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Neuralgia

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What Is Neuralgia?

Neuralgia is nerve pain that occurs along the path of a nerve, often described as sharp, stabbing, or burning. It can affect any part of the body, but common types include trigeminal neuralgia (face) and post-herpetic neuralgia (after shingles).

Neuralgia can significantly impact daily activities and quality of life.

What Causes Neuralgia?

  • Compression or irritation of a nerve (e.g., by a blood vessel or tumor)
  • Nerve damage from infection (shingles)
  • Diabetes or other metabolic conditions
  • Trauma or surgery affecting nerves
  • Idiopathic (unknown cause) in some cases

What Are the Common Symptoms of Neuralgia?

  • Sharp, shooting, or burning pain along a nerve pathway
  • Pain triggered by light touch, chewing, speaking, or movement
  • Intermittent attacks that may last seconds to minutes
  • Tingling, numbness, or sensitivity in the affected area

How Is Neuralgia Diagnosed?

  • Diagnosis is usually clinical based on symptom pattern
  • Neurological examination to identify affected nerve
  • Imaging (MRI or CT) if structural cause is suspected
  • Online GP consultations can assess symptoms and provide initial advice; in-person review is often required

How Long Does Neuralgia Last?

  • Duration varies depending on cause
  • Post-herpetic neuralgia may persist for months after shingles
  • Trigeminal neuralgia can be intermittent or chronic

Is Neuralgia Contagious?

No. Neuralgia is not contagious.

How to Feel Better and Recover Quickly

Self-Care at Home:

  • Avoid triggers that provoke pain
  • Apply warm compresses if helpful
  • Manage stress and get adequate rest

Treatment from a GP:

  • Medications such as anticonvulsants or pain relief
  • Topical treatments for nerve pain
  • Referral to neurology or pain specialist if needed

When Referral Is Needed:

  • Pain not controlled with first-line treatments
  • Suspected structural cause
  • Chronic or worsening symptoms

When to Seek Urgent Medical Help

Seek urgent care if:

  • Sudden severe facial pain with neurological deficits
  • Weakness, vision changes, or numbness
  • Pain after trauma or with signs of infection

How Dr.Online UK Can Help

We offer:

  • Same-day online GP appointments
  • Assessment and initial management of nerve pain
  • Prescriptions for pain management where appropriate
  • Referral to neurology if needed

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