Nerve pain can be persistent, unpredictable, and difficult to manage. Unlike pain caused by muscles or joints, neuropathic pain results from injury or dysfunction of the nervous system and may continue even after the original injury or illness has healed.
At TOPS Institute, our board-certified pain management specialists provide comprehensive evaluations and personalized treatment plans for patients with peripheral neuropathy, Complex Regional Pain Syndrome (CRPS), postherpetic neuralgia, and other chronic nerve pain conditions. Using advanced interventional pain management techniques, neuromodulation, image-guided procedures, and non-opioid treatment options, we help patients improve function and regain their quality of life.
Neuropathic pain occurs when nerves become damaged or function abnormally, causing them to send pain signals even when no ongoing injury is present. Symptoms may develop gradually or suddenly and can range from mild discomfort to severe, disabling pain.
Because there are many causes of nerve pain, an accurate diagnosis is essential before treatment begins. Our specialists perform a comprehensive evaluation to identify the underlying condition and recommend the most appropriate treatment plan.
Patients with neuropathic pain may experience:
Peripheral neuropathy develops when nerves outside the brain and spinal cord become damaged, affecting sensation, movement, or both. Symptoms most commonly begin in the feet or hands but may also affect the legs, arms, or other parts of the body.
Common causes include:
Treatment focuses on relieving symptoms, improving function, and addressing the underlying cause whenever possible.
Complex Regional Pain Syndrome (CRPS), previously known as Reflex Sympathetic Dystrophy (RSD), is a chronic pain condition that may develop after an injury, fracture, surgery, or other trauma. The pain is often significantly more severe than expected based on the original injury.
Symptoms may include:
Early diagnosis and treatment may improve outcomes. Depending on the individual case, treatment may include physical therapy coordination, medications, sympathetic nerve blocks, Stellate Ganglion Blocks for upper extremity CRPS, lumbar sympathetic blocks for lower extremity involvement, or Spinal Cord Stimulation (SCS) for carefully selected patients with persistent symptoms.
Postherpetic neuralgia is a chronic nerve pain condition that may occur after a shingles (herpes zoster) infection. Even after the rash has healed, damaged nerves can continue sending pain signals for months or longer.
Symptoms often include:
Treatment is individualized and may include medications, nerve blocks, neuromodulation, and other interventional pain management techniques depending on symptom severity.
Our physicians also evaluate and treat a wide variety of chronic nerve pain disorders, including:
Every treatment plan is customized based on your diagnosis, symptoms, medical history, and treatment goals.
Before recommending treatment, our specialists perform a detailed evaluation that may include:
A precise diagnosis helps guide the most effective treatment strategy.
Depending on your diagnosis and symptoms, treatment may include:
Certain medications may help reduce neuropathic pain and improve daily function as part of a comprehensive care plan.
Targeted nerve blocks may help reduce inflammation, interrupt pain signaling, and assist in diagnosing the source of nerve pain.
For selected patients with CRPS or sympathetically maintained pain, sympathetic nerve blocks may provide diagnostic information and therapeutic relief.
Peripheral Nerve Stimulation uses small electrical leads placed near an affected peripheral nerve to help modulate pain signals. Selected patients complete a temporary trial before considering long-term treatment.
Learn more about Peripheral Nerve Stimulation →
For certain patients with chronic neuropathic pain or CRPS that has not responded to conservative care, spinal cord stimulation may help reduce pain by modifying pain signals before they reach the brain.
Learn more about Spinal Cord Stimulation →
Patients with CRPS affecting the upper extremities or other sympathetically maintained pain conditions may benefit from a Stellate Ganglion Block, an image-guided procedure that targets sympathetic nerves in the neck.
These are the procedures our specialists most often use for other. Your plan is confirmed after examination and imaging.
Patients throughout Los Angeles, Beverly Hills, and Southern California choose TOPS Institute because we offer:
Our goal is to reduce pain, improve function, and help you return to the activities that matter most.
Neuropathic pain is pain caused by damage or dysfunction of the nervous system. Unlike pain from muscles or joints, it often feels like burning, tingling, electric shocks, or stabbing sensations and may persist even after an injury has healed.
Peripheral neuropathy has many possible causes, including diabetes, chemotherapy, autoimmune diseases, vitamin deficiencies, infections, alcohol use, kidney disease, and traumatic nerve injuries. In some cases, no specific cause can be identified.
CRPS is a chronic pain condition that may develop after an injury, fracture, or surgery. It often causes severe pain, swelling, skin changes, and heightened sensitivity that are disproportionate to the original injury.
While there is no single cure, many patients experience meaningful symptom improvement through medications, nerve blocks, neuromodulation, and other interventional pain management treatments tailored to their condition.
If nerve pain persists despite conservative treatment, interferes with daily activities, causes weakness or significant sensitivity, or has not improved over time, a comprehensive evaluation by a pain management specialist may help identify additional treatment options.
Living with chronic nerve pain can affect every aspect of your life, but effective treatment options may be available. At TOPS Institute, we provide personalized care for patients with peripheral neuropathy, CRPS, postherpetic neuralgia, and other complex neuropathic pain conditions using advanced, minimally invasive treatment approaches.
If you’re looking for an experienced nerve pain specialist in Los Angeles or Beverly Hills, our team is here to help.
Call 310-694-9494 or request an appointment online to schedule your consultation. We proudly serve patients throughout Los Angeles, Beverly Hills, and Southern California with expert interventional pain management and concierge-level care.
Leave a message or give us a call — we'll find a time that works for you.
310-694-9494