Neuropathic Pain Treatment in PA & NJ
Neuropathic pain arises from damage or dysfunction of the nervous system itself, rather than from tissue injury. It produces a characteristic set of symptoms including burning, shooting, or electric shock-like pain that can be severe and debilitating. At DVPSI, Dr. Bromberg's dual board certification in Neurology and Pain Medicine makes him uniquely qualified to evaluate and treat complex neuropathic pain conditions.
Unlike typical pain that responds to standard analgesics, neuropathic pain often requires specialized medications and interventional procedures targeting the nervous system directly.
Common Symptoms
- Burning or electric shock-like pain in the affected area
- Shooting or stabbing pain that comes and goes
- Allodynia where light touch causes significant pain
- Numbness or tingling in affected regions
- Hyperalgesia where normally mild pain feels severe
- Night pain that disrupts sleep
- Weakness in the affected limb or area
Common Causes
- Diabetic neuropathy from nerve damage due to high blood sugar
- Post-herpetic neuralgia following shingles infection
- CRPS or complex regional pain syndrome
- Chemotherapy-induced neuropathy
- Nerve compression from disc herniation or stenosis
- Traumatic nerve injury from accident or surgery
- Autoimmune conditions affecting peripheral nerves
Treatment Options at DVPSI
Our board-certified physicians use a stepwise, minimally invasive approach, always starting with the least invasive effective treatment and escalating only when necessary.
Nerve Blocks
Targeted injections to interrupt pain signals along specific nerve pathways.
Spinal Cord Stimulation
Electrical neuromodulation that disrupts neuropathic pain signals before they reach the brain.
Ketamine Infusion
IV ketamine targets NMDA receptors involved in neuropathic pain processing.
Peripheral Nerve Stimulation
Targeted stimulation of peripheral nerves for localized neuropathic pain.
Medication Management
Membrane stabilizers, SNRIs, and other nerve-targeted medications carefully selected and monitored.
Sympathetic Nerve Blocks
For neuropathic pain with a sympathetically maintained component.
Why Choose DVPSI for Neuropathic Pain Treatment
Dr. Bromberg trained at Brown University in Neurology and completed his pain fellowship at UNC Chapel Hill, giving him rare combined expertise in both the neurological mechanisms and interventional treatment of neuropathic pain. Patients with complex nerve pain conditions travel from across the region for his care.