Dr. Raffaello BonacchiNeurologist · Neuroradiologist IT

Neuropathic pain and chronic pain

Neuropathic pain arises from damage to or disease of the nerves or the central nervous system. It is often described as burning, electric shocks, pins and needles or pain at the slightest touch.

The most common forms

  • pain from compression of nerve roots, such as sciatica or cervical radicular pain;
  • carpal tunnel syndrome and other nerve compressions;
  • painful neuropathy, for example in diabetes;
  • trigeminal neuralgia;
  • pain after shingles (post-herpetic neuralgia);
  • central pain after stroke or in multiple sclerosis.

Diagnosis

The neurologist distinguishes neuropathic pain from other types of pain through the interview and sensory examination. Electromyography assesses how nerves and muscles work, while MRI can show compression or lesions of the nervous system.

Treatment

Neuropathic pain responds poorly to common painkillers and requires specific drugs, at gradually increased and personalised doses. When there is a treatable cause, such as nerve compression, treatment also targets that, in collaboration with other specialists.

Neurological visit in Milan, Osio Sotto (Bergamo) and Pistoia

Dr. Raffaello Bonacchi, neurologist and neuroradiologist, sees patients in Milan, Osio Sotto (Bergamo) and Pistoia, and also offers online consultations with review of tests and images already performed.

The information on this page is for general information only and does not replace a medical visit. For sudden or severe symptoms call 112 or go to the Emergency Department.