Neuralgia, neuralgic pain
Neuralgia - is a painful sensation along the nerve or in the area of its representation on the body. A typical example of such pain is:
- postherpetic neuralgia - pain in the intercostal nerve sheath lesions by herpes virus (intercostal neuralgia, herpetic neuritis)
- trigeminal neuralgia - severe pain in the innervation zone of trigeminal nerve branches on the face, cornea of the eyeball and in the mouth
Pain along the intercostal nerve (intercostal neuralgia) with herpes zoster is typical shingles and hot, focused in the intercostal space. Intercostal neuralgia is caused by damage of the intercostal nerve's myelin sheath, where the herpes virus is nests.
Scheme of segmental innervation on the surface of the body.
Neuralgia may also be due to postinjection sciatic nerve neuropathy (neuritis) - a type of traumatic neuropathy (neuritis).
This results in getting a needle and injected drug medication (with the incorrect intramuscular its introduction in the gluteal muscle) in the sciatic nerve, causing injury to myelin sheaths and themselves conducting fibers - axons (postinjection neuritis).
In case of sciatic nerve neuralgia scar tissue formation and adhesions in the membranes of nerve, causing compression and irritation of the sciatic nerve with the appearance of pain during its innervation (back of the leg with a possible transition to a foot).
Manifestations of the pain of trigeminal neuralgia in the face.
Diagnosis of neuralgia is not difficult for specialists. Diagnosis begins from neurological examination of patient with the typical complaints for neuralgia. In some cases, may require an additional instrumental examination (ENG) if the reason for the emergence of neuralgia had an injury in the projection of the nerve.
Assessment of nerve in the diagnosis of neuralgia by elektroneurografy (ENG).
Spine or nerve plexus MRI may be required in case of any surround effects on neural structures, like in case with intervertebral disc herniation or protrusion or soft tissue tumors, etc.
MRI of the lumbosacral spine with neurology sedalischnogo nerve.
Treatment options for neuralgia (intercostal neuralgia, trigeminal neuralgia) is chosen individually in each case. It includes a set of conservative procedures:
- stimulation of nerve and muscle
- vitamins (B, C and E)
- anticonvulsants drugs (carbamazepine, clonazepam, gabapentin, etc.)
- homeopathic remedies
- surgery (microvascular decompression, Gamma Knife radiosurgery, radiofrequency thermal lesioning, etc.)
In case of failure of conservative therapy in patient with neuralgia may need surgery (microvascular decompression, Gamma Knife radiosurgery, radiofrequency thermal lesioning, etc.).
Eliminating pain and restoring sensitivity neuralgia accelerated by the use of physiotherapy.
If you have any questions, you can ask them to our neurosurgeon or neurologist: (499) 130–08–09
- Carpal tunnel syndrome
- Cubital tunnel syndrome
- Peripheral neuropathies (neuritis):
- Facial nerve neuropathy (neuritis), Bell's palsy
- Median nerve neuropathy (neuritis)
- Peroneal nerve neuropathy (neuritis)
- Radial nerve neuropathy (neuritis)
- Sciatic nerve neuropathy (traumatic neuritis)
- Tibial nerve neuropathy (neuritis)
- Trigeminal nerve neuropathy (traumatic neuritis)
- Ulnar nerve neuropathy (neuritis)
- Neuropathy and polyneuropathy (alcoholic, diabetic)
- Optic nerve and retina diseases:
- Opto-chiasmatic arachnoiditis (optic chiasm)
- Pain in the arm and neck (trauma, osteochondrosis)
- Sciatica, leg pain (hernia and protrusion of the disc)
- Traumatic neuropathies (neuritis)
- Trigeminal neuralgia
- Tumors of peripheral nerves
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