Hi Spursboy, The only nerve drug that works quite well for me is Amitryptiline, gabapentin , lyrica and the rest like that,i had adverse reactions,could not tolerate or did not work.nerve injections ,ablations did not work or very short lived. they did tell me that I can up the amitryptiline but did not want to, but do sometimes take an extra one when really bad then go back to my usual dose. like I said above a TENS machine I find quite good when bad. it doesn’t take pain away and is no cure but for me it masks the intensity of nerve pain I just keep alternating the different pulses on it every half hour or so, so body doesn’t get used to it . I sometimes wear it for days but don’t sleep with it on. other than that I use mindful meditation /visualization technics,CBT and what I have learnt at Pain clinic,understanding Biopsychosocial model, active relaxation and passive relaxation.fully understanding your pain and acceptance that this is how you are. It does take some time but once it all clicks in your brain and you get it and understand it all, it does help you cope and deal with it all.a bit better, I been in constant pain for years abt. 23 years, and only just started to get to grips over it all in the past 7-8 years. Bio is your physiological-physical pain psychological -thoughts/emotions involved and social- impact that chronic pain has on your social and financial situation ie benefits family, relationships with others and no longer doing activities and hobbies, these are all interlinked with each one having an impact on the next.So you need to look at all these issues in order to get the best outcome in helping to manage your pain and improve your quality of life.the struggle is the physical part can limit your improvement and thats where psychologists, physio and Occupational therapists step in. I hope you you get what I am saying as it is a lot to take in especially when in extreme pain, its basically retraining your brain. hope this helps somewhat , Take care and best wishes, Lee
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