Nerve pain (neuralgia) is pain caused by damage or disease of the power cables of the body. These power cables control your body’s communication network. The pain comes from problematic signaling from the power cables, almost like load shedding, it may work smoothly one moment and not at all the next.
Nerve pain feels like tooth ache, tooth ache is essentially nerve pain. it is also known as neuralgia or neuropathic pain. All the weird and wonderful sensations you might feel self conscious to describe (burning, pins & needles, numbness, ants crawling or water running) are caused by malfunctioning of your nerves.
What causes nerve pain?
Neuropathic pain is caused by problems with your nerves (power cables), which communicates with your brain. These impulses (messages) can vary from numbness (no impulses) to severe burning (very active impulses). Something as ordinary as sheets on your foot, may be excruciating.
Nerve irritation vs compression
Nerve Irritation
Nerve irritation most commonly occurs in the lower back, when nerves that exit the spinal canal are irritated by inflammation or friction. The friction between the nerve, muscle, joint and ligament irritates the power cables and causes swelling. This leads to a sharp, sudden burning or electrical type pain that runs down the leg(sciatica). The nerve is irritated in the back, but you feel pain all the way down the leg.
Initial discomfort or tightness can progresses to pain. Experiencing pins & needles or numbness as it gets worse. Initially the nerve pain only comes on occasionally and relieves after a few minutes. This type of sudden, sharp pain comes and goes, only to return with specific movements.
Nerve Compression
Nerve root compression (pinched nerve) occurs when the nerve is compressed due to narrowing of the foramina (the path where the nerve exits the spine) or osteophytes (bony growths caused by arthritis). This may lead to constant pain, numbness and decreased muscle power.
The longer the nerve is compressed, the more distorted the feeling will be, until the nerve is totally compressed and no message can go to the brain, then your skin goes numb. If the compression on the nerve is not relieved, there could be permanent damage to the nerves.
Symptoms of nerve pain
Minor
- intermitted numbness
- tingling
- inability to control your muscles
- dull aches that come & go
- abnormal sensations
Test for nerve damage
If you suffer from any of these you should give us a call:
- Difficult to distinguish between Light touch (cotton wool stroked over the skin) and deep touch (compressing the skin in the area)
- Struggle to distinguish between Sharp touch (skin pierced with a toothpick) Blunt (press with the back of a pencil)
- Temperature: Difficult to distinguish between hot and cold temperatures.
- Pins & needles when touching something
- Numbness (“Dead” feeling over skin)
Diagnosis of nerve injury
Electromyogram (EMG)
This is a test where needles are inserted into the muscles that the nerve supplies. It measures the electrical activity produced by these muscles. The electrical activity of the nerve will be tested when you contract and relax your muscles. This test can determine if there is any nerve damage.
Electroneuromyography (ENMG)
This test is performed by a Neurologist and is often referred to as ‘Nerve conduction studies’. It examines both the sensory (feeling) and the motor (ability to contract or relax muscles) function of the nerve. This test is able to show the weakening of the impulse traveling through the nerve. It is considered abnormal when the impulse travels slower, and weakens between 2 points (conduction velocity).
Why is your nerve pain lasting longer than expected?
Experiencing these situations or applying similar advice and not getting results is a good thing. Why? Because these experiences help you know what doesn’t work for you. It means that you are closer to finding out what does work for you!
We invite you to book an appointment with a Physiotherapist (at our Pretoria practice). During an appointment we assess your symptoms, diagnose the cause, educate you about what is happening in your body and then start treatment. See our FAQ for more in depth information about what to expect from a physiotherapy session.
Alternatively, click the link below to book a FREE phone call. The phone call is complimentary and there is no obligation to book any appointments with us after the call is over. This is an opportunity to get an expert’s advice about your situation. Our goal is to help you make an informed decision about what to do next concerning your nerve pain.
4 steps to get rid of pain quickly.
If you would like to know how the Physiotherapy team at Cilliers & Swart can help you, we invite you to book a FREE, no-obligation, risk-free “Call me back” phone call.
Note: This free call is a service we offer to people who are nervous or unsure. You might not know if Physiotherapy is the right treatment for you. If you are unsure, please fill out our online form. We will contact you to find out what is wrong and how we can help. There is no financial obligation or risk on your part. You have nothing to lose except your pain.