Given your description of severe nerve pain in the thigh, despite taking your prescribed medications, it sounds like a more focused investigation might be warranted. Let’s go through what could be beneficial in your situation. First, continuing with your current treatment could be helpful in managing underlying conditions like high blood sugar and anxiety, which can exacerbate nerve pain. However, given the lack of relief from pain-specific medications, you might need adjustments in your treatment plan.
A change in pain management could be appropriate, possibly switching from Naproxen to another type of non-steroidal anti-inflammatory drug (NSAID) like ibuprofen, or even considering medications specifically aimed at nerve pain like gabapentin or pregabalin, which are sometimes more effective for neuropathic pain. This decision should be made alongside your healthcare provider.
Regarding diagnostics, since your pain is severe and persistent, further evaluation with an MRI of the lumbar spine and possibly a nerve conduction study would be wise, particularly to rule out any serious nerve compression or radiculopathy that might need more direct interventions such as physical therapy or, in some cases, surgical consultation.
If access to such imaging and tests is more viable in Dhaka, it could be worthwhile making the trip. Given the severity of your symptoms, this should be prioritized sooner rather than later, particularly if you’re seeing no improvement.
Additionally, non-medication strategies can sometimes play a role in pain management. Gentle physical therapy and sometimes even acupuncture can provide relief, but these should be employed cautiously and ideally under professional guidance to avoid exacerbating the pain.
Keep in mind that high blood sugar levels, as indicated by your HbA1c, may also contribute to nerve pain, so ensuring these are managed effectively is crucial. Monitoring your dietary intake and working closely with your doctor to manage your glucose levels could have indirect beneficial effects on your nerve pain.
Please arrange a timely follow-up with a healthcare provider to reassess your treatment plan and discuss adjustment options.
