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Sciatica

Six sciatica stretches for pain relief

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Sciatica itself is not a condition, but a very uncomfortable symptom of many potential problems in the back, pelvis, and hip.

People with sciatica often experience pain running through the buttocks and down the back of the leg. However, it does not have to originate in the back; it can be caused by an injury to the pelvis or hip, or from direct pressure to the sciatic nerve.

The pain can be mild or so severe that a person with sciatica may have trouble standing, sitting, or even sleeping. There is a range of treatments for sciatica, including many stretches that may help to ease the pain.

Overview
People with sciatica can experience pain that makes it difficult for them to sit or stand.

The sciatic nerve is a nerve that originates in the lower back on either side of the spine. It runs through the buttocks and into the hips before branching down each leg.

This nerve is the longest nerve in the body and provides sensation to the outer leg and foot.

Sciatica itself is not an injury or disease. Instead, sciatica refers to a symptom of any number of problems.

Sciatica is nerve pain that runs through the buttocks, down the back of the leg and into the ankle or foot.

Some people that have sciatica describe the pain as shooting, sharp, or burning. They may experience weakness in the affected leg. The pain may worsen with sudden movements, such as coughing.

Stretches for pain relief

Certain stretches may provide some relief for people experiencing sciatica-related pain.

Anecdotally, most people with sciatica do find stretching helps relieve pain. However, people with sciatica should speak to a doctor before doing any sciatica stretches to avoid further injury.

A doctor or physical therapist may recommend that people perform several of these stretches each day:

  • knees to chest
  • cobra or modified cobra
  • seated hip stretch
  • standing hamstring stretch
  • seated spinal twist
  • knee to shoulder

Follow these simple instructions to perform these stretches for sciatica pain relief:

If any of these exercises make the sciatica worse, stop immediately. It is normal to feel stretching during these movements, however it is not normal for the sciatic pain to increase.

Treatment

As well as stretching, some people who experience sciatica symptoms also try other home remedies to ease their pain and discomfort.

Other home remedies include the following:

  • Ice: Icing the area for 20 minutes several times a day for the first two to three days after the pain begins.
  • Heat: Using heat on the area after the first few days.
  • Anti-inflammatories: Taking anti-inflammatory medications to ease the pain. Ibuprofen is available for purchase over-the-counter or online.

Anyone that experiences sciatica for longer than a month should seek medical attention. Additionally, any person that has severe sciatica should seek medical care as soon as possible.

Treatment for an individual’s sciatica largely depends on what is causing the pain.

Some common causes of sciatica include the following:

  • herniated disc or one of the rubbery cushions between the spinal bones slipping out of place
  • a narrowing of the spinal cord that puts pressure on the lumbar spine known as lumbar spinal stenosis
  • a progressive disease that wears away the cushions in the spinal column known as degenerative disk disease
  • pregnancy
  • other injuries to the back that put excess pressure on the sciatic nerve
Prevention

It is not always possible to prevent sciatica. However, some lifestyle modifications can significantly help reduce a person’s risk of experiencing sciatica again.

In general, regular exercise and building a strong core may help prevent sciatica. Additionally maintaining a good posture while sitting and standing is important, and may make people less likely to develop sciatica than people with poor posture.

Article Provided By: medicalnewstoday

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Neuropathic Pain, Chronic Pain, Pain Relief, Pain Management, Carolina Pain Scrambler, Greenville South Carolina

How Does Neuropathic Pain Develop?

What is Neuropathic Pain?

If you are involved in an accident and an injury occurs, under normal circumstance, your nerves will send messages to the brain, signaling pain at the site of trauma. Neuropathic pain is coming directly from the nerves without the occurrence of trauma or accident. In other words, there is no reason the nerves should be sending pain signals.

How Does Neuropathic Pain Develop?

A damaged nerve may lead to dysfunction. Nerves can be damaged in a previous injury or surgery. As a result, the damaged nerve may send false signals of pain to the brain, despite there being no real cause of pain. In the case of a previous injury, the site of trauma may have completely healed but the central nervous system is still registering the site as a location of trauma.

Neuropathy Symptoms

There are several key symptoms associated with Neuropathy:

  • Normal movements become painful
  • Mobility is limited
  • May lead to a sedentary lifestyle
  • Pain will range from mild to severe
  • Pain may be experienced differently – For example: sharp, shock-like, shooting, etc
  • Numbness
  • Feeling of coldness
  • Tingling
  • Persistent numbness, tingling, or weakness
  • Sleeplessness
  • Insomnia

Neuropathic Pain Relief Treatments

First, your doctor will attempt to find the cause of the Neuropathy. Tests such as an MRI and Electromyography are conducted. If a cause is discovered, such as a herniated disc as the central cause of the pain, the appropriate measures are taken.

If no obvious cause is discovered, your doctor will focus on prescribing an effective pain relief method. The pain relief will depend on the individual and the severity of the neuropathy. Treatment options typically include medications, an active method of recovery such as physical therapy, and spinal cord stimulation for more complex cases.

Article Provided By: PainScale

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Can Yoga Ease Your Pain?

Have a pain problem and wondering if yoga can help? Yoga has many benefits other than improving chronic pain such as, bettering your mood, teaching you to better manage stress, and just plain helping you smile after a rough day. Yoga’s popularity in the U.S. has grown rapidly over the last decade. An estimated 36 million Americans now practice yoga regularly, and about one in three have tried it at least once. While it is most popular with younger and middle-aged women, the number of men practicing yoga has more than doubled in the last several years, and those 50 and older with a yoga practice has tripled during that same time frame. But how exactly does it fit in to building a better pain management strategy? 

Pain relief

There’s growing evidence that yoga may be helpful in a wide variety of pain scenarios – arthritic knees, aching necks, fibromyalgia, and headaches. Perhaps the strongest evidence of yoga’s effectiveness is in the treatment of chronic low back pain. A number of studies have found it to be effective in reducing back pain, and in at least one study, patients practicing yoga were able to reduce their use of pain medications. Recent evidence-based guidelines from the American College of Physicians strongly recommend yoga for treating low back pain.

Function

Research also seems to indicate that yoga has the potential to improve function with daily activities. A regular yoga practice can increase strength in the legs, upper body, and core, while also improving flexibility and balance, which are especially important for seniors. A number of studies have found that both low-back pain patients, as well as arthritis sufferers, become more active when engaged in a yoga practice.

Well-being
Yoga can also offer some indirect relief by boosting a better sense of well-being, helping reduce stress, and increasing optimism and resilience. Studies also suggest practicing yoga can be associated with other healthy lifestyle habits, like quitting smoking, eating healthier, and losing weight. It also holds mental health benefits; research shows that it can play a helpful role in treatment plans for depression and anxiety. But incorporating yoga into a pain management program can be a bit tricky, and it is recommended that you first talk to your physicians and physical therapists before getting started. There can be a lot of bending in many typical classes, which can be problematic for back and neck pain sufferers. Poses that require being on all fours, like a plank position or the traditional downward dog pose, can over-stress a symptomatic shoulder problem. And for those with knee problems, squatting and kneeling can be hard to handle. The good news is that most yoga movements and poses can be modified or altered in some way to avoid flaring up or aggravating a symptomatic part of the body. Some yoga studios even offer classes that can be done while sitting in a chair for those who need that type of accommodation. Yoga is something that is therapeutic for both the mind and the body, as opposed to just exercise. If you are a beginner, it may seem a bit intimidating figuring out where to start, especially since there are so many different types of yoga. Names used to describe practices that are more movement-based include Ashtanga and vinyasa, while other versions, like yin, iyengar, and restorative, are more focused on alignment and holding postures. Make sure to verify ahead of time if a class is going to be held at room temperature or will be heated, and always start with a class that is geared toward beginners. Seek out yoga teachers that like to give students personal attention and want to help them modify poses. And, if you have the means, you may want to start with a few private lessons.And above all else, make sure you have some fun!

Article Provided By: WebMD Blogs

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Psychological Effects of Chronic Pain

The fact of the matter is that chronic pain wears on you. It’s difficult to bear not only physically, but mentally. Since more than 100 million Americans suffer from chronic pain, the psychological effects of pervasive pain are far reaching in our society. Understanding the psychological issues that accompany chronic pain is important for pain specialists and patients alike.

Elizabeth Kubler-Ross’s five stages of grief have been used to break down and describe the experiences of people when they are grieving, giving a name and potentially helping people cope with feelings that seem all-powerful when you’re experiencing them. Chronic pain, both the diagnosis and experience, presents similar emotional upheaval. One PsyD, a Doctor Jennifer Martin, created the ‘7 stages of Chronic Pain and Illness’ to offer pain sufferers and physicians with a similar delineation. It’s important to remember that a person may experience these stages out of order or may circle back to an earlier stage. She describes them as follows:

Denial

When people realize that their pain may not be going away, it’s tough to swallow. They often experience shock and denial, which may prevent them from seeking out the help that they need to obtain proper treatment.

Pleading, Bargaining, and Desperation

Patients in this stage look for anything that may fix their condition or act as a bandage. They often bargain, either with themselves or a God, to make it better, all the while blaming themselves and experiencing tremendous guilt.

Anger

Once people understand that there’s no magical fix for their condition, they often experience anger. They may be mad at anyone related to their condition, including family, friends, care providers, employers, and anyone else they can tie their decline to.

Anxiety and Depression

Living with chronic pain can be scary and may bring on anxiety. It may also lead to depression. This occurs when a person feels hopeless, exhausted, and experience intense grief. This depression isn’t necessarily a mental illness, but an appropriate reaction to this type of change.

Loss of Self and Confusion

Chronic pain may lead to patients losing an integral part of their life. They may not be able to do the things they once did any longer, which can lead to an identity crisis of sorts.

Reevaluation of Life, Roles, and Goals

At this stage, people begin to come to terms with potential limitations and life changes. They begin to find a way to live their life within their new normal. Changing expectations of what things should be can help chronic pain patients find happiness despite their condition.

Acceptance

This doesn’t necessarily mean being alright with the way things are now. It simply means they’ve accepted the reality of their condition and are taking steps to live within that reality. It means choosing to move forward despite chronic pain.

Article Provided By: PainScale

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Facts About Neuropathy Symptoms

Neuropathy occurs when there is a problem with the peripheral nerves, which are responsible for transporting signals from the central nervous system to the rest of the body. Symptoms may vary depending on what nerve is affected. Here are some common symptoms.

1. Numbness or tingling

Body numbing or tingling may occur when there is neuropathy or pain in a localized area of the body. It occurs when nerves that carry sensation messages (touch, pain, temperature) do not perform correctly.

2. Localized pain

Localized pain is caused when there are sharp or shooting pains that occur randomly in the body (especially in the legs). It may even occur from something as simple as a light touch.

3. Imbalance

People with peripheral neuropathy may lose their balance. It occurs when tissues in the body deploy receptors called proprioceptors to respond to stimuli. Loss of balance happens when these receptors become affected by neuropathy.

4. Abnormal walking gait

Neuropathy pain may cause people to develop an abnormal gait due to the dysfunction of the motor or sensory nerves. Symptoms may include dragging feet, a stooping walk or a lopsided shuffle when walking.

5. Muscle cramping

Peripheral neuropathy may cause dysfunction to motor nerves, which results in muscle cramps even with the slightest exertion, such as during daily activities.

6. Muscle weakness

Muscle weakness may occur along with muscle cramping. It occurs when patients have a hard time performing small movements that require precision, such as buttoning a shirt or picking up an object.

7. Gastrointestinal disorders

Digestive disorders may occur when neuropathy affects the autonomic nerves in the body, which control involuntary actions. Symptoms may include bloating, flatulence, constipation, and heartburn.

8. Low blood pressure

Autonomic nerves also control blood pressure. When neuropathy occurs, it may cause the affected person to develop hypertension. Symptoms may include blurred vision, fainting, dizziness, heart palpations, and fatigue.

9. Bell’s Palsy

In some cases of neuropathy, a very specific nerve may be affected. Bell’s Palsy may occur when the nerves that control the facial muscles are affected. Symptoms may include mild muscle weakness with loss of movement in the face that varies depending on the progression of the disease.

10. Miscellaneous symptoms

Other symptoms of neuropathy may include eye pain, sweating, heat intolerance, loss of bladder and bowel control, double vision, difficulty concentrating, and weakness in the fingers.

Article Provided By: PainScale

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Why You Can’t ‘Fix’ Your Pain

Being a positive person is obviously a good quality to have, but sometimes an overly optimistic attitude or misguided belief about what’s possible can actually get in the way of healing. One example of this is the notion that there is a cure or fix for everything that hurts.
Quite understandably, many patients go to their doctors with the goal of getting fixed. They want to find out what the problem is, get it fixed, make the pain go away, and then move on with their lives. But humans are not machines – you can’t just replace or repair a broken part and then everything runs as good as new. The pain you experience is often the product of many interconnecting factors and not just one simple cause. Human beings simply don’t come with an easy-to-read owner’s manual.
Back pain is a prime example. Back pain or sciatica may indeed start with a trigger, like a herniated disc or a lifting injury. But a single targeted tissue injury can quickly lead to a train of events that include back muscles tightening up, joints stiffening, and nerves to malfunction. As this happens, the back gets harder to move, the legs get weaker, and it becomes increasingly difficult to sleep, get comfortable, or go to work. If this situation continues, then a person can easily become anxious, depressed, withdraw from friends and family, and feel the pinch of lost income.
Expecting that all of these complex and interconnected problems will get solved simply by undergoing back surgery to “fix” something structural can turn out to be a recipe for disaster. Recovering from an extensive back surgery like a fusion can mean months or years of recovery without a guarantee of substantial and lasting pain relief. Regardless of the treatments you choose, it helps to adopt the mindset of healing from what hurts as opposed to focusing on a quick fix or cure. Muscle imbalances, inflamed joints, herniated discs, and injured nerves can all go through a recovery process, and the more time and attention you put into that, the better the outcome.
And it’s not just the body that needs to heal. The psyche and soul of the person in pain need a path to ease uncomfortable mood changes and provide relief from overwhelming stress. Continuous pain can trigger a “flight or fight” response, which leads to changes in the nervous system, endocrine system, and immune system that keep us constantly on edge and in panic mode. One surgery or treatment won’t necessarily restore emotional balance and make all of this disappear.
Healing can also mean acceptance of what is, with all of its imperfections. For instance, a natural part of how the body heals is to lay down scar tissue. A broken bone or torn tendon can heal, but it won’t look exactly the way it did before the injury. We can’t go back in time and look, move or feel exactly the way we did years ago, so it’s better to focus our time and energy on making today the best it can be. Acceptance is not giving up, but rather reaching an understanding of how we can be the best version of ourselves after all that we have gone through.
Both the human body and the human spirit are designed to heal, repair, and restore itself when injured. Shifting from a “fix it” mindset to one focused on healing can open up new doors toward better pain management and well-being.
Article Provided By: WebMD

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10 Tips to Cope With Chronic Pain

1. Practicing meditation or deep, controlled breathing

Deep breathing and meditation guide the body and mind into a state of relaxation. Deep breathing involves slowly inhaling through the nose (so the belly expands), holding for a few counts and slowly exhaling through the mouth (so the belly deflates). Meditation involves the repetition of a positive word or phrase (mantra) while deep breathing in a comfortable position.

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2. Easing stress in daily life

Undesirable feelings of anxiety, depression, anger, sadness and stress can escalate the body’s pain response. Reducing everyday stress triggers helps reduce chronic pain symptoms.

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3. Finding a support group

Engaging with other people who have chronic pain helps individuals feel less isolated and better understood. Individuals may also be introduced to new coping methods or treatment options by other members in the group.

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4. Exercising to release natural endorphins

Exercise releases endorphins, which are brain chemicals that support mood while simultaneously blocking pain signals. Exercise, when done in moderation, can help reduce chronic pain.

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5. Keeping a daily journal of pain level and activities

Keeping a daily journal not only helps express feelings and emotions, it also provides insight into chronic pain trends and effective coping mechanisms. Sharing a pain journal with a health care professional helps them better understand how an individual’s chronic pain is managed between visits, which leads to better treatment.

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6. Limiting alcohol intake

The consumption of alcohol often disrupts sleep. Because sleep issues are often a symptom of chronic pain conditions, cutting back alcohol intake or nixing the habit altogether can increase the quality of sleep which promotes pain reduction.

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7. No smoking

In addition to the many negative health consequences of smoking cigarettes, smoking also causes circulation problems which can aggravate pain levels.

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8. Scheduling a massage

Massage therapy can both lessen muscle tension and reduce stress. Getting regular massages can help reduce pain levels.

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9. Eating a healthy diet

Eating a healthy diet can help reduce the risk of heart disease, aid healthy digestion, improve blood sugar levels and maintain a healthy weight. Choosing anti-inflammatory foods is especially helpful for individuals with chronic pain conditions.

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10. Taking the focus away from the pain

Focusing on positive things or engaging in an activity that keeps the mind busy diverts attention away from chronic pain. While pain may not be fully alleviated, distraction is a powerful pain-reduction tool.

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Article Provided By: PainScale
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Beating Insomnia with Chronic Pain

Approximately two-thirds of people with chronic pain also suffer from insomnia. It takes a multidisciplinary approach to with different medical specialists to treat both pain and insomnia. For example, certain pain medications can improve sleep while others disturb it. The first step to improving insomnia is to understand its cause.

For some people with chronic pain, insomnia may be caused by an inadequate bedtime routine. This may include using electronic devices such as computers, smartphones, and TVs to help individuals fall asleep, which only make it harder to fall asleep and stay asleep. Ensuring a quiet environment and turning off all electrical devices two hours before bedtime can help improve the quality of sleep.

Because pain intensifies at night, it can become impossible to sleep. Some individuals may benefit from using cognitive behavioral therapy (CBT) to help them fall asleep at night. This includes a variety of methods to improve sleep and change negative thoughts to positive ones that promote sleep. Cognitive behavioral therapy is preferred over medications as it does not contain side effects that may be counterproductive to sleep.

The long-term goal of cognitive behavioral therapy is to help individuals control negative thoughts that keep them awake at night. Relaxation training is also helpful for individuals to reduce muscle tension and distract them from thoughts of pain. Techniques include guided imagery, progressive muscle relaxation, meditation, and deep breathing muscle relaxation exercises. Individuals are encouraged to participate in three to eight sessions with a trained behavioral therapist to become familiar with this form of treatment.

Along with reconstructive behavioral therapy and relaxation techniques, individuals can follow these tips to create healthy sleep habits:

  • Do not use the bed for anything except sleeping. Avoid watching TV or reading books in bed as this will help the body and brain know that it’s time for sleep when your head hits the pillow.
  • Only go to bed when tired. If you are unable to fall asleep within 20 minutes, get up and go to another room. Return to bed when you are tired.
  • Wake up at the same time every day and go to sleep at the same time every night. Aim for seven to eight hours of sleep at night.
  • Avoid napping during the day.
  • Exercise early in the day and do not exercise close to bedtime.
  • Avoid excessive caffeine and alcohol intake.

Article Provided By: PainScale

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Accepting a Chronic Pain Diagnosis

Receiving a diagnosis of chronic pain can be devastating; yet a clear diagnosis can also bring peace of mind to those who have internally questioned why they are in pain. As with any chronic health condition, chronic pain requires individuals to actively make changes in their lives to reduce the severity of the condition. This usually involves a combination of medical treatments, lifestyle changes and psychological help.

After receiving a chronic pain diagnosis, individuals often go through stages of emotions similar to the Kübler-Ross model of grief. They are grieving life as they once knew it. Emotions that may be experienced include, but are not limited to, the following:

  • Shock and denial
    In the beginning, individuals in chronic pain may resist going to needed doctor’s appointments because it may be difficult to face the truth. Even after a diagnosis, individuals may be in shock or denial and not agree with the diagnosis or treatment plan(s).
  • Anger
    After the initial phase of denial, anger usually arises. Not only can the experience of pain cause angry feelings, but receiving a diagnosis of chronic pain can lead to frustration and irritation. Individuals may ponder, “Why me?” or “How could this have happened?”
  • Bargaining, fear and anxiety
    Individuals with chronic pain may experience fear about the future. “What if” thoughts often creep into the psyche. Struggling to find the “meaning of life” after a chronic pain diagnosis is common.
  • Depression
    Thirty to fifty percent of individuals with chronic pain also deal with depression. Chronic pain can cause depression, and depression can increase chronic pain; it is often a vicious cycle.
  • Acceptance and hope
    While most individuals with chronic pain eventually gain acceptance of their condition, some individuals never reach this stage as they are stuck in anger, fear or depression. Accepting a chronic pain diagnosis does not mean giving into it. An individual may experience pain for the rest of their life, but they can always control their reaction to it with treatment(s) and lifestyle changes. Acceptance takes time. Adjusting to a major lifestyle change is a process. Psychotherapy, group therapy or simply family support are all important factors in finding acceptance of and hope for a chronic pain diagnosis. Anti-depressant medications are available for those diagnosed with clinical depression.

These emotional stages do not follow a strict schedule nor are they always sequential. People with chronic pain may experience many emotions at once or their emotions may fluctuate among the stages.

Individuals with chronic pain experience a plethora of emotions in relation to their chronic pain: anger, frustration, anxiety, depression, etc. These are common emotional reactions; however, when they affect daily living, they should be shared with a health care provider. Talking with a trusted family member, seeing a mental health counselor or joining a support group can help an individual properly deal with the emotional aspects of chronic pain.

Article Provided By: PainScale

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Neuropathy and Chronic Back Pain

As many as 10 percent of the world’s population currently have neuropathic pain. Chronic neuropathic pain, sometimes referred to as peripheral neuropathy or peripheral neuritis, is caused by nerve damage.

How Does Neuropathic Pain Develop?

Neuropathic pain differs from other kinds of pain. For example, when a person breaks a bone, the nerves located at the site of the break carry pain signals to the brain. But with neuropathic pain, the damage is contained in the nerves themselves.

In most cases, neuropathy is caused when a dysfunction occurs in the way nerves respond to trauma or injury. The nerves become hypersensitive and send false pain signals to the brain when the original injury or trauma has actually healed. Most injuries begin in the peripheral or central nervous system.

Back Pain May Result In Neuropathy

Any type of condition or injury that compresses a nerve can lead to neuropathy. A herniated disc is a good example of a back injury that can result in neuropathy. Other forms of neuropathic pain that originate in the spine or back include the following:

  • Sciatica or chronic pain that radiates down the leg
  • Cervical radiculopathy or chronic pain that runs down the arm
  • Failed back surgery or any pain that occurs after surgery and persists

Other forms of neuropathy may be caused by complex regional pain syndrome, diabetes, injections, injury, disease, substance abuse or exposure to toxins. However, the cause of neuropathy is not always apparent.

Early Treatment Is Critical

Treatment of neuropathy in its early stages offers the best opportunity for successful treatment. Exposure to chronic pain may cause the central nervous system to become hypersensitive over time. In rare cases, this can lead to central sensitization, when even the slightest touch causes pain.

Neuropathy may also lead to other health problems, such as mobility issues, sleep difficulties, anxiety, depression and social isolation.

Article Provided By: PainScale

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