What Is Neuralgia?

Neuralgia is a specific type of nerve pain characterized by a sharp, shooting, or shocking sensation. It typically follows the path of a specific nerve and can vary from intermittent episodes to constant, chronic pain. Neuralgia can significantly impact your daily life, making it difficult to perform routine activities, work, or even sleep. The pain can be triggered by minor stimuli or appear without warning, depending on the underlying cause.

Neuralgia is not a one-size-fits-all condition. It can manifest in different areas of the body, depending on the affected nerve. Some of the most common types of neuralgia include trigeminal neuralgia, occipital neuralgia, and postherpetic neuralgia. Each of these types affects different sensory nerves and presents with its own set of symptoms and challenges. Understanding neuralgia and its impact on your quality of life is the first step toward effective pain management.

How Does Neuralgia Affect the Body?

Neuralgia pain can be severe and debilitating, presenting as sharp, shooting pain that often affects one side of the body. The pain typically follows the path of the affected nerve, making it highly localized yet intense. For example, trigeminal neuralgia pain affects the trigeminal nerve, causing facial pain, while occipital neuralgia causes pain at the base of the skull, often radiating toward the back of the head. Trigeminal neuralgia is considered one of the most painful conditions, characterized by sudden, severe facial pain.

Patients suffering from neuralgia often report numbness, tingling, sensitivity to touch, and other symptoms including muscle spasms. These sensations can significantly reduce the ability to perform routine activities, impacting overall quality of life. Some types of neuralgia, like glossopharyngeal neuralgia, may even cause pain in the throat, ears, or back of the tongue. Identifying the source of neuropathic pain is crucial for creating an effective, personalized treatment plan.

In cases where neuralgia becomes a chronic condition, it can lead to chronic pain, making pain relief difficult without a structured treatment plan. Severe pain may cause individuals to alter their daily routines or even avoid activities altogether. Consulting neuralgia specialists in Austin, TX, can help you identify the cause and create a personalized treatment approach. Living with trigeminal neuralgia requires a comprehensive pain management plan, focusing on reducing flare-ups and maintaining quality of life.

Causes of Neuralgia

Neuralgia can result from various factors, including medical conditions and external influences. Common causes include:

  • Shingles: The viral infection can lead to postherpetic neuralgia, especially in older adults.
  • Trauma: Injuries to the nerve from accidents or surgery can cause inflammation and irritation.
  • Infections: Bacterial or viral infections affecting peripheral nerves can result in pain.
  • Fractures: Bone injuries can press on nerves, causing nerve pain.
  • Alcohol Use: Long-term alcohol abuse can damage sensory nerves and lead to neuropathy.
  • Surgical Complications: Certain surgeries may result in nerve irritation or damage.
  • Chronic Conditions: Conditions like diabetes can lead to peripheral neuropathy, a common form of neuralgia.
  • Neck or Spinal Cord Injuries: Trauma to these areas can affect nerve function, leading to pain.
  • Stroke: Some patients may experience neuralgia as a consequence of a stroke.
  • Disease and Disorders: Conditions affecting the brain, such as multiple sclerosis, can trigger neuralgia.

Symptoms of Neuralgia

Patients with trigeminal neuralgia may experience brief episodes of intense, electric shock-like pain that can be triggered by simple activities like talking or brushing their teeth. Neuralgia symptoms may vary based on the affected nerve but typically include:

  • Shooting Pain: Sudden, intense bursts of pain along the nerve path.
  • Numbness: Reduced sensation in the affected area.
  • Tingling: Prickling or pins-and-needles sensations.
  • Sensitivity to Touch: Even light contact can trigger discomfort.
  • Muscle Spasms: Uncontrolled contractions near the affected nerve.
  • Burning Sensation: A feeling of intense heat in the area.
  • Pain Triggered by Routine Activities: Simple actions like brushing one's teeth or talking can induce pain.
  • Pain on One Side of the Face or Body: This is particularly common in trigeminal neuralgia and occipital neuralgia.
  • Throbbing Pain: A persistent, pulsing ache.
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Treatment for Neuralgia in the Greater Austin Area

Effective neuralgia treatment often requires a multifaceted approach involving medications, non-invasive therapies, and occasionally surgical intervention. During your initial consultation, our physicians will take a comprehensive medical history to better understand the underlying causes of your neuralgia pain. From there, your treatment plan will be personalized to address your specific type of neuralgia and its severity.

Medications

  1. Anti-inflammatory Drugs: Help manage pain associated with inflammation.
  2. Pain Relievers: Over-the-counter options for mild pain.
  3. Antidepressants: Help reduce pain by altering neurotransmitter levels.
  4. Anticonvulsants: These are often used for trigeminal neuralgia and other types of nerve pain.

Non-Invasive Therapies

  • Physical Therapy: Can help improve nerve function and reduce pain.
  • Nerve Blocks: Targeted injections that block pain signals.
  • Spinal Cord Stimulation: Electric impulses to manage pain perception.
  • TENS (Transcutaneous Electrical Nerve Stimulation): Uses low-voltage electricity for pain relief.

Surgical Options

For patients with severe trigeminal neuralgia pain, advanced treatment options may include surgical interventions to relieve nerve compression. These procedures, such as decompression surgery or the removal of a neuroma, are typically considered when other therapies have proven ineffective. While we do not perform these surgical interventions at our clinic, our physicians can provide referrals for a surgical evaluation to determine if decompression surgery or neuroma removal is appropriate for your condition.

Woman at elevators in front of San Antonio Eye Specialists sign.

Am I at Risk of Developing Neuralgia?

Anyone can develop neuralgia, but certain factors increase the risk, including:

  • History of Trauma: Past injuries, especially to the neck or spinal cord.
  • Medical Conditions: Chronic diseases like diabetes or peripheral neuropathy.
  • Age: Older adults are more susceptible, particularly to postherpetic neuralgia after shingles.
  • Lifestyle Factors: Excessive alcohol use or a sedentary lifestyle.
  • Previous Surgery: Some procedures can damage nerves, increasing the risk.

Testimonials

"I am so relieved I could cry! Finally a pain specialist who listens, cares, and wants to help! Dr. Alan Silberberg has given me so much hope! As someone who has seen pain specialists for decades in different states, this is where you want to come. You NEED him in your life! My only regret is not coming in sooner."

Sarah Jean C.

"The staff is very friendly and I was seen on time. The intake process was seamless and efficient. Dr. Jarzombeck is always very kind and thorough in her explanations. These folks are a pleasure to work with. I highly recommend Greater Austin Pain Center and Dr. Jarzombeck!"

Kim D.

"Everyone is always very nice and courteous. Dr. Julia is amazing! He is friendly, kind and caring and so easy to talk with.  All the office staff I have had contact with has always been courteous and kind as well. Would highly recommend coming here!"

Lesley C.

Frequently Asked Questions

Is neuralgia preventable?

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While some causes of neuralgia are unavoidable, managing health conditions like diabetes and minimizing alcohol use may reduce your risk.

What is the best way to treat trigeminal neuralgia?

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Treatment may involve medications, nerve blocks, or, in severe cases, surgical intervention. Consulting with a pain specialist is essential for individualized care.

How can I reduce the pain from neuralgia at home?

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Over-the-counter pain relievers, gentle stretching, and applying heat or cold packs may help manage mild symptoms.

Can stress trigger neuralgia pain?

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Yes, stress and anxiety can exacerbate symptoms. Techniques like mindfulness and relaxation may provide relief.

Lunch & Learn With Our Doctors

Curious about interventional pain treatments in Austin, TX? Join our doctors for an in-person lunch and learn session to find out more about these treatments and ask any questions you may have. This event will be 12–1pm, sign up below to receive more details and RSVP.

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Seek Relief from Neuralgia at Greater Austin Pain Center

Our neuralgia specialists in Austin, TX, have extensive experience in diagnosing and treating trigeminal neuralgia, offering patients personalized care plans. With four convenient locations in Austin, Kyle, Dripping Springs, and San Marcos, our experienced physicians at Greater Austin Pain Center specialize in treating various types of neuralgia using a patient-centered approach. Contact us today to schedule an appointment and take the first step toward restoring your quality of life. 

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