Neuralgia is a common neurological symptom in daily life, also known as spontaneous pain. Its occurrence is often related to trauma and neuropathy, and has a great impact on human health. Therefore, it must be treated promptly after the onset of the disease to avoid missing the best time for treatment. So what are the symptoms of nerve pain? 1. Symptoms of nerve pain Neuralgia and neuropathy after limb trauma, pain, hyperalgesia, and hyperesthesia after limb trauma; initial pain is limited to the trauma site or the distribution area of the injured nerve, and then can extend to the entire limb; in addition to pain, there may be vasomotor disorders (initially vasodilation, the skin becomes warm and dry, and then vasoconstriction, skin edema, cyanosis, and coldness) and excessive or insufficient sweating, nutritional changes in the skin, subcutaneous tissue and muscles, osteoporosis, etc. You should go to the hospital for diagnosis and treatment, which may be radiation sympathetic dystrophy. Second, the most common sites Neuralgia in the face, throat, and occipital region Nerve pain in the shoulder or upper limb Neuralgia in the chest Neuralgia in the lower back, legs, or lower limbs 3. Common neuralgia 1. Sciatica The sciatic nerve is the largest peripheral nerve in the human body. It begins at the lumbar spine, passes through the pelvis, and exits through the greater sciatic foramen to the buttocks, then runs down the back of the thigh to the foot. Sciatica, the pain attacks may radiate along the buttocks, posterior femur, outer calf, dorsum of foot, etc., and are accompanied by varying degrees of sensory impairment, lower limb muscle weakness, decreased or absent Achilles tendon reflex. When the big toe is bent backward to the side of the body, reduce the movement of the waist and affected limb, or press Huantiao (the junction of the outer 1/3 and inner 2/3 of the line from the highest point of the greater trochanter of the femur to the coccyx). Sciatica is a common disease. The most common is lumbar disc herniation. Others include spinal tuberculosis, arachnoiditis, intravertebral metastatic cancer, etc. In addition, sacroiliac arthritis and pelvic tumors compressing the nerves can also cause sciatica. Sciatica is pain that occurs where the sciatic nerve passes (i.e., lower back, buttocks, back of thigh, outer calf, and foot). The pain increases when the sciatic nerve is stretched, so the patient's affected lower limb is often flexed to relieve the pain. Sciatica can be treated with B vitamins, traditional Chinese medicine for relaxing muscles and activating blood circulation, as well as acupuncture, physical therapy and other methods. However, the fundamental way is to treat the primary disease that causes sciatica, which can be treated with traditional Chinese medicine. 2. Trigeminal neuralgia In trigeminal neuralgia, pain in the second branch is more common, and the average age of patients is 40 to 50 years old. The patient experienced a sudden paroxysmal shooting pain on one side of the face, which lasted from a few seconds to more than ten seconds. The pain was described as burning and unbearable. During an attack, people often rub the painful side of their face with their hands in an attempt to relieve the pain. Due to frequent rubbing, the facial skin becomes rough and sometimes the eyebrows may fall off. There are intervals between attacks, and the length of the intervals varies. In mild cases, attacks may occur every few days or weeks, with longer intervals. The pain can be triggered by actions such as washing face, brushing teeth, and eating. Treatment generally involves intramuscular injection of vitamins to nourish the nerves, or surgical cutting of the nerves. 3. Intercostal neuralgia Intercostal neuralgia can be caused by rib fractures, metastatic cancer of the thoracic spine, herpes zoster, etc. Caused by shingles, skin lesions can be seen in the painful area, with clusters of rashes and normal skin between the rashes. In severe cases, there may be exudation or redness and swelling. Therefore, when treating intercostal neuralgia, the main focus should be on treating the primary lesion, and secondly, pain treatment can be carried out to relieve local symptoms. |
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