Question: I began taking Lyrica three days ago (50mg/day), and noticed tenderness/pain on my scalp, i.e. a pain in a small area on the top/back of my scalp. Is this significant? Should I call the Pain Management anesthesiologist who recommended the Lyrica for neuropathic pain that I have been experiencing for the last three months? Could this be simply another expression of the neuropathic pain?

Dr. Kumar: Thank you for your prompt response. As a follow up question with respect to the neuropathic pain that I have been experiencing since January 2016: The pain has been primarily a burning, lancinating, intermittent pain in my right inner thigh and in my right groin. However, I have also experienced similar pain in my left inner thigh, and in certain points in my right and left calf. The Pain Management doctor has recommended that I have a Nerve Block in my GenitoFemoral nerve on my right side. But, if the neuropathic pain is intermittent, and has expressed itself in other areas of my body besides my right inner thigh, does it make sense to have a Nerve Block of the GenitoFemoral nerve on my right side? The Oxcarbazepine that I have been taking has diminished the neuropathic pain such that I haven't experienced any "attacks" in the last ten days or so. It is not clear whether the 50mg dose per day of Lyrica is helpful. Should I have the Nerve Block (which is scheduled for next week), or should I defer it?

Dr. XXXXXXX In response to your answer: I do not have any back pain. 80% of the intermittent, burning pains that I have had have been in my right inner thigh, and on top of my right thigh. While these pains (which have been debilitating when they occur) indicate, by themselves, genitofemoral nerve disfunction, I have had other, similar pains as I have indicated in my previous e-mail. The pains seem to be systemic in nature rather than limited to my right inner thigh and right groin. My neurologist and anesthesiologist did not mention ureteric problems, testicular problems or abdominal problems, nor did they suggest a nerve conduction study. The Oxcarbazepine has quelled the burning pains and has transformed the "attacks" from "burning" in nature to "aching" in nature. I can live with the aching attacks. However, I'm unsure about a Nerve Block at this time. I have been told that the pains are neuropathic, and may go into remission after a time. Do you agree that I should defer the Nerve Block, based upon this information?