I was suffering with severe neck pain since last 7years , had all type of physiotherapy and massages and chiropractor but no relief then I met Dr Sudheer and Dr minal at this center…
Dava Ramesh
Very good doctor. Suffering from knee pain from last 4 years and didn’t want to get a surgery. They treated my knee pain with out surgery with stem cell therapy. I am very happy with the results.
Meghana Reddy
By far the best pain management specialists in town. After consulting several places with no effect, Epione made sure that they treated my mother’s delicate pain condition with patience…
Deepthi K
I am very thankful to doctors in Epione pain management center. My neck pain has gone which I was fighting since last 4 years . Dr. Sudheer Dara and Dr. Minal have helped me come out…
Sanjana Tirkey
7000017062
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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
Mrs. Padmaja
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
Mr. Sreekanth
Back Pain Treatment
Neuropathic Pain
Treatment in Hyderabad
This condition arises 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
- 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.