Thursday, November 18, 2021

What Kind Of Doctor Do You See For Nerve Pain

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Pinched Nerve Causes And Symptoms

Back Pain? Sciatica? When Do You Need To See A Doctor Immediately!

A pinched nerve can happen to anyone, but certain people have a higher risk than others. Someone whose job involves repetitive motions may be more likely to experience a pinched nerve. Or a pinched nerve may occur after a long period of sitting or sleeping in an uncomfortable position. Pregnant women can also experience pinched nerves due to the extra weight.

If you do have a pinched nerve, symptoms may include:

  • Tingling or a pins and needles sensation
  • A sharp aching or burning pain that may radiate outward
  • Numbness or decreased feeling in the affected area

When Should I See A Nerve Doctor Specialist

You should make an appointment to see a nerve doctor specialist if you have any type of ongoing pain that stems from a nerve condition. Even if you do not know what is causing the pain, a specialist can help you to diagnose and understand it. After the cause of your nerve condition has been determined, they can provide you with appropriate treatment, and ongoing support afterwards where necessary.

At Pain Treatment Specialists, our belief is that pain stemming from nerve conditions should not necessarily be managed by constantly taking prescribed narcotics. This method of treatment does not fix the root cause of the pain and it can cause other health concerns of its own, such as an opiate addiction. We also believe that surgery is not always the best option to treat nerve issues, and there are many non-invasive procedures that can be attempted first that achieve the same result. We focus on understanding what is causing your ongoing pain, and then providing alternative treatments to ensure that you can return back to your normal life free of health concerns as soon as possible.

Should You See A Neurologist For Back Pain And Neck Pain

People manage chronic back and neck pain in different ways. Some try stretching or alternating heat and cold at the source of the discomfort. Others turn to over-the-counter pain medicine and a stoic demeanor. Acute pain often goes away without medical treatment, but dont ignore chronic and persistent pain that lasts for weeks, months, or years. Weakness, numbness, tingling or pain radiating into an arm or leg are important symptoms that need evaluation by a physician. Talk to your doctor to determine the cause of the problem. Your primary care physician may refer you to a specialist, such as a neurologist, to help determine the cause of your back pain.

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When Should I See A Doctor For Back Pain

When your back first starts to hurt, try taking an over-the-counter pain reliever and applying ice in the first 48 hours. You may apply heat after 48 hours. You may need to take it easy for a while, but its best to stay as active as tolerated, and to avoid absolute bed rest, said Dr. Guo.

If your back pain lasts more than two weeks and keeps you from participating in normal, daily activities, see your family doctor. If your pain is severe, you should see a doctor sooner. You should seek urgent medical care if you have:

  • Fever associated with back pain
  • Back pain after trauma
  • Loss of bladder or bowel control
  • Loss of strength in your arms and legs
  • Unexplained weight loss associated with back pain

Also, always be more cautious if you have special risk factors for cancer, infection, or fractures that may affect the spine.

How Is Sciatica Affecting Your Quality Of Life

Sciatic Nerve Pain Explained

Sciatica pain may extend all the way from the lower back, through the back of your thigh, to your foot. The pain can come and go, sometimes lingering for days and even weeks. This may cause anything from mild discomfort to making the simplest tasks intolerable. Sitting could be painful with sciatica and driving even more so. Not to mention playing sports and being active.

As you contemplate surgery for sciatica, consider how much the pain affects your quality of life. If your work, hobbies, social life or relationships suffer from your being in constant pain, it may be time to think about surgery.

Although sciatica starts as nerve inflammation, it may eventually progress to nerve damage. If the sciatic nerve is damaged, it could result in numbness, tingling and, in more severe cases, weakness in the knees or legs. The longer it is left untreated, the longer it will take for numbness and weakness to go away, and they may become permanent.

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For Pain Caused By Nerve Damage See A Neurosurgeon

If youre bothered by chronic pain in your arms or legs, youve probably thought a lot about how to get rid of that pain. You might have wondered what caused it. But you may not have considered that the cause of your pain may offer clues about the best way to relieve your pain.

For example, if your pain is caused by a tight or pulled muscle, or osteoarthritis, your primary care physician or an orthopedic specialist, such as an orthopedic spine surgeon, may well be able to treat and resolve your pain.

However, if your pain is caused by a pinched or damaged nerve, your best bet for relief may be a neurosurgeon. At Neurosurgery One, we are experienced not only at diagnosing the source of your pain, but treating and relieving pain caused by damage to the nerves.

Nerve pain

Like bundles of electric wires, nerves transmit signals, including pain signals, to the brain. Irritation, such as with a pinched nerve, can disrupt the way those signals are transmitted, and the result can be ongoing and even intense pain.

Pinched nerves can be caused by:

  • Repetitive motion
  • Inflammation or pressure on a nerve root
  • Pinched nerves can cause pain in the neck or lower back, and pain that radiates from the neck into the shoulder and arm.

Nerve pain has several characteristics that differentiate it from other types of pain. Those include:

  • Burning
  • Radiation down arms and hands or legs and feet

Differences between neurosurgeons and orthopedic surgeons

Neurosurgeons

  • Brain
  • Total joint replacement

Should You See A Neurologist For Back And Neck Pain

People often think of a chiropractic doctor for chronic pain, but neurologists also diagnose and treat back pain and neck pain. Neurologists specialize in conditions and diseases that affect the brain, the spinal cord, and the nervous system; this often includes chronic pain in the back and neck.

Talk to your primary care provider if you experience chronic back pain or neck pain. Your doctor can help you determine if you should see a specialist, such as a neurologist, for your symptoms. Some health insurance plans require a referral from your primary care physician. Contact Fayetteville Diagnostic Clinic to schedule an appointment with our board-certified neurologists in Northwest Arkansas.

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What Is The Outlook For People With Neuropathic Pain

Neuropathic pain is difficult to treat completely but is usually not life-threatening. Youll get the best results from combining rehabilitation with support for your emotional, social and mental wellbeing. You will be able to manage your pain to a level that improves your quality of life with the help of a pain specialist in using some or most of the methods mentioned above.

Last reviewed by a Cleveland Clinic medical professional on 12/07/2020.

References

What Causes Peripheral Neuropathy

What Doctor do You See For a Pinched Nerve? Chiropractor Hickory, NC

There are a number of risk factors for developing peripheral neuropathy, but the most well-established is diabetes mellitus, also known as Type 2 diabetes. Peripheral neuropathy can be caused by numerous other diseases or disorders, too, including hereditary disorders, autoimmune diseases, protein abnormalities, toxic chemical exposure, kidney failure, alcoholism, and poor nutrition. Medications that treat cancer, including chemotherapy, may also be to blame for peripheral neuropathy. Some people have no known cause for their peripheral neuropathy, which is called idiopathic neuropathy.

The following can induce peripheral neuropathy:

  • Diabetes: Diabetes, particularly Type 2 diabetes, is a pandemic affecting hundreds of millions of people worldwide. This disease can seriously impact quality of life due to the complications that may result. Diabetic neuropathy is caused by chronically high blood sugar levels, and it is the most common complication in diabetics. In fact, it is so common in diabetics that at leasthalf of all diabetics eventually develop peripheral neuropathy, according to research conducted by the National Institutes of Health. Other independent research estimates that as many as 70% of diabetics will develop diabetic neuropathy.

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What Type Of Treatments Can A Nerve Doctor Specialist Provide

There are many different types of pain that can be caused by issues with nerves, and therefore a range of treatments have been developed in order to deal with all of these. A lot of these treatments do not require invasive surgery, and are considered better alternatives to pain relief than options such as oral medication. The majority of these treatments focus not only on reducing the pain that is felt by a nerve condition, but also fixing the nerve issue itself where possible.

Does Neurologist Deal With Back Pain

People often think of a chiropractic doctor for chronic pain, but neurologists also diagnose and treat back pain and neck pain. Neurologists specialize in conditions and diseases that affect the brain, the spinal cord, and the nervous system; this often includes chronic pain in the back and neck.

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What Should I Avoid Doing If I Have Sciatica

Avoid putting added pressure onto your lumbar spine and sciatic nerve as much as possible. Activities such as sitting with bad posture, heavy lifting, difficult or strenuous exercise, and sitting or laying down for prolonged periods can aggravate your body.

Be sure not to rest too much when you have sciatica, as your back can weaken and worsen your pain. With this in mind, dont ignore your pain signals or fight through them. Taking a few minutes to sit down and let your pain pass is perfectly okay.

Causes Of A Pinched Nerve

Home Remedies for Sciatic Nerve Pain

There are many examples of how a pinched nerve can occur and also lead to other conditions that affect the nervous system and the musculoskeletal system, from more mild causes such as chronic poor posture to nerve damage from a car accident injury. A nerve can be compressed by nearby bone, muscle, joint, or other soft tissues.

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Why You Should Avoid Back Surgery

One of the primary reasons why back surgery should be avoided is the risk. All surgeries carry the risk of infection, excessive bleeding, and nerve injury. Not to mention many people dont like being put under general anesthesia or that they may have to use potentially addictive pills to manage the pain after surgery.29 2020 .

How Is Neuropathic Pain Treated

The goals of treatment are to:

  • Treat the underlying disease .
  • Provide pain relief.
  • Maintain functionality.
  • Improve quality of life.

Multimodal therapy is usually required to treat neuropathic pain.

Medicines commonly prescribed for neuropathic pain include anti-seizure drugs such as:

  • Gabapentin .

Doctors also prescribe antidepressants such as

  • Amitriptyline .
  • Venlafaxine .
  • Duloxetine .

Getting a prescription from your pain specialist for anti-seizure drugs or antidepressants does not mean you have seizures or are depressed. However, its true that chronic pain can be made worse by anxiety or depression.

Topical treatments like lidocaine or capsaicinpatches, creams or ointmentscan be used on the painful area. Opioid analgesics are less effective in treating neuropathic pain, and negative effects may prevent their long-term use.

The pain can also be treated with nerve blocks given by pain specialists, including injections of steroids, local anesthetics, or other medicines into the affected nerves.

Neuropathic pain that has not responded to the therapies mentioned above can be treated with spinal cord stimulation, peripheral nerve stimulation and brain stimulation.

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Who To See For Sciatica

Family doctors and general practitioners can diagnose and treat simple cases of sciatica. Chiropractors and physical therapists also treat people with sciatica.

A , or physician who specializes in the nervous system, is the best person to manage severe sciatica. Your primary doctor may refer you to a specialist in such cases.

Approximately 40% of people will experience sciatica in their lifetimes. Report any episodes, even ones that resolve with self-care, to your primary healthcare provider. If youre unsure if your symptoms are related to sciatica, or if your symptoms get worse despite home therapy, consult a physician.

Treating A Pinched Nerve

Neuralgia – What is nerve pain (neuralgia) and how do you cope with it?

Mild cases of a pinched nerve may go away on their own after your body adjusts to naturally remove pressure off of the affected nerve. However, in moderate to severe cases of pinched nerves, you may experience an increase in the severity of symptoms over the course of days of weeks, leading you to seek treatment from a doctor. Orthopedic doctors and surgeons treat pinched nerves in a variety of ways depending on the location and severity of the pinched nerve. Orthopedic doctors and surgeons frequently utilize a combination of a physical exam and diagnostic imaging tools to identify the affected nerves and develop a treatment plan accordingly.

Because a pinched nerve in one area can cause pain and discomfort in multiple areas of the body, it is important to receive treatment from a highly experienced and knowledgeable orthopedic doctor to receive the comprehensive care you deserve. Your particular situation may call for more conservative treatment to reduce inflammation in the area or nerve-related testing before it leads to anything chronic. From herniated discs to rheumatoid arthritis, AICA orthopedic surgeons develop an individualized treatment plan that works for you and your body so you can experience pain relief and healing.

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Signs You Might Have Nerve Damage According To Doctors

Numbness, tingling, and muscle weakness are just a few symptoms to keep on your radar.

There are billions of nerves in your body. Most of them, your peripheral nerves, are like branches of a tree that spread out all over and transmit messages back to the trunkyour brain and spinal cord. When everything goes smoothly, your brain gets the info it needs so that you can move your muscles, recognize pain, and keep your internal organs working properly.

But when peripheral nerves get damaged, its another story: Walking could become challenging, you might experience unrelenting pain, or you could end up with a serious injury because you had no idea how hot that stove was.

An estimated 20 million Americans suffer from peripheral nerve damage, a.k.a. neuropathy, according to the National Institute of Neurological Disorders and Stroke. Diabetes is the number one cause. Bad luck is number two. Repetitive motion and Lyme disease follow, says Andrew Elkwood, M.D., a surgeon who specializes in nerve reconstruction at The Institute for Advanced Reconstruction in New York and New Jersey.

Other causes include sudden trauma , aging, vitamin deficiencies, heavy exposure to toxins , and infections and autoimmune disorders like hepatitis C, diphtheria, HIV, Epstein-Barr, rheumatoid arthritis, and Guillain-Barré Syndrome. In some cases, theres no known cause.

Do Pinched Nerves Go Away On Their Own

Have you ever been seated with your legs crossed for too long and noticed your foot has fallen asleep? That tingling, numb sensation is a classic example of a pinched nerve. It is rather common to experience a mild example of a pinched nerve like this and usually repositioning your body is all it takes for the pressure on the nerve to ease and for normal feeling to return. However, there are other types of pinched nerves that do not resolve as quickly and may require you to seek medical treatment from an orthopedic surgeon. Orthopedic doctors and surgeons specialize in the spine and joints, which affect the whole body, so they are highly skilled in addressing pinched nerves and their effects on various parts of the body.

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What Is The Sciatic Nerve

The sciatic nerve is part of the nervous system and categorized as a major nerve that starts in the lower back, runs down the back of the thigh and branches off just above the knee into smaller nerves that run the length of the legs to the feet. What most people do not realize is that the sciatic nerve has the largest circumference of any nerve in the human body. It is no wonder that when damaged it can cause excruciating pain. 

What Causes A Pinched Nerve

How To Help A Pinched Nerve

According to the American Association of Neuromuscular and Electrodiagnostic Medicine, a pinched nerve occurs when the tissue that surrounds a nerve puts pressure on it. The pressure can change how the nerve functions and cause pain or a tingling sensation. This pain or tingling can be temporary or long-lasting, and can be minor or severe.

A pinched nerve can be caused by a herniated disc, which is when one of the discs between the spinal bones pushes out. Spinal stenosis, which is the abnormal narrowing of the body channel occupied by the spinal cord, can also cause a pinched nerve.

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Is Pain Down The Leg Sciatica

If you have pain that begins in your lower back, spreads to one side, and then shoots down one buttock ultimately traveling down the back of your leg you may be experiencing sciatica.

Sciatica occurs when the sciatic nerve, which is the longest nerve in your body, is compressed. This usually happens by a direct traumatic injury , a medical condition , or a spinal condition .

Do Orthopedic Doctors Treat Nerve Pain

Orthopedic doctors can help reduce pain

This includes muscles, nerves, bones, joints, tendons, ligaments, cartilage, and other connective tissue. There are many musculoskeletal conditions and injuries that can cause pain, and often, orthopedic specialists can help reduce or eliminate pain.

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What Does The Licensure Process Entail

After completion of the residency program, a future neurologists journey is still not done. They now must take and pass licensure and certification tests which have both oral and written components. These rigorous exams assess a students ability to put what theyve learned into practice.

Once a student passes the written examination, administered by the American Board of Psychiatry and Neurology , they are granted board-certified status in neurology. 

Sounds demanding, right? It should be! These professionals are gaining permission to work with some of the most sensitive systems in our bodies: the brain and nervous system. Thanks to their thorough training, a patient can feel confident that their doctor will be extremely knowledgeable about the condition of neuropathy.

How Is Nerve Pain Diagnosed

How To Find and Treat a Pinched Nerve (Simple Neurology) – Dr Mandell

Nerve pain affects a growing number of individuals undergoing chemotherapy treatment, living with diabetes or having suffered an injury. An estimated 20 million Americans suffer from peripheral nerve damage, according to the National Institute of Neurological Disorders and Stroke.

Nerve damage can cause a tingling, burning sensation in the arms, hands, legs and feet, making it impossible to function on a daily basis.

The causes as to why and how certain patients are susceptible to nerve pain can vary. Even the pain levels or difficulty standing and walking may also differ.

Have you experienced any of the common signs of nerve pain?

  • Muscle weakness

If so, its critical to know if this is nerve damage.

Early diagnosis by your physician can improve your functionality and reduce discomfort you feel.

The following are a few exams your physician may conduct to properly diagnosis the symptoms, cause and appropriate treatment for nerve pain.

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How To Test If You Have Sciatica

Sciatica is a group of distinct symptoms causing intense, sometimes debilitating pain down the sciatic nerve.nearly 40 percent of people experience sciatic pain at some point, and while the pain

Sciatica is a group of distinct symptoms causing intense, sometimes debilitating pain down the sciatic nerve.According to Harvard Health,Verified SourceHarvard HealthBlog run by Harvard Medical School offering in-depth guides to better health and articles on medical breakthroughs.View sourcenearly 40 percent of people experience sciatic pain at some point, and while the pain is severe, the symptoms typically pass on their own.

Sciatica is rather common as its a result of different diseases or conditions pinching the sciatic nerve. With the correct diagnosis, the condition can be treated and the pain will eventually subside.

To diagnose sciatica, doctors complete two physical exams to measure the pressure on your sciatic nerve. We share how you can complete these same tests at home and discuss more what sciatica is. If you believe you have sciatica, speak to your doctor about diagnosis and treatment options.

What Education Is Required To Become A Neurologist

The education required to become a neurologist is quite grueling and requires a medical doctorate. Medical school is four years and includes courses such as medical diagnostics, disease management, and surgical practice. In the second half of a traditional four-year program, aspiring neurologists will complete practical rotations which allow them to examine and treat patients under the supervision of qualified neurologists.

Following the completion of medical school, students apply for a one-year internship which allows them to put everything theyve learned into practice under the supervision of a medical doctor.

During the internship, students will apply for a residency program, which will take three years to complete, and involves making hospital rounds and monitoring and examining patients with a supervising doctor. If a student wants to become a neurosurgeon, their residency program will be much longersix to eight years!

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What Kind Of Doctor Should I See To Heal Sciatic Nerve

four broken ribs and a split bleeding spleen i still have pain on my whole left side still hurts and now my sciatic nerves are hurting i tried chiropractic it got worse do not use aggressive of any kind water therapy is helping the most

besides operation what else i have to do for saiatica

Hello Anon

Heat therapy helps, as well as massage therapy. Make sure you also rest and avoid activities that could trigger more back pain.

Beginners yoga and Pilates are gentle exercises that can help.

If you feel pain doing anything – stop the activity and take a break.

Best,

I cannot stress highly enough that all chiropractors are NOT the same . As a chiropractor, there are several ways to conservatively treat sciatica, however, the treatment must be based on what the cause is, and there are multiple causes of sciatica.

Sciatica as a diagnosis only describes pain going down the leg, therefore further investigation by examination and possibly diagnostic testing may be necessary. I have an article on my website about sciatica here Dr. T on Sciatica.

In cases where the sciatica is severe, I will usually co-treat with an MD, so medication and chiropractic care is used at the same time to control the symptoms.

I have many things on my website in the health topics section on chiropractic and chiropractors that you may not see on another chiropractic website, as my take on subluxation is the modern version of it. http://www.DrTChiro.com

I hope that helps,

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