Nerve Pain (Neuralgia) - Causes, Diagnosis and Treatments

Nerve Pain (Neuralgia) - Causes, Diagnosis and Treatments
Always consult your doctor before starting a new treatment or exercise routine.

Nerve pain, also known as neuropathic pain or neuralgia, can feel shocking, burning, or even like an electric jolt in your body.

According to the National Institute of Neurological Disorders and Stroke, about 20 million Americans suffer from some form of peripheral nerve damage.

Below, you will learn about common causes of nerve pain, key symptoms, diagnosis options, and promising treatment methods. The aim is to give you a clear path forward, supported by data and practical tips you can try today.

Understanding Nerve Pain

When you experience nerve pain, damaged nerve fibers send erratic signals to the brain. These confused signals trigger sensations of tingling, burning, or stabbing.(NHS).

Experts say neuropathic pain can be acute (short-term) or chronic (lasting months or years).

You might notice it in your arms, hands, legs, or feet. Sometimes, you feel an odd warmth or “pins and needles” out of nowhere. In other cases, gentle touches (like bedsheets on your feet) can cause sharp twinges (Healthdirect).

Who Is Affected

This discomfort spans many conditions and lifestyles. While approximately 30% of all neuropathy is tied to diabetic neuropathy (Cleveland Clinic), infections (like shingles), autoimmune disorders (such as multiple sclerosis), and even injuries are also culprits.

Chemotherapy treatments often bring nerve pain, too, which you might see referred to as neuropathy from chemo.

Additionally, repeated strain or compression on a nerve—sometimes called nerve entrapment—can trigger these persistent pain signals.

The wide range of causes means nerve pain is not a one-size-fits-all problem—yet many of the solutions share similar principles of relief, prevention, and healthy habits.

To learn more about other nerve-related conditions, check out our articles on nerve compression, sciatica, hip impingement, and carpal tunnel syndrome.

Recognize Key Symptoms

Painful Sensations

A quick way to spot this type of pain is how it feels: shock-like, burning, or pinprick sensations that may come and go without a clear cause. Some people note sudden jolts, especially at night.

This discomfort might get worse in cooler temperatures or after a busy day. You might also have “sensory confusion,” where a light breeze or a soft blanket feels oddly sharp.

If you detect these warning signs, track them in a journal. Jot down times, severity, and any triggers you notice. This record can help your doctor tailor an accurate plan.

Functional Challenges

Nerve pain goes beyond odd sensations. You might find your balance is off or your grip on objects weakens.

People with nerve damage in the feet sometimes struggle to stand for long periods or notice that stepping on uneven surfaces triggers extra soreness.

Dexterity issues in your hands might slow your typing or make it easier to drop lightweight items like pens.

When your ability to function is disrupted by repeated shooting pains, a thorough evaluation is essential. Therapies like physical rehabilitation or specialized exercises often bring relief, but the first step is to confirm the root cause.

Explore Diagnosis Steps

Diagnosis typically starts with a detailed personal health review, followed by appropriate exams.

Early diagnosis matters: it can speed up targeted treatment and help preserve mobility or sensations in your hands and feet.

Medical Exams

Your healthcare provider will ask questions about your symptoms—when they began, how often they flare up, and any medical history like diabetes or a past infection.

They might do a physical assessment to check reflexes, muscle strength, and sensitivity in specific areas. A blood test can reveal high glucose levels (which often signal diabetes) or vitamin deficiencies that contribute to nerve pain.

If you show signs of more complicated conditions such as hereditary disorders, your physician might mention Charcot-Marie-Tooth disease or Friedreich ataxia.

Imaging And Tests

If physical or blood exams are not conclusive, your doctor can recommend an MRI or CT scan to look for herniated discs or other structural issues compressing your nerves. They may also order a nerve conduction study to measure how well nerve signals travel through your limbs.

This test helps isolate areas of damage or compression. You may also discuss an EMG (electromyogram), which checks muscle health and nerve-to-muscle signal flow.

For many individuals, these diagnostic tools are a gateway to effective treatment. The results help your medical team decide if you would benefit most from medication, rehabilitation, or a combination of approaches.

If you worry about nerve pain in your hands, consider reading up on nerve damage in hand for more targeted insights.

Consider Treatment Approaches

Treatment for nerve pain aims to ease discomfort and improve your quality of life. In many cases, you can combine prescription medications, physical therapy, and supportive therapies like yoga or relaxation.

These treatment options should be treated as a general guideline, always consult with a healthcare professional for personalized guidance on nerve pain treatment that is right for you.

Medications And Supplements

Because nerve pain often defies typical pain relief, doctors frequently prescribe antidepressants (like duloxetine) or antiepileptic drugs (such as pregabalin or gabapentin).

These medications calm the overactive nerve signals. Tramadol—an opioid-like painkiller—may be used short term if other treatments fall short, although it requires caution because of possible dependency (NHS).

Supplements may have partial benefits too. For instance, acetyl-L-carnitine, alpha-lipoic acid, and gamma linolenic acid show some promise, especially in diabetic nerve issues, although more research is needed for conclusive evidence (WebMD).

Meanwhile, capsaicin (the chili pepper component) applied as a cream or patch may help lighten pain signals in localized areas. However, capsaicin can cause skin irritation, so always follow the label’s instructions.

Physical Methods

Physical therapy builds strength, balance, and flexibility while reducing nerve pressure. A therapist might guide you through gentle exercises to relax tight muscles, realign joints, and restore a comfortable range of motion.

Some therapy centers use specialized techniques like Intraneural Facilitation (INF), a method that places your body in positions that can boost blood flow to irritated nerves.

If you have reflex issues, your therapist could add small adjustments—such as braces or shoe supports—to reduce strain on joints and nerves. Consistent sessions can often bring modest but steady improvements that add up over time.

Lifestyle And Alternative Care

Along with supervised medical care, everyday habits can significantly impact nerve pain. If you have diabetes, stabilizing your blood sugar is critical.

A healthy diet of vegetables, lean proteins, and whole grains helps lower risk factors for further nerve damage.

Moderate daily exercise—like walking or short bike sessions—improves blood circulation and can reduce inflammation in areas prone to shooting pains.

Some individuals explore therapies like acupuncture, mindfulness, or relaxation methods. While the scientific evidence is still developing, a few people find these practices ease stress and promote a sense of well-being.

Cannabis has also been studied for its anti-inflammatory and analgesic properties, and it might offer short-term relief in certain neuropathic cases.

If you are curious, talk with your doctor or a specialist, as they can advise on legalities and safe usage in your state or country.

If you prefer a broader plan, you might explore neuropathy treatment or learn more about how to repair damaged nerves naturally.

Seek RELIEF®

RELIEF® is a science-backed treatment that targets dysfunctional fascia, which may contribute to nerve irritation and peripheral neuropathy.

Using a gentle technique called hydrodissection, RELIEF® releases adhered fascia and soft tissue that can press on nerves—helping reduce tingling, burning, numbness, and pain associated with nerve pain and peripheral neuropathy.1-7

RELIEF® is a minimally invasive alternative to traditional treatments and does not require steroids, long-term medication, surgery, anesthesia, or post-procedure immobilization.

Summary

Nerve pain may be unsettling, but pinpointing the right treatment can offer genuine relief.

Start with a thorough medical evaluation, including blood work, imaging tests, or a nerve conduction study.

From there, combine proven therapies—like medication or physical therapy—with lifestyle and alternative options that fit your unique needs.

  • Keep track of your symptoms (when they happen, what triggers them, how severe they feel).  
  • Talk with your healthcare provider about targeted treatments like antidepressants or antiepileptics.  
  • Explore gentle physical therapy exercises if recommended (it can improve balance and reduce strain on sensitive nerves).  
  • Adjust daily habits, such as a balanced diet and consistent exercise, that help support healthy nerves.  
  • Consider supplements or topical aids, including capsaicin products, but double-check with a professional first.

If you have a specific type of pain, such as small fiber neuropathy or peripheral neuropathy, you might find specialized support through medical specialists, support groups, or targeted reading materials.

Adopting a proactive attitude—rather than waiting for the pain to subside on its own—can help you maintain or even recover everyday function.

If you’re in the Miami area and seeking relief from peripheral neuropathy, contact us today to schedule a consultation.

Why Choose RELIEF®

Just 2 weeks after their RELIEF® treatment

4 out of 5

patients reported a
decrease in pain

47%

of patients reported life changing outcome

without surgery, steroids, medication, or immobilization

*Based on patient pre and 2-week post RELIEF® surveys