Relief for Peripheral Neuropathy Symptoms: Dr. Darius Zagunis

At San Antonio Pain Consultants, Dr. Darius Zagunis, M.D., utilizes a comprehensive range of treatments to manage the symptoms of peripheral neuropathy. His goal is to reduce your pain, improve your daily functioning, and enhance your overall quality of life. Dr. Zagunis tailors each treatment plan to your unique needs, taking into account the underlying cause, severity, and location of your neuropathy, as well as your overall health.

• Medication Management: Dr. Zagunis commonly prescribes medications to calm overactive nerves, as well as certain antidepressants that modify pain perception. For targeted relief, he may recommend topical treatments. While over-the-counter options can help with mild discomfort, Dr. Zagunis generally avoids opioids due to their risk of dependence and side effects, adhering to the highest safety standards.

• Advanced Interventional Procedures: For patients who do not experience adequate relief from medications alone, Dr. Zagunis offers state-of-the-art interventional therapies. These include nerve blocks, where anesthetic medication is injected near specific nerves to disrupt pain signals, and spinal cord stimulation, a minimally invasive procedure that uses electrical impulses to reduce pain perception.

Dr. Zagunis plays a vital role in helping patients manage the burning sensations and discomfort associated with peripheral neuropathy. He begins with a thorough evaluation to determine the severity and underlying cause of your neuropathic pain, often collaborating closely with your neurologist or primary care physician to ensure you receive comprehensive, coordinated care.

Dr. Zagunis can prescribe medications specifically designed to target nerve pain to help reduce burning sensations and restore your quality of life. In addition to medication management, he provides specialized interventional procedures tailored to your unique condition.

When you visit San Antonio Pain Consultants, Dr. Zagunis begins with a comprehensive evaluation to determine the specific cause of your neuropathy—whether it’s related to diabetes, vitamin deficiencies, infections, or other medical conditions. Based on this assessment, he creates a personalized treatment plan for you.

His approach goes beyond medication. Depending on your needs, Dr. Zagunis may recommend physical therapy to improve strength, balance, and nerve function, or advanced interventional procedures for more severe or persistent cases. At San Antonio Pain Consultants, Dr. Zagunis believes in ongoing care—regular follow-ups and adjustments to your treatment plan ensure you receive the best possible results.

We understand the significant impact peripheral neuropathy pain can have on your daily life. Dr. Zagunis specializes in advanced pain management techniques, including a variety of nerve block injections tailored to your unique needs.

• Peripheral Nerve Blocks: Dr. Zagunis may recommend injecting an anesthetic—sometimes combined with a corticosteroid—around the affected nerve to temporarily interrupt pain signals and reduce inflammation.

• Nerve Blocks for Lower Limb Neuropathy: If you suffer from diabetic neuropathy or pain affecting your legs or feet, Dr. Zagunis may utilize a sciatic or femoral nerve block to target the major nerves supplying sensation to your lower limbs.

• Upper Limb Neuropathy Treatments: For neuropathy pain in the arms or hands, Dr. Zagunis may utilize a brachial plexus block to help patients regain comfort and function.

• Sympathetic Nerve Blocks: When neuropathic pain is widespread, Dr. Zagunis may consider a stellate ganglion block for upper extremity pain, or a lumbar sympathetic block for lower extremity symptoms.

• Targeted Nerve Root Blocks: In some cases, pain can be traced to a specific nerve root exiting the spine. Dr. Zagunis offers selective nerve root blocks to provide focused relief for these types of neuropathic pain.

Dr. Zagunis is dedicated to providing advanced therapies for patients suffering from chronic pain conditions. When traditional treatments such as medications and physical therapy fail to provide relief, spinal cord stimulation (SCS) may offer hope for meaningful pain control.

During your visit, Dr. Zagunis will review your medical history, assess the extent of your neuropathy, and consider all previous treatments to determine whether spinal cord stimulation is an appropriate option for you.

For suitable candidates, Dr. Zagunis will arrange a spinal cord stimulator trial. During this minimally invasive procedure, he uses advanced imaging guidance to carefully place thin electrodes in the epidural space near the spinal cord. If the trial provides significant pain relief, Dr. Zagunis will proceed with the implantation of a permanent spinal cord stimulator, empowering you to manage your pain for optimal comfort and daily function.

“Dr. Zagunis is an amazing and fabulous pain specialist. For years he has helped me manage severe neck and spine pain with advanced treatments.”
Iolanda M.

“Dr. Zagunis is a great doctor and I highly recommend him. I was referred to him and have been very pleased with his care.”
Ahmad S.

Dr. Darius Zagunis, M.D., is a pain management specialist with board certification in Anesthesiology and Pain Management. He has received the “Most Compassionate Doctor” award for 6 consecutive years, as well as the “On-Time Physician” award from Patients’ Choice. Patients’ Choice Award recognizes doctors who make a difference in the lives of their patients. This honor is given to those physicians who have received near-perfect scores as voted by their patients. He has extensive experience in interventional pain treatment and chronic pain conditions, including peripheral neuropathy, lower back and neck pain.