Neuropathies and Chronic Pain

Complex Regional Pain Syndrome (CRPS)

Neuropathic Pain

Neuropathic Pain is a type of chronic pain caused by injury, irritation, or dysfunction of the peripheral or central nervous system. Unlike conventional musculoskeletal pain, Neuropathic Pain originates directly from the nerve or from the neural pathways responsible for transmitting sensation, generating an abnormal response within the nervous system.

It is a complex and often disabling condition that may develop as a result of nerve compression, cervical or lumbar radiculopathies, previous surgery, trauma, diabetes, infections, neuralgias, degenerative spinal disorders, or central neurological injuries.

Pain may persist even after the initial injury has resolved due to mechanisms of neural sensitization and chronic changes within the nervous system.

Most Common Symptoms

Neuropathic Pain presents specific clinical characteristics that distinguish it from other types of pain.

The most common symptoms include:

Burning sensation
Electric shock-like sensations or stabbing pain
Tingling or paresthesia
Numbness or loss of sensation
Hypersensitivity to touch or cold
Pain radiating into the limbs
Spontaneous pain without an apparent stimulus
Electric current or cramping sensation
Associated muscle weakness
Sleep disturbances and fatigue secondary to pain

In some patients, mild stimuli such as the friction of clothing or light skin contact may trigger intense pain due to phenomena of neural hypersensitization.

Common Causes of Neuropathic Pain

The most common causes include:

Herniated discs and Radiculopathies
Cervical or lumbar spinal canal stenosis
Peripheral neuropathies
Postherpetic Neuralgia
Diabetic neuropathies
Failed Back Surgery Syndrome
Peripheral nerve entrapments
Persistent postsurgical pain
Traumatic nerve injuries
Complex Regional Pain Syndrome
Degenerative spinal disorders

Advanced Diagnosis

Diagnosis requires a detailed clinical and neurological evaluation together with targeted investigations to identify the source of nerve injury and the pathophysiological mechanism responsible for the pain.

An accurate diagnosis is essential for selecting the most appropriate treatment and preventing the progression of pain chronicity.

Specialized Treatment of Neuropathic Pain

At Clínica VERTEBRA, we provide an advanced, multidisciplinary approach to Neuropathic Pain through personalized treatments aimed at modulating pathological nerve activity, reducing pain, and improving the patient’s functional capacity.

Treatment options may include:

Specialized pharmacological treatment
Neurological Rehabilitation and Physiotherapy
Pain Neuromodulation
Pulsed and Conventional Radiofrequency
Image-Guided Infiltration Treatments
Spinal Interventional Treatments
Biological Therapies and Regenerative Medicine
Minimally Invasive Percutaneous Techniques
Comprehensive Chronic Pain Management

Interventional and regenerative techniques may help reduce neurogenic inflammation, modulate neural sensitization, and improve functional recovery in selected patients.

At VERTEBRA SpinePain & Regenerative SURGERY CENTERS, we have extensive expertise in the diagnosis and treatment of complex Neuropathic Pain and refractory chronic pain, using high-precision image-guided techniques together with individualized therapeutic protocols.

Our goal is to provide effective, safe, and minimally invasive treatments that reduce pain, improve quality of life, and restore function in patients with neuropathies and persistent pain.

Clínica VERTEBRA has been a pioneer in the implementation and development of advanced minimally invasive techniques over the past four decades and has earned international recognition for its contributions.