Neuropathic pain - a type of pain, which, unlike ordinary pain does not occur due to the reaction to physical damage as a result of pathological excitation of neurons in peripheric or central nervous system ultram, responsible for the response to physical damage to the body (normal pain).

Many people with neuropathic pain often describe the sensations as pain. On the contrary, they can talk about how they feel "a lot of needles, splinters," "creepy", tingling, numbness, feel "of electric current passage." Very often, the pain can be caused by something that does not cause pain in normal conditions: the touch of clothing, bed sheets, blankets, etc. Sometimes the pain can be spontaneous and very strong. But the problem is that it is "invisible". In contrast to the injury or arthritis, you do not see the cause, and it is difficult to understand - with which it is associated.

The most common options for neuropathic pain:

1. Neuropathic pain due to diabetic nerve damage. Nerve damage in diabetes is called diabetic polyneuropathy. Very often it has been developing at high levels in blood glucose. Nearly half of patients with diabetic polyneuropathy are neuropathic pain, which comprise:
- Tingling in the feet, toes;

- A burning sensation in the feet, worse at night;

- Pain when wearing shoes and / or standing and walking.

2. Neuropathic pain is caused by herpes infection. Pain that occurs after shingles is called postherpetic neuralgia. It develops most often in the elderly after the disappearance of the characteristic rash. It may take 3 months or more and is characterized by:
- Burning pain in the area where there were a rash;

- Pain at the touch of clothing, bed linen;

- Longer duration, sleep disorders.

3. Neuropathic pain after spinal cord injury. After a spinal cord injury patients can be confusing for a lot of pain. Often they are associated with damage to the nerves in the spinal cord, and refer to the type of neuropathic pain. This burning, stabbing, shooting pain in the arms, legs, torso, sometimes very strong.

4. Neuropathic pain after stroke. Approximately 8% of patients after cerebral stroke, after some time (from 1 month to 2 years) on the affected side, or in the arm and / or leg may appear unpleasant sensations as tingling, burning, pain on contact with cold objects, "hand is cold." Therefore, to reduce pain, some patients wear a mitten. This type of neuropathic pain is called post-stroke central pain. Its cause is damage to the nerves in the brain area.

5. Neuropathic pain after surgery. After surgery some patients long worried about the pain and discomfort of burning, tingling, "pins and needles" in the postoperative seam. This is due to partial damage of peripheral nerves in a surgical procedure. Such neuropathic pain is often arise after operations for removing the breast (mastectomy) and others.

6. Neuropathic pain in the back. Each of us, one way or another, sometimes back pain. Most often this is due to muscle tension, changes in the joints of the vertebrae. But if there is a compression of the exiting nerve roots of the spine (eg, herniated disk), it may be neuropathic pain: sharp shooting pains from waist to toe, coupled with a burning sensation, tingling, and numbness in the leg. Sometimes the pain pass quickly, but in some patients may persist for a long time and do not lend themselves to conventional pain relief methods.

7. Neuropathic pain in the face. Neuropathic pain may occur in the form of attacks. For example, some older people and the elderly during a conversation, a meal, or when you touch the person having the strongest attacks of pain in the side of the face. This is due to compression of the trigeminal nerve, which is responsible for the sensitivity of the face. The cause of compression is most often located near a blood vessel. This disease is called trigeminal neuralgia. Attacks of pain is very painful, they can last for years, violating human performance.