Nerve Pain (Neuralgia, Neuritis, Neuropathy)

 

 

Neuralgia is a form of non-nocioceptive pain. Neuralgia (neuropathy or neuritis) is caused by nerve dsyfunction. Neuralgia is usually caused by a nerve being trapped, compressed or pinched and less commonly caused by some other diseased process. Causes of neuralgia include:

  • Nerve Degeneration - multiple sclerosis, stroke , brain hemorrhage, oxygen starvation
  • Nerve Pressure – trapped nerve
  • Nerve Inflammation – torn or slipped disc
  • Nerve Infection – shingles and other viral infections.

Types of Neuralgia (Nerve Pain):

  • Entrapment Neuropathy
  • Trigeminal Neuralgia
  • Peripheral Neuropathy:
    Peripheral Neuropathy is not a disease but a symptom of other diseases. It is associated with loss of function of touch, pain, vibration, positional sense and is associated with painful tingling sensations and numbness.
  • Phantom Limb Pain:
    Pain arising from a part of the body that has been amputated.
  • Central Post Stroke Pain:
    This pain starts when part of the CNS is injured. It usually occurs after a stroke.
  • Post Herpetic Neuralgia:
    Pain that persists after an acute case of Shingles. Shingles is a an acute viral infection of the Peripheral and Central nervous system by the herpes zoster virus. It usually affects a single spinal nerve root. The virus is constantly surpressed. When the immune system become suppressed the virus will acutely infect the nerve.
  • Post Traumatic Neuropathy:
    Pain that occurs after an injury or after a medical procedure such as surgery, injections, radiotherapy, etc.
  • Pudendal Neuralgia:
    Pain in the pelvis. Pelvic, perineal region (genitals, perianal). The nerves in these areas are damaged from: delivery of a baby, bone tumors, pelvic surgery, pelvic fracture, direct blunt trauma, excessive cycling, horse back riding, constipation.
  • Sympathetic Pain:
    Pain from the abnormal function of the sympathetic nervous system.
  • Syringomyelia:
    Caused by the formation of cavities in the spinal cord, most commonly in the cervical (neck) region . It causes nerve pain (neuralgia), tingling, numbness and muscle atrophy in the upper limbs. It needs to be differentiated from a slipped disc in the neck.

 

2009 Paul Plascyk, DDS • Site designed and maintained by TNT Dental