Neuropathic Pain: What It Feels Like and What You Can Do

Burning, electric shocks, pins-and-needles or deep aching — nerve pain often feels different from regular aches. If pain comes with tingling, numbness, or weakness, you’re likely dealing with neuropathic pain. This short guide explains common causes, treatment routes, and simple steps you can try at home while you get medical help.

What causes neuropathic pain and how it shows up

Nerve pain comes from damaged or irritated nerves. Common causes include diabetes (diabetic neuropathy), shingles (postherpetic neuralgia), chemotherapy, nerve compression (like a pinched nerve), injuries, vitamin B12 deficiency, and some medications. Symptoms vary — some people feel constant burning, others sudden electric jolts, or pain triggered by light touch. Weakness or loss of sensation can signal more serious nerve damage.

Keep a quick log: note what triggers pain, time of day, and any new medicines. That record helps your doctor find the cause faster.

Real options: meds, procedures, and simple at-home care

Medications often used first are different from typical painkillers. Anticonvulsants like gabapentin and pregabalin, and certain antidepressants such as duloxetine or amitriptyline, reduce nerve signals. Topical options — lidocaine patches or capsaicin cream — work well for localized pain and have fewer systemic side effects. NSAIDs (ibuprofen, naproxen) might help when nerve pain mixes with muscle or joint pain, but they’re usually not enough alone. Strong opioids are rarely the best long-term choice because of dependence and side effects.

For specific conditions, other tools help: muscle relaxants or off-label options like baclofen can reduce spasm-related nerve pain (see our Baclofen for Pudendal Neuralgia article). Procedures such as nerve blocks, steroid injections, TENS, or spinal cord stimulation are options when meds don’t help.

At home, try these practical steps: keep blood sugar under control if you have diabetes, use comfortable shoes and avoid repetitive pressure on nerves, apply heat or cool packs for short periods, and start gentle exercise—walking, water therapy, or stretching—to keep muscles strong and nerves fed. Sleep and stress matter: poor sleep makes pain worse, and calming routines can lower flares.

Watch side effects: many nerve meds cause drowsiness, dizziness, dry mouth, or weight change. Never mix meds without checking interactions — mention herbal supplements you take, since some interact with antidepressants.

If you notice sudden worsening, new weakness, loss of bladder or bowel control, or signs of infection (redness, fever), seek urgent care. For ongoing pain, ask your clinician about referral to a neurologist or pain clinic and about tailored plans like physical therapy, cognitive-behavioral therapy, or specialist procedures.

Want more detail? Read our focused posts on related treatments like Celebrex for pain relief and specific options for pudendal neuralgia. Tracking your symptoms and working with a provider gets you closer to a plan that actually helps.