“What's the best treatment for nerve pain?”

There are several medication for treatment of nephropathy. Most commonly used medications include Gabapentin, Lyrica, Elavil, Cymbalta, etc. Some of these medication have multiple indications and your doctor will be able to recommend the most effective medication based on your medical history. Treatment may also be based in the cause of your neuropathy and treating the underlying cause, e.g., diabetes, B12 deficiency, etc., may also be important to help improve your symptoms.

Navdeep Kaur, MD

First. You must differentiate a peripheral neuropathy from a cervical spine lesion that can cause bilateral hand symptoms.
An MRI would show any Cspine issue and sometimes nerve conduction tests are needed to differentiate peripheral nerve issues from Cspine radiculopathies.

BIt if you really do have a peripheral neuropathy, you must be evaluated to see if you have a TREATABLE neuropathy(like B12 deficiency, hypothyroidism, diabetes, toxins/heavy metals, etc etc)

But If you do NOT have anything that can be diagnosed and reversed, then you can try medicines like gabapenrin or Lyrica and see if it helps.

Certain medications such as Lyrica can help with peripheral neuropathy. For tougher cases, injection therapy with multiple agents is successful.
IV infusions with local anesthetics and pain receptor blockade are helpful also.

There is no "right or wrong" medical treatment for neuropathy. Drugs which have worked for many patients include Gabapentin or Pregabalin. These are drugs created to treat seizures, which by serendipity were found to assist individuals with neuropathy feel better. Consult your local personal physician as to side effects and risks associated with these drugs and as to whether or not these might be appropriate for you.

Kenneth D. Candido, M.D.