Why doctors can’t just remove the pain nerves in an area with chronic pain?

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So, there are pain nerves, right? Different from the movement nerves. Normally you want to have functional pain nerves so they can alert your brain to an injury. If someone has, say, arthritis, or a bad joint or bone injury 30 years ago that has long since healed, those nerves are just sounding the alarm 24/7 even though there’s nothing to be done about it. So, since that pain isn’t giving you any new information you can use to help take care of your body, and is actively impeding your life, why not just remove the pain nerves, or cut them off from the nervous system? They are useless at that point for actually reporting things that would impede the mechanical function of that area, so getting rid of them would be a net benefit.

In: Biology

13 Answers

Anonymous 0 Comments

I suffered knee trauma 20 years ago…and I asked why it never stopped hurting even though it’s long since healed. And they said something about nerves always firing signals…and there is nothing they can do. I just have to live with the pain.

Sometimes I feel like cutting off my leg would be the better option. If I ever do get rich enough…I will seriously try to get someone to make my knee stop hurting.

I mean, I’m used to the pain by now. But it feels…worse and worse as I age. And the weather changes make it such that some days my knee is soo stiff it’s hard to walk on it at all. It’d be nice to find some relief. But I’m already resolved to the fact that it’s always going to hurt.

Anonymous 0 Comments

Other users have given great answers but they’ve all missed something significant: Substantial pain processing happens in the central nervous system as well (and we can’t remove that) AND that part of the nervous system becomes hyperactive, basically telling you that you’re in pain (often severe pain) even with little or even zero painful input.

An analogy might be stubbing your toe once; it probably hurts but it will go away. If you instead hit it with a hammer really hard 10 times over 10 days, you’ll probably really change your behavior to deal with that toe. On the 11th day, you’ll still be keenly aware of the damage done to your toe and it will still be extra sensitive, even if nothing happened to it that day. During long term chronic pain, your nervous system is constantly in that “11th day” pain state, where it’s super sensitive to any type of stimulation.

Source: I’m a chronic pain treatment researcher

Anonymous 0 Comments

The OPQ assumes that a foot pain starts in the foot. That isn’t always true.

I can’t give you a medical explanation for it, but my wife’s grandfather had his legs amputated just below the knees. He lived another 10 years but his feet hurt the rest of his life. Somewhere in his brain, he was still processing the pain that has existed before the amputation. That was 30 years ago and maybe the doctors have a solution now, but they did not then.