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[New York Pain Management] Things That Can Make Nerve Pain Worse

nerve pain management

Neuropathy is a common and often debilitating condition that affects millions of individuals worldwide. It is one of the most common reasons patients seek treatment at our New York pain management center. It can be a result of various underlying causes, including diabetes, chemotherapy, and even hereditary factors. Neuropathy, characterized by tingling, numbness, and pain in the extremities, can significantly diminish one's quality of life.

However, understanding the factors that make neuropathy worse and implementing effective pain management strategies can help individuals regain control over their lives. In this article, we will explore a list of things that can exacerbate neuropathy and provide valuable tips to manage and alleviate its symptoms.

Lifestyle Factors Aggravating Neuropathy

A gamer experiencing nerve pain in the shoulder area

Sedentary Lifestyle

Living a sedentary life can exacerbate neuropathy. Lack of physical activity can result in weight gain, poor circulation, and muscle weakness. Regular exercise, under the guidance of a healthcare professional, can help boost circulation, improve muscle tone, and relieve neuropathy symptoms. Exercise programs tailored to individual capabilities and restrictions are crucial for managing neuropathy.

Smoking and Alcohol Consumption

One of the most significant lifestyle factors that can worsen neuropathy is smoking and excessive alcohol consumption. Both nicotine and alcohol can impair blood circulation, leading to poor oxygen and nutrient delivery to nerve cells. Additionally, these substances can contribute to inflammation, further damaging nerve tissue. Quitting smoking and moderating alcohol intake can significantly improve neuropathy symptoms.

Dietary Factors to Avoid

High Sugar and Refined Carbohydrates

For those with diabetic neuropathy, high sugar, and refined carbohydrate consumption can be particularly harmful. These foods can lead to spikes in blood sugar levels, contributing to nerve damage. Adopting a diet low in sugary and processed foods while emphasizing whole grains, vegetables, and lean proteins can help manage diabetes and alleviate neuropathy symptoms.

Excessive Sodium

A high-sodium diet can exacerbate neuropathy by causing fluid retention and increasing blood pressure. Increased pressure can lead to nerve compression and aggravate symptoms. Reducing sodium intake and staying hydrated can help alleviate these issues.

Medications and Their Impact on Neuropathy

certain pain medications can cause nerve pain

Certain Antibiotics

Some antibiotics, such as metronidazole and fluoroquinolones, have been associated with neuropathy. If you suspect that a prescribed medication is worsening your neuropathy, consult your healthcare provider for alternative options.

Chemotherapy Drugs

For cancer patients, chemotherapy is a life-saving treatment, but it can also lead to neuropathy as a side effect. Certain chemotherapy drugs can damage peripheral nerves, leading to pain and discomfort. Patients should consult with their oncologist about the possibility of alternative treatments or medications to minimize neuropathy risks.

Managing Neuropathy Symptoms

Pain Management

Neuropathy is often accompanied by intense pain. Managing this pain is a crucial aspect of neuropathy care. Physicians may prescribe medications to alleviate pain, but there are non-drug treatment options that can help manage nerve pain, such as physical therapy, acupuncture, or transcutaneous electrical nerve stimulation (TENS). Engaging in relaxation techniques like meditation and deep breathing can help manage stress, which may exacerbate neuropathic pain.

using electromyography to diagnose patient condition

Consult a Specialist

Neuropathy is a complex condition with various underlying causes, and its management may require a multidisciplinary approach. Consult with a pain specialist to diagnose the specific cause of your condition and develop a comprehensive treatment plan tailored to your needs. These specialists can conduct nerve conduction tests, electromyography (EMG), and other diagnostic procedures to gain a better understanding of your neuropathy.

Maintain Proper Blood Sugar Control

Blood sugar control is essential for individuals with diabetic neuropathy. Monitoring blood glucose levels regularly and adhering to a diabetes management plan can help prevent further nerve damage. This includes taking prescribed medications, following a balanced diet, and engaging in physical activity. Consult with a healthcare provider for guidance on maintaining optimal blood sugar levels.

Nutritional Supplements

Certain nutritional supplements, like alpha-lipoic acid, acetyl-L-carnitine, and B vitamins, have shown promise in managing neuropathy symptoms. These supplements may help improve nerve function and reduce pain. Consult with a healthcare provider before adding any supplements to your regimen, as individual needs may vary.

Manage Stress

Stress can exacerbate neuropathy symptoms and decrease overall well-being. Engaging in stress-reduction techniques, such as yoga, meditation, or mindfulness, can help individuals cope with the emotional impact of neuropathy. Support groups and counseling can also provide valuable resources for managing stress and improving mental health.

Maintain a Healthy Weight

Excess weight can put additional pressure on nerves and blood vessels, worsening neuropathy symptoms. Maintaining a healthy weight through a balanced diet and regular exercise can alleviate this burden and improve overall well-being. Seek guidance from a registered dietitian and physical therapist to create a personalized plan for weight management.

treating nerve pain with physical therapy

Physical Therapy

Physical therapy plays a significant role in managing neuropathy. Physical therapists can design exercises and stretches to improve muscle strength, balance, and coordination. Additionally, they may use modalities like heat, cold, and electrical stimulation to alleviate pain and improve nerve function. Consult with a physical therapist to create a personalized plan based on your specific neuropathy symptoms.

Alternative Therapies

Alternative therapies such as acupuncture and medical massage therapy can provide relief from neuropathy symptoms. Acupuncture involves the insertion of thin needles into specific points on the body, which can stimulate nerve function and alleviate pain. Similarly, massage therapy can enhance blood flow and reduce muscle tension. It's essential to consult with a qualified practitioner experienced in neuropathy treatment before pursuing these options.


Neuropathy can be a challenging condition to manage, but with the right strategies and lifestyle adjustments, individuals can alleviate its symptoms and enhance their quality of life. By avoiding lifestyle factors that exacerbate neuropathy, making dietary modifications, and seeking proper medical guidance, those living with neuropathy can regain control over their health and well-being.

All Of Pain New York pain management center offers pain management services for those who suffer from chronic pain, including neuropathic pain. Our approach is unique, modern, and drug-free, and our healthcare professionals work closely with patients to create a personalized management plan that suits each specific needs. With dedication and a comprehensive approach, individuals can effectively manage neuropathy and improve their overall quality of life.


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