The Specialist Pain CentreDr. Raj Anand · Sydney
Nerve Pain, Burning & Tingling
All ConditionsNerve Care

Nerve Pain, Burning & Tingling

Burning sensations, pins and needles, or hypersensitivity caused by irritated or damaged nerves.

Overview

Neuropathic pain arises when nerves themselves are injured or dysfunctional, generating pain signals without obvious tissue damage. It is often described as burning, shooting, or electric-shock-like.

Common Symptoms

  • Burning or electric-like sensations in feet, legs, or hands
  • Extreme sensitivity even to light touch or clothing
  • Persistent discomfort following shingles
  • Numbness combined with sharp tingling

Common Causes

  • Diabetic peripheral neuropathy from sustained high blood sugar
  • Post-herpetic neuralgia after a shingles outbreak
  • Complex Regional Pain Syndrome (CRPS) following injury or surgery
  • Chemotherapy-induced peripheral neuropathy
  • Nerve entrapment or compression (e.g. carpal tunnel, tarsal tunnel)

Our Treatment Approach

  • Spinal cord stimulation — highly effective for CRPS and failed back surgery syndrome
  • Sympathetic nerve blocks for CRPS and vascular pain
  • Ketamine infusion therapy for refractory neuropathic pain
  • Lidocaine infusions for acute neuropathic flares
  • Gabapentinoid and tricyclic antidepressant medication optimisation

When to Seek Help

Early specialist review is important for CRPS — outcomes are significantly better when treatment begins within three months of onset.