While some “pinched nerves” may resolve independently with a little TLC, some nerve compression problems worsen over time. If you ignore your symptoms, you could wind up with permanent nerve damage, along with chronic pain, muscle weakness, and mobility problems.
But sometimes, nerve damage can be permanent, even if the cause is treated. Long-term (chronic) pain can be a major problem for some people. Numbness in the feet can lead to skin sores that do not heal. In rare cases, numbness in the feet may lead to amputation.
If you think you might have nerve pain, you need to see your doctor now. Sometimes, the cause might be fairly clear, especially if you have already been diagnosed with a condition known to cause nerve pain, like HIV, cancer, or diabetes. But in other cases, the cause of nerve pain can be hard to sort out.
Adequate rest is so important and can help with chronic nerve pain. Make sleep as easy for yourself as possible.
Sleep on it. Nerve pain can worsen at night, disrupting sleep and making it more difficult to cope with pain.
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.
Pinched Nerve Pain is Usually Short-Lived
In most cases, symptoms improve and nerve function resumes to normal within 6 to 12 weeks of conservative treatment. Conservative treatment options include physical therapy, and non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen.
Roughly 20 million Americans are living with neuropathy. Living with daily pain and discomfort can be challenging. People with neuropathy are at a higher risk for depression and anxiety than those without a neurological disorder. The good news is treatable, and a pain management specialist can help.
On average, a pinched nerve can last from as little as a few days to as long as 4 to 6 weeks — or, in some cases, even longer (in which case you should see your doctor).
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®).
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.
Nerve Pain Progression
Left untreated, nerve damage may worsen over time. It can sometimes start in the nerves farthest from the brain and spinal cord -- like those in the feet and hands. Then it may move up into the legs and arms.
Call a doctor if: You have persistent pain. If your pain from what you think is a pinched nerve lasts more than a couple of days, you should seek medical attention. Your pain is getting worse, despite trying the self-care treatment options mentioned above.
Did you know physical stress and strain can increase your nerve pain as well? Strenuous exercise and muscle soreness can contribute to nerve pain during the night. Living in constant stress can wreak havoc on your body and mental health. High levels of stress could be a reason why neuropathy is worse on some days..
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.
The good news is that nerve pain is very treatable. Many studies have shown that using nutritional support with lipoic acid 300 mg 2x day, Acetyl-L-Carnitine 2,000 mg a day, Inositol (500-1,000 mg a day), and vitamins B6 (50-100 mg a day) and B12 can actually help heal the nerves and decrease or eliminate the pain.
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.
Pain relievers
Tramadol (Ultram) and tapentadol (Nucynta) are opioids that can help with neuropathic pain. However, there is evidence that both medications can cause side effects, some of which are serious. These include: nausea and vomiting.
Nerve pain often feels like a shooting, stabbing or burning sensation. Sometimes it can be as sharp and sudden as an electric shock. People with neuropathic pain are often very sensitive to touch or cold and can experience pain as a result of stimuli that would not normally be painful, such as brushing the skin.
CT or MRI scans can look for herniated disks, pinched (compressed) nerves, tumors or other abnormalities affecting the blood vessels and bones. Nerve function tests. Electromyography (EMG) records electrical activity in your muscles to detect nerve damage.
Electromyography (EMG) is used to record the electrical activity in muscle. It can identify abnormalities in the muscles or nerves resulting from peripheral neuropathy, nerve degeneration or damage to the protective covering (myelin sheath) that surrounds the nerves in your brain or spinal cord.
SNRIs inhibit the reuptake of serotonin and norepinephrine at the synaptic level. Duloxetine is the most effective in reducing neuropathic pain.
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.