While not everyone experiences this, it is quite common for people with nerve pain to report greater pain later at night or whenever they get in bed. The pain may make it harder for you to get quality sleep, and that may in turn make your pain and overall health and wellbeing even worse.
At night our body temperature fluctuates and goes down a bit. Most people tend to sleep in a cooler room as well. The thought is that damaged nerves might interpret the temperature change as pain or tingling, which can heighten the sense of neuropathy.
Avoid caffeine four to six hours before bed, and minimize it daily to allow your body time to become tired. Less caffeine will help with overstimulated nerves that can intensify nightly pain. Turn off electronic devices such as your smartphone and TV an hour or more before bed to help your brain wind down.
However, when you are lying down, most of your weight is pressing down on one area. This can increase pressure on the nerves and cause pain. Other reasons your neuropathy may feel worse when lying down or sleeping include: Physical strain and effort, which might increase nerve discomfort as your body begins to relax.
If you suffer from neuropathy, you have likely noticed that the pain, tingling, and other odd sensations are often much worse at night. This can make it very difficult to sleep at night, especially if the pain continues to increase.
People with nerve pain feel it in different ways. For some, it's a stabbing pain in the middle of the night. For others, symptoms can include a chronic prickling, tingling, or burning they feel all day. Uncontrolled nerve pain can be hard to bear.
The most frequently recommended treatment for a pinched nerve is rest for the affected area. Your doctor will ask you to stop any activities that cause or aggravate the compression. Depending on the location of the pinched nerve, you may need a splint, collar or brace to immobilize the area.
Does an MRI scan show nerve damage? A neurological examination can diagnose nerve damage, but an MRI scan can pinpoint it. It's crucial to get tested if symptoms worsen to avoid any permanent nerve damage.
Nutritional or vitamin imbalances, alcoholism, and exposure to toxins can damage nerves and cause neuropathy. Vitamin B12 deficiency and excess vitamin B6 are the best known vitamin-related causes. Several medications have been shown to occasionally cause neuropathy.
Regular exercise, such as walking three times a week, can reduce neuropathy pain, improve muscle strength and help control blood sugar levels. Gentle routines such as yoga and tai chi might also help. Quit smoking.
If left untreated, the numbness, tingling, and burning caused by peripheral neuropathy will get worse over time. The damaged nerves will continue to send confusing messages to the brain more frequently until the spinal cord gets so used to sending the signals, it will continue to do it on its own.
Painkillers and a range of different medicines can help, as can non-drug treatments like exercise, acupuncture and relaxation techniques. Nerve pain can be difficult to treat. Any underlying conditions such as diabetes and vitamin B12 deficiency can be managed. Otherwise, treatments aim to directly ease the pain.
Sleeping on your side can prevent you from putting extra pressure on your spine and sciatic nerve. Try sleeping on the side that isn't painful. If you're still uncomfortable, wedge a small pillow between your waist and the mattress. This may help prevent your side from bending.
Multimodal therapy (including medicines, physical therapy, psychological counseling and sometimes surgery) is usually required to treat neuropathic pain. Medicines commonly prescribed for neuropathic pain include anti-seizure drugs such as: Gabapentin (Neurontin®). Pregabalin (Lyrica®).
Peripheral neuropathy, a result of damage to the nerves located outside of the brain and spinal cord (peripheral nerves), often causes weakness, numbness and pain, usually in the hands and feet. It can also affect other areas and body functions including digestion, urination and circulation.
Nerves recover slowly, and maximal recovery may take many months or several years. You'll need regular checkups to make sure your recovery stays on track. If your injury is caused by a medical condition, your doctor will treat the underlying condition.
Common causes of neuropathic pain include nerve pressure or nerve damage after surgery or trauma, viral infections, cancer, vascular malformations, alcoholism, neurological conditions such as multiple sclerosis and metabolic conditions such as diabetes. It may also be a side effect of certain medications.
Nerve Pain
It's best to use cold when the pain is still sharp and move on to heat once that sharpness has subsided. The heat will increase blood flow and help tissues heal faster.
Regeneration time depends on how seriously your nerve was injured and the type of injury that you sustained. If your nerve is bruised or traumatized but is not cut, it should recover over 6-12 weeks. A nerve that is cut will grow at 1mm per day, after about a 4 week period of 'rest' following your injury.
A nerve conduction velocity (NCV) test — also called a nerve conduction study (NCS) — measures how fast an electrical impulse moves through your nerve. NCV can identify nerve damage. During the test, your nerve is stimulated, usually with electrode patches attached to your skin.
If you suffer with nerve pain, sitting for long periods of time is slowly damaging the nerves over time. Sitting can affect the nerves most vulnerable to pain sensations, such as tingling, burning or stabbing pain.
They may feel like they will lose their edge and get out of practice by taking time to rest a pinched nerve, but trying to power through the pain and injury will only make it much worse – and the recovery time much longer.
Each peripheral nerve is in itself complex; it has a very dedicated role relating to its own particular area of the body. Once this is damaged it is difficult to treat it because of the complexity of the nervous system.