Neuropathic Pain

When Nerves Misfire: Understanding and Treating Neuropathic Pain

Burning. Tingling. Shooting pain that comes out of nowhere. These are the hallmarks of neuropathic pain, a type of chronic pain caused by damage or dysfunction in the nerves themselves. Unlike muscle or joint pain, neuropathic pain is often unpredictable, difficult to describe—and even harder to manage without specialized care.

At Pain Management Solutions, we offer targeted therapies designed to calm irritated nerves, disrupt pain signals, and restore your quality of life.

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What Is Neuropathic Pain?

Neuropathic pain occurs when nerves are injured, compressed, or misfire due to a disease or trauma. Instead of responding to a painful stimulus, the nerves send pain signals on their own, even when there’s no clear physical cause.

Patients often describe it as:

• Burning or electric-shock sensations
• Tingling or “pins and needles”
• Shooting or stabbing pain
• Increased sensitivity to touch or temperature
• Numbness or weakness in the affected area

It can affect the hands, feet, arms, legs, face, or even internal organs—depending on the source of the nerve dysfunction.

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Common Causes of Neuropathic Pain

• Diabetic neuropathy
• Postherpetic neuralgia (after shingles)
• Trigeminal neuralgia (facial nerve pain)
• Peripheral nerve injuries
• Radiculopathy (pinched nerves in the spine)
• Complex Regional Pain Syndrome (CRPS)
• Chemotherapy-induced neuropathy
• Post-surgical nerve damage

In some cases, the exact cause may not be identifiable—making it even more frustrating for patients seeking answers.

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When to Seek Help

Neuropathic pain often doesn’t respond well to standard pain medications like NSAIDs. If you’re experiencing nerve symptoms that persist for more than a few weeks, or if your pain is interfering with sleep, movement, or daily life, it’s time to see a specialist.

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How We Treat Neuropathic Pain

At Pain Management Solutions, Dr. Francis Pecoraro uses a range of interventional and non-pharmacological therapies to help reduce nerve pain and improve function. Treatment options may include:

• Peripheral nerve blocks – Targeted injections to calm overactive nerves
• Sympathetic nerve blocks – For nerve-related pain in the limbs or trunk
• Spinal cord stimulation – Modulates nerve signals at the spinal cord level
• Botox injections – For certain types of neuropathic or muscular nerve pain
• Trigger point injections – For overlapping muscle tension and nerve irritation
• Medication management – Coordination with your primary care provider or neurologist for nerve-specific medications

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A Personalized Approach to Complex Pain

Neuropathic pain is rarely straightforward—but that doesn’t mean you have to live with it. At Pain Management Solutions, we take the time to understand your symptoms, perform precise diagnostics, and develop a custom treatment plan that addresses the underlying cause of your pain—not just the symptoms.

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Let’s Reset the Nerves That Are Holding You Back

If nerve pain is limiting your life and traditional treatments haven’t worked, we can help. Contact Pain Management Solutions today to schedule a consultation and explore options for real, lasting relief.