Neuropathic pain may be associated with changes in colour and perfusion of the skin area in the involved extremity as a result of failure of physiological autoregulatory mechanisms and evolve into a chronic regional pain syndrome. Spontaneous pain as a consequence of brachial plexus injury has been mentioned previously.
Need answers quickly?
Our Rapid Diagnostics Centre offers fast access to advanced imaging, specialist clinics and on-site testing - helping you get clarity in days, not weeks. Plus, our 24/7 private GP service is here whenever you need urgent advice.
Our charitable purpose
As a charitable hospital, we reinvest in exceptional care, research and innovation - helping us improve healthcare for patients here and far beyond our walls.
Everything you need for your visit
Your Patient Hub brings together everything you need to prepare for your visit, understand your care and know what to expect throughout your stay.
Get answers fast
See a doctor or consultant within days
Advanced imaging and tests
Quick access to leading diagnostics on-site
World-class specialists
Expert support guiding your next steps
Neuropathic pain consultation at The London Clinic
Surgical exploration of the site of nerve injury may discern a remediable structural cause of pain.
Non-surgical management of neuropathic pain involves the use of drugs such as pregabalin, amitryptiline, and duloxetine and the help of psychologists and other therapists. We also offer Qutenza (a topical treatment derived from capsaicin) by GP/consultant referral. Our specialised pain management teams can bring to bear a variety of resources.
In rare cases when extensive treatment by pain specialists has not sufficed, neuromodulative treatment such as electrical stimulation of the spinal cord may be considered.
In this method, electrodes are brought into contact directly with the posterior spinal cord. Then a test stimulation is applied for a day or two that follows electrode placement, and the patient is asked about the level of pain.
If the test stimulation is effective, then a compact impulse generator is implanted in a subcutaneous pouch and connected to the previously placed electrode.
These generators are equipped with batteries that last 5-10 years, depending on the programming used for stimulation, after which time they require changing. Some modern generators are rechargeable using transcutaneous contact interfaces; however, they require quite frequent recharging.
Consultants
Why choose The London Clinic?
Trusted for over 90 years, The London Clinic is an independent charitable hospital that reinvests into care, research, and support for those who can’t easily access private treatment.
The UK’s largest independent hospital
More patients choose The London Clinic than any other.
Top-rated by real patients
4.86/5 from over 1,600 reviews on Doctify and over 4.5 on Google.
Full intensive care on-site
World-class 13-bed ICU for expert support if your care becomes complex.
Investing in clinical excellence
Backed by Northwestern, we equip our teams with cutting-edge medical equipment.