Peripheral Neuropathy Pain Management Specialist in Tampa, FL

Peripheral Neuropathy can negatively impact a patient’s everyday quality of life- physically, socially, and psychologically. Neuropathic pain can have a variety of causes such as traumatic injuries, infections, metabolic problems, or inherited causes. Typically, the damaged nerves are peripheral nerves (those located outside of the brain and spinal cord), often causing weakness, numbness, and pain in the hands and feet. It can also affect other areas of the body.

What are some signs and symptoms?

sharp, jabbing, throbbing or burning pain
muscle weakness
gradual onset of numbness, prickling or tingling in feet or hands
pain during activities that shouldn’t result in pain
extreme sensitivity to touch

What is the step-wise approach for treatment?

A comprehensive step-wise approach is used for the management of neuropathic pain with the best practices and treatment guidelines. Dr. Kalava can determine the best plan tailored to your needs and guide you through this effective treatment process at any stage in the step-wise process.

STEP 1

Approximately 4 to 6 Weeks

TCAS (Tricyclic Anti- Depressants)
SNRIs (Seratonin - Norepinephrine Reuptake Inhibitors)
Gabapentanoids (Gabapentin, Pregabalin)
Topicals (Focal NP) ~ Cream or Patch
If Patient’s Response is inadequate move to STEP 2

STEP 2

Approximately 4 to 6 Weeks

Tramodol
Combination with Treatment 01 Therapies

If Patient’s Response is inadequate move to STEP 3

STEP 3

Approximately 4 to 6 Weeks

SSRIs (Selective Serotonin Reuptake Inhibitors)
Anticonvulsants/ NMDA Antagonists (IV Ketamine; IV Lidocaine)
Interventional therapies (Nerve Blocks/Sympatholytic Blocks, Cryoanalgesia, LASER Therapy)

If Patient’s Response is inadequate move to STEP 4