Neuralgia Treatment in Gurgaon


Neuralgia

Introduction

Neuralgia is a medical condition in which the patient feels a severe pain which is often stabbing, burning. This is generally believed to happen due to an irritated or damaged nerve. The nerve can be located anywhere in the body. Get proper and effective treatment for Neuralgia in Gurgaon

The nerve damage responsible for this may be due to a lot of factors like -

  • Aging
  • Other disorders and diseases for instance - diabetes and multiple sclerosis
  • Infection of any sort like shingles

The treatment for the pain of neuralgia is not quite well-defined but exclusively depends on the cause.

Neuralgia may be categories into various sub-types such as -

  • Trigeminal Neuralgia
  • Atypical Trigeminal Neuralgia
  • Occipital Neuralgia
  • Glossopharyngeal Neuralgia
  • Postherpetic Neuralgia 

Causes

Although the exact cause of Neuralgia is still debatable, some speculations suggest that the following are the causes -

  • Chemical irritation
  • Chronic kidney disease
  • Disorders such as diabetes
  • Some infections, generally of the sort of herpes zoster, HIV/AIDS, Lyme disease, and syphilis
  • Medicines like cisplatin, paclitaxel, or vincristine
  • Porphyria
  • Pressure on nerves by nearby bones, ligaments, blood vessels, or tumors
  • Trauma

Although it may occur at any age, it is more common among people of older ages.

Symptoms

The most common symptom of Neuralgia is a severe pain which is often stabbing, burning.

The other symptoms of Neuralgia can include:

  • A localized pain
  • The area becoming extremely vulnerable and a bit extra sensitive to touch
  • Any pressure is felt as pain
  • A sharp or burning pain, depending on the affected nerve
  • The affected area is still functional
  • Spasming muscles
  • Bouts of severe pain feeling like an electric shock
  • Spontaneous attacks of pain or attacks stimulated by external stimuli
  • Bouts of pain lasting from a few seconds to several minutes
  • Pain in areas supplied by the trigeminal nerve. This may include the cheek, jaw, teeth, gums, and lips
  • Pain affecting one side of the face at a time. In some rare cases, it may affect both sides of the face
  • Pain concentrated in one spot
  • Attacks becoming more frequent and intense with the passage of time

The intensity of pain experienced by a patient of Neuralgia is severe, paroxysmal, and lancinating. The pain usually begins as a sensation of electrical shocks, quickly increasing in less than 20 seconds to an extremely annoying and excruciating pain felt deep in the face, often contorting the patient's expression. Following this, often the pain starts fading within seconds, making room for a burning ache lasting seconds to minutes. During a typical Neuralgia attack, the patient may grimace, wince, or make an aversive head movement. It looks like the patient is trying to escape the pain, thus producing an obvious movement.


Diagnosis

It is difficult to diagnose Neuralgia accurately. Misdiagnosis is the most common among patients of Neuralgia. Diagnosis of Neuralgia typically includes the location of the damaged nerve. It is often done by identifying the missing sensory or motor function. This can sometimes involve tests such as an EMG test or a nerve conduction test.

This is a form of chronic pain which is often difficult to diagnose. As the cause of postherpetic neuralgia is known with certainty, it is the easiest to diagnose among all forms of the condition. One of the most common tests for diagnosis of  Neuralgia is a nerve conduction study. This is generally performed using a neurophysiological method called microneurography in which the peripheral nerve is stimulated and recordings are generally drawn from a completely sensory portion of the nerve.

While conducting a diagnosis for the disease, the doctor often studies the history of the pain quite carefully, understands the description of pain well from the patient, conducts a physical examination along with performing some experiments.

As the pain is subjective to the patient, it is crucial to use a pain assessment scale of the likes of McGill Pain Questionnaire. Understanding the intensity of the pain is mandatory for the accurate diagnosis of the condition. Physical examinations conducted for diagnosis generally include testing the responses of the patient to external stimuli such as touch, temperature, and vibration.

Treatment

Treatment for Neuralgia generally varies from patient to patient depending on the cause of the condition, location of the pain along with the severity of the symptoms. Physiotherapy treatment for Neuralgia in Gurgaon has increasingly been recommended as an effective treatment. The overall aim of the treatment is to alleviate the symptoms and provide lasting relief from pain. Physiotherapy treatment also aims at improving the strength of the muscles and overall quality of life of the patient. One of the initial steps to be taken by the patient is to describe the symptoms in great detail to the physiotherapist and develop a personalized treatment plan.

After a detailed assessment by a specialist neurological physiotherapist, your treatment may include -

  • Muscle mobilization
  • Soft tissue stretches
  • Muscle strengthening exercises
  • Sensory and proprioceptive stimulation
  • Pain management
  • Facilitation of activities of daily living
  • Home exercise program

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