Nerve pain (neuropathic pain) Archive

In its 2025 guidelines for treating restless legs syndrome (RLS), the American Academy of Sleep Medicine stopped recommending the long-term use of dopamine agonist drugs, since they can eventually make RLS symptoms worse. Instead, the guidelines strongly recommend another class of medications as the first-line treatment: alpha-2-delta ligands, such as gabapentin (Neurontin), gabapentin enacarbil (Horizant), and pregabalin (Lyrica). Alpha-2-delta ligands do not make RLS symptoms worse.

Carpal tunnel syndrome is caused by increased pressure within the carpal tunnel, a narrow passage in the wrist containing the median nerve and tendons that run into the hand. The condition can lead to persistent tingling and numbness in the hands.

A 2024 study of people with sciatica caused by a herniated disk found that people who received acupuncture for 10 sessions over four weeks had less leg pain and better physical function, compared with people who received sham treatments.

Restless legs syndrome (RLS) affects up to 10% of Americans and twice as many women as men. Risk factors include age, genetics, iron-deficiency anemia, and pregnancy. A variety of therapies can alleviate symptoms, which are dominated by creepy-crawly, sometimes painful leg sensations that tend to strike around bedtime. The American Academy of Sleep Medicine recommended in March 2024 to stop using dopamine-boosting drugs as first-line therapy for RLS; it should be taken only by patients whose symptoms don't respond to other treatments.

People with peripheral neuropathy may experience pain, numbness, tingling, and other unpleasant sensations. Often the cause cannot be determined, so the condition must be managed by attempting to treat the symptoms.