How Pain Management Doctors Alleviate Symptoms of Peripheral Neuropathy

At San Antonio Pain Consultants, our experienced pain management physicians utilize a comprehensive range of treatments to manage the symptoms of peripheral neuropathy. Our goal is to reduce your pain, improve your daily functioning, and enhance your overall quality of life. We tailor 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

Our team commonly prescribes medications such as anticonvulsants (gabapentin, pregabalin) to calm overactive nerves, as well as certain antidepressants (amitriptyline, duloxetine) that modify pain perception. For targeted relief, we may recommend topical treatments like lidocaine patches or capsaicin cream. While over-the-counter options such as acetaminophen or NSAIDs can help with mild discomfort, our specialists generally avoid 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, we offer 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. We also provide non-invasive options such as transcutaneous electrical nerve stimulation (TENS) to help manage symptoms.

At San Antonio Pain Consultants, our experienced pain management doctors play a vital role in helping patients manage the burning sensations and discomfort associated with peripheral neuropathy. Our team 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.

We offer a range of advanced treatments tailored to your unique needs. Our physicians can prescribe medications specifically designed to target nerve pain—such as certain antidepressants, anticonvulsants, or topical treatments like capsaicin and lidocaine—to help reduce burning sensations and restore your quality of life. In addition to medication management, we provide specialized interventional procedures, including nerve blocks and spinal cord stimulation. 

When you visit San Antonio Pain Consultants, our specialists begin 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, we create a personalized treatment plan for you. This plan may include medications such as anticonvulsants, antidepressants, or topical agents, all of which are commonly used to target neuropathic pain and abnormal sensations.

Our approach goes beyond medication. Depending on your needs, we may recommend physical therapy to improve strength, balance, and nerve function, or advanced interventional procedures such as nerve blocks or spinal cord stimulation for more severe or persistent cases. We also provide guidance on lifestyle changes and nutritional support, and can coordinate referrals to other specialists if necessary.

While tingling and numbness may not always disappear completely, our goal is to help you achieve significant symptom relief, improved function, and a better quality of life. At San Antonio Pain Consultants, we believe in ongoing care—regular follow-ups and adjustments to your treatment plan ensure you receive the best possible results and that any new symptoms or side effects are promptly addressed.

At San Antonio Pain Consultants, we understand the significant impact peripheral neuropathy pain can have on your daily life. Our team specializes in advanced pain management techniques, including a variety of nerve block injections tailored to your unique needs.

• Peripheral Nerve Blocks

For patients experiencing neuropathic pain, a peripheral nerve block may be recommended. This procedure involves injecting an anesthetic—sometimes combined with a corticosteroid—around the affected nerve to temporarily interrupt pain signals and reduce inflammation. This approach is often effective for patients whose pain is localized to a specific area.

• Nerve Blocks for Lower Limb Neuropathy

If you suffer from neuropathy affecting your legs or feet, such as diabetic neuropathy, our pain specialists at San Antonio Pain Consultants may utilize a sciatic or femoral nerve block. These injections target the major nerves supplying sensation to your lower limbs, providing pain relief that can last from several hours to several days.

• Upper Limb Neuropathy Treatments

For neuropathy pain in the arms or hands, a brachial plexus block may be an option. This technique targets the network of nerves responsible for sensation and movement in the upper limb, helping our patients regain comfort and function.

• Sympathetic Nerve Blocks

When neuropathic pain is widespread or difficult to localize, sympathetic nerve blocks may be considered. For example, a stellate ganglion block can be used for upper extremity pain, while a lumbar sympathetic block is more appropriate for lower extremity symptoms. These approaches can be particularly effective for pain related to abnormal sympathetic nervous system activity.

• Targeted Nerve Root Blocks

In some cases, pain can be traced to a specific nerve root exiting the spine. Our specialists offer selective nerve root blocks to provide focused relief for these types of neuropathic pain.

At San Antonio Pain Consultants, our team of experienced pain management physicians is dedicated to providing advanced therapies for patients suffering from chronic pain conditions, including peripheral neuropathy. Peripheral neuropathy often leads to persistent pain, tingling, or numbness in the hands and feet due to nerve damage. When traditional treatments such as medications and physical therapy fail to provide relief, spinal cord stimulation (SCS) may offer hope for meaningful pain control.

Our comprehensive approach begins with a thorough evaluation at San Antonio Pain Consultants. We review each patient’s medical history, assess the extent of neuropathy, and consider all previous treatments to determine whether spinal cord stimulation is an appropriate option. Our goal is to ensure that every patient receives a treatment plan tailored to their unique needs.

For suitable candidates, we arrange a spinal cord stimulator trial. During this minimally invasive procedure, our physicians use advanced imaging guidance to carefully place thin electrodes in the epidural space near the spinal cord. These electrodes connect to an external device that delivers mild electrical impulses, which modify pain signals before they reach the brain. The trial period, typically lasting about one week, allows both the patient and our team to evaluate the effectiveness of the therapy in reducing neuropathy symptoms such as burning, tingling, or sharp pain.

If the trial provides significant pain relief, we proceed with the implantation of a permanent spinal cord stimulator. This involves placing a small pulse generator under the skin, usually in the abdomen or buttocks, and connecting it to the spinal electrodes. Patients receive a remote control to adjust stimulation levels, empowering them to manage their pain for optimal comfort and daily function.

For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251. We serve patients from San Antonio TX, Helotes TX, Alamo Ranch TX, Leon Valley TX, Shavano Park TX, Balcones Heights TX, Fair Oaks TX, Fair Oaks Ranch TX, Castroville TX, and surrounding areas.