Neuropathic Pain
Neuropathic pain comes from irritated or damaged nerves and can feel like burning, tingling or shooting pain. Physiotherapy and careful pain management can calm symptoms and help you move and sleep better.
Understanding neuropathic pain
Neuropathic pain is pain caused by damage to or irritation of the nervous system itself, rather than an injury to muscles or joints. When nerves misfire, the brain receives pain signals that no longer reflect what is happening in the body. This is why it can feel like burning, tingling, electric shocks or numbness, often in the hands, feet, or along a specific nerve. It can be constant or arrive in unpredictable waves.
Common forms include nerve pain from diabetes, sciatica, pinched nerves, shingles, and pain that lingers after an injury or surgery. Because the nervous system becomes more sensitive over time, symptoms can persist even after the original cause has settled. The encouraging news is that the nervous system can be retrained. A clear assessment helps us understand your pain, rule out causes that need medical attention, and shape a plan that targets the right drivers.
Signs to look out for
- Burning or scalding sensations
- Tingling or pins and needles
- Sharp, shooting or electric shock like pain
- Numbness or reduced sensation
- Heightened sensitivity to touch or temperature
- Pain that is often worse at night
- Muscle weakness in the affected area
Why it happens
- Diabetes and related nerve damage
- Compressed or pinched nerves, such as sciatica
- Shingles and other infections
- Injury or surgery affecting a nerve
- Certain medications or chemotherapy
- Vitamin deficiencies
Treating neuropathic pain at Rehoboth
Every plan starts with a thorough assessment and a written plan you can actually read. Same-week appointments across five Grand Cayman clinics.
Your first visit is a thorough assessment to understand your symptoms, identify which nerves are involved and check for causes that need a doctor's attention. We then build a personalised plan focused on calming the overactive nervous system. This often includes TENS and other pain-relieving modalities, graded exercise to rebuild tolerance and strength, and manual therapy where tight tissues or joints are adding to nerve irritation, all paced to avoid flaring your symptoms.
Education is a core part of care, because understanding why nerve pain persists helps reduce fear and improve how you move, sleep and pace activity day to day. We set realistic goals and progress your programme as your tolerance grows. When medication, further tests or specialist input would help, we coordinate closely with your GP and refer on. Our general practice and telemedicine teams support pain management alongside your physiotherapy, so your care stays joined up.
Services that treat neuropathic pain
Physiotherapy
Magnetotherapy, robotic rehabilitation, shockwave, ultrasound and electrical stimulation, calibrated to your exact diagnosis.
General Practice
General health consultations, work-permit & taxi medicals, statutory certificates and annual health checks, with same-week appointments.
Telemedicine
Secure video consultations, follow-up care and prescription guidance from the comfort of your home.
Neuropathic Pain questions, answered
Yes. Physiotherapy helps calm nerve pain using TENS, graded exercise, manual therapy and education that retrains a sensitised nervous system. It works best as part of a plan that also involves your GP for any medication or tests you may need.
Neuropathic pain often feels like burning, tingling, numbness or sudden electric shock like pains, rather than a dull ache. It can appear in the hands, feet or along a single nerve, and is frequently worse at night. An assessment helps confirm whether your pain is nerve related.
No referral is needed to see our physiotherapists, and you can book directly. If your pain points to a cause that needs medical care, our general practice team is on hand, and we offer same-week appointments across our Grand Cayman clinics.
TENS can help many people by using gentle electrical stimulation to reduce how strongly pain signals are felt. It is one tool within a broader plan of exercise, education and manual therapy, and your physiotherapist will show you how to use it safely.
We bill CINICO and major insurers directly, including Britcay, Aetna, Cayman First and others, so your cover depends on your plan. Our team can confirm your benefits before you begin and explain any out of pocket costs.
Other neuromuscular conditions we treat
Chronic Pain
Chronic pain that has lasted months needs a different, whole-person approach. We help reduce your pain and rebuild the activity and confidence it has taken.
Dizziness and Vertigo
Dizziness and vertigo can make everyday movement frightening. Vestibular rehabilitation and repositioning techniques help settle the spinning and rebuild your balance.
Fibromyalgia
Fibromyalgia causes widespread pain, fatigue and poor sleep. With graded exercise, pacing and support alongside your doctor, symptoms can be managed and daily life made easier.
Stroke Recovery
Recovery after a stroke is possible with the right support. Our stroke rehabilitation team helps you rebuild movement, confidence and daily function, step by step.
Nerve Pain and Neuralgia
Neuralgia is pain caused by an irritated or damaged nerve, often sharp, burning or electric in quality. Physiotherapy helps calm symptoms and rebuild comfortable movement alongside your doctor.
Postherpetic Neuralgia
Postherpetic neuralgia is lasting nerve pain that can remain after a shingles rash has healed. Physiotherapy and pain management help ease symptoms alongside your doctor's care.