Conditions

Understanding Peripheral Neuropathy

Peripheral neuropathy refers to damage or dysfunction of the peripheral nerves — the nerves that carry signals between the spinal cord, brain, and the rest of the body. It can affect sensory, motor, or autonomic nerves, leading to pain, weakness, or altered sensation, most commonly in the hands and feet.

Typical symptoms include:

  • Burning, tingling, or “pins and needles” in the feet or hands
  • Numbness or reduced sensation in a “glove and stocking” pattern
  • Sharp, shooting, or electric pain
  • Muscle weakness or balance difficulties
  • Sensitivity to touch, even from light contact or clothing

Peripheral neuropathy can arise from diabetes (diabetic neuropathy), vitamin deficiencies, alcohol use, autoimmune disease, chemotherapy, infection, or nerve compression. In some cases, no clear cause is found (idiopathic neuropathy). Because it may progress or reflect an underlying condition, early specialist assessment is essential.

Wessex Pain Clinic

How We Diagnose

At Wessex Pain Clinic, diagnosis starts with a comprehensive clinical assessment, including your medical history, medications, and lifestyle factors. Our consultants perform a neurological examination to assess sensation, strength, reflexes, and balance.

We may recommend blood tests to check for diabetes, vitamin deficiencies, autoimmune markers, or thyroid problems.

Accurate diagnosis enables us to target treatment effectively and prevent further nerve damage.

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Lifestyle and Complementary Therapies

Our physiotherapy and rehabilitation team focuses on maintaining strength, flexibility, and balance to reduce fall risk and improve mobility. Hydrotherapy provides gentle, low-impact exercise in a supported environment.

We also work closely with pain psychology specialists, helping patients manage chronic symptoms, sleep disturbance, and anxiety through pacing, relaxation, and cognitive behavioural techniques.

When appropriate, we liaise with neurologists, diabetologists, and rehabilitation physicians to ensure all aspects of care — medical, physical, and emotional — are fully integrated.

At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this.

Medications

We may prescribe:

  • Neuropathic pain agents such as pregabalin, gabapentin, duloxetine, or amitriptyline to reduce nerve pain and burning sensations
  • Topical treatments (e.g. topical gabapentin gel, lidocaine or capsaicin patches) for localised discomfort
  • Short courses of anti-inflammatories or analgesics for acute flare-ups

Medication plans are reviewed regularly to balance benefit and tolerability.

Interventional Procedures

In cases where pain is severe or resistant to medication, we may recommend nerve blocks or infusions to calm overactive nerve pathways.

For chronic, disabling neuropathic pain, spinal cord stimulation (neuromodulation) can be considered — an advanced technique that alters pain signalling to the brain and offers long-term relief in selected patients.

Our treatment for peripheral neuropathy is comprehensive, patient-centred, and multidisciplinary, aiming to control pain, improve function, and support nerve health.

Treatment at Wessex Pain Clinic

Treatments