Neuropathic pain management

[Bubbha]

I have neuropathic pain in my legs and feet (numbness and tingling)– this seems to be an outcome of nerve irritation in my lower back. I am looking for recommendations for treatment options. Thanks in advance for sharing ideas.

[evilebxxx]

Gabapentin

[Thanyaburi Mac]

You don't say where you are in Thailand.

Have you consulted already with a Thai doctor? Hospital?

There some hits for a Google for: https://www.google.com/webhp?sourceid=chrome-instant&ion=1&espv=2&ie=UTF-8#q=neuropathic%20pain%20thailand

Mac

[chopin2]

Have you consulted an ortopedic specialist yet? Have you had an MR scan and got a diagnosis?

[chiang mai]

Do your symptoms include numbness in the thigh, at times(s)?

[Lefty]

I am a long term sufferer of Neuropathic pain in both legs.Most doctors indicate a lack of blood flow to the legs,Most common with long term smokers.Even artery bipass did not help much.

Lefty

[uptheos]

Have you had investigations like Nerve Conduction Studies, MRI of lumber spine, check up from Neurologist?

If not I suggest you try to find out the cause of the problem.

If it is nerve pain then as a previous poster said try gabapentin or even pregbalin (which is far, far more expensive), duloxetine works for some, but your first line should be trying to get a diagnosis.

[Bubbha]

Thanks for the replies. I have consulted with an orthopedic Dr and osteopath. It seems I have a back & hip sports injury that affects the nerve function to the legs - all the way to the soles of my feet. Lyrica (pregbalin) does provide some relief. Does anyone have recommendations for a pain management clinic or Dr that specializes in pain management?

[Thanyaburi Mac]

Here's an earlier thread on the subject of pain management:

http://www.thaivisa.com/forum/topic/597274-need-a-pain-doctor-or-clinic-in-bangkok/

Mac

[chubby]

I always go back to the Merck Manual, if you read this and have more questions, please ask....

http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/neck-and-back-pain/sciatica

[Sheryl]

Treatment options will depend upon the nature of the back injury. In some cases surgical decompression is both possible and the only way to resolve the problem.

I suggest you consult a good spinal specialist. If you are in or near Bangkok I suggest Dr. Wicharn at the BNH hospital spine center.

[Lowriesuzanne]

Also check A1c.