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Nerve Pain, Neuropathy & CRPS

Expert Pain Medicine & Medical-Legal Evaluation

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Nerve Pain And Neuropathy Conditions We Treat

Nerve-related pain can develop from diabetes, peripheral nerve irritation, shingles, injury, surgery, or conditions involving abnormal pain signaling. Because neuropathy and neuralgia can have different causes, the right treatment begins with a careful evaluation.

Nerve-related pain can develop from diabetes, peripheral nerve irritation, shingles, injury, surgery, or conditions involving abnormal pain signaling. Because neuropathy and neuralgia can have different causes, the right treatment begins with a careful evaluation.

We commonly help patients experiencing:

Diabetic peripheral neuropathy

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Peripheral neuropathy

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Neuritis

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Cluneal neuralgia

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Suprascapular neuralgia

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Genicular nerve pain

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Other focal peripheral neuralgias

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Complex regional pain syndrome (CRPS)

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Postherpetic neuralgia

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Get Back To Living & Find Relief From Burning, Tingling, And Persistent Nerve Pain

Nerve pain can feel burning, shooting, electric-like, numb, or unusually sensitive. Symptoms may affect the hands, feet, legs, arms, lower back, shoulder, knee, or another specific area and can interfere with sleep, mobility, work, and everyday activities.
Our pain management team helps identify the likely source and pattern of your symptoms and recommend treatment options based on your diagnosis, medical history, prior care, and goals.
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Diabetic Peripheral Neuropathy Treatment

Diabetic peripheral neuropathy develops when diabetes damages nerves, most commonly in the feet and legs. Some patients also experience symptoms in the hands or other areas.

Symptoms may include:

  • Burning or shooting pain
  • Tingling or pins-and-needles sensations
  • Numbness
  • Increased sensitivity to touch
  • Pain that worsens at night
  • Difficulty sleeping
  • Reduced balance or confidence while walking
Treatment options may include:
  • Medication management
  • Targeted nerve blocks
  • Spinal cord stimulation evaluation
Medication management may be used to reduce nerve-related symptoms and improve daily comfort. Targeted nerve blocks may be considered when symptoms follow a specific nerve distribution.
For selected patients with persistent painful diabetic neuropathy that has not responded adequately to other treatments, spinal cord stimulation may be evaluated as part of a more advanced pain management plan.
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Peripheral Neuropathy And Neuritis Treatment

Peripheral neuropathy refers to damage or dysfunction involving nerves outside the brain and spinal cord. Neuritis refers to irritation or inflammation affecting a nerve.
Symptoms may be widespread or limited to a specific area. Patients may experience burning, aching, stabbing, tingling, numbness, weakness, or sensitivity along the affected nerves.

Treatment options may include:

  • Medication management
  • Targeted peripheral nerve blocks
  • Targeted nerve ablation in selected cases
  • Peripheral nerve stimulation evaluation
  • Spinal cord stimulation evaluation

A targeted nerve block may help determine whether a specific peripheral nerve is contributing to the pain while also providing temporary relief.

When symptoms remain persistent, nerve ablation or neuromodulation may be considered in selected cases based on the location of the pain, prior treatment response, and overall diagnosis.

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Cluneal Neuralgia Treatment

The cluneal nerves provide sensation to areas of the lower back, upper buttock, and pelvic region. Irritation or entrapment of these nerves may cause cluneal neuralgia.
Patients may experience localized burning, stabbing, aching, or electric-like pain near the top of the buttock or along the back of the pelvis. Symptoms may worsen with sitting, standing, walking, bending, or pressure over the affected area.

Treatment options may include:

  • Cluneal nerve blocks
  • Cluneal radiofrequency ablation in selected cases
  • Cluneal peripheral nerve stimulation

A cluneal nerve block may be used to help determine whether one of these nerves is contributing to the pain. When a diagnostic block provides meaningful temporary relief, radiofrequency ablation may be considered in selected cases.

Peripheral nerve stimulation may also be evaluated for persistent cluneal nerve pain that has not improved adequately with other treatment options.

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Suprascapular, Genicular, And Other Focal Peripheral Neuralgia Treatment

Focal peripheral neuralgia occurs when pain is linked to a specific nerve. Depending on the affected nerve, symptoms may develop around the shoulder, knee, chest wall, pelvis, arm, leg, or another localized area.

Examples include:

  • Suprascapular neuralgia affecting the shoulder
  • Genicular nerve pain affecting the knee
  • Cluneal nerve pain affecting the lower back or buttock
  • Other localized peripheral nerve pain

Treatment options may include:

  • Targeted peripheral nerve blocks
  • Radiofrequency ablation in selected cases
  • Nalu peripheral nerve stimulation when appropriate
A targeted nerve block may help confirm whether the suspected nerve is contributing to the pain. When the response is meaningful, radiofrequency ablation may be considered to reduce pain signals from that nerve.
Nalu peripheral nerve stimulation may be evaluated when clinically appropriate for focal nerve pain that remains persistent despite more conservative treatment.
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Complex Regional Pain Syndrome Treatment

Complex regional pain syndrome, or CRPS, is a chronic pain condition that may develop after an injury, surgery, fracture, or other physical event. The pain is often more severe or prolonged than expected from the original injury.

CRPS commonly affects an arm, hand, leg, or foot. Symptoms may include:

  • Burning or severe pain
  • Increased sensitivity to touch
  • Swelling
  • Changes in skin color or temperature
  • Changes in sweating
  • Stiffness or reduced movement
  • Weakness
  • Changes in hair or nail growth
  • Pain that spreads beyond the original injury area

Treatment options may include:

  • Sympathetic nerve blocks
  • Medication management
  • Ketamine infusion evaluation
  • Lidocaine infusion evaluation
  • Spinal cord stimulation evaluation
  • Dorsal root ganglion (DRG) stimulation evaluation
  • Physical or occupational therapy coordination
Sympathetic blocks may be used to evaluate whether the sympathetic nervous system is contributing to the pain and related symptoms.
Because CRPS can affect pain signaling, movement, sensitivity, and function, treatment often requires a coordinated approach. Physical or occupational therapy may be combined with medication, targeted procedures, or neuromodulation to help improve function and reduce the impact of symptoms.
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Postherpetic Neuralgia Treatment

Postherpetic neuralgia is persistent nerve pain that can remain after a shingles rash has healed. The condition develops when the shingles virus damages or irritates the affected nerves.

Patients may experience:
Burning or stabbing pain
Tingling
Itching
Numbness
Increased sensitivity
Pain from light touch or clothing
Ongoing discomfort in the area of the previous rash

Treatment options may include:

  • Medication management
  • Peripheral nerve blocks
  • Topical medication strategies
  • Peripheral nerve stimulation evaluation in selected cases
Treatment depends on the location and severity of the pain, how long symptoms have been present, and the patient’s response to prior care.
Peripheral nerve stimulation may be evaluated in selected cases when postherpetic neuralgia remains persistent despite medication and other targeted treatments.
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Peripheral Nerve Stimulation For Chronic Nerve Pain

Peripheral nerve stimulation may be considered when pain can be linked to a specific peripheral nerve and has not improved adequately with medications, injections, or other conservative treatments.

The treatment uses mild electrical stimulation to influence pain signals carried by the targeted nerve.

It may be evaluated for selected patients with

  • Cluneal neuralgia
  • Suprascapular neuralgia
  • Genicular nerve pain
  • Other focal peripheral neuralgias
  • Persistent postherpetic neuralgia
  • Chronic neuropathic pain involving an identifiable nerve
The specific system and nerve targeted will depend on the location of the pain, diagnostic findings, prior treatment response, and overall diagnosis.

Spinal Cord And DRG Stimulation Evaluation

Spinal cord stimulation and dorsal root ganglion, or DRG, stimulation are neuromodulation treatments that may be considered for selected chronic nerve pain conditions.

Spinal cord stimulation may be evaluated for

  • Painful diabetic peripheral neuropathy
  • Persistent peripheral neuropathy
  • Complex regional pain syndrome
  • Chronic nerve pain that has not responded adequately to other care

DRG stimulation may be considered when pain is highly localized, including selected cases of CRPS.

These treatments are not appropriate for every patient. Evaluation typically includes a review of the diagnosis, prior treatment history, pain pattern, functional limitations, and overall medical condition.

Patient Stories

What To Expect At Your Visit

Your evaluation may include a physical exam, a review of your symptoms and medical history, and a discussion of whether prior records, imaging, laboratory results, or additional diagnostic steps are needed to better understand your condition and recommend appropriate next steps.

We may ask about:

  • Where your pain begins and where it travels
  • Whether symptoms are burning, shooting, tingling, numb, or sensitive
  • Whether the pain follows a specific nerve pathway
  • When the symptoms began
  • Whether symptoms followed an injury, surgery, shingles, or another medical condition
  • Whether you have diabetes
  • Whether skin color, temperature, swelling, or sweating has changed
  • Which activities or forms of touch worsen the pain
  • Prior medications, injections, therapy, or procedures
  • How symptoms affect sleep, walking, work, and daily activities

Your provider may also evaluate sensation, strength, reflexes, areas of tenderness, skin changes, swelling, and whether a specific nerve appears to be involved.

From there, we can discuss which treatment options may be appropriate for your specific diagnosis and goals.

A More Targeted Approach To Nerve Pain

Not all neuropathy or nerve pain comes from the same source. Diabetic neuropathy, focal peripheral nerve irritation, postherpetic neuralgia, and CRPS may require different treatment strategies.

Our approach focuses on:

  • Identifying the likely source and pattern of your pain
  • Distinguishing widespread neuropathy from focal nerve pain
  • Reducing unnecessary trial-and-error treatment
  • Using targeted nerve blocks when appropriate
  • Coordinating medication and topical treatment strategies
  • Considering nerve ablation in selected cases
  • Evaluating peripheral nerve stimulation when appropriate
  • Considering spinal cord or DRG stimulation for selected patients
  • Coordinating physical or occupational therapy for CRPS
  • Helping you understand your treatment options clearly
You do not have to keep guessing why your nerves are causing pain, burning, tingling, or sensitivity. A focused evaluation can help clarify the condition and guide your next step.

Schedule A Nerve Pain, Neuropathy, Or CRPS Consultation

If nerve pain, neuropathy, CRPS, burning, tingling, or painful sensitivity is interfering with your sleep, movement, work, or daily life, our team can evaluate your condition and discuss available treatment options.
Schedule Appointment

Request A Medical-Legal Consult

Request A Medical-Legal Consult