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Peripheral Neuralgia: Causes, Symptoms, Diagnosis, Treatment in Dallas & Mansfield, TX; According to estimates, about 8% of the total population of the world suffers from peripheral neuralgia. Healthcare spends approximately 600 billion dollars each year for the treatment of peripheral nerve damage.

Peripheral neuralgia refers to the pain that occurs as a result of damage to the peripheral nervous system.

The networks of nerves outside of the brain and spinal cord that serve most of the body are known as the peripheral nervous system. The peripheral nervous system sends information from the brain and spinal cord to the other parts of the body. It also sends sensory information from other parts of the body to the brain and spinal cord.

When the peripheral nervous system is affected or damaged, it could cause adverse effects. It could affect many other functions of the body.

Peripheral neuralgia pain may feel like a stabbing, burning, or tingling pain. Peripheral neuralgia may also cause weakness or numbness in other parts of the body.Peripheral Neuralgia: Causes, Symptoms, Diagnosis, Treatment in Dallas & Mansfield, TX

Causes of Peripheral Neuralgia

Damage of the peripheral nervous system is the common cause of peripheral neuralgia.

Traumatic injuries, infections, metabolic problems, inherited causes and exposure to toxins can also cause peripheral neuralgia.

Certain health conditions can cause peripheral neuralgia. These include:

  • Diabetes is a common cause of peripheral neuralgia
  • Autoimmune diseases such as Sjogren’s syndrome, lupus, rheumatoid arthritis, Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, and vasculitis.
  • Bone marrow disorders such as an abnormal protein in the blood (monoclonal gammopathies), a form of bone cancer (myeloma), lymphoma, and amyloidosis.
  • Diseases such as include kidney disease, liver disease, connective tissue disorders, and an underactive thyroid (hypothyroidism).
  • Tumors and cancerous growths
  • Infections such as certain viral or bacterial infections, Lyme disease, shingles, Epstein-Barr virus, hepatitis B and C, leprosy, diphtheria, and HIV
  • Excessive intake of alcohol
  • Certain medications such as medications for chemotherapy
  • Trauma or pressure on the nerve that can result from accident or injury
  • Herniated disk
  • Vitamin deficiencies such as B vitamins deficiencies, vitamin E, and niacin deficiencies

Symptoms of Peripheral Neuralgia

  • Numbness, prickling or tingling in your arm or leg
  • Sharp, throbbing or burning pain
  • Consistent burning pain
  • Extreme sensitivity to touch
  • Loss of sensation
  • Pain during activities that shouldn’t cause pain
  • Lack of coordination leading to fall
  • Inability to function or move properly
  • Muscle weakness
  • Paralysis
  • Heat intolerance
  • Excessive sweating or inability to sweat
  • Bowel, bladder or digestive problems
  • Changes in blood pressure
  • Dizziness

Diagnosis of Peripheral Neuralgia

During diagnosis, your doctor will review your medical and family history and conduct a physical exam. Your doctor will also ask about your symptoms and lifestyle.

Your doctor may also conduct some tests such as blood tests to detect vitamin deficiencies, diabetes, or any conditions that may be causing peripheral neuralgia.

Imaging tests such as x-ray, MRI, or CT scan may be conducted to check for tumors, herniated disk, or any other abnormalities that may be causing the peripheral neuralgia.

Nerve function tests such as Electromyography (EMG) may also be conducted to record the electrical activity in your muscles to detect nerve damage.

Your doctor may also conduct a neurological examination to check your tendon reflexes, ability to feel sensations, muscle strength, posture, and coordination.

Your doctor may also conduct a nerve biopsy and skin biopsy to check for any abnormalities.

Treatment of Peripheral Neuralgia

Treatment is aimed at treating the underlying condition causing the peripheral neuralgia and managing the pain.

Treatment options include:

Over-the-counter pain relievers

Taking over-the-counter nonsteroidal anti-inflammatory drugs such as ibuprofen, naproxen, and acetaminophen can help relieve pain.

Prescription medications

For more severe pain and symptoms, your doctor may prescribe certain medications containing opioids, such as tramadol or oxycodone. These medications are addictive so they can only be taken for a short time.


Certain tricyclic antidepressants, such as amitriptyline, doxepin, and nortriptyline, have been found to help relieve peripheral neuropathy have been found to help relieve pain by interfering with chemical processes in your brain and spinal cord that cause you to feel pain. Serotonin and norepinephrine, duloxetine, venlafaxine may also help to ease the pain of peripheral neuralgia caused by diabetes.

Anti-seizure medications

Medications such as gabapentin and pregabalin may be used to relieve nerve pain. Follow your doctor’s prescription when using anti-seizure medications because they can cause drowsiness and dizziness.

Topical treatments

Capsaicin patches are effective treatments for peripheral neuralgia. They are applied to the skin and then gradually absorbed into the body. It reduces the sensitivity of targeted nerves to pain. Applying lidocaine patches to your skin can help relieve pain. Be aware that there are some side effects that may occur when using these topical creams and patches such as intolerance, numbness, dizziness, and drowsiness.

Transcutaneous electrical nerve stimulation (TENS)

TENS helps to stimulate the nerve and also helps to suppress the activities of the immune system. It is a minimally invasive procedure that involves the stimulation of the affected nerves. The procedure involves locating the nerves transmitting the pain and then implanting small electrodes into the tissue surrounding the nerves.

The electrodes emit mild electrical impulses in response to pain. It helps to correct the abnormal signal caused by the damaged or affected nerves to reduce pain. Undergoing TENS for 30 minutes every day for about a month can help relieve peripheral neuralgia pain.

Plasma exchange

This involves extracting antibodies and protein-rich plasma from your blood and injecting the concentration into your body. The high level of proteins works as antibodies. Plasma exchange helps to suppress the immune system activity.

Physical therapy

Engaging in certain stretching and strengthening exercises can help improve muscle weakness and increase body movements.


Surgery is the last option when all other treatments have failed. Surgery may be required for neuropathies caused by pressure on nerves. The surgery may be used to remove the tumors that exert pressure on the nerves.


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