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neuropathic pain symptoms
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Nervous System Disorders
Question #15436
45 days ago
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neuropathic pain symptoms - #15436

Rashi

I am really struggling with what I think might be neuropathic pain symptoms and it’s driving me crazy! A few months ago, I twisted my ankle pretty badly while jogging. Thought I was healing fine but then started to notice this weird tingling and shooting pain running from my ankle up into my calf. At first, I thought it was just my nerves waking up or something, but now it feels like a mix of burning and numbness too. I’ve read a bit on neuropathic pain symptoms and it kinda seems to fit. I can't sleep, can’t focus during the day, and sometimes even light touches on my skin feel intense. I ended up seeing a doc, and they did some tests but nothing really conclusive. Am I just making a big deal out of this? I mean, can neuropathic pain symptoms develop from something like a sprain? It just won’t go away, and I find myself getting more and more frustrated. Has anyone else experienced this? What should I be looking for specifically in neuropathic pain symptoms? It's hard to tell what’s normal and what’s not anymore! Any thoughts would be great, thanks!

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Doctors’ responses

Neuropathic pain can indeed develop after an injury like a twisted ankle, especially if there’s been any nerve damage or compression. What you’re describing—tingling, shooting pain, burning sensations, and numbness—are classic examples of neuropathic pain symptoms. Sometimes, these symptoms arise when nerves are irritated, damaged, or put under pressure. Even though a sprain might initially seem like a straightforward injury, it can occasionally lead to such nerve-related issues. Your description of discomfort from light touch, a phenomenon known as allodynia, is also consistent with neuropathic pain. One essential aspect when dealing with neuropathic pain is ensuring that more severe underlying issues are ruled out, such as complex regional pain syndrome, which sometimes follows injuries and leads to similar symptoms. If initial tests didn’t provide conclusive results, it might be worth seeking an opinion from a neurologist or a pain specialist. They can conduct a more focused evaluation, potentially involving nerve conduction studies or an MRI, to understand better where the pain might be originating. In terms of management, gabapentin is often prescribed for neuropathic pain, but there are other medications too. Non-pharmaceutical methods like physical therapy or techniques like transcutaneous electrical nerve stimulation (TENS) may help. Managing stress and incorporating mindfulness can sometimes improve perception of pain too. Persistent symptoms disrupting your life definitely deserve a follow-up with healthcare professionals. It’s important to continue seeking answers so that you can address the root of these symptoms and develop a targeted treatment plan. Remember not to delay in seeking medical attention if symptoms worsen or new ones arise, which might signal something more urgent.

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