Nerve pain

Nerve pain may appear suddenly without an obvious cause, or it could develop as a result of factors such as a viral infection (like shingles), a surgical procedure, or a trapped nerve following an accident. It is also common in people with diabetes, due to nerve damage associated with the condition. The intensity and nature of nerve pain can vary: some may experience intermittent episodes, while others endure continuous discomfort. It can manifest as severe, burning, shooting, or stinging sensations. In addition to causing pain, nerve damage can sometimes affect blood flow in certain parts of the body.

Carbamazepine, an anti-epileptic medication, is commonly used as a first-choice treatment for various types of nerve pain. Doctors often prescribe it to help manage symptoms. 

For individuals with diabetes, it is crucial to maintain control over the condition. In cases of severe nerve pain related to diabetes or shingles, doctors may recommend amitriptyline. Although it belongs to the group of tricyclic antidepressants, amitriptyline is effective at lower doses for nerve pain than for treating depression. 

For pain caused by pressure, such as from a hernia, standard pain relief like paracetamol is typically the first step. If these do not provide sufficient relief, doctors might prescribe tramadol, a stronger painkiller that works by partially blocking pain signals to the brain, making the discomfort feel less intense.