Treatment for nerve pain in the feet includes physical therapy, transcutaneous electrical nerve stimulation, plasma exchange, intravenous immune globulin therapy and surgery, according to Mayo Clinic. Medications used for treatment of nerve pain include pain relievers, anti-seizure medications, capsaicin and antidepressants.
Some cases of nerve pain are handled with prescription medication, while others may require a combination of medication and other therapies, notes Mayo Clinic. Pain medication, including over-the-counter pain medications such as nonsteroidal anti-inflammatory drugs and prescription-strength pain relievers such as oxycodone or tramadol, is sometimes recommended. Anti-seizure medications such as gabapentin can also help relieve nerve pain in some patients, while creams containing capsaicin can provide relief. Antidepressants may also be used to interrupt the chemical processes in the brain that cause pain.
Transcutaneous electrical nerve stimulation, or TENS, is a treatment that sends electrical impulses through the skin to the affected area, explains Mayo Clinic. Suppression of the immune system with plasma exchange and intravenous immune globulin therapy shows some promise for patients. Physical therapy to improve movement through exercise along with the use of a cane, wheelchair, walker or foot brace may also help. Surgery is recommended for patients with diabetic neuropathy caused by pressure on the peripheral nerves.