Older Adults_Bars-Geriatric Pain

FAST FACTS: Neuropathic Pain

 

Neuropathic Pain

Neuropathic pain arises from actual or threatened damage to tissues due to the activation or damage in the nervous system. This can be a disturbance in the function of one or more nerves and is often associated with end organ damage. The pain is often described as burning, numbness, tingling, electric shock-like and possibly deep aching.

  • Diabetic Neuropathy
    • Injury to nerve fibers from high blood sugars, most often in hands and feet
    • Signs/Symptoms (S/S): numbness and tingling
    • Management: control blood sugar

  • Post herpetic Neuralgia (Complication of Shingles)
    • Complication of Shingles that last longer than a few weeks, increased risk with age
    • S/S: burning at shingles site, sensitivity to touch, muscle weakness
    • Treatment: Lidocaine patches, Tricyclic anti-depressants, Anticonvulsants, Opioids, Capsaicin

  • Multiple Sclerosis
    • Autoimmune disease destroys protective sheath on nerves, cause unknown
    • Woman between 20-40 at higher risk
    • S/S: painful muscle spasms, numbness, weakness of limb on one side, unsteady gait, blurriness, loss of vision, tingling/electric-shock sensations
    • Treatment: same as other conditions for pain, muscle relaxants for muscle spasms

  • Spinal Cord Injuries, Hemiparesis
    • Causes: trauma, arthritis, cancer, inflammation/infection, degeneration, strokes
    • S/S: loss sensation/movement or bowel/bladder control, pain, exaggerated reflex
    • Treatment: same as post herpetic neuralgia; TENS units, massage

  • Peripheral Neuropathy
    • Causes: trauma & infections; toxins such as alcohol or poisons; Diseases- lupus, Guillain-Barre, Lyme; vitamin B deficiency; hypothyroid or kidney disease
    • S/S: numbness & tingling in hands, feet, and many other sites
    • Treatment: same as post herpetic neuralgia; TENS units, massage

  • What You Can Do
    • What else you can do to help with your Pain
    • Write down and share information about your pain with your provider.
    • Consider using a Pain Diary to note important information useful to the provider.
    • Try a non-drug treatment to decrease your pain, be sure to note on your Pain Diary the impact of the treatment on your pain.

Revised 3/2020

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