Neuralgia Treatment in San Marcos, TX | Greater Austin Pain Center

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2007 Medical Pkwy, Suite B
San Marcos, TX 78666
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Phone: (512) 298-1645

Fax: (512) 298-1795

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What Is Neuralgia?

If you’re looking for neuralgia treatment in San Marcos, Greater Austin Pain Center offers specialized care for patients dealing with sharp, burning, shooting, or electric nerve pain. Neuralgia is a type of nerve pain that usually follows the path of an affected nerve, may come and go in episodes or become more constant over time, and can be triggered by light touch, movement, or everyday activities—or appear suddenly without an obvious cause.

Neuralgia can affect different areas of the body depending on which nerve is involved, including trigeminal neuralgia, occipital neuralgia, and postherpetic neuralgia. Because this pain can disrupt sleep, work, movement, and daily function, getting the right treatment matters. Learn what neuralgia is, the symptoms, causes, and risk factors behind it, the treatment options available in San Marcos, including medications, non-invasive therapies, interventional treatments, and surgical referrals when needed, as well as prevention and when to see a specialist.

How Does Neuralgia Affect the Body?

Neuralgia can cause severe nerve pain that feels sharp, shocking, or radiating. The pain often follows a specific nerve pathway and may affect one side of the body. Trigeminal neuralgia, for example, affects the trigeminal nerve and can cause sudden facial pain. Occipital neuralgia can cause pain near the base of the skull that may travel toward the back of the head.

Patients with neuralgia may also experience numbness, tingling, sensitivity to touch, burning sensations, throbbing pain, or muscle spasms. In some cases, simple activities such as brushing your teeth, talking, turning your head, or touching the affected area can trigger pain.

When neuralgia becomes chronic, it can make daily routines difficult and may cause patients to avoid activities that trigger symptoms. At Greater Austin Pain Center, our San Marcos pain specialists work to identify the root cause of nerve pain and build a personalized treatment plan focused on pain relief, improving quality of life, and supporting overall well-being.

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Causes of Neuralgia

Neuralgia can develop from several medical conditions, injuries, or nerve-related issues. Common causes include:

Shingles, which can lead to postherpetic neuralgia
Trauma or injury to a nerve
Infections affecting peripheral nerves
Fractures or bone injuries that place pressure on nerves
Long-term alcohol use that may contribute to nerve damage
Nerve irritation or damage after surgery
Chronic conditions such as diabetes or peripheral neuropathy
Neck, spine, or spinal cord injuries
Stroke-related nerve pain
Neurological conditions such as multiple sclerosis

Woman in car holding back and shoulder in pain.

Symptoms of Neuralgia

Neuralgia symptoms depend on the affected nerve and the severity of irritation or damage. Symptoms may include:

Sharp, shooting, or electric shock-like pain
Numbness in the affected area
Tingling or pins-and-needles sensations
Burning pain
Sensitivity to light touch
Muscle spasms
Throbbing or pulsing discomfort
Pain triggered by routine activities
Pain on one side of the face, head, neck, or body
Pain that follows a specific nerve pathway

Patients with trigeminal neuralgia may have short but intense episodes of facial pain that can be triggered by everyday actions such as talking, chewing, or brushing their teeth.

Woman at elevators in front of San Antonio Eye Specialists sign.

Treatment for Neuralgia in San Marcos, TX

Neuralgia treatment depends on the type of nerve pain, the underlying cause, and how severely symptoms are affecting your life. During your first visit, your pain doctor will review your medical history, symptoms, previous treatments, and any conditions that may be contributing to your pain, and may also perform a physical examination. This evaluation helps the team build a better understanding of the underlying cause and create a customized plan to relieve pain.

Your treatment plan may include medications, non-invasive therapies, interventional pain treatments, or referrals for additional care when needed.

Medications

Medication may be used to help reduce nerve pain, inflammation, or pain signals. Options may include:

Anti-inflammatory medications
Pain relievers
Antidepressants used for nerve pain management
Anticonvulsants, which are commonly used for trigeminal neuralgia and other nerve pain conditions
Muscle relaxants when symptoms involve muscle tension or spasms

Non-Invasive and Interventional Therapies

Depending on your condition, your provider may recommend interventional pain management options for chronic pain, including minimally invasive procedures when appropriate:

Physical therapy to support mobility and nerve function
Nerve blocks to interrupt pain signals and provide substantial short- to medium-term relief
Radiofrequency ablation, a procedure that may help certain chronic neuropathic pain conditions when medications have not worked
Spinal cord stimulation for certain chronic nerve pain conditions
TENS therapy, which uses low-voltage electrical stimulation to help reduce pain perception

Surgical Options

For severe cases of trigeminal neuralgia or other nerve compression conditions, minimally invasive surgical procedures or other surgery may be considered if more conservative treatments have not provided enough relief. Surgical options may include procedures designed to relieve pressure on the affected nerve or remove a neuroma.

Greater Austin Pain Center does not perform these surgical procedures in-office, but our providers can refer patients for a surgical evaluation when appropriate.

Am I at Risk of Developing Neuralgia?

Anyone can develop neuralgia, but certain factors may increase your risk, including:

A history of trauma, especially involving the neck, spine, or nerves
Chronic conditions such as diabetes or peripheral neuropathy
Older age, especially after shingles
Excessive alcohol use
A sedentary lifestyle or low physical activity
Previous surgery that may have irritated or damaged a nerve
Neurological conditions affecting nerve function

Testimonials

"I am so relieved I could cry! Finally a pain specialist who listens, cares, and wants to help! Dr. Alan Silberberg has given me so much hope! As someone who has seen pain specialists for decades in different states, this is where you want to come. You NEED him in your life! My only regret is not coming in sooner."

Sarah Jean C.

"The staff is very friendly and I was seen on time. The intake process was seamless and efficient. Dr. Jarzombeck is always very kind and thorough in her explanations. These folks are a pleasure to work with. I highly recommend Greater Austin Pain Center and Dr. Jarzombeck!"

Kim D.

"Everyone is always very nice and courteous. Dr. Julia is amazing! He is friendly, kind and caring and so easy to talk with. All the office staff I have had contact with has always been courteous and kind as well. Would highly recommend coming here!"

Lesley C.

Frequently Asked Questions

Is neuralgia preventable?

Not every case of neuralgia can be prevented, but managing underlying health conditions may help lower your risk. Controlling diabetes, limiting alcohol use, staying active, and seeking treatment for shingles or nerve-related symptoms may help reduce the chance of certain types of neuralgia.

What is the best way to treat trigeminal neuralgia?

Treatment for trigeminal neuralgia may start with medication and, depending on the case, may also include chiropractic treatments or nerve blocks before, in more severe cases, a referral for surgical evaluation. The right approach depends on your symptoms, medical history, and how often the pain occurs.

How can I reduce neuralgia pain at home?

Mild symptoms may improve with over-the-counter pain relievers, gentle stretching, rest, or heat and cold therapy. However, persistent, severe, or worsening nerve pain should be evaluated by a pain specialist.

Can stress trigger neuralgia pain?

Stress and anxiety may worsen neuralgia symptoms for some patients. Relaxation techniques, mindfulness, lifestyle changes such as better sleep habits, stress management, and activity routines, along with a structured treatment plan, may help reduce flare-ups.

When should I see a neuralgia specialist in San Marcos?

You should consider seeing a pain management specialist if nerve pain is severe, recurring, spreading, interfering with sleep, or affecting your ability to work, move, or complete daily activities. You should also seek care if you have numbness, tingling, weakness, facial pain, or pain that feels sharp, burning, or electric. Board certified specialists help ensure high quality care for complex pain conditions.

What other nerve pain conditions does Greater Austin Pain Center treat?

Greater Austin Pain Center focuses on treating chronic pain and several nerve-related pain conditions, including neuropathy, sciatica, migraines, pinched nerves, postherpetic neuralgia, occipital neuralgia, trigeminal neuralgia, and chronic pain involving nerve irritation or compression. The team also evaluates common chronic pain concerns such as back pain and arthritis when symptoms overlap. That can include neck pain or arm pain alongside nerve symptoms. They also assess joint pain, hip pain, knee pain, and sacroiliac joint pain as part of a personalized care plan. When appropriate, conditions such as chronic headaches may be treated by neurologists through referral.

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What Is Neuralgia?