Lately my 15 year old has been refusing to walk more and more. He was given a clean bill of health by an orthopedist. I wonder if it could be neuropathic pain. He pinches his thighs, kicks his heels against his lower legs and likes to have his me rub his feet. If this does sound like neuropathic pain what can be done about it? Who should check him out or treat him at this point?
Neuropathic pain would be a possibility. I think one would need to get Electromyogram (EMG) and Nerve Conduction Velocities (NCV) testing though (plus, of course, a neurological exam to make sure nothing else is going on). Is he on any medications (that could cause this)? If this turns out to be likely neuropathic pain, Neurontin could be tried for treatment. Neurontin, like some other anticonvulsants for some not-so-clear reason, influences pain sensation from sick nerves, probably by making the nerve's membrane potentials more stable.
CB/ TK 7-13-10
Legal Disclaimer: Please take note that the CdLS Foundation's Ask the Expert service is comprised of volunteer professionals in various areas of focus. Response times may vary and a response is not guaranteed. Answers are not considered a medical, behavioral, or educational consultation. Ask the Expert is not a substitute for the care and attention your child's personal physician, psychologist, educational consultant, or social worker can deliver.