The nervous system is involved in everything our body does. From regulating our every breath to controlling our muscles and sensing heat and cold. The nerves of the body fall into three types: motor nerves, autonomic nerves and sensory nerves. Autonomic nerves control involuntary or partially voluntary activities in our body such as heart rate and blood pressure. Motor nerves control movements and actions passed from the spinal cord to your brain. Sensory nerves relay information from your skin and muscles back to the spinal cord and brain. Sensory and motor nerves work together.

Since nerves are essential to everything we do, nerve pain can seriously affect someone’s quality of life. There are plenty of symptoms that accompany nerve pain and damage. Some basic ones include the inability to sense pain, increased sweating, dizziness or lightheadedness, dry mouth and eyes, constipation and sexual dysfunction. Although an actual cure for nerve pain still needs developing, there are ways to prevent or delay nerve pain for those who may be experiencing symptoms.

Glucose levels

Keeping your blood glucose levels within a target range can help your nerves function to their best potential. If you are having trouble keeping your blood levels within range, consider meal prepping, adding more physical activity and perhaps stronger medications. Remember to always talk to an advisor or doctor before doing anything drastic. Invest in a blood glucose meter to help track your target levels and get an A1C lab test done at least twice a year to keep up with your average blood levels.


Exercising, and especially walking, can help prevent nerve pain. Exercising releases natural painkillers called endorphins and promotes blood flow to the nerves in the legs and feet. This works in the long run as walking and exercising can help create a long-lasting expansion in the blood vessels of the feet. If you are not used to exercising or walking a lot, start with the basics — start with a daily walk and gradually increase the pace and distance.


Soaking your body and feet in warm water is also another easy way to help stimulate blood flow and can help relieve stress, as well. In addition, make sure to skip out on heavy alcohol as this can worsen and add toxins to the nerves. Experts advise no more than four drinks a week if possible.


Nerve pain can worsen at night and disrupt sleep. This makes it extremely difficult to cope with the pain. Make sure to practice good sleeping habits such as limiting caffeine intake and keeping a consistent bedtime that allows for eight hours of sleep or more every night. Sleeping can help the body get the rest and boost it needs to help with nerve pain.

The bottom line

Nerve damage and the pain that results are incurable. However, there are ways to minimize the pain and damage. The number one rule is being educated on the subject. If you maintain a healthy diet and keep your blood levels in check, you are already one step closer to less damage. Exercise and walk regularly to stimulate blood flow and make sure you get the proper amount of rest needed for your body to heal and recover every single day. Nerve damage does not need to be crippling. Follow these tips to help you get the most out of life.

Request an appointment here: or call Neurological and Pain Institute at (619) 872-2742 for an appointment in our La Mesa office.

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If you have ever experienced neuropathy (or peripheral neuropathy), you know that it is a very unpleasant experience. It involves feeling a stinging, tingling or burning pain and usually occurs in the arm, legs, hands, and feet. Neuropathy can be long-lasting and usually has a big impact on one's life. The following is a list of questions whose answers can shed more light on neuropathy and its causes.

What are some symptoms of neuropathy?

The below symptoms can be signs of neuropathy:

  • Abnormalities in blood pressure or pulse
  • Burning or freezing sensations
  • Difficulty sleeping due to pain
  • Extreme sensitivity to touch
  • Muscle weakness
  • Sharp or stabbing electric pain
  • Unusual sweating

What is the difference between polyneuropathy and mononeuropathy?

Polyneuropathy is more common and usually affects multiple locations and multiple nerves at the same time. Mononeuropathy involves only one location on the body — more commonly known conditions, such as carpal tunnel syndrome and Bell's Palsy, are examples of mononeuropathy.

Who usually gets peripheral neuropathy?

People most commonly affected by peripheral neuropathy are those with diabetes or those who are pre-diabetic. This is because the excess sugar from these diseases tends to over-activate and damage your nervous system. A return to normal blood glucose levels may or may not reverse the neuropathy.

How is peripheral neuropathy treated?

Neuropathy is treated symptomatically. There is no cure because nerve cells are so complex. However, the treatments sometimes involve a combination of massage therapy, chiropractic, physical therapy or prescription medications. Treatment is usually on a long-term basis and can help those who suffer from neuropathy cope with the effects.

Is neuropathy avoidable?

In some cases, yes. If you are diabetic, it is important to take good care of your blood sugar and keep it within normal range over the long-term. Some diseases happen by genetics or trauma (an injury of force). These are unexpected and cannot be prevented in the same way.

Why are feet so important in neuropathy?

Those with neuropathy usually have numb feet all the time. If you cannot feel what you are stepping on, then you are likely to get cuts and scrapes on the underside of your feet. When this happens, your body's natural signals are no longer there to warn you of the danger, and infections and swelling often occur as a result.

What are the consequences of leaving neuropathy untreated?

As mentioned in the above answer, when you have no pain receptors you cannot feel when your feet get cut or hurt in other ways. If an infection results, this is when you can have serious consequences. An infection can damage the feet and legs badly enough to lead to amputation of one or both of your limbs.

What steps can I take to lower my chances of developing neuropathy?

If you have diabetes, practice good blood-sugar control. This will involve diet, exercise, and possibly medications such as insulin. Otherwise, you can reduce the stress on the hands to lower your chances of carpal tunnel — meaning you should spend less time at the computer typing. Traumatic injuries are unpredictable, but seek medical attention immediately to reduce your risk of developing further complications. If you have any other questions about neuropathy, don't hesitate to call our team of health professionals.

Request an appointment in our La Mesa office here:


Peripheral neuropathy is nerve damage triggered by chronically high blood sugar and diabetes. It leads to loss of sensation, numbness and at times, a pain in the legs, feet or hands. It is the most common complication of diabetes.

What causes peripheral neuropathy?

Chronically high blood sugar levels damage nerves not only in the extremities but also in additional parts of the body. These damaged nerves cannot effectively carry messages between the brain and other parts of the body.

You might be wondering …

Peripheral neuropathy means a person may not feel cold, heat or pain in the legs, feet or hands. If a foot has a cut or sore, a person may not know it, which is why it is imperative to inspect feet daily. If a shoe does not fit correctly, a foot ulcer could unknowingly develop.

The consequences could be life threatening. An infection that will not heal because of deprived blood flow creates risk for developing ulcers and could lead to amputation or even death.

The nerve damage presents itself differently in each person. Some people feel pain, then later feel tingling. Other people lose the feeling in toes and fingers, or numbness. These transformations happen slowly throughout months to years, so a person might not even be aware of it.

Since changes are subtle and happen as people get older, people tend not to pay attention to the signs of nerve damage, playing it off as just a part of getting older.

However, some treatments and therapies can assist in slowing down the progression of this condition and reduce the damage. Get advice from doctors about what the options are, and do not disregard the signs because with time, it could become worse.

Symptoms of nerve damage from diabetes

Numbness is one of the most common symptoms of nerve damage due to diabetes. The loss of feeling is a particular concern. People who lose sensation are the ones most often to obtain ulcers on the feet and to end up requiring amputations.

People describe the early signs of peripheral neuropathy in numerous ways:

  1. Numbness
  2. Tingling
  3. Pins and needles
  4. Prickling
  5. Burning
  6. Cold
  7. Pinching
  8. Buzzing
  9. Sharp
  10. Deep stabs

Others indicate sharp pain, tingling, cramps, prickling and a burning sensation. Still others have exaggerated sensitivity to touch.

The symptoms are usually worse in the later part of the day, mostly at night. Be on the lookout for these changes:

Sensitivity to touch. A person may feel a heightened sensitivity to touch, or numbness or tingling in the feet, toes, legs or hands.

Muscle weakness. Elevated blood sugars could damage nerves that communicate to the muscles how to move. This might lead to muscle frailty. A person may have trouble getting up from a chair, walking, carrying things or grabbing items.

Balance problems. A person may feel more unsteady than usual and uncoordinated when they walk; this happens when the body adapts to something different brought on by muscle damage.

Because people with type 2 diabetes may have multiple health issues, doctors do not always diagnose peripheral neuropathy when symptoms first appear. Be aware that the pain could be confused with other problems. If the pain is severe, in the case of diabetes and peripheral neuropathy, it could be chronic and needs attention.

Request an appointment here: or call Neurological and Pain Institute at (619) 872-2742 for an appointment in our La Mesa office.


Are you looking for pain management information for ways to alleviate your low back pain? If you are looking for information on managing your lower back pain, it means that your pain is becoming more than you can bear. There are different types of back pain, which means that depending on the kind of back pain you have is going to determine what kind of pain management treatment is going to work ideally for you. Examples of back pain types include mild, severe, periodic, chronic, aching, throbbing and sharp.

What are the causes of lower back pain?

While there are many reasons why someone would be diagnosed with lower back pain, it is essential to understand that people who are overweight, have weak stomach muscles, have week back muscles and/or have poor posture are at a higher risk for lower back injury. The most common reason for back pain is pulling or straining a muscle or ligament. Certain medical conditions like osteoporosis, gallbladder disease, and fibromyalgia can cause back pain. Pregnancy can also cause back pain due to the extra weight.

Pain management ideas

The following are a few pain management ideas for the lower back pain that can help someone get the pain relief they need so they can still perform their everyday functions. Of course, it is necessary for anyone experiencing any back pain to see a health care professional for a proper diagnosis as soon as absolutely possible.

Pain management idea #1 – take an over the counter anti-inflammatory pain medication for mild or infrequent lower back pain that involves the muscles and nerves

Pain management idea #2 – alternate hot and cold packs during the first few days of injury

Pain management idea #3 – perform body strengthening exercises

According to Hopkins Medicine, if the source of the pain is not known or cannot be treated then working with a doctor to make the pain manageable is the ideal option.

Currently in pain?

If you are currently experiencing low back pain and need to make a consultation appointment, give us a call right now so we can schedule you in at a time that is convenient for you. Living with back pain can be extremely difficult, and that is why we are here to help you understand your options for relieving your back pain. If you have any questions for us, then go ahead and give us a call so we can provide you with the answers you need so you can make a decision that works for you. We are here for you!

Looking for lower back pain treatment services near the 91942 area? Call Neurological and Pain Institute at (619) 872-2742.


Looking for CARPAL TUNNEL SYNDROME INFO near the 91942 area? Call Neurological and Pain Institute at (619) 872-2742.

Looking for information on carpal tunnel syndrome because you have recently received a diagnosis? Good for you. The more you understand about this fairly common wrist problem, the higher your chances of treating the syndrome so it will go away once and for all. It usually starts with some tingling or numbness in your fingers and will continually worsen unless treatment measures are taken. According to Harvard Health, this syndrome occurs when the median nerve is compressed by a ligament that crosses over as it passes through a narrow space in the wrist known as the carpal tunnel.

Is carpal tunnel syndrome permanent?

No, carpal tunnel syndrome does not have to be a permanent condition. There are a number of treatment options that those diagnosed with this syndrome can use to help relieve any pain they are currently experiencing. This is good news for those who have been recently diagnosed, as well as those who have been living with CTS for a long time. Those who have only a mild case of CTS are encouraged to wear a hand and wrist splint when they are sleeping at night, as this allows the hand to rest, which helps relieve any symptoms.

Those who have more severe cases of carpal tunnel syndrome may benefit from having their doctor give them steroid injections, which gives them relief from their discomfort and/or pain. If these two treatment options do not work, then the next step is getting surgery. Carpal tunnel surgery is done under a local anesthetic and only takes anywhere between 10 and 15 minutes to complete the surgery. Those undergoing surgery are able to resume their regular activities within a couple of days.

Who is at risk for CTS?

Characteristics of those who tend to be more at risk for being diagnosed with carpal tunnel syndrome include being female, being diagnosed with diabetes, being diagnosed with a thyroid disease, having arthritis, not being at a healthy weight, drinking too much alcohol and having cysts in the carpal tunnel area.

Can we answer your questions?

If you happen to have any questions about carpal tunnel syndrome, we invite you to contact us so we can provide you with the answers you need. When you have CTS, it can be difficult to perform your everyday activities. This makes it important to find and use the treatment options available for this syndrome, as you can reverse many of the symptoms you are currently experiencing.


Pain from nerve damage does not have to last forever. With the proper treatment, it is possible to restore nerve health, along with the mobility and physical capabilities a patient had before nerves becoming damaged.

The key is to treat the damage instead of just numbing the pain.

Pain medication will be part of the treatment process

Initially, patients may need to take over-the-counter pain medications or use ointments or sprays that can help to reduce nerve pain. In some situations, a doctor may prescribe medication as well.

There are ways to support nerve healing

Certain vitamins and supplements are also known to reduce nerve pain and even promote healing. Some of the ones we recommend taking are:

  • Magnesium
  • Vitamin C
  • Vitamins B6 and B12
  • Vitamin E

Adding foods that contain these nutrients to a person’s diet, or taking them in supplement form, can help to promote overall health and nerve health.

It is also vital to continue moderate exercise and physical activity. Even things like walking regularly are good for the body because it helps to promote blood flow. Getting enough sleep is also crucial for anyone who is suffering from nerve damage.

Massage is another natural way to treat the pain caused by damaged nerves.

These natural treatments can help, but they typically will not solve the problem

We recommend using natural methods to help augment healing. Still, we know that most patients will require help from a medical professional.

Nerve damage treatments

Below are a few of the procedures that are available for consideration.

Transcutaneous electronic nerve stimulation (TENS)

Using electrodes, small amounts of electricity are sent to the skin, disrupting the ability of nerves to transmit signals of pain to the brain. This drug-free therapy that can be highly effective and has been used for years to treat nerve pain.

Prescription drugs

Some prescriptions has proven promising for preventing nerve pain. Others can treat related symptoms.


Some patients will experience relief with ongoing acupuncture. This is an ancient Chinese medicine that can treat a variety of conditions by helping to promote blood flow and by bringing the body into proper balance.

Ultrasound therapy

Some patients have experienced relief from nerve pain through ultrasound treatments. These are noninvasive treatments that use high-frequency waves to stimulate the nerves and reduce pain.

Laser therapy

Laser therapy is another nonsurgical option that can penetrate deep into the tissue to boost cellular metabolism and reduce swelling. It can relieve pain for people suffering from numerous conditions, including nerve damage.

What's the bottom line?

There are multiple ways to treat nerve pain and damage. Some treatments can be done at home, but others require help from a medical provider. The only way to know what will be the most effective is to speak with a physician in our office and then to begin trying various forms of treatment. We encourage getting started right away so that healing can begin as quick as possible.

Call us at (619) 872-2742 for more information from Neurological and Pain Institute .


Dyslexia is characterized by difficulty reading. Some dyslexia patients experience vertigo along with several other symptoms, yet difficulty with words is the clearest indication an individual might be dyslexic. Most people assume every type of dyslexia is the same. In reality, no two dyslexia patients are the same. Some suffer vertigo when attempting to read while others have headaches or cannot retain or understand the written content. Here is a quick look at the different types of dyslexia.

Primary dyslexia

Primary dyslexia also referred to as deep dyslexia, is the most common variety. Brain dysfunction on the left side can cause this type of dyslexia. Distinguishing brain dysfunction from damage is essential. Any physical trauma does not induce primary dyslexia. This type of dyslexia remains consistent across the aging process.

Though the severity of this disability is distinct to each patient, the majority of those provided with the proper educational assistance enjoy academic success. However, there are some individuals with primary dyslexia who struggle with spelling, writing and reading comprehension across the majority of their adult lives. This form of dyslexia is hereditary, meaning it is passed to offspring through genetics or genetic mutations. Primary dyslexia is more common in boys than girls.

Developmental dyslexia

Also known as secondary dyslexia, this form of dyslexia is spurred by issues with brain development in the early portion of the fetal development. Secondary dyslexia gradually dissipates as the patient matures. Like primary dyslexia, this form of dyslexia is also more prevalent in boys.

Trauma dyslexia

This form of dyslexia typically occurs after a brain injury or trauma to the portion of the brain responsible for reading and writing. Thankfully, trauma dyslexia is quite rare amongst today’s youngsters.

Auditory dyslexia

Auditory dyslexia is a sensory processing disorder. This form of dyslexia is akin to visual processing disorder. Auditory dyslexia is characterized by multiple problems with the way in which the brain processes speech and sounds.

Visual dyslexia

Visual dyslexia is often used to refer to visual processing disorder. This is a condition in which the brain fails to interpret optical signals accurately.


Dysgraphia is the struggle to hold and control a pencil so the proper markings can be made on paper when writing. Developmental dyslexia occurs when the fetus is in development. Plenty of children who have developmental dyslexia struggle with its symptoms across puberty yet ultimately end up succeeding in college. Those provided with early intervention, mainly through phonics instruction, tend to perform quite well.

Contact us today

A child who exhibits vertigo when attempting to read and fails to retain information or struggles with the interpretation of visual signals might be autistic. Parents of little ones who display these signs should ask for help. Reach out to us today to learn more about our offerings and schedule an initial consultation.

Call (619) 872-2742 today to reach Neurological and Pain Institute.


Want to find out how to best manage your pain due to a personal injury? When you are injured through no fault of your own and you are now in pain, then finding a way for you to manage that pain is important. Whether what you are experiencing is minimal or excruciating, you will need to find relief so you can function. Being in pain can be debilitating and have a negative effect on your lifestyle. There is no longer any reason for you to suffer, as pain management options are available.

Personal injury pain

Short-lasting pain and chronic pain can both stem from someone being injured. Most personal injuries are received when someone is involved in a car or workplace accident. It can involve being diagnosed with broken bones, head wounds and muscle injuries. When someone is hurt in this manner, it is necessary for them to seek treatment right away so they have the best chances for a successful recovery.

Top injuries

Some of the more commonly treated injuries involve the following:

  • Neuromuscular pain — causes muscle pain and nerve pain, can take place anywhere in the body
  • Low back pain — creates difficulty performing easy everyday functions, like going to the bathroom
  • Neck pain — causes the neck to be tense and stiff, making it difficult for one to move their head at all

Pain management

Pain management treatment options vary for each patient, as managing someone’s pain is dependent on their particular injury. A pain management doctor will also need to take into consideration the patient's overall health in order to create an effective pain management treatment program.

Common pain management options

Some of the more common pain management options available to those who have been personally injured include:

  • Trigger point injections via acupuncture
  • Physical therapy
  • Cognitive behavioral therapy
  • Meditation, relaxation techniques, manipulation, massage
  • Hot and cold therapy

Pain management options

Now is the time for you to take control of your pain. While the pain is due to no fault of your own, the sooner you address it by using available pain management options, the sooner you work toward becoming pain free. Know that we can work around your schedule to make an appointment time that is convenient for you.

Request an appointment in our La Mesa office here:


Needing to find out whether or not your injury has possibly caused you to have a traumatic brain injury? When you have been personally injured it is essential that you have a medical professional perform a thorough examination as soon as possible after becoming injured. Whenever someone receives a blow to his or her head or neck area, the chances of sustaining some form of injury is going to be high. While whiplash injuries are quite common when someone receives trauma to his or her head or neck, the possibility of a traumatic brain injury is also very possible.

Personal injury examples

There are many different types of personal injuries someone can experience that can lead to their being diagnosed with a potential brain injury. The following is a list of some of the more common types of personal injuries that can cause someone also to be diagnosed with a traumatic brain injury.

  • Vehicle-related personal injuries
  • Physical assault personal injuries
  • Falling down personal injuries
  • Workplace related personal injuries
  • Post-traumatic stress disorder personal injuries

Traumatic brain injury

The Centers for Disease Control and Prevention defines a traumatic brain injury as a disruption in the normal function of the brain that can be caused by a bump, blow or jolt to the head, or penetrating head injury. Mild cases of brain injury will often produce temporary confusion and mild headaches. Severe cases of brain injury can bring about long-term amnesia, long-term disability, and death. Some of the more common reasons why someone would be diagnosed with a traumatic brain injury include being involved in a car accident, being hit by another person and falling.

When someone is suffering from a traumatic brain injury, he or she will often not experience any signs or symptoms within the first 24 hours. Although, it is possible that they will not experience any signs or symptoms up to a few weeks after being personally injured.

Who can treat a brain injury?

The following is a list of the team of medical professionals who can evaluate and treat those who may be suffering from a traumatic brain injury.

  • General doctor
  • Pain management consultant
  • Rehabilitation consultant

Call us now!

We invite you to call us today with any personal injury questions you have. If you have been recently injured and think that the injury may have caused some damage to your brain, then it is indeed essential that you seek professional assistance to receive a proper diagnosis. The last thing you want to happen is for any injuries you may be suffering from to get worse. The sooner you address your injuries, the sooner you can heal from your wounds.

Request an appointment in our La Mesa office here:


Thinking your personal injury is the cause of your nerve damage? It is fairly easy for your nerves to become damaged when there is too much pressure placed on them. Nerves can also be stretched too far and completely severed. When your nerves are damaged, they can no longer properly do their job, which is to transmit communications between your brain and the rest of your body.

Signs of nerve damage

There are many different types of signs available that can let someone know that they may be suffering from nerve damage. It is important to understand that those signs can be constant or irregular, depending on the type of damage. Some of the more common signs of nerve damage include numbness, which tends to occur to the nerves that transmit sensation. Weakness can be felt when nerves that transmit motor signals to the body are damaged. Overall pain is a common sign of nerve damage and can take place anywhere.

Can an injury cause nerve damage?

Yes, a personal injury can cause someone to be diagnosed with nerve damage. Negative effects that come with nerve damage include a decrease in sensitivity, the inability to sleep well due to pain and a loss of balance.

How long do damaged nerves take to heal?

When there is minimal damage to the nerve, it is possible the nerve will repair itself over a short period of time. When there is moderate damage to the nerve, it might be able to grow back, though it can take many months for the entire process to be complete. When there is severe damage to the nerve, which often means that it has been cut, then surgery is often required to repair it.

Alternative treatment option: Acupuncture

Acupuncture is an alternative treatment option for treating nerve pain and can be used alone or with other medical treatments. According to Harvard Health, the ancient art of acupuncture has been used for centuries to treat many conditions and relieve pain. Because acupuncture is considered to be a safe treatment option, many people suffering from nerve damage can seek the assistance of an acupuncturist for help.

Been personally injured?

If you have recently received a personal injury and think you are experiencing nerve damage, then we ask that you call us now for a consultation appointment. While it may be possible that your damaged nerves will heal on their own if they received only minimal damage, it is always best to be seen by a professional in order to make sure your nerves are healing like they are supposed to.

Request an appointment in our La Mesa office here:

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