Neuropathy refers to nerve damage or dysfunction that disrupts normal nerve signaling, often causing pain, numbness, or weakness in the hands and feet. Nerve entrapment, a related but distinct condition, occurs when a specific nerve is compressed as it passes through a narrow space in the body, such as the wrist in carpal tunnel syndrome, producing symptoms localized to that nerve’s pathway.
Neuropathy symptoms often include burning, tingling, or a “pins and needles” sensation that typically starts in the feet and hands and can spread over time, sometimes accompanied by increased sensitivity to touch or difficulty sensing temperature. Nerve entrapment tends to cause more localized numbness, weakness, or shooting pain along the specific nerve that’s compressed, often worsened by certain positions or repetitive movement.
Evaluation includes a detailed history, physical and neurological exam, and, when appropriate, diagnostic nerve blocks to confirm which nerve is involved and how much relief can be expected from treatment. Depending on the cause, treatment options include therapeutic nerve blocks to calm an irritated nerve, targeted injections at the site of entrapment, and medication management for diffuse neuropathic pain. For appropriate candidates, more advanced interventional techniques may be considered when conservative treatment isn’t providing enough relief.
Because neuropathic pain can have many underlying causes (including diabetes, prior injury, or nerve compression) identifying the actual source is essential to building an effective treatment plan. We’ll walk you through what your exam suggests before recommending a path forward.