How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Bob Your Own Question

Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5218
Experience:  Neurology & Int Medicine (US Trained): 20 yrs experience
61817858
Type Your Neurology Question Here...
Dr. Bob is online now

Does nuropathic pain improve after injury?

Resolved Question:

Does nuropathic pain improve after injury?
Submitted: 11 months ago.
Category: Neurology
Expert:  Dr. Bob replied 11 months ago.
Hi there. Can you describe the nature of your injury and when it occurred?
Customer: replied 11 months ago.
I fell and injured my SIJ three times I fell it was inflamed then when that calmed down I now have nerve pain calf spasms and prickling pain in thighs injections and Meds are not that helpful
Customer: replied 11 months ago.
Physio hasn't helped either as my muscles tighten up and small nerves irritated in thighs
Expert:  Dr. Bob replied 11 months ago.
Have you had an MRI to rule out a herniated disc or other problem in your lumbar spine?
Customer: replied 11 months ago.
Yes and and emg and thermal threshold nothing found
Customer: replied 11 months ago.
Blood work etc all fine
Customer: replied 11 months ago.
Even a brain MRI clear
Expert:  Dr. Bob replied 11 months ago.
Neuropathic pain can improve over many months or even years if there is not ongoing irritation of the involved nerves. Your studies are reassuring in this regard. I would suggest you ask your doctors about getting on a nerve stabilizing medication such as gabapentin or pregabalin until the nerves have a chance to repair themselves and settle down.
Customer: replied 11 months ago.
I am on pregabalin however prickling and weakness and calf cramps continue if I walk for long times
Customer: replied 11 months ago.
Could this be small fiber nuropathy without a cause my pain specialist does not believe so as nothing found to cause it
Expert:  Dr. Bob replied 11 months ago.
You may need to increase your pregabalin dose if effectiveness has not been what you need. It is generally safe even at maximum dose. That said, you should also be on a daily stretching and strengthening program to cut down on cramping and maintain balanced muscular activity in the legs. If the cramps persist while walking, get vascular flow studies of the legs to make sure it is not from claudication (vascular narrowing). A small fiber neuropathy is possible, but would need to be confirmed by a nerve biopsy.
Customer: replied 11 months ago.
Does small fiber nuropathy ever heal ?
Customer: replied 11 months ago.
And if the biopsy is clear does that rule it out
Customer: replied 11 months ago.
This is what I'm most scared of as then I will always have it and it progress
Expert:  Dr. Bob replied 11 months ago.
The origin of SFN is not well understood but it typically affects the feet first and progresses upward. I doubt this is what you have, but the only way to know is to have a biopsy done. A neurologist can do this for you. If you do have it, it may progress, but usually does so very slowly. It can usually be managed with anti-seizure medications, antidepressants or other analgesics. It it rarely severe.
Customer: replied 11 months ago.
Yes mine is not typically in that pattern would a biopsy rule it out all together
Customer: replied 11 months ago.
And would sfn cause calf pain and thigh prickling ? Weird how it's same area as my injury originally was also in my buttock
Expert:  Dr. Bob replied 11 months ago.
A biopsy would rule out SFN, yes. And it is not likely to cause calf pain and thigh prickling alone. That would be an unusual presentation.
Customer: replied 11 months ago.
Ok thank you I'm starting to think I'm a medical mystery
Customer: replied 11 months ago.
As this is the symptoms that remain burning and tingling have gone on meds
Expert:  Dr. Bob replied 11 months ago.
There are a lot of mysteries in medicine...nerve disorders chief among them. :-)The good news is that irritated nerves often heal themselves, though they do so very slowly. Medications can ease the discomfort until this happens. There is a good chance that if you are working with a doctor who is monitoring the situation, the outcome will be good. It might even disappear as mysteriously as it started. I have seen this happen after years of symptoms.
Customer: replied 11 months ago.
I hope so I'm young and want to start a family and can't on all the Meds
Expert:  Dr. Bob replied 11 months ago.
Agreed. You might find that pregnancy actually helps with your symptoms. It may present other challenges, but the hormonal and emotional changes that occur with a healthy pregnancy can be very therapeutic for a healthy young woman like yourself.
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5218
Experience: Neurology & Int Medicine (US Trained): 20 yrs experience
Dr. Bob and other Neurology Specialists are ready to help you
Customer: replied 11 months ago.
Thanks for all your help
Expert:  Dr. Bob replied 11 months ago.
You're welcome. Hope all works out for the best.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. F

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
< Previous | Next >
  • http://ww2.justanswer.com/uploads/BrainLifeDoc/2010-10-04_004701_AMF_2008_2_pix.jpg Dr. F's Avatar

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
  • http://ww2.justanswer.com/uploads/TO/TOHfan1/2012-3-3_11610_strokedoc.64x64.jpg Stroke Doc's Avatar

    Stroke Doc

    Board Certified Physician

    Satisfied Customers:

    41
    I am board-certified in Neurology and the subspecialty Vascular Neurology.
  • http://ww2.justanswer.com/uploads/PR/pradocs/2012-7-23_23649_201272323220JApicture105x113.64x64.jpg Dr. Bob's Avatar

    Dr. Bob

    Neurologist (MD)

    Satisfied Customers:

    1500
    Neurology & Int Medicine (US Trained): 20 yrs experience
  • http://ww2.justanswer.com/uploads/HE/healthydoc/2011-7-22_193154_LevGrinman2.64x64.jpg healthydoc's Avatar

    healthydoc

    Board Certified Physician

    Satisfied Customers:

    325
    Board Certified U.S. Neurologist
  • /img/opt/shirt.png RH's Avatar

    RH

    Board Certified Neurologist

    Satisfied Customers:

    1944
    Expert in various areas of Neurology
  • /img/opt/shirt.png Brainmaster's Avatar

    Brainmaster

    Board Certified MD

    Satisfied Customers:

    58
    ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
  • /img/opt/shirt.png braindr11's Avatar

    braindr11

    Board Certified Physician

    Satisfied Customers:

    43
    Neurologist with outstanding expertise