Neuropathic pain refers to a burning or shooting sensation that results from injury or damage to the nervous system. Common causes of neuropathic pain are autoimmune diseases (e.g., sjogren's syndrome, lupus, and rheumatoid arthritis), infections (e.g., HIV, shingles, epstein-barr virus, hepatitis B and C, leprosy, and diphtheria), cancers, alcoholism, neurological conditions (e.g., multiple sclerosis), medications, vitamin deficiencies, and metabolic conditions such as diabetes. People with neuropathic pain usually describe the pain as shooting, burning, pricking, or tingling, and the affected areas are hard to touch. While most cases resolve over time, other cases may require long-term treatment, including medications, physical therapy, psychological counseling, and surgery.
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I have been hypertensive for 19 years. My feet has neuropathic pain. What do I do?
Query: Hello doctor, I have been hypertensive for 19 years, and I am taking my medications regularly. I had RTA years ago with some multiple fractures but had no disability. I also have arthritis, and I take medicines for it too. I had allergies bothering me from time to time, and I use Ventolin. Recently... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. I understand that you have multiple ailments right now, and you are taking medications for all. I appreciate that. My advice to you would be to get your vitamin D, and vitamin B12 levels checked only after which I... Read Full »
Can my dad's left leg pain be linked to a stroke he had seven years ago?
Query: Hello doctor,My father suffered a stroke seven years ago that got the right side of his body numb and non-functioning. But, after all these years, he constantly refers to pain in his left leg. Can you tell me what would give him relief from this pain? I am attaching his latest reports here. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query and attached reports (attachment removed to protect the patient's identity). The possible explanation for the left-sided leg pain of your father is neuropathy. It can be contributed by the same factors that caused the stroke. The commo... Read Full »
After COVID vaccination, the nerves in the face and base of the skull are paining. Why?
Query: Hello doctor,I had an MRI two weeks ago. My brain and cranial nerves are healthy. However, the superficial branch nerves across the face and nerves from the base of the skull and back of the head are cranky. It has been nine weeks in the healing phase. I was told that more than four weeks were neede... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would explain that oral Gabapentin coupled with vitamins and alpha-lipoic acid can help improve your situation. It seems that you are in a healing phase, but you may need a couple of months to recover from this situation. I hope you will f... Read Full »
Can Gabarich and Naproxen cure upper back and neck pain?
Query: Hello doctor, I was advised to take Naproxen, Gabarich 300 mg and Pantop 40 mg for my upper back and neck pain. Can you please tell me if Gabarich is a painkiller and with what to substitute for Naproxen and Gabarich for pain in my upper back and neck? I must remind you that I am on antidepressants. Read Full »
Answer: Hello, Welcome to icliniq.com. Your complaints of upper back pain and neck pain point to a musculoskeletal cause, probably a muscular spasm. However, it would be prudent to check for other causes such as osteoarthritis and nerve impingement, initially through X-rays. Naproxen belongs to a family of ... Read Full »
I have neck spasm and difficulty in walking. Please help.
Query: Hello, I weigh 39 kg and I am 31 years old. I have lost two kilograms in the last two months. I am having spasm in the neck since 2 months. It started when I had sudden sneezing and was not able to move the neck soon after that. Neck movements got restricted. I consulted a doctor and took tablet... Read Full »
Answer: Hi, Welcome to icliniq.com. Whole event started with a sneezing after which you developed muscular spasm in the neck. You took pregabalin for neuropathic pain but due to its side effect you discontinued. After that you had physiotherapy and developed other neurological symptoms and you... Read Full »
What are the symptoms and management of neuropathy?
Query: Hi doctor, For the past eight months, I have had these intermittent symptoms throughout the day. I do get a warm type of feeling, like warm water flowing through my body. Every day it affects different parts. There will be a pain in the forearms, not muscular, but sometimes twitch. In the biceps, it... Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to know some further details about your symptoms. As mentioned, your symptoms are intermittent, but how long do they persist in one go? Do you also have associated fast heartbeat or feeling of impending doom or shallow breathing during your mentioned symptom... Read Full »
Why do I have numbness in my fingertips?
Query: Hi doctor, My thumb, index and ring fingers are all super numb at the fingertips. This numbness has lasted for five days, and now I am getting horrible sharp pains in my index finger. Previously, I have carpal tunnel syndrome. Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned numbness in your hand finger tips, and the area mentioned appears to be that of median nerve region. Now, if this pain and numbness are severe and persistent, then the advice to you is to get nerve conduction study done and look for severity of compr... Read Full »
Query: Hi doctor, I am an 18 year old healthy female. All day today, I have had sharp pain in one tiny spot on my left hand. There is a tiny red mark that looks like a scratch, but it is not. It is not warm, but the pain is also spreading to my arm. I have also had the same type of pain in both my legs and... Read Full »
Answer: Hello,Welcome to icliniq.com.DVT - deep vein thrombosis classically presents as sharp, unilateral limb pain with swelling, redness and extreme pain especially if someone tries to squeeze it.What you are explaining here is neuropathic pain. Your BMI is not low, but is on the lower side of the range ... Read Full »
I have a pinching pain in my arm, shoulder, palms and fingers. Why?
Query: Hello doctor, From the last two months, I have a pinching and wound-like pain in my left upper arm and shoulder. I also feel pain in my palm and fingers while bending, stretching or gripping. Read Full »
Dr. Satpute Ganeshkumar Suresh
Answer: Hello, Welcome to icliniq.com. You seem to have a neuropathic pain because of a nerve compression syndrome. I suggest the following medicines: Tablet Gabapentin forte (Gabapentin), half a tablet, twice a day. Tablet Zerodol TH 8 (a combination of Aceclofenac and Thiocolchicoside) once... Read Full »
What can be the reason for my penis pain?
Query: Hi doctor, I have some pain in the right side of my penis for the past six years. I never injured it during sex, but I have squeezed it too hard after urination. I can get an erection, but it is uncomfortable. The discomfort extends from the tip of the penis to the testicles, but only on the right ... Read Full »
Answer: Hi, Welcome to icliniq.com. The pain you are experiencing on the right half of your penis should be arising from the right corpus cavernosum (spongy tissue surrounding penis) and is an extremely rare condition. I suggest you an MRI of the pelvic region and a penis to be done to identify any struct... Read Full »