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Suggest Treatment For Severe Nerve Pain In The Feet When Diagnosed With Degenerative Disc Disease
Question: I have been diagnosed with degenerative disk disease, spinal stenosis in cervical thoracic and lumbar regions. as well as panlobular empysema stage 3 . perifreal nueropathy and insomnia
te nerve pain started in my feet and feels like walking on glass, severe numbness as well, it has since moved into my hands arms and futher up my legs, my doctor told me yesterday that the hposp he works for no longer supports pain management, I could try physh meds that may help . alcohol/ marijuana or ptc meds. I have always avoided narcotics and was only taking them when pain was too severe . I believe I am now also depressed and feel like there must not be any point in trying to fix this broken body any advice would be appreciated
te nerve pain started in my feet and feels like walking on glass, severe numbness as well, it has since moved into my hands arms and futher up my legs, my doctor told me yesterday that the hposp he works for no longer supports pain management, I could try physh meds that may help . alcohol/ marijuana or ptc meds. I have always avoided narcotics and was only taking them when pain was too severe . I believe I am now also depressed and feel like there must not be any point in trying to fix this broken body any advice would be appreciated
Brief Answer:
Read below.
Detailed Answer:
I read your question carefully and I am sorry for your situation, chronic pain related to spinal issues and neuropathy is often very difficult to treat, at times even when all options are exhausted pain is not controlled.
Judging from the alternatives you have tried though (hoping that you have included all of them), I do not see two of the main classes of treatment for chronic pain and neuropathy. I am referring to the use of anticonvulsants such as Gabapentin or Pregabalin or antidepressants such as Duloxetine or Amitriptyline.
Both these classes are first line choices for treatment of neuropathic and chronic pain. In addition the use of antidepressants would also help with the depression and insomnia which you mention.
So if you haven't used any of these options I suggest you discuss this possibility with your doctor.
I remain at your disposal for other questions.
Read below.
Detailed Answer:
I read your question carefully and I am sorry for your situation, chronic pain related to spinal issues and neuropathy is often very difficult to treat, at times even when all options are exhausted pain is not controlled.
Judging from the alternatives you have tried though (hoping that you have included all of them), I do not see two of the main classes of treatment for chronic pain and neuropathy. I am referring to the use of anticonvulsants such as Gabapentin or Pregabalin or antidepressants such as Duloxetine or Amitriptyline.
Both these classes are first line choices for treatment of neuropathic and chronic pain. In addition the use of antidepressants would also help with the depression and insomnia which you mention.
So if you haven't used any of these options I suggest you discuss this possibility with your doctor.
I remain at your disposal for other questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I do take lyrica and ANoro I think I left those out
Brief Answer:
Read below
Detailed Answer:
Thank you for that additional information.
In that case the only option which could be tried is the use of one of the antidepressants which I mentioned, Duloxetine or Amitriptyline. As I said those can help with depression which is also often a contributor to chronic pain (chronic pain may lead to depression which can exacerbate chronic pain becoming a vicious circle). Otherwise I am afraid that you have exhausted the other lines of medical therapy as you have already tried anti-inflammatories and opioids as well as local anesthetics.
Let me know if I can further assist you.
Read below
Detailed Answer:
Thank you for that additional information.
In that case the only option which could be tried is the use of one of the antidepressants which I mentioned, Duloxetine or Amitriptyline. As I said those can help with depression which is also often a contributor to chronic pain (chronic pain may lead to depression which can exacerbate chronic pain becoming a vicious circle). Otherwise I am afraid that you have exhausted the other lines of medical therapy as you have already tried anti-inflammatories and opioids as well as local anesthetics.
Let me know if I can further assist you.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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