Characteristics Of Neuropathic Lower Back Pain
Neuropathic pain may be caused by nerve damage due to inflammation, metabolic conditions , infections , trauma, toxins, and tumors.1
While neuropathic pain can go away on its own, it often becomes chronic. It is frequently the result of an injury or trauma that compresses or impinges on a nerve, damaging it beyond repair. For example, a herniated disc may push against a nerve root, which can send neuropathic pain signals to the brain. Over time, the herniated disc may stop compressing the nerve, but the nerve tissue can become damaged and continue to send faulty pain signals to the brain.
What Is The Effect Of Electric Shock On Human Body
When nerves are damaged by an electric shock, the symptoms include pain, tingling, numbness, weakness, or difficulty moving a limb these symptoms may fade over time or become permanent. Electric injury can also affect the central nervous system.
How Neuropathic Pain May Occur In The Lower Back
Neuropathic pain may originate through one or more of the following mechanisms:
- Local neuropathic pain. When nerve tissue grows into a degenerated intervertebral disc, localized nerve pain or discogenic pain may occur.2,3
- Mechanical neuropathic pain. When a nerve root is compressed as it exits the spine , nerve pain may occur along the distribution of the nerve.2
- Inflammatory neuropathic pain. When the nerve roots are irritated due to chemical substances that leak out of herniated or degenerated discs, the resulting inflammation and damage may cause pain to occur along the distribution of the nerve.2
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What Is Glossopharyngeal Neuralgia
Neuralgia is severe pain caused by injury or damage to a nerve. The glossopharyngeal nerve is the ninth cranial nerve, which arises from the brainstem inside the skull. It supplies sensation to the back of the throat and tongue and portions of the ear .
When the glossopharyngeal nerve becomes irritated, an attack of intense electric shock-like pain is felt in the back of the throat, tongue, tonsil or ear. You may initially experience short, mild attacks, with periods of remission. But neuralgia can progress, causing longer, frequent attacks of searing pain.
Glossopharyngeal pain can be similar to trigeminal neuralgia â and misdiagnosed. Be sure to see a neurosurgeon who specializes in facial pain who can make the distinction.
Repetitive Motions And Wrist Position
Repetitive-motion injury of the wrist, and specific hand positions such as bending, forceful grasping, and overextending, can all contribute to the condition. Performing these motions can worsen the swelling and irritation of the lining around the tendons of the wrist, adding further pressure to your median nerve and narrowing or compressing the tunnel.
Repetitive motions may be the result of:
- Incorrect position of the wrists while using the computer keyboard and/or mouse
- Frequent overextending of the wrist required by your job
- Exposure to hand and power tool vibrations
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What Causes Neuropathic Pain
Neuropathic pain is caused by damage to the somatosensory nervous system the part of the nervous system that feels pain and other sensations such as touch and temperature. The damage can be due to illness or injury, and may affect the brain, spinal cord, or the nerves in the rest of the body .
While doctors are sometimes unable to pinpoint the exact cause of neuropathic pain, there are several known causes, including:
- some types of chemotherapy and
- vitamin B12 or thiamine deficiency.
How To Recognize And Manage Neuropathic Pain
When you feel pain, it is due to certain chemical and electric signals that are exchanged between the site of injury and the brain. These signals are carried through your nerves. Neuropathic pain occurs when there is an injury or damage to a single nerve or group of nerves.1
Neuropathic pain is caused by malfunction, disease, or injury to the central nervous system or peripheral nervous system. ReadAll About Neuropathy And Chronic Back Pain
Neuropathic pain differs from the more commonly understood nociceptive pain.
- Neuropathic pain occurs due to inflammation, irritation, or compression of the neural tissue.
- Nociceptive pain is the bodys response to painful stimuli, such as a pulled back muscle or broken bone, and does not relate to an injury of the nerve itself.2
Here are a few pointers to help you identify neuropathic pain and its common treatment methods.
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How Nerve Damage Happens
Nerve damage can occur after any injury, with the results often being related to the severity of the injury. Minor injuries may cause some nerve damage, but your body tries to heal itself whenever possible. However, more serious injuries can cause severe nerve damage which often requires nerve repairs.
Nerves are made up of fibers, which are also called axons. These fibers are covered with tissues that act as a type of insulation. Sometimes, after an injury, only the fibers are damaged. In the more serious scenarios, both the fibers and tissues are damaged. In some cases, the nerve is completely cut.
This Is What It Really Feels Like To Be Electrocuted
I saw my friend sprinting down the street away from the house with the pocketknife, he says. I looked down at my shirt and saw that my arm was on fire, she says, after quickly ripping off her shirt and noticing her arm was burned.I was looking at my phone with my head down, so I had no way of knowing that my friend had made contact with a cable wire, she said. I ended up with mostly second-degree burns, but third-degree burns on parts of my arm. Despite the fact that it was a hot day, I was wearing Uggs. If I had left the house in my usual summer flip-flops, I would have died.
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The Costs Of Untreated Nerve Pain
Nerve pain can make you feel terribly alone. After all, it’s not an injury that your family or friends can see. You might feel frustrated if they can’t understand what you’re feeling.
But while you might feel alone, you’re not. Experts believe that 40 million Americans are living with nerve pain. The impact of nerve pain is tremendous. Both the costs to the healthcare system as well as loss of wages and productivity are staggering.
Despite the significant price of nerve pain and the millions of people living with it, experts think that it is still underdiagnosed and undertreated. Studies show that even people who do seek out treatment often aren’t getting the right treatment. Too many rely on drugs that are unlikely to help.
So if you have nerve pain — whether it’s caused by diabetes, cancer, HIV, shingles, or another condition — you need to treat it seriously. Don’t assume that it will go away on its own. Don’t assume that following the treatment for the underlying disease will resolve it. Instead, talk to your doctor about treating your nerve pain directly.
What Causes Nerve Pain
Nerve pain can be due to problems in the central nervous system , or in the nerves that run from there to the muscles and organs. It is usually caused by disease or injury.
Common causes include:
- trapped nerves, such as in carpal tunnel syndrome
There are other conditions associated with nerve pain.
Sciatica is pressure on the nerves of the lower back that causes pain down the leg. The pain can be accompanied by pins and needles, numbness or weakness in the leg.
Fibromyalgia is a chronic pain syndrome associated with burning or aching pain in different parts of the body. The cause is not well understood, but it can be triggered by emotional distress and poor sleep. There may be genetic factors, too.
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How Is Arachnoiditis Treated
There is no cure for arachnoiditis. Treatment options for arachnoiditis are similar to those for other chronic pain conditions. Most treatments for arachnoiditis focus on relieving pain and improving symptoms that impair daily activities. Often, healthcare professionals recommend a program of pain management, physiotherapy, exercise and psychotherapy. Surgery for arachnoiditis is controversial because outcomes can be poor and can provide only short-term relief. Clinical trials of steroid injections and electrical stimulation are needed to determine whether those treatments are effective.
What Treatments Are Available
A variety of treatments are available, including medication, surgery, needle procedures, and radiation. First-line treatment is usually medication. When medications fail to control pain or cause intolerable side effects, a neurosurgeon may be consulted to discuss other procedures.
Over-the-counter drugs such as aspirin and ibuprofen are not effective against neuralgia pain.
Anticonvulsants, such as carbamazepine , gabapentin , are used to control pain. If the drug begins to lose effectiveness, the doctor may increase the dose or switch to another type. Side effects may include drowsiness, unsteadiness, nausea, skin rash, and blood disorders. Therefore, patients are monitored with periodic blood tests to ensure that the drug levels remain safe. Multiple drug therapy may be necessary to control pain .
Some people manage the pain trigger by applying a liquid xylocaine to the tonsil area and temporarily numbing it so they can eat and swallow.
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Can Burners Be Prevented Or Avoided
It can be hard to avoid burners, especially if you play contact sports. But there are steps you can take to lower the risk that youll experience one.
- Stretch your neck muscles before any physical activity. Tilt your head up, down, left, and right. Turn your head left and right to look over your shoulders. Hold each stretch for 20 seconds.
- Strengthen the muscles in your neck and shoulders.
- Use proper techniques. These are designed to prevent injuries.
- Wear protective gear, if possible. Some sports could allow extra neck protection.
Ruling Out Other Conditions
An important part of the process of diagnosing trigeminal neuralgia involves ruling out other conditions that can also cause facial pain.
- joint pain in the lower jaw
- giant cell arteritis a condition in which medium and large arteries in the head and neck become inflamed and cause pain in the jaw and temples
- a possible injury to one of the facial nerves
Your medical, personal and family history will also need to be taken into consideration when determining possible causes of your pain.
For example, trigeminal neuralgia is less likely if you are under 40 years old, and multiple sclerosis may be more likely if you have a family history of the condition or if you have some other form of this condition. However, trigeminal neuralgia is very unlikely to be the first symptom of MS.
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Signs Of Electric Shock Sensation
The sensation of electric shocks running through your body is unpleasant, often painful, and, understandably, a source of fear and stress. It can be a sign of numerous conditions, but their causes continue to be poorly understood by science. Continue reading to discover the most common signs of electric shock sensations.
Signs vs. Symptoms
Electric Shock Feeling Is Caused By Scarring Of Post
Individual following chest or thoracic surgery often feels electric shock feeling along the ribs. Such pain is caused by intercostal neuralgia. The surgical incision is in most cases taken between the ribs. The intercostal nerve lies over the inside surface of ribs. In few cases healing of surgical wound causes buildup of thick scar tissue because of keloid formation. In most cases intercostal nerve gets trapped in keloid tissue and gets pinched. Such condition causes severe intercostal pain that most often is felt as shock like chest wall pain.
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How Is Neuropathic Pain Diagnosed
If your doctor suspects you may have neuropathic pain, he or she will ask about your pain and any other sensations you experience, such as pins and needles or numbness. Your doctor will also want to know about any events or illnesses that may have caused it.
Your doctor will perform a physical examination, testing the nerves in the affected area. They may touch the skin in the the affected area with cotton wool, toothpicks or warm or cool objects as part of the examination.
If your symptoms and physical examination suggest you have neuropathic pain your doctor can prescribe specific treatment for this type of pain.
To make a definite diagnosis of neuropathic pain, the underlying cause of the pain needs to be found. Your doctor may recommend tests including:
- blood tests
- nerve conduction studies or
- an MRI scan.
Sometimes a biopsy can help with diagnosis. A skin biopsy or a nerve biopsy may be recommended.
Common Nerves And Muscles Affected
Brachial neuritis symptoms largely depend on which part of the brachial plexus becomes inflamed and damaged. Most commonly, one or more of the following nerves in the upper brachial plexus is affected1:
- Dorsoscapular nerve, which runs through the rhomboid major and minor muscles in the upper back between the spine and the shoulder blades. If this nerve becomes inflamed and damaged, weakness may be experienced with specific shoulder blade movements.
- Suprascapular nerve. Travels through the supraspinatus and infraspinatus muscles from the upper back, crossing the shoulder blade to the top of the arm. Weakness in these muscles can cause problems with shoulder and arm movements, including shoulder abduction .
- Axillary nerve. Goes through the deltoid muscle at the edge of the shoulder and top of the upper arm and is involved in shoulder extension , flexion , and abduction .
- Musculocutaneous nerve. Runs through the bicep and brachialis muscles in the upper arm, which are involved in flexing the elbow and turning the forearm.
It is important to note that these nerve paths and the potential associated symptoms listed are only a general guide. The actual innervation of the brachial plexus is far more complex and variable from person to person.
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How Is A Diagnosis Made
When a person first experiences throat pain, a primary care doctor or dentist is often consulted. If the pain requires further evaluation, a neurologist or a neurosurgeon may be recommended.
The diagnosis of neuralgia is made after carefully assessing the patient’s symptoms. If glossopharyngeal neuralgia is suspected, the doctor will attempt to trigger an episode by touching the back of the throat with a swab. If that causes pain, a topical anesthetic is applied to the back of the throat and the doctor will try the pain stimulus again. If pain is not triggered while the area is numb, glossopharyngeal neuralgia is diagnosed.
Other tests may include an MRI or MRA to look for tumors or a blood vessel compressing the nerve.
Questions To Ask Your Doctor
- How can I tell the difference between a burner and the shooting pain of a heart attack?
- Do burners cause any permanent damage?
- How can I let coaches and school officials know about the risks of burners and what to do about them if someone gets one?
- How long will it take me to recover?
- When can I safely return to my sport?
- Are there any medicines to treat burners? Are there side effects?
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Electric Shock Feeling In Leg: Causes And Solutions
As we age, our bodies become more prone to natural deterioration and degenerative diseases. Some middle-aged women, for example, experience unpleasant electric shocks in the leg, which can be caused by a number of medical conditions.
Learn all about electric surges in legs, including what causes electric shock feelings in the leg as well as the most effective solutions to battle them once and for all!
What Is Arachnoiditis
Arachnoiditis is a pain disorder caused by the inflammation of the arachnoid, one of the membranes that surround and protect the nerves of the spinal cord. Severe stinging, a burning pain, and neurological problems characterize the condition. Inflammation of the arachnoid can lead to the formation of scar tissue and can cause the spinal nerves to stick together and malfunction .
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How Is It Diagnosed
Arachnoiditis can be difficult to diagnose because its symptoms are similar to those of other nerve problems in the back. Knowing that youve recently had spinal surgery, an injury, or an epidural injection can help your doctor focus in on arachnoiditis.
To diagnose this condition, your doctor might do a neurological exam. Theyll check your reflexes and look for any areas of weakness.
To confirm the diagnosis, doctors perform an MRI of the lower back. An MRI uses powerful magnets and radio waves to create detailed pictures of the inside of your body. Contrast dye can help highlight the injury more clearly on the pictures.
Symptoms Of Trigeminal Neuralgia
The main symptom of trigeminal neuralgia is sudden attacks of severe, sharp and shooting facial pain that last from a few seconds to about two minutes.
The pain is often described as an excruciating sensation, similar to an electric shock. The attacks can be so severe that you are unable to do anything during them, and the pain can sometimes bring you to your knees.
Trigeminal neuralgia usually only affects one side of your face. In rare cases it can affect both sides, although not at the same time. The pain can be in the teeth, the lower jaw, upper jaw, cheek and, less commonly, in the forehead or the eye.
You may feel aware of an impending attack of pain, though these usually come unexpectedly.
After the main, severe pain has subsided, you may experience a slight ache or burning feeling. There may also be a constant throbbing, aching or burning sensation between attacks.
You may have episodes of pain lasting regularly for days, weeks or months at a time. It is possible for the pain to then disappear completely and not recur for several months or years . However, in severe cases, attacks may occur hundreds of times a day, and there may be no periods of remission.
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