Understanding Nerve Pain


A few years back I was reading a pharmacy journal and came across this picture that totally hit the nail on the head when it comes to nerve pain.  This poor gentleman was lying in bed and from his toes to his thighs were thousands of red ants.  Just thinking about it gives me the creeps.  The pain he was experiencing had come to life; tingling, shooting, sharp, burning and prickling pain.

Nerve pain, as opposed to bone, joint or muscle pain, originates from some sort of nerve damage.  We all have three types of nerves in our body; autonomic nerves which control the involuntary actions In our body such as breathing and stomach propulsion, motor nerves which control how we move by carrying messages from our brain to our muscles, and sensory nerves which send messages from our skin and muscles up our spinal cord to our brain so we can feel things.

Because nerves are everywhere in our body, it really only takes a small amount of nerve damage to cause significant nerve pain.  Those of us who have even experienced a small amount of nerve pain realize how debilitating it can be.  There is an exhaustive list of what can cause nerve damage, including trauma, cancer, disease, medications and genetics.  For the purpose of this discussion, I am more interested in telling you that there are some medications that work quite well at disrupting the pain from nerve damage.

When a nerve is damaged for one reason or another, it gets activated inappropriately and sends messages to the brain that are unsolicited.  This process is similar to when an individual experiences a seizure.  During a seizure, unsolicited nerve impulses are being sent to the brain causing the epileptic reaction.  It is interesting that anti-seizure medications, which have a nerve calming effect, also work well to calm an inappropriate nerve pain impulse.

Nerve pain medications interfere with the signal transmission process.  This works well when the signal the medication is interfering with is a pain signal.  The issue is, many signals are constantly being sent through your nerve pathways, and quite often, some of the signals used  for other body functions may be interfered with also.  This is a complex process that needs to be diagnosed and monitored by a physician. 

This category of medications has the possibility of helping decrease nerve pain, however, it is extremely important that the patient be fully aware of all the counseling information about the specific medication before they begin treatment.  This category of medications requires specific counseling around titrating the medication to the appropriate dose for the each particular patient.  These mediations quite often require a certain level of motivation in a patient, along with encouragement from their pharmacist that when the titration is followed appropriately, your body will most likely acclimate to the side effects.  It sometimes takes 10-14 days of therapy before a reasonable level of pain control is achieved.

I currently have Medication SpecificCounseling SessionsTM  for medications used to treat nerve pain, including Gabapentin (NeurontinTM), Duloxetine (CymbaltaTM), Pregabalin (LyricaTM), and Carbamazepine (TegretolTM) available at www.AudibleRx.com.  Please visit the registration area of AudibleRx and sign up to become a member and you will then have full access to all of the counseling sessions.

Thanks
Steve
www.AudibleRx.com

 

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