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Conditions We Treat ยท Katy, TX

Nerve Pain & Neuropathy Treatment in Katy, TX

Neuropathic pain is one of the most difficult types of chronic pain to treat โ€” but also one where interventional pain management offers some of the most powerful solutions.

Understanding Neuropathic Pain

Neuropathic pain arises from damage or dysfunction in the nervous system itself, rather than from tissue injury. This distinguishes it from nociceptive pain (the normal response to injury or inflammation) and explains why it often persists long after any apparent tissue damage has healed. Patients describe neuropathic pain as burning, shooting, stabbing, electric, or like pins-and-needles โ€” often accompanied by abnormal sensations such as allodynia (pain from normally non-painful stimuli, like light touch) or hyperalgesia (exaggerated pain response).

Neuropathic pain requires specialist evaluation to identify the mechanism and appropriate treatment strategy. Dr. Qureshi is experienced in the full spectrum of neuropathic pain conditions and uses a combination of interventional procedures, medication optimization, and neuromodulation to achieve meaningful relief in even complex cases.

Symptoms

  • Burning, shooting, or electric pain in the arms, legs, or trunk
  • Tingling, numbness, or pins-and-needles sensations
  • Extreme sensitivity to touch โ€” even light contact causes pain
  • Weakness in affected limbs
  • Sleep disruption due to nocturnal pain worsening
  • Pain in areas that feel numb (a paradoxical hallmark of neuropathy)

Treatment Options at Our Katy Practice

Dr. Qureshi takes a multimodal, non-surgical approach to pain management. Treatment recommendations are based on your diagnosis, imaging findings, symptom severity, and prior treatment history.

  • Nerve blocks for focal neuropathic pain conditions
  • Spinal cord stimulation for refractory neuropathic pain (CRPS, failed back surgery, diabetic neuropathy)
  • Epidural steroid injections for radicular neuropathic pain
  • Medication optimization and management
  • PRP therapy for regenerative nerve support in select cases

Frequently Asked Questions

What causes neuropathic pain?
Common causes include diabetic peripheral neuropathy, spinal nerve compression (herniated disc, stenosis), postherpetic neuralgia (shingles), complex regional pain syndrome (CRPS), chemotherapy-induced neuropathy, traumatic nerve injury, and idiopathic small fiber neuropathy. Identifying the cause guides the treatment approach.
Is neuropathic pain permanent?
Not necessarily. When the underlying cause can be addressed (e.g., nerve decompression for a herniated disc, blood sugar control for diabetic neuropathy), significant improvement or resolution is achievable. Spinal cord stimulation has transformed outcomes for conditions once considered permanently disabling, such as CRPS and failed back surgery syndrome.
What is CRPS?
Complex regional pain syndrome is a chronic neuropathic pain condition characterized by severe burning pain, skin changes, swelling, and altered sweating โ€” typically affecting a limb after injury or surgery. It represents an abnormal nervous system response and requires specialized pain management. Spinal cord stimulation is among the most effective treatments for CRPS.
Medical Disclaimer: This content is for educational purposes only and does not constitute medical advice. Please consult with Dr. Qureshi for a personalized diagnosis and treatment plan. Dr. Imran Qureshi, D.O. | 23501 Cinco Ranch Blvd, Suite G205, Katy, TX 77494 | (281) 982-2144

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