“Tearless pain: excruciating pain that can’t be seen by others but that hurts like hell to the one experiencing it.”
Neuropathic pain is caused by accident, injury, or malfunction of the nerves that transfer information between the brain and spinal cord from the skin, muscles, and other parts of the body.
The impact of the nerve damage is a change in nerve function both at the site of the injury and areas around it.
The pain is usually described as a burning sensation, and the affected areas are often sensitive to the touch. Symptoms of neuropathic pain may also include unbearable pain, pins, and needles, difficulty correctly sensing temperatures, and numbness. Some people may find it hard to wear thick clothes as even slight pressure can increase pain.
Neuropathic pain may be connected with abnormal sensations called dysesthesia or pain from normally non-painful stimuli. It may have continuous and/or episodic (paroxysmal) elements..
Usual causes of neuropathic pain include nerve pressure or nerve damage after surgery or trauma, viral infections, cancer, vascular malformations, alcoholism, neurological conditions such as multiple sclerosis, and metabolic conditions such as diabetes. It may also be a side effect of certain medications. No identifiable cause is found which can be distressing for the individual experiencing the pain.
Chronic neuropathic pain is common and may be related to an underlying health disease such as cancer or diabetic neuropathy, or it could be related to treatments such as chemotherapy.
The most common pain clinic visits are due to the following…