The Wellington Neurological Rehabilitation Centre
The Wellington Hospital North Building NW8 6PD London
Neuropathic pain
CHRONIC PAIN CONDITION
Chronic neuropathic pain is caused by nerve damage, which may have happened many years earlier
What is neuropathic pain?
If you have neuropathic pain you may experience burning, aching or electric shock sensations in the parts of the body supplied by the affected nerve. You may also experience pins and needles, numbness and weakness. Unlike most types of pain, neuropathic is usually unresponsive to common painkillers.
Need to know
- pain with burning, crushing 'electrical shocks' involving the skin supplied by the nerve
- lack of function and feeling might be associated
Your consultant will perform a physical examination of the affected area. This will involve testing your reflexes, strength and sensitivity. They may also request imaging (x-ray, CT or MRI) tests to check if you have an underlying cause for the condition. They may refer you to a neurologist for further tests including: - Nerve conduction test (NCT). Electrodes are attached to your skin to stimulate your nerves. The speed and strength of your nerve signal is monitored. - Electromyography (EMG). A needle is inserted into your muscle to measure its electrical activity.
Finding the underlying cause of your neuropathic pain is key to identifying successful treatment options. The nerve might need to be decompressed and released or even repaired through surgery.
Types of neuropathic pain
Sensory neuropathy
This refers to damage to the nerves that carry messages of touch, temperature and other sensations to the brain.
Motor neuropathy
This refers to damage to the nerves that control movement.
Autonomic neuropathy
This refers to damage to the nerves that control bodily processes such as bladder function, digestion and blood pressure monitoring.
Mononeuropathy
This refers to damage to a single nerve outside of the central nervous system (CNS).
Our Neuropathic pain locations
Patient stories
Yvette's story: From back pain to hip replacement surgery
Yvette (54) a journalist from Kent, started experiencing pain in her hip seven years ago in 2015. An ex-national gymnast who had been incredibly active and flexible her whole life, Yvette felt concerned about the growing discomfort impacting her quality of life, and so sought help from her GP.
A new hip and straight back into the spin of things
David’s gym video shows him repeatedly pushing up to 100kg on a single leg press – not particularly unusual for this keen cyclist, former competitive squash player and all-round fitness enthusiast. What is unusual is that 52-year-old David had hip surgery just 12 weeks earlier.
Michael's MAKO hip surgery to treat his arthritis
73 year-old Michael, an avid walker and charity worker, was diagnosed with arthritis in January 2021. After facing long waiting times and increasing pain that was becoming more frequent, he started to look elsewhere for treatment.
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.