Spinal Neuropathy Treatment
Jan 23, 2005
What are the current treatment regimens? I have beeen using neurontin, but it is only partially effective. Due to a spinal cord infection which caused paraplegia I have sensory neuropathy in the buttocks area which results in unbearable pain if I sit in my wheelchair for more than an hour at a time.
Response from Dr. Conway
The issue with neurontin used to treat HIV or medication-related neuropathy is that it is often not used in high enough doses. I often push it to 1200 mg tid before concluding that it is not working. Another drug I often use is amitryptiline, on its own or combined with neurontin. I AVOID narcotics as they don't always work and there is a significant risk of addiction.
Your particular problem of paraplegia may make me consider other options more quickly, such as nerve infiltrations or blocks under the supervision of one of my colleagues in anesthesia.
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.