As described above, treatment for neuropathic pain includes medication, physical therapy and psychological treatment. Neuropathic pain management focuses on neuropathic pain relief and this can involve several different approaches.
In certain cases treatment of neuropathic pain may be focused on the underlying cause so that it the neuropathic pain arises from a vitamin deficiency or diabetes, as it often does, then control of the diabetes through healthy lifestyle changes or the taking of vitamin supplements can help to improve the symptoms of the condition and prevent it from progressing.
Medication is commonly used in the treatment of neuropathic pain. NICE, the National Institute for Health and Care Excellence, recommends that GPs should commence treatment with neuropathic pain medication to include amitriptyline, duloxetine, gabapentin or pregabalin.
Traditional painkillers such as paracetamol or ibuprofen are generally ineffective in treating neuropathic pain.
Drugs for neuropathic pain are often employed for “off label” use, for instance amitriptyline and duloxetine which are licensed for treating depression will often be prescribed in the treatment of neuropathic pain and gabapentin and pregabalin, which are also commonly prescribed, are licensed as anticonvulsant drugs used for the treatment of epilepsy. However, NICE recommends their use in the treatment of neuropathic pain or neuralgia treatment.