How to relieve neuralgia

Written by Zhang Hui
Neurology
Updated on September 16, 2024
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Firstly, symptomatic treatment can be administered to patients. Medications for treating neuralgia mainly include tricyclic antidepressants and anticonvulsants, and serotonin reuptake inhibitors may also be effective. These medications should be taken under the advice of a doctor when necessary to help alleviate pain.

Secondly, localized block treatment can also achieve certain clinical effects.

Thirdly, it is crucial to identify the cause of the neuralgia and treat it accordingly. For example, if a patient’s neuralgia is caused by optic neuromyelitis, corticosteroids should be used; if it is due to herpes zoster virus infection, antiviral medications are required.

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Written by Cheng Bin
Orthopedics
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Is it sciatica?

It should be noted that the incidence of sciatic nerve pain is still very high in clinical settings, and there are many causes which can lead to severe pain when it occurs. Common causes of sciatic nerve pain include conditions like sciatic neuritis, which can result in patient discomfort, as well as lumbar disc herniation, lumbar spondylolisthesis, lumbar spinal stenosis, and lumbar tumors. Compression of the spinal nerves can also lead to sciatic nerve pain. Additionally, piriformis syndrome can cause sciatic nerve pain in patients. Determining the specific cause requires a physical examination along with some auxiliary tests to make a clear diagnosis, after which active symptomatic treatment can be completely effective.

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Written by Zhang Hui
Neurology
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How is neuralgia treated?

Neuralgia can cause severe pain and significantly impact a patient's life. Treatment for neuralgia primarily focuses on the following aspects: First, treatment should be based on the cause of the pain. For instance, if the patient suffers from trigeminal neuralgia, antiepileptic drugs may be prescribed. Surgery may be necessary in some cases. If the neuralgia is caused by a viral infection, active antiviral treatment is required. If tumor cells invade and cause the neuralgia, tumor treatment should be administered. The second type of treatment involves symptomatic management. This mainly includes medications to relieve neuralgia, commonly comprising tricyclic antidepressants and antiepileptic drugs, which can be effective in alleviating the pain and should be taken under the guidance of a doctor.

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Written by Cheng Bin
Orthopedics
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How long does an intercostal neuralgia attack last?

Under normal circumstances, an episode of intercostal neuralgia usually requires about a week to improve. During this period, actively cooperating with treatment can lead to a quick recovery. Treatment typically involves orally administered non-steroidal anti-inflammatory and nerve-nourishing drugs, and it is necessary to reduce physical activity and minimize local irritation. It is crucial not to be exposed to the cold; local heat application is recommended. Commonly, a salt bag or toasted bran is used for heat application, which is quite sufficient. Applying heat twice a day, each time for more than half an hour, can enhance the effects significantly. Moreover, combining this with some physiotherapy methods, such as acupuncture, infrared therapy, and cupping, can yield very good results.

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Written by Wang Cheng Lin
Orthopedics
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How is intercostal neuralgia treated?

In our clinical practice, for intercostal neuralgia, we generally have the following treatment methods: The first type is oral medication, specifically non-steroidal anti-inflammatory drugs, which can alleviate pain. The second type is traditional Chinese medicine, such as drugs that invigorate blood circulation and remove blood stasis, which can also increase local blood circulation to relieve pain. The third method is to use acupuncture, which has comparatively good therapeutic effects on this type of intercostal neuralgia. Generally speaking, most cases of intercostal neuralgia do not last very long. Regardless of which method you choose, you can achieve relatively good results, so the above methods are the most common treatments for intercostal neuralgia. (Medication should be used under the guidance of a doctor based on specific circumstances.)

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Written by Li Bao Hua
Dentistry
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What to do with tooth nerve pain?

Common symptoms of dental nerve pain include severe toothache. If teeth are not brushed and rinsed promptly after eating, food residues linger on the teeth, and bacterial fermentation produces acids, leading to symptoms of dental nerve inflammation. This is also due to the further progression of dental caries. In such cases, dental treatment should be sought as early as possible. If the decayed dental tissues are removed and the dental nerve is not exposed, direct filling treatment can be conducted. If infected dental tissues are removed and the dental nerve is exposed, the treatment depends on the development status of the tooth root. If the tooth root is not fully formed, it is advisable to preserve the living dental nerve as much as possible, and direct pulp capping or vital pulpotomy can be performed. If the root apex foramen has already formed, infected purulent dental tissues or the dental nerve can be removed for root canal treatment.