Dear Dr Ravoof,
To date I have tried Amitrpitylline, Nortritrityline, tramadol, codeine. No real relief obtained.
I have suspected small fibre neurapathy and awaiting an emg test and results of blood tests. Depending on the outcome I may be having steriod injection for the nerves.
Also i could have problems with my muscles/tissues in me feet and experience extremebpain when walking.
Thanks for your question.
A detailed history with neurological examination along with the results of investigations such as imaging studies and electrodiagnostic studies will help your doctor to find out the cause for your symptoms. The treatment of the cause is the best treatment and this may be surgical treatment.
You have tried many medications which are used for symptomatic relief. Other medications which your doctor may try are carbamazepine, phenytoin, or venlafaxine. These may be beneficial. Sometimes to treat the cause your doctor may also use steroids. Surgery is done to relieve the pressure on nerves.