Nerve Pain Treatment Explained by Neurologist
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- Опубліковано 23 чер 2020
- 0:55 Introduction
1:40 Non-pharmacologic treatments
3:17 Dietary supplements
4:03 Medications
10:24 Topical Treatment
10:55 Psychological Treatment
Start watching to learn about nerve pain treatment! Why does neuropathic pain occur? What are alternative treatments? What prescription medications and topical treatments are used? Data on gabapentin and sativex (synthetic marijuana). Peripheral nerve and spinal cord stimulators.
Comment or ask questions below! I would be happy to answer!
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My book "Resilience in the Face of Multiple Sclerosis" on Amazon: www.amazon.com/dp/B07WP7H5LK
Dr. Brandon Beaber is a board-certified neurologist with subspecialty training in multiple sclerosis and other immunological diseases of the nervous system. He is a partner in the Southern California Permanente Medical Group and practices in Downey, California (South Los Angeles). He has several publications on MS epidemiology and has participated in clinical trials for MS therapeutics. You can follow him on twitter @Brandon_Beaber where he regularly posts about MS news and research.
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The video material by Dr. Brandon Beaber is general educational material on health conditions and is not intended to be used by viewers to diagnose or treat any individual's medical condition. Specifically, this material is not a substitute for individualized diagnostic and treatment advice by a qualified medical/health practitioner, licensed in your jurisdiction, who has access to the relevant information available from diagnostic testing, medical interviews, and a physical examination. To the extent that Dr. Beaber endorses any lifestyle change, behavioral intervention, or supplements, the viewer should consult with a qualified healthcare professional to determine the safety and efficacy of the intervention in light of their individualized information. - Наука та технологія
Pain was my first symptom back in 2011 (along with fatigue)...a deep aching pain that felt like bone pain. These days burning pain and stiffness. Working out has helped and I think the mood boosting effects of exercise has helped also....it's easy to fall into a depression from pain. Just my personal experience. Thanks for the video.
Definitely agree that exercise is a big help with pain and easing stiffness!
People ask me how I’m feeling and I say I don’t know. This makes sense I really don’t.
The Gabapentin made my pain worse, caused pain in other areas of my lower body. I started using Cymbalta, that brings on migraines, dizziness.
Great job! Well organized, well presented.
I have a love/hate relationship with Gabapentin.
1) I love to HATE it.
2) I love that it helped severe spinal pain. Lumbar & cervical.
When other Rx’s were reduced.
3) I hate how it destroys my short term (mostly) memory
each time I go on it. I avoid it
when its suggested. But will take it as a last resort.
Not many Rx channel videos say much about the memory trouble. For some, like me, it
is severe. My doctors tell me this is a common complaint by patients. But, its not given that weight in the videos.
Thanks for sharing. I've also heard about this side effect and that's why I have avoided it till now, and will try to avoid it if I can. I also cannot understand why doctors don't seem to be bothered by that, for me it would just add to my disability having that problem as well.
I have subcutaneous neuralgia in the dorsa scalpula and nerve compression in my lateral discs. I'm having a bad day today, but, as well as medication (venlafaxine, gabapentin, etopan, dihydrocodeone, diazepam and lidocane patches) I also get Bowen treatment. This has been such a game changer for me. The FSM machine really works for me, and my neurologist approves.
I would reccomend trying this treatment to anyone in chronic pain. I am now able to do mild yoga now - which was out of the question a few years ago. Though I'm a terrible sleeper - I wonder if my medication is effecting my sleep
Love mags from Scotland x
I've been on Gabapentin for over 10 yrs. I started at 400 mgs and am now stablilized at 600 mgs at bedtime. Mine was likely caused by alcoholism...according to my podiatrist. I've been sober for 3 yrs but the damage has already been done. I have never had any negative side effects nor sedation but I know if I miss one pill...my feet will start shooting pains all night and I get no sleep. I still have to take a Cannabis scone nightly for my lifelong insomnia but no side effects from either.
Thank you. I have been diagnosed with trigeminal neuralgia and I fit extremely sick from the carbamazepine( tegretol). My pain was so bad that the dosage was 1200 daily. Please make sure your d checks your bloodwork on a monthly basis while on carbamazepine. I wouldn't wish what I went through on anyone.
I was dx with Trigeminal Neuralgia back in 2005. I was never given tegratol.. Just gabapentin. That has its own terrible side effects. They seem to be wanting to get away from gabapentin but insist. Its not abnormal to switch between these epileptic meds with thus disease.
This is a very rare disease. Why people are getting it can only be environmental imho.
I've also been told to see a maxofacial specialist for possible treatment that isn't medication related.
Chiropractors help me too.
Good luck.
Great to know that the Meds we take, can cause the same symptoms! Or worse side effects!!
Thank you soo much for a well explained video. I'm in pain most of the time, my left arm and leg hurts some days more but now pain is getting better,, not as strong, I learned to ignore it, I do meditation, take vitamin supplements, eat well, exercise, go to physical therapy, my therapist says that what I have is stress and suggested not to take pharmaceuticals which I'm not in favor for. Before physical therapy , my Neurologist started me on the devils med Gabapentin, gave headaches, tingling and I thought maybe is kicking in....and at the 14th day of taking it I forgot to take it one morning and started doing my own research ...I was horrified at what I read, peoples experiences so I started taking smaller doses for like another 7 days. Was taking 300mg am and another 300mg at bed time, until I took 1/4 of a capsule for like 4 days until I got to 1 day then I stopped. At the same time started taking magnesium pills and thank God I didn't have any side effects (hope not anyway) I feel a lot better, now I refuse to take any meds I'm trying my pain with pills and teas like ginger root and turmeric, B12, homeopathic, home remedies and praying hard everyday, is working for me, so you guys hang in there and hopefully nobody's takes those horrible meds!! Blessings to you all!
I get lots of this type of pain, stabbing and burning. Was told by a gp years ago, when seeing about it, I had a very sensitive spine, and that it could be numbed, so I didn't feel anything. But I declined. Though sick of pain and particularly joint and nerve pain, something otherwise told me, that I needed to feel this pain. Have had it for years now and sometimes it's unrelenting. But if I allow my mind to become distracted from it, as in hobbies I pursue, then.i don't feel the pain as much as is normal too. Thank you and will watch this later. Also it is fair to state that I was on multiple high dose painkillers at one time in my life, which I have reduced to one type of painkiller..it takes off the edge of the pain and that is all. Which is why I prefer the pain management clinics that are available these days but were not back then...so yeah stabbing, knowing, tingling, thrombin and particulary spasmodic burning and a feeling of something even crawling through my skin is horrible when it starts. I saw a neurologist years ago after having an MRI scan which detected cervical spondylitis in the top 2 vertebrae of my spinal column, it was a terrible time...after a follow up with the neurologist I told him about hand tremors, though not so noticeable these days, he said it was 'Benign tremors' which had come on with the cervical spondylitis...which is why I try to keep my hands busy. Seems it will never go away and I have to take a medication for it, for life, as if I don't, it's not just my hands that tremble...so thanks for this video, I look forwards to listening to it later ..
I was diagnosed with MS in 98 and l didn't experience nerve pain until I started MS meds in 2012.
What meds???
@@KinEllKokabel I'm sorry for the late reply, but Rebif was the first med where I started having nerve pain.
Thank-you for another
informative video.
Since August 2023, I've been dealing with severe pain that began in my right elbow and by October, had spread to both of my hamstrings. Initially, I was told it was merely tennis elbow and I’m weak, that I needed to increase my exercise and physical therapy. However, I suspected it was an immune system issue and accepted this diagnosis until I started experiencing numbness and nerve twitching throughout my body, which led me to understand it was actually neuropathy from b12 deficiency and antipariatal cells. Tomorrow, I'm scheduled to receive Sportvis treatment for my tennis elbow, as I've heard it could potentially rejuvenate the nerves. Additionally, I plan to inquire about the topical compound mixture you've mentioned. I still need to get my spine checked ✅ worried I have perm damage there.
Thank you! :)
The majority of the non pharmaceutical treatments are temporary pain fixes. Getting to the Root cause is the best way. Full hematological work up including ANA. Microvascular disease can cause pain around nerves as well.
Yes! I’ve had my fair share of nerve pain! Mine is most often in my low back effecting the sciatic nerve. This can send fire down to my feet. Light, continuous muscle spasms in this area of my back and the nerve pain (in this area) [both worse at night] are being treated as a combo treatment. 600mg Neurontin with 4mg Valium at bedtime. I haven’t awakened with an injury here since starting this combo. During the day, I use Sombre Cool Gel to start out with. This is usually all I need. I can take 2mg of Valium if I need it too. I have one more, an “emergency med”. I have 5-325 Percocet which I rarely need. 30 tablets can easily last 6 months or more. I also get nerve pain in my head, but that’s a different issue- not MS. 😉 There is a treatment that isn’t on your list tho. That’s Physical Therapy! Just saying...😉😆 😂🤣 Thanks so much for creating this video! I didn’t know why we really feel what shouldn’t be real at all. 🤗❤️❤️❤️
Thank you for sharing :)
@@DrBrandonBeaber After 1 year of excruciating nerve pain down my left leg. All the Gabapentin, Lancaine, Percocet and all the rest. The only thing that helped me was LYRICA. Other pain killers were useless.
@@johnrobey41 Thanks for sharing. lyrica (pregabalin) is very structurally similar to gabapentin, but some people seem to respond better to it for whatever reason.
Ive recently got off all my meds, using intense training (cardio and weights, high intensity) and using TENs at night before bed. Still have pain, but also had it on pregablin/amitryptaline/opiates/cbd etc having trouble with sleep since dropping meds, but always searching. Some great tips in here, thanks for sharing ur knowledge
Yes!! Neuropathic pain 24/7 !!
Tried many drugs, side effects are worse than the pain. From swelling to dizziness I prefer keeping a strong mind and live with it !! It's "just" another co-morbidity (I think it spells like this, another MS side effect )
Thank you for sharing your experiences. Have you tried any of the alternative treatments I mentioned?
@@DrBrandonBeaber I have MS since year 2k, I'm 44 and I done it all, since medications to alternative medicine, I'm trying to reduce the amount of medications I take daily, R2 Alemtuzumab las February as soon as I reach minimal lymphocyte count (+/- 500/ul, current value=210), I will start a new phase, more exercise, intermittent fasting and more healthy lifestyle ! I will restore many functions lost in the last 10 years .💪💪🙏🙏
I have been experiencing very bad, painful numb,electrical shock feelings,for the last four weeks, lasting almost all day,,& night, starting to affect everything I do , why is this happening???
You can go to the complex regional pain syndrome Warriors site give you a lot information about the vagus nerve and how it works
Well done on this vid.
Thank you, sir. Hat tip.
Thanks.
Benzodiazepines (especially Klonopin) also work for neuropathic pain (as they are anti-convulsants and inhibit glutamate), and have been effective for phantom limb pain, and post traumatic trigeminal neuropathy, or other types of atypical facial pain caused by dental trauma. The problem is that benzos can do some serious damage if you quit cold turkey or taper too fast, and most doctors have no clue what they’re doing when it comes to administering or tapering these drugs. Not even detox centers properly treat people with benzo dependency. Tread carefully if you choose to use benzos for neuropathic pain.
Thank you for this extremely helpful presentation
I'm glad you liked it. I'm planning a similar video on spasticity summarizing the various options.
@@DrBrandonBeaber I just joined your channel and will look for that video on spasticity when it is released. Would it be possible to do a video in the future on treating post-Shingles complications or would the information in this video completely cover that, too? Thank you again
@@sagapoetic8990 Many of these treatments could work for post-herpetic neuralgia. Gabapentin and Pregabalin (lyrica) are probably the most well studied.
@@DrBrandonBeaber Thank you. I had a relative who tried Gabapentin but experienced one of the harsher side effects. She's had great success with accupuncture in contrast
Sativex is not synthetic cannabis. It is real cannabis with the THC removed. GW Pharmaceuticals grow their own cannabis plants at a secret location in England. Smoking or eating cannabis can help reduce pain.
Best wishes
Judy Graham
Amitriptiline is like a spouse, many times u hate it but at the end of the day u realize theres nothing like it & nothing good more out there u want to go back to it no matter how many beautiful giirls / cute guys / meds are out there.....
I suffer terribly with pain.
The thing that made a big difference to my pain is LDN 4.5MG daily.
Lots of health to us all
I am planning a video on ldn
Really helpful
Thanks
I have diabetic nerve pain. It's very difficult to live with. My pain doctor prescribed tables tin and lyrica. I also take top a max for my migraines. And I take clonidine for sleep. I also have lidocaine cream. The things that work the best are the lyrica and the lidocaine cream.
Thanks for sharing Kathy. A lot of people give up on medications like gabapentin/lyrica if they don't help at lower doses, but they can still be helpful to many at higher doses.
My pain specialist said that my brain was sending messages to my nerves but the nerves was not taking any notice and doing the own thing.
Cute way of putting it 🤷🏽♀️
@@julietteSoul please search the complex regional pain Warriors
I need your help. I'm in so much pain my life has come to a complete stop the pain in my extremeties is so horrible. I can't sleep but I'm beyond exhausted.
For my nerve pain, I use Vitamin B1 in the benfotiamine form (600-1800 mg spread throughout the day) Also 5000 mcg methylcobalamine form of Vitamin B-12 (sublingual) in the a.m.. Alpha lipoic acid 600 mg 2x day. Add at least 100 mg vitamin B6 in the P5P form, also add some methylfolate (*not* folic acid) & take a high-dose multivitamin to help prevent deficiencies. There are reasons to take exactly the specific type or form of supplements listed , i.e., easier to assimilate, more effective, or they are in the activated form meaning your body doesn't need to convert them or break then down further to utilize them. (Some people have genetic mutations that make it hard for them to break down & utilize certain vitamins; therefore, taking them in the active form is best. That is why specific forms should be taken.)
@@jessicaa.6690 ...Are you serious? I have taken the most comprehensive multivitamin/mineral every day for decades. I also take a combination of ALL the B vitamins EVERYDAY, as well as HIGH doses of B-12, at least twice a day, sometimes 3! My nerve pain while standing or walking (from a herniated and bulging/slipped disk was unbearable. NOTHING HELPED!!! REAL NERVE PAIN IS NOT A JOKE!!! Gabapentin is all they would give me. It might as well be a sugar pill! It would be laughable if it wasn't criminally negligent of the doctors to prescribe ONLY medications that DO NOT WORK!!! They also gave me muscle relaxants! They didn't work, of course. I told the doctor that it wasn't muscle pain. They said..."I know, but we CANNOT give you anything stronger." I call BULLSHIT on that. "Guide-lines" are not LAWS!!!!
Jeff*
My heart goes out to you.....I understand where Jessica is coming from, though....one size does not fit all in in the practice of medicine. Lucky are those that find the particular combination that helps....and even that can change overnight. Words of wisdom? Well, I wish I had some for you for real. I'm an 88 year old lil ol lady. I have "spinal nerve damage"....and I've lived with it in various severity for years....and years.
I've had a few remissions....too few. I'm just so sorry you are afflicted as well.
The "professionals" tell me I have multiple fractures, ruptured disks and nerve damage. I'm always in some degree of pain with muscle spasms. The latest event has been total incontinance in both ways.
So.....just want to say that although I thought the pain was just the worst.....the ramifications of this new event is even more devastating!
My son was named Jeff. He suffered with this as well. He died of Cancer last year. So, I wish you well and hope you have a "someone" to care for you. Hang in there. That's what I'm doing. *Recliner Babe"*
I quit Gabapentin it effected my sleep too much and did not help.
Thanks for the information. I just got told I have this condition .this helps a lot 😊😊😊
Thank u so much... It will be effective in MS I think
I have MS since 2001 I have experience with Gabapentin Amitriptyline, Carbamazeine and Cannabanoids. I took Cannabanoids for pain it didn't work so I stopped. Amitriptyline for sleep that worked pretty good. But I stopped it and I use a c-pap instead. I have what I believe is Lhermitte sign in my right leg. I took Gabapentin and Carbamazeine for it. Neither worked well for me. Because it caused my left leg to became very weak. So the electric shock went away but now I had major leg weakness. The leg left already had issues with foot drop. I stopped driving when I got the Lhermitte sign in the right leg because the shock would come and the right leg would be useless I couldn't move it at all. It would come back 30 seconds later but I felt it was unsafe to drive. I don't want to hurt anyone. So my hubby drives me. Right now take aleve for pain it also helps the inflammation and helps me walk. I would be interested in a video about medicine that helps with inflammation.
Thanks for sharing your experience. In terms of a video about medicine that helps with inflammation, do you mean about disease modifying therapies for multiple sclerosis inflammation or about systemic inflammatory pain?
@@DrBrandonBeaber That's a good question. I wanted the Lhermitte Sign to go away and it did but then it increased the weakness in my left leg to the point it was useless. There is pain involved but really it was about modifying therapies for multiple sclerosis not the pain of the Lhermitte sign. May be I do need to address with my doctor what I'm hoping to get for the treatment because if she thinks I want pain relief and I want modifying therapy then we aren't on the same page. She might have prescribed something different.
Anger and fear also cause pain in my spine.
Thanks Dr
I was told that SCS would not be appropriate for my pain management (we have run out of viable options) because of the lesions on my cervical spinal cord. As I wasn't given any in depth explanation of this by the pain management specialist , would you be willing to address this issue in one of your future posts? Very grateful for your thoughtful videos, they've given me a lot of perspective and succinct information.... really beats trying to dive through the reams of conflicting info on the internet and helps fill the black hole of follow up from my neurology team. All the best!
Thanks for the topic suggestion. I may do a video on spinal cord stimulators in the future.
Case inquiry: lidocaine patch vs Paraspinous lidocaine injection. Is one better (and if so, how much better) than the other?
Thanks for great post. I am not diabetic but I do have SEVERELY painful foot neuropathy; mostly bottom of both feet. Feels like my feet r on fire just about 24/7, tingling and sometimes a frozen feeling. I agree with marijuana being a good option for some. I have used a few times and it helped mostly with sleep. I am currently on: Gabapentin 1200 per day, I have taken Norco 15 mg per day for 2 years and it does help significantly when taken with Gabapentin. Every 2 weeks I take 2-3 day off (of Norco) and detox once per month. I have no side effects and no issues with addiction and or need to increase. My doctor just prescribed Effexor. Was taking Cymbalta but side effects were awful. Worst side effect was extreme double and blurry vision. Thanks for informing content, much appreciated
Thank you have had MS for 30 years have bad pain in central nervous system for all that time have had most of what you talk about. For 28 years have taken Tegretol 1200 mg per day & preagablin 300mg per day morphine slow release capsules 90 mg per day plus tried other treatments in your talk
Star Man you have had ms for 30 years wow. Do you try to exercise?? You"re my hero
@@shawnmcanthony5724 my legs are pretty weak now but I still try to do some exercises I also lift dumbbells for my arms. Walking is a bit of a problem because of foot drop and muscle pain. But I still try and walk as much as I can everyday.
Eight months post total knee replacement surgery I’m in pain 24/7 after EIGHT MONTHS. Will this ever end? Nerve pain is the worst. I’ve had TENS, acupuncture, stimulaters, cupping, hypnotherapy, shiatsu massage, regular massage, four rounds of PT. I’m spending a fortune because Medicrap sucks. I cannot tolerate Gabapentin, Lyrica, etc. Cannot take NSAIDS. SO……..
Why was LDN not mentioned as a possible treatment? I've never tried it but I've been on relistor which my doctor said was nearly identical. I discontinued it after a year because it had no effect on pain or helping constipation.
All of the above.
I was screaming !! For 3,years with nerve pain every 4,seconds it felt like a bucket of hot !! Fat was poured over me for years when I eat mouth burns my eyes burn when out in windy weather and more I hate Gabapentin brain mush.
See your Doctor - change your medicine, to ones that suit you.
Pregabalyn works for me. I take 75 mg every night. The awful burning sensation in my feet is dreadful. Some of it might be in my head though, because I hardly notice it during the day. I seem to notice it more when I am relaxing.
Hey,can you tell from how long u r taking pregabalin,as I also prescribed to take methylcobalamine and pregabalin 75 mg neo gaba by Dr as had been feeling numbness in left leg only, dizziness and disbalance n later started to feel nerve pain in lower left side of body from back to feet ,so I started to take these two medic since one month n feel better so I discontinue to take pregaba but again my symptoms were repeated,so kindly tell me how long one needs to take this to cure problem permanently?
Is it need to take lifetime or we get addicted?
@@maneesharai849 I've been taking pregabalin for almost 5 years. Dosage has varied from time to time.
I was on pregabalin for my back pain but had to stop due to mouth dryness. It was so bad I couldn’t speak.
@@evenorfolk392 whoa! I hadn't related the problem. 🤔 Although I experience a mild dryness only right after I take my daily dosage... I'm glad you mentioned it.
I have now been prescribed Gabapentin. I have to slowly increase the dose week by week. So far I’m taking 50 mg leading up to 100 mg. not much difference yet but it’s early days. No side effects yet.
Nortriptyline caused dry mouth, resulting in expensive dental problems. Topamax suppressed my appetite; I liked the dramatic weight loss but not the weakness that came with it. Today I take Pregabalin. I still get electric-like shocks when I lie down, and I have found that simply wiggling my feet seems to help.
I am a C-4 quadriplegic taking gabapentin for my nerve pain. I've been taking this medication for 15 years now and wish I could find out more natural substitute. I have been taking this medication so long I have forgot what normal feels like. Feeling tired and drowsy seems like the main drawback for me.
Have you tried Bowen treatment Tim? My guys have had a lot of success in dealing with chronic pain x
GABA you can find it on amazon
Or at harvest Health store .
I take an extended release version of Carbamazepine for Transverse Myelitis nerve pain and since my dose was adjusted I do feel drowsy sometimes, but it's been a game changer on pain level. I'm able to get around better and have gone back to work.
I'm glad its working for you ashleigh. Sometimes carbamazepine can cause sedation and even vertigo and clumsiness at higher doses.
@@DrBrandonBeaberluckily so far I've had great response with 200mg twice daily. I try to take one early in the morning and take another roughly 12 hours later so I'm covering a 24 hour time frame.
I've been suffering with nerve pain for 7 years and I'm 24 years old. I used to power lift and I suddenly started to feel all of these weird feelings like palpitations, stress, joint stiffness, etc. I've done multiple tests and nothing has came up. I've done ECG and EMG and I have no nerve damage. No treatment was working and I started recently taking venlafaxine which has actually been helping me. I feel like my body is somehow restoring and feeling normal again at 75 ml. Do you think this is just a treatment or could I Potentially see a cure down-the-line if I continuously keep going this route?
I'm on several pain n gabapentin n have a meditronic pain blocker implant n still have issues
Going thru controlled diabetic neuropathy now… shots in spine NO relief. Gab 600 mg 2-3 x’s a day helps. … mine flares up about 2-3 times a week. Fixing to ask Dr for TENS UNIT. Thx for informative video. 👍👍
What can be done for severe calf pain (both calves). I am taking high-dose opioids and it helps a lot, but I don't want to be on them the rest of my life, and when the payments were off it is excruciating.
I don't hear of many people with calf pain so severe it is debilitating.
( I don't have peripheral artery disease.)
Any ideas what might be wrong and what to do about it?
Never been diabetic went to a pain treatment center for more than ten years nothing has ever worked. Drs talk I just suffer threw it now. Tried to get disability got laughed at. Easy for people who don't understand chronic pain. Was always treated like I was trying to get taken care of. Yes had so many procedures begged for help but nothing. Good luck to everyone trying to get help. I never did.
Any suggestions for tinnitus?
I do not have a diagnosis, never have. The pain in my neck and arm that I have experience for 20 years,has now moved to my legs and I have paralysis now. Been on gabepentin for a very long time. I know that there is no miracle drug out there too help, wish there was one. This is so dibilitating, frustrating and so chronic, with no answers to why. May anyone who suffers from this disease, have prayers wrapped around them.
Dr. I’ve noticed after taking this lyrica it has effected eyes very much. For instance dark circles and dry skin around my eyes.
I have a nerve pain problem aftrr Covid become negative. I have a numbes and pain in palm and sole. In palm severity of pain is high as compare to sole. My all blood reports are normal. I am non diabetic. MRi of spine has normal.
So as per you Dr what would be my line of treatment. My! Vit b 12 level is also normal
I crushed both my ankles several years ago. I have neuropathy in both feet. Only !200 mgs a day of Gabepentin helps me.
I’ve suffered for decades with right side nerve pain which is Postherpetic Neuralgia I also was DX with Fibromyalgia. I have pain from migraines. I also have pain from bulging discs. I have numbness in hands that is 24/7, the severity fluctuates as do the other pains. I’ve tried gabepentin and I won’t take it. Makes me dizzy and dysfunctional. I also have TMJ , numbness and tingling down right leg at times if I move a certain way. Right side face tingling and Auras when I do too much or stressed. I have lesions on Cervical MRI n top of Thoracic MRI. I don’t know what to take for all of this. I have another Neurology appt next month. Lidocaine patches do nothing for me. I ice my arm to reduce pain so I can nap. How ever I can’t ice my who body. Last year I started walking slowly especially in heat n humidity like I’m walking through quick sand. I also feel core weakness throughout the days and I have to sit or lay down. My fatigue has gotten worse since last year. Neurologist doesn’t think it’s MS bc no brain lesions, only dots in white matter of brain which he said could be why I have migraines.
I have shingles,I take pregabalin but I have side effect dizziness and blurred vision.
I have Nuerofibromotosis. I had so many MRI'S. I take gabapentin but seems it's not working. What's sad I was born with nf1 and I get denied for disability
Yes, I suffer from nerve pain. I take gabapentin and it dulls it enough. I have added alpha lipoid acids to my supplements which helps too. I find that at times the pain flares a bit and the alpha lipoid acid helps temper it. Instead of increasing the gabapentin dose.
Could you do a series on using TENS to help with pain?
Thanks.
Thank you thank you for the information because I have the same suffering nerve pain
I have tried both gabapentin and Lyrica with no resolve.. I’m in pain daily but the doctor continues to dismiss my claim. This video is very informative yet.. I still suffer 😞
Gabapentin withdrawal according to what I read about people that took it, their testimonials are that this medication is the devils med, that withdrawals are horrible, I took it for 15 days and I forgot to take the morning one, so I call and left message at Neurologist office, up to today 4 days later haven't call me back, called the farmacy, and he suggested to taper off by 300mg at night for 3 days, was taking 300mg a.m, 300mg before bed. Went to my primary Dr. Yesterday and told him that I didn't want to take it anymore, that my Neurologist didn't call me back,, my pain got worse, nausea, dry mouth, tingling on top of my head, which I already have occasionally, with this med im having it every day, I thought nausea, dry mouth, headache was going to go away in few days. Anyway since I forgot to take the a.m. one on Tuesday May 11, 2021 I started reading about it and reviews so I got to the negative comments from people that took it and it terrified me, I won't take any meds that attach to your brain receptors, and this gaba is one of them, rather to take ibuprofen, I don't take pain killers on a daily basis unless I have excruciating pain. My right arm hurts all the time, and I feel that the pain goes to my head behind my right ear, that's the reason why I'm taking gabapentin. Now my dr. Said to take 100mg to taper off for 7 days then quit. This is my experience. I fail to read about it before I started on it, I always do and this time made a huge mistake. Since I always do read the small letters and love my body as much as my soul. Blessing to you all!!
For Eva....blessed are the people that can drop Gabapentin/Neurontin. Even titrating slowly from 1,600 a day down to 100 a day....if I go below that I get major tremors in hands, arms, eyelids and mouth. I have tried for years to drop this drug....if I had known about this....I would have never started it. Not getting much sympathy from the Docs either. Been taking the stuff for years....it seemed to work.....at first.
Much luck and good vibes to you all. *Recliner Babe*
Get a new doctor.
I have multiple sclerosis..same issues
which is better for the treatment of anxiety and neuropathy of pregabalin or gabapentin please answer me thanks
They are considered to be extremely similar and have an identical mechanism of action. this study found that pregabalin 300mg was better than 900mg of gabapentin in alleviating postoperative pain: www.ncbi.nlm.nih.gov/pmc/articles/PMC3168340/
@@DrBrandonBeaberDear Doctor Brandon Beaber, thank you so much, good luck.
I have a burning in my hands which i believe is inflammed tendons and RSI and when I type I can feel an ache in my wrist but the biggest concern is the tip of my ring finger is very sensitive to touch and picking something up, I have a swelling on that finger too and at the tip I have bruising. This as now spread to my middle finger and small finger in my left hand also aswell as the mdidle finger in that hand. I have had physio and it's not the central nervous system. I'm waiting on a nerve conductor study but this is so debilitating. It's been 11 weeks now since the initial sensations and weakness in my fingers.
Is Capsacin cream any good to treat this? I don't feel the sensations in my fingers unless i'm touching something with them or picking up an object. I believe it's the nerve sensation I feel, and I have to let go from whatever i'm doing as it's so uncomfortble and it makes my head shake as a reflex when I stop touching or holding something. I can't work due to this at the moment and i'm really worried. My job was working on a computer 5 days a week and i also did some rock climbing for the first time which was indoors and it was only for an hour but two weeks later I had the first pain. Have i damaged the nerves? The sensation is felt in the aforementioned fingers in both of my hands.
Sorry. I can't give you specific medical advice here, but I wish you the bets of luck. Hopefully, the video gave you some idea about potential options for nerve pain treatment.
I have a lot of burning pain in my tailbone. It has been broken and healed curved to the right. Is this nerve pain?
I would say yes, sciatica pain, nerve pain. I have burning pain on soles of both feet, from low back pain.. All the best.
Been. Taking alpha lopoic acid for a long time it helps turn down the volume on the pins and needles in my feet from peripheral neuropathy from MGUS. I also wear socks quite a bit even at night. I would describe my peripheral Neuropathy as like walking on memory foam and have numbness up to my sock line. As far as pain not so much just pins and needles.I find for back pain that salon Paz lidocaine patch helps and regular salon Paz for my shoulders, that have full massive tears in , doctor said reverse shoulder replacement, but I’m going to hold off on that,I’m not in severe pain.
is rather strange ,my pain tolerance....
1) full massive tears in rotator cuff a little bit of aching at times good movement should be way more pain 2) hip replacement that was resurfaced broke top part of bone 2am and I felt no pain,replaced with a full hip. 3) passed several kidney stones and just a little jab coming down. Who knows maybe my PN would be more painful if I had lower pain tolerance. My mom had a injury to her cheekbone eye area and her doctor said usually people have pain with this injury.... maybe runs in the family.
I really like your channel. In my experience, patients respond better to Lyrica than with Gabapentin Medication.
How about a video about Fybromyalgia Please!!
There is so little help here in the UK!!
I have been close to suicide because of the pain and fatigue!!
I won't Actually be able to, because I love my family!!
I had shingles in my hair forehead and in my right eye. Shingles are gone seven months ago, how ever they got in my eye and did damage behind my eye to the Corinna and did damage to the sensore nerve. I depend on taken Gabapentin three times per day, for pain and hope to restore the damaged nerves in my eye. Don’t know what I would do with out this drug.
I had a meningioma tumor on t-7 that was removed back when I was 30. Now, I’m walking somewhat, and I have other health issues, but I’ve been having terrible terrible nerve pain down my legs again that’s so loud I can’t think or function. Nothing is relieving it
Doctors don't give a F*CK. They seem to think they get paid more to allow suffering to continue.
What works for pelvic pain. Specifically Pudendal Nerve pain?
There are many types of pelvic pain, and the diagnosis of pudendal neuralgia is often difficult. Many of these treatments have been used for pudendal neuralgia along with pudendal nerve block and surgery if there is a lesion irritating the pudendal nerve.
Lyme & Babesiosis that was misdiagnosed for yrs !! It caused neuropathy!!! We need better testing for both
Sedation? Who gets sedated using Gabapentin, I take 2 600mg 4x a day. My memory is what is affected. Now, if I try to come down, then I get problems. Why are doctors not mentioning the supplements to us? I've never been told this information, and I was injured in 2005. Hmm, thanks, doc!! I use delta 8 and 9 to sleep, and they work very well.
Since you asked - Gabapentin has an adverse reaction for me; one tablet knocks me out for a period of 13 to 17 hours, I had to stop taking it.
I just got diagnosed with inappropriate sinus tachycardia multiple sclerosis related cardiologist said. Neurologist said its not multiple sclerosis related unbelieveable
As complex regional pain syndrome after car accident that I was T-boned I had to thoracic outlet surgeries now years later I can barely walk I take 13 medications my MRI that I just tried the other day was positive for stenosis of the right Virtrabrale Arteries. I have been in comas, seizure, pain that cannot be described! I have such bad seratic pain it feels like railroad spikes like being shoved heels of my feet and up my spinal cord. I do meditate and I do a lot of praying and I become a vitamin Junkie I'm right hand dominated and right I I cannot see nor can I draw and I used to be an artist I can't even write a simple letter when I went to the ER the other day you said you didn't even believe chronic regional pain syndrome didn't know it was he thought I had arthritis I had never seen a doctor before this all happened other than when I was pregnant I don't want to live like this but I want to live 150 mile radius around here they have the blue light Kmart special which is the spinal cord stimulator and a pain pump . I don't drive anymore I used to have a nice car down to one horse one service dog my children have grown and I moved away and I I don't see my grandchildren very often I am treated very differently than I used to be I miss me
I have pain on right side of my head neck and right eye..gases in stomach.twitching muscles .I am using tompiramate 50 mg and paroxitin daily from 8 month but not much improvement
Plz guide me what should I take with these medicine that I m taking already
What about Palmitoylethanolamide? I've been taking 600mg daily for the past few months and my pain has been reduced a lot.
To be honest, I had not heard of this as a neuropathic pain treatment before, but it does look like there is dome data on PEA as in from this article: www.ncbi.nlm.nih.gov/pmc/articles/PMC5094513/ I can look into this in more detail.
@@DrBrandonBeaber Yes, I saw that article, but it would be amazing if you could explain it in more detail. I had this suggested by my acupuncturist, and I see very good reviews of it online for neuropathic pain. I think it works pretty well, and having no side effects whatsoever is a big big plus for me!
Thanks Kara, I’m going to look into this. Anything is worth a try. ❤️ from 🇦🇺
@@swansfan6944 Hope it will help you as well! Hug back from Italy!
Hi Kara, if you see this, I was wondering if you take the tablet, capsule or powder. Is one better than the other ? I just read in Italy and Spain it is marketed as a food for special medical purposes. In other countries the FDA considers them unapproved drugs because they do not fall under the category of natural substances, and that is because most PEA supplements available are of synthetic origin. ( whatever that all means ) that’s why I ask you what do you take, as I would like to try the same. If they have it here in Australia. I hope it’s not to late to work for me as I have a lot of conditions now, just like my poor mother. Thanks again for the tip, in all these years not one doctor has mentioned this.
Hi Dr Brandon, I have had nerve pain in my arm for almost a year now. I've tried Acupuncture, the tens machine, physiotherapy, massage, supplements etc and no improvement. Tbh it wasn't picked up as a relapse but that's what happened. I was prescribed pregabalin last month but it didn't agree with me at all and I felt so sick on it. Next their suggestion was duloxetine. I haven't tried this yet as I'm scared about the side effects. I've been doing nerve flossing and this has had a huge impact on the pain release in my arm /wrist /hand and wondered if you knew much about this as a non medical way of treating nerve pain? Thanks Laura
My neurologist never told me what nerve but none of meds work for me so I'm trying Acupuncture ×2 weekly w/cannabis and meditation 😁
I hope they work for you G Ma.
Please tell me about Poly-neuropathy from benzodiazepine withdrawal. I'm 2 years off and really suffering. What do you know about neuropathy from a medication withdrawal??
I take gabapentin 600 mg 4 time a day but when i I burning bad i take more
How is dependence not a possiblity with any drug it's not like they fix the nerve?
Neuropathic pain medications do not cause tolerance (decreased efficacy over time) like opiates, but they do not cure the underlying problem. They only reduce symptoms.
@@DrBrandonBeaber but dependence is diff than tolerance, you can be psychologically dependent when you actually don't physically need it anymore out of fear of pain
@@walkwithtom236 I suppose this is possible. It is reasonable to wean off medication if the pain has improved.
I have a damaged sciatic nerve from an injury treated by surgery x2. I have tried numerous treatments including cannabis but didn't find that helpful at all. Most of those other treatments the doctor suggested have side effects worse than opioids. So, the most effective has been Norco 3 time a day for over 15 years. Have never built a tolerance to it. I am not a cannabis user but I sure wish that worked instead.
Gosh how are you not mentioning diet changes for treatment?? Really?
I do have a lot of videos on nutrition and supplements as they relate to multiple sclerosis (the main topic of this channel). Some causes of neuropathic pain such as diabetes would have nutritional approaches.
@@DrBrandonBeaber And you choose not to mention how diet can significantly reduce neuropathy?
No, not just diabetes. Nerve damage from medications.
@@DrBrandonBeaber My severe neuropathy was caused by a prescribed pharmaceutical not a disease. Diet matters. Diet can reduce pain.
My fiance' has MS and has unrelenting foot and lower leg pain. The ONLY substance offering her any substantive relief is Kratom. Flat out stops the pain and with no side effects...most of the time. Might want to loo into it. Good Netflix documentary on it.
Nowadays, even when one can see from a MRI, that you have a herniated and bulging or slipped disk, they do not give a damn and will not give you opiates, EVEN when it would just be until they can get your surgery done and the short time thereafter! That nerve pain was impossible to stop in any way, except by sitting down. Even Toradol combined with Tylenol at high doses, was pointless. High doses of Gabapentin was a joke. I took Effexor already for depression. It will probably come back before too long, especially because of my occupation. Where are the doctors lack of concern and compassion going to push me and others in similar predicaments? Take a guess. It isn't legal.
Hi Jeff, so sorry to hear of your plight. perhaps ,some or all of my suggestions may help a little ,or a lot.
My case is, I've had 5 distectomies ,plates and botls in my neck, 3 more herniated discs in behind my chest centre at the moment, ( I've gotten several Rhizotomies to try alleviate the electric shock peripheral pains wrapping around my ribcage, experienced from the latest 3 herniations.)
Also, have Sciatica in both legs and constant lower back-pain.
What has worked for me (to a great extent), and through my own investigations and consultations with my General Practitioner is, as afore mentioned;
Rhizotomies( when required, been 18 months since my last session of those nine spinal injections.)
I take 6 co-codamol. (Think you call them TYLEX, Stateside.)
I take a low dose Anti- Depressant daily,(for analgesic properties primarily I believe the do help with mood.)
I drink 'BREWERS YEAST' , every day, it's a natural B-VITAMINS supplement, (full spectrum of B-VITS for nerve health and energy.)
I take a spoon of MAGNESIUM CITRATE ,(every morning ,as it relaxes my muscles throughout my body and gives me a general relaxed feeling all over.)
I take 1000mg of VITAMIN C (8 HR TIME RELEASE, morning and afternoon, for pain relief.)
I take VITAMIN D3(for mood and immunity), AND COENZYME Q10(for energy and my heart problems.)
You may not like these next suggestions ,but this is what works for me ,SORRY 'BOUT THIS ;
I walk 10km per day(approx 7 miles.)
I do some light weights ,using an 8KG kettlebell ,approx. 2 ,or 3 times per week, only a 5 minute light session.
I have morning stretches regimen,( I often only do these if I'm in absolute agony.)
I eat a relatively low Carb diet (and I skip breakfast and lunch and eat a large evening meal, followed by a healthy snack four hours later ,usually fresh fruit and nuts, and oily fish, like sardines or mackerel.)
I meditate twice per day, I use Eckhart Tolle UA-cam vid ,Binaural Sounds one(15 mins 46secs one), morning and night.
Also, I try to limit my beer also, and as I'm an Irish man ,this is pretty difficult !!! HAHA.. And ,i don't smoke cigarettes anymore.
Gabapentin did nothing for me ever, and I'm suffering from these problems for 21 years. I'm now 47, so since I was 26, that's when I had my first disc removed. I've been on OXYCONTIN, VALIUM and OXYNORM, (think they are called percocet in the USA), every day for years, and lots of other drugs too and developed a fondness for them, so I had to kick them and find alternative routes for pain relief.
I've had to slim down to 162 lbs, (was about 225 lbs),as I feel this is a healthy weight for me ,as my beer belly was added weight that caused even more pain, by dragging on my back...
Over the past few years , I've been spending a few months on the West Coast USA every year, where I usually use some Cannabis Kief ,or high strength CBD and THC flowers ,to boost my pain relief, (we are a backward nation and cannabis is still illegal in Ireland).
I've had chronic pain for years and it wears one down and affects every damn thing, bringing down the quality of life, causing depression, and an avalanche of other problems, so I can empathise and sympathise ,equally with you Jeff !!!
Stay strong, stay fit as possible, be healthy as you can, and remember who you were before all this trouble, you can get back to being the previous Jeff, but in my case ,it took a lifestyle change and lots of commitment.
Hope this helps Jeff, (also, if you're not getting the support you need from your doctor, I would suggest, find a different one, I've noticed that younger physicians are more progressive and less set in their 'robot at a conveyor belt ways').
I think what I've been doing must have worked for me, as I've recently given a short lecture to some trainee doctors on the subject of, 'Chronic Pain Relief'. I simply hope and wish ,that my information may be of some help to you, Sir.
STAY STRONG, YOU'LL GET THERE ,MR. JEFF JONES...
Best wishes and high regards from Ireland,
Your's, Patrick OL.
it is weird, i get numbnes of limbs taking B1 (benfothiamine) dose 200mg daily
I haven't personally heard of this as a side effect
I use to smoke weed a lot. Ever since having an annular tear @ L5-S1 smoking weed makes my nerve pain much worse.
Interesting. I've never heard this before.
Dont forget PHN from Shingles.
Funny how Gabapentin helps some people and might as well be a placebo to others. Even at high doses.
I'm allergic to that one.
Help me I suffer neurological problems after Pfizer vaccine can u tell me what’s substance in this vaccine responsible
I had 3 spine surgeon's tell me there's nothing they can do and literally get up and walk out if the room, no wonder people are turning to street drug's when there is no more compassion in the medical industry. My mri is showing my vertebra pretty much rubbing together at this point and I can't get off the floor at times and at this point I'm almost ready to track down these illegal drugs just so I can take the most basic care of myself. It's absolutely disgusting on how I've been treated!!!!!!!!!!
I have had the same issue with the neurosurgeon. They say there is nothing they can do and just walk away. Then one day the pain was so bad I had to go to the emergency room. I met a doctor who understood. He gave me LYRICA and I have been pain free for 18 months. I am not 100% where I use to be, but thankfully the nerve pain is gone.
Try Curamin with Boswellia and DLPA I my aid pick it up for me .
I think that you should be able to find it. Make sure it has nattokinase in it. All natural and natural and good for pain
I know how you feel . Categories they actually put people in them I just want to touch one of those suckers and say feel what I feel read below about what I say to your friend about Curamin once all this stuff but it's been working for me somewhat
Pills scare me.
There has to be another way....
im 76 male with exercising and still part time lifeguard 250lbs 5 9 1/2 when i was about 40 my toes wouldn't bend the foot doctor told me i have spurs he said he can remove them but if it don't work out he would some how seize them together he said the best surgery is no surgery well he was right but when i had a mild heart attack at 54 with good recovery less than 1% heart damage one stent in the bottom of my heart so i started to do the tread mill 25 to 50 min at 3.7 4% grade well my toes started to bend after doing this for 20 years well about 4years ago i was diagnosed with neuropathy went to the foot doctor he found a morton neuroma which was removed and trimmed an adjoining joint down because this was the area with the most pain ( both feet got pain ) that area he worked on has helped somewhat but this neuropathy is killing me went to the neuroscience dept at the local hospital and she thought that i might have something else also with some electrical tests they said its neuropathy im on pregabilin 50 mg for three months it seemed to work better fo pain at first but better for sleeping now . one interesting thing is when i play chess in a tournament it doesn't bother me other wise im any where from pain level 3 to 8 sitting around ok when active .lately the pain is going up my leg i have no back aches or back pain . the foot doctor thought that it comes from my spine lately i think he is right . this ruining my life !
Throbbing, not thrombin, knawing and not knowing..all auto correction..
That's what you're seeing with automated captions on this video?
I have fibromyalgia and peripheral neuropathy in the right arm, I've all but lost the use of it!!
Double whammy!!
Surgeon said he'd operate but could not guarantee that this would work!!
Feck that!!
It could have made me worse, Yay!! Oh dear, I am in the UK, and the doctors still treat me like it's not real, and I'm just seeking drugs!!
No way!! I wish I could manage without the crap!!
Opioids are the ONLY pain relief that helps my pain. I have tried most of the others with incredibly bad side effects! Two of the drugs mentioned gave me suicidal feelings.
The lie about opioids is they are addictive. ALL OF THOSE DRUGS ARE ADDICTING!!!! When I stopped taking gabapentin, I thought I was going to die even doing it the right way.
The attacks on opioids is political and greed. Pain medication is BIG BUSINESS!!!! It’s that simple. I tried marijuana. Could not function at all. No one can. I worked in a mmj facility. They were ALL STONED!!! The marijuana lobbyists have told a big lie the it is safer than opioids. They are not! The only person dying from opioids are the drug addicts. That’s where the are getting their statistics from.
It’s very very sad that people can not get the pain medications that really work and are safe when regulated because of lobbyists.
BTW. I’m pain every day from a life time of work related injury.
sativex is amazing for pain relief. dont listen to the nay sayers.
Gabapentin 👎👎👎 medical cannabis 👍👍👍
Thanks Gabapentin medical good
Hello Doctor i want to send you an email
Could you please?🙏