Best Neuropathic Pain Treatment
in Bengaluru

  • No Surgery Required
  • 30 Min Procedure
  • Same Day Discharge
  • Join Work in 48 Hours
  • Cured in 1 Day
  • My self Manjunatha I am suffering knee pain last one year.I contact to epione pain management center and I went for treatment after all setting I reduce the pain 90%.and Dr Vidya Bandaru treat very will and all epione team Thank to epione

    Manjunatha S

  • Underwent treatment for my mother-in-law. It’s a new age treatment for pain relief and good alternative to generic KNEE surgery. Dr VIDYA BANDARU explained the therapy details and given the best treatment

    Thribhuvan Peddakotla

  • My wife got treated from Dr Vidya mam, I would say that she got a very good treatment and her knee pain is healing now. Also epione centre has a very good staff who are all very friendly and cooperative.

    Radha Krishna v

  • My father who is 78 years now affried of going to knee surgery, so he went for treatment here. Dr Vidya give treatment here. My father is recovering good now. The staff is also very kind towards the patients. Thank you very much

    Anilkumar Bedre

6361229911

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  • I finally got relief from my back pain thanks to Epione

    Mrs. Aswathi Subramanyan

    Back Pain Treatment
  • Dr Sudheer cured me from knee pain due to arthritis

    Hanumantharaya

    Knee Pain Treatment
  • I suffered from foot pain for 5 years but finally found pain relief at Epione

    Mr. BVS Prasad

    Foot and Ankle Pain Treatment
  • I can’t believe I got relieved of my back pain in a single day

    Akila Venkata Ramana

    Knee Pain Treatment

Neuropathic Pain
Treatment in Bengaluru

arising as a direct consequence of a lesion or disease affecting the somatosensory system

Signs and symptoms

  • Patients typically have symptoms of pain as
  • electric shock,
  • burning,
  • shooting,
  • pin and needles.
  • atypical sensations like worms crawling,
  • loss of sensation,decreased sensation,
  • pain at the area of decreased sensation,
  • numbness,
  • hyperalgesia
  • allodynia..

Types of Neuropthaic Pain

Site of Injury

Peripheral

  • CRPS I/CRPS II (involvement of Sympathetic nervous system)
  • Painful Polyneuropathy
  • Lancinating Neuralgias
  • Phantom Pain (+/- involvement of Sympathetic nervous system)
  • Nerve Compression
  • Neuroma Formation

Mixed

  • Avulsion of Plexus (+/- involvement of Sympathetic nervous system)
  • Postherpetic Neuralgia (+/- involvement of Sympathetic nervous system)

Central

  • Central Pain (+/- involvement of Sympathetic nervous system)

Predominating pain mechanism

Predominating “central” pain generator

  • Deafferentiation Pain (response to either peripheral or CN system injury)
  • Sympathetically Maintained Pain (associated with focal autonomic dysfunction)

Predominating “Peripheral” pain generator

  • Painful polyneuropathies (multiple mechanisms probably involved)
  • Painful mononeuropathies
    1. Lancinating Neuralgias
    2. Nerve Compression or Inflammation Nerve Transection

CAUSES:

Polyneuropathy

  • Diabetes (IDDM & NIDDM)
  • Alcoholism
  • Human Immunodeficiency virus
  • Hypothyroidism
  • Renal failure
  • Chemotherapy induced (vincristine, cisplatinum, paclitaxel, metronidazole)
  • Anti-HIV drugs
  • B12 and folate deficiencies

Mononeuropathy

  • Entrapment syndromes
  • Traumatic injury
  • Diabetes

Plexopathy

  • Diabetes
  • Avulsion
  • Tumour

Root syndromes and radiculopathy

  • Compressive lesions
  • Inflammatory
  • Diabetes

Post-herpetic neuralgia

Trigeminal neuralgia

Phantom limb pain

RSD/causalgia/CRPS

Management

Pharmacotherapy

Non-pharmacotherapy

Interventions

Pharmacotherapy

  • Tricyclic antidepressants & SSRNI’s/SSRI’s
  • Anticonvulsants
  • Opioids
  • Topical agents
  • NMDA Antagonists
  • Other drugs

Non Pharmacological treatment

  • Physical Therapy
  • TENS Therapy
  • Occupational Therapy
  • Cognitive Behaviour Therapy

Interventions

Regenerative Therapy, PRP Therapy, Plasma Therapy

  • Neural blockade– nerve blocks have been used by physicians for generations for the treatment of neuropathic pain,
  • Implanted Neural Stimulator or spinal cord stimulators– implanted stimulators of the dorsal column of the spinal cord or of the injured peripheral nerve
  • Implanted Intrathecal Infusion Pumps
    Evidence for the efficacy of pumps administering morphine, hydromorphone, and Baclofen
  • Decompressive Neurosurgery
    Select patients with well-defined lesions may benefit from surgical exploration and decompressionWell accepted for carpal tunnel syndrome, but unfortunately underutilized for patients with painful nerve compressions elsewhere
  • Ablative Neurosurgery
    Procedures are rarely indicated, and are performed far less frequently now than in the past. Cutting nerves usually relieves pain only temporarily, if at all.

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