Common "Neurogenic Pain" queries answered by top doctors | iCliniq

Neurogenic Pain

Neurogenic pain is the pain due to dysfunction of the central or peripheral nervous system in the absence of terminal nerve stimulation by disease or trauma. The treatment needed for neurogenic pain are medicines, psychological counseling, physical therapy, and sometimes surgery. Medicines prescribed for neurogenic pain are anti-seizure drugs such as Gabapentin, Pregabalin, etc.

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Is it possible to treat pain while walking through physiotherapy or medicines?

Query: Hello doctor, I am 65 years old with weight 194.00 lb and height 5'10". I suffer from moderate hypertension and diabetes since last eight years but always in control of medicines. Last year I had undergone angiography as an age-based test and symptom of pain on starting walking short distance a few ...  Read Full »

Dr. Shivam Om Mittal

Answer: Hi, Welcome to I appreciate your detailed history. The symptoms you have described are suggestive of neurogenic claudication due to the neuro-foraminal stenosis and disc bulges in the spine. If the pain is the prominent symptom, then conservative therapy should be done first. But if yo...  Read Full »

I have distressing nerve pain and muscle tightness in the chest area. Can you please help?

Query: Hello doctor, The current symptoms consist of distressing nerve pain and muscle tightness. The pain feels "nervy" and ranges from sharp to dull ache. It is present below my sternum and branches to both left and right sides of my chest, though it is much worse on the left, in the area surrounding my ...  Read Full »

Dr. Abhishek Juneja

Answer: Hello, Welcome to I can understand your concern. The symptoms may well be neurogenic (nerve origin) as it radiates down the chest and involves the abdomen. Also, gastroesophageal (stomach and food pipe) causes may be ruled out by appropriate investigations (upper gastrointestinal endo...  Read Full »

Why do I get severe rib pain while taking deep breathe and standing?

Query: Hello doctor, I am having severe rib pain since this morning and it hurts when I stand up straight or when I move or lay down. I tried putting a heating pad and ice pack on it and did not do anything. I feel extreme discomfort, cannot take deep breathes, and feel sharp stabbing pain once in a while...  Read Full »

Dr. Santosh Kumar Bashyal

Answer: Hello, Welcome to There are many conditions where we can get chest pain along with rib pain. I would like to ask a few questions. Is that pain on the costochondral junction which means if you palpate your ribs you can feel there is one gap and then the other rib is started? So pai...  Read Full »

What can cause testicular pain without redness or swelling?

Query: Hi doctor,I am 21-years-old, and I am suffering from left testicular pain for more than a year. There is no redness or swelling. I went to a urologist and did a doppler ultrasound, ultrasound of pelvis and abdomen, and urine analysis. Everything was normal, and the doctor prescribed me antibiotics. ...  Read Full »

Dr. Ankush Jairath

Answer: Hello, Welcome to I hope you are doing well. The pain should not be related to testicular damage, and it will not affect your sex life. You should try scrotal support once and see whether the pain is getting released or not. I advise you to take a break from masturbation for a couple of...  Read Full »

What could be the reason for pain under the bridge of nose?

Query: Hello doctor, I have pain under the bridge of my nose for about six weeks. I sleep well with no pain but about 2 hours after, I wake up and start to feel pain in the bridge of my nose and maybe a dull headache, which usually goes for the rest of day and usually increases but stops short of a migrai...  Read Full »

Dr. Mehak Agarwal

Answer: Hello, Welcome to I have seen the CT scan report (attachment removed to protect patient identity) which seems to be normal, but it says that there is some deviation. So I want to see the scan films, can you send me? The report also says that there is some mucosal thickening which cou...  Read Full »

My wife has pain in her belly button. What is the cause?

Query: Hi doctor, My wife is having pain on the belly button. She feels this pain for the last five to seven days. The pain is sharp when she put her finger and touch the belly button. I need your opinion on the following. What could be the problem? What course of action has to be taken? Which speciality d...  Read Full »

Dr. Pardhan Rajesh Kumar

Answer: Hi, Welcome to Thank you for explaining the entire history. Most likely, it is a neurogenic pain as it is sharp on touch. You have to consult a gastroenterologist to look for acid peptic disease. It is better to consult a gastroenterologist soon personally as it needs a physical...  Read Full »

I feel tired while sitting straight with sciatica. Please help.

Query: Hello doctor, I never in my life able to sit straight, like I see people sitting straight for hours, and I get extremely tired in 5-10 minutes maximum while sitting straight. At random times, I just get a sharp pain in my lumbar area and I am unable to move for a few minutes. I randomly have proble...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to What you describe suggests that you have a weak core and even though this is correctable, you will need to confirm this and rule out other causes like scoliosis, lumbopelvic syndrome, etc. Firstly, you will need to get an x-ray of the spine dorsal 10 to S2 such...  Read Full »

I have spinal stenosis and pain in legs. Kindly tell me the solution.

Query: Hello doctor,I have spinal stenosis from last five years. I took a lot of medicine but the problem remains same. Pain also includes my legs down, foot, hips and standing more than ten minutes cannot bear. Please tell me the only best solution.  Read Full »

Dr. Prakashkumar P Bhatt

Answer: Hello, Welcome to For spinal stenosis, a non-steroid anti-inflammatory drug like Ibuprofen or Paracetamol can be prescribed to relieve pain and inflammation. Physiotherapy is also beneficial. For neurological pain, Pregabalin can be prescribed. Reduce weight if obese through exercise an...  Read Full »

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