Hello doctor, I have severe chronic nerve damage pain in my right elbow and arm. I am having issues with nerve damage, Lyrica has stopped working, I take 150 mg in morning and 300 mg at night. Still not helping. I feel like I am getting worse. Struggling to hold things, pain in right arm and elbow, struggling to manage from day to day activities. I need help with managing the pain.
Hello. You are suffering from severe chronic neuralgic pain in the right upper limb. You are taking an optimal dose of Lyrica but as per you, it is not working now. I will request you to share your previous investigations or laboratory and neuroelectromyographic reports to me. Why I am asking about this because of chronic nerve damage due to what and how much nerve damage occurred that we have to clarify. If we can treat the root cause then why should we focus on pain? Still, we gave many options for pain relief. I will suggest Gabapentin 400 mg + Nortriptyline 10 mg once daily for three days, then twice daily. And if still, it is not working, then I will add Duloxetine 30 mg once daily. But, my advise will be to go for a complete evaluation, if not done and if evaluated completely then you can start Gabator NT.