Neurological pain evaluation · Non invasive care · Calabasas
Chronic Neurological Pain In Calabasas
When pain feels burning, electric, numb, hypersensitive, or impossible to explain, the nervous system deserves a closer look.
California Brain & Spine Center provides personalized neurological pain management for people living with persistent nerve pain, neuropathic symptoms, central sensitization, post surgical nerve pain, and other complex pain patterns. Dr. Alireza Chizari, DC, DACNB, a board certified chiropractic neurologist, begins with evaluation and objective findings before recommending care.
Common neurological pain profile
What patients often describe before evaluation
The quick answer
Chronic neurological pain is different from ordinary tissue pain
Neuropathic pain is pain associated with a lesion or disease affecting the somatosensory nervous system. It may feel like burning, electric shocks, tingling, numbness, shooting pain, or pain from normally nonpainful touch. Neurological chronic pain can involve peripheral nerves, the spinal cord, the brain, or a combination of these systems.
Central sensitization can add another layer. The nervous system may become more responsive to incoming signals, which can lower the threshold for pain and make symptoms feel disproportionate to the original injury. That does not mean the pain is imaginary. It means the way pain is being processed may have changed.
Start with a consultationPatterns we evaluate
Common causes of chronic nerve pain and neuropathic symptoms
The same word, pain, can come from very different mechanisms. The purpose of the evaluation is to separate the likely nerve, spine, central, sensory, and functional contributors before choosing a treatment direction.
Peripheral Neuropathy
Burning, tingling, numbness, altered temperature sensation, or pain in the feet, legs, hands, or arms.
Radiculopathy and Nerve Compression
Radiating pain, numbness, or weakness associated with irritation or compression along a spinal nerve pathway.
Central Sensitization
A pain processing pattern in which the nervous system becomes more reactive and normal sensory input may feel amplified.
Complex Regional Pain Syndrome
Persistent regional pain that may occur with sensory, temperature, swelling, color, or movement changes and requires careful medical evaluation.
Post Surgical Nerve Pain
Nerve irritation or injury after a procedure, including persistent burning, hypersensitivity, numbness, or pain near the surgical region.
Central Pain After Stroke or Spinal Injury
Pain that may arise after injury to central sensory pathways in the brain or spinal cord and may require coordinated medical and rehabilitation care.
Electric shock like facial pain can follow a different pathway. See our dedicated trigeminal neuralgia treatment in Calabasas page rather than treating facial pain as a generic chronic pain problem.
What patients notice
Symptoms that may point toward a neurological pain mechanism
Symptoms alone do not establish a diagnosis, but the quality and distribution of pain can help determine what should be tested next.
Why the pain can feel unusual
Nerve pain can involve more than one level of the nervous system
- Peripheral nerve injury or irritation can generate abnormal sensory signals.
- Spinal nerve compression can create radiating pain, numbness, or weakness in a specific distribution.
- Central pain can occur when sensory pathways in the brain or spinal cord are affected.
- Central sensitization may amplify pain processing even after the original trigger has changed.
Your care pathway
How neurological pain management works at our Calabasas clinic
The process is assessment led. We do not assume every chronic pain patient needs the same therapy, technology, or schedule.
Clarify the pain pattern
We review the onset, location, triggers, sensory quality, prior injuries, surgeries, imaging, medications, medical diagnoses, and previous treatments to understand the full timeline.
Perform a neurological evaluation
Depending on your presentation, assessment may include sensory testing, reflexes, strength, coordination, balance, gait, proprioception, eye movement, autonomic response, and other functional neurological findings.
Build and monitor the plan
If conservative neurological rehabilitation is appropriate, treatment is selected from your findings and adjusted according to tolerance, function, symptom response, and repeat assessment.
Inside the plan
Neurological rehabilitation for chronic pain is personalized
Medication, medical procedures, and specialist care can be important parts of chronic pain treatment. Our role is not to replace necessary medical care. When appropriate, neurological rehabilitation can complement your existing plan by addressing sensory processing, movement, nerve related function, and nervous system tolerance.
What we look at
Your pain score is only one part of the evaluation
Central sensitization
Could central sensitization be amplifying your pain?
Central sensitization is not a label to apply to every person with chronic pain. It is one possible mechanism that should be considered in context with the history, neurological examination, medical diagnoses, and other causes of nerve or tissue pain.
If you have searched for central sensitization syndrome treatment or nerve sensitization treatment, the most useful first step is determining whether sensitization is actually part of your presentation. Signs can include pain from normally nonpainful touch, a broader area of sensitivity than expected, disproportionate pain responses, and persistent sensitivity after the original injury has changed.
Management is usually multimodal. Depending on the diagnosis and your medical team, this may include education, graded activity, sleep and stress support, medication when appropriate, physical rehabilitation, and strategies designed to improve sensory tolerance and function. Our clinic focuses on the rehabilitation and neurological assessment side of that plan.
Confirm the mechanism
Do not assume all chronic pain is central sensitization. Peripheral nerve, spine, vascular, inflammatory, and other causes may need separate workup.
Reduce avoidance
When safe, graded exposure and paced activity can help rebuild tolerance without forcing the nervous system beyond what it can handle.
Measure function
Progress is not only pain intensity. Sleep, walking, work tolerance, touch tolerance, confidence, and daily activity can all matter.
Know when to escalate
Neurological pain we evaluate, and symptoms that need urgent medical care first
Persistent nerve pain deserves evaluation, but certain new or rapidly changing neurological symptoms should be assessed urgently before conservative rehabilitation.
Symptoms appropriate for a scheduled evaluation may include
- Persistent burning, tingling, or electric pain
- Numbness or altered sensation that has been medically stable
- Pain from light touch or pressure
- Post surgical nerve sensitivity after the surgical team has ruled out urgent complications
- Chronic radiating pain associated with known nerve or spine irritation
- Long term sensory changes after a previous neurological injury
- Central sensitization or chronic neuropathic pain patterns that need rehabilitation support
A consultation does not guarantee that our clinic is the right fit. The first step is deciding whether your presentation belongs in conservative neurological rehabilitation, needs medical co management, or requires referral elsewhere.
Seek emergency or urgent medical evaluation first for
- Sudden new one sided weakness, facial droop, speech difficulty, or vision loss
- New loss of bladder or bowel control with saddle numbness or rapidly worsening leg weakness
- Sudden severe headache with neurological symptoms
- Rapidly progressive weakness, numbness, or loss of coordination
- Severe new pain after surgery with fever, drainage, major swelling, or other signs of complication
- New neurological symptoms after a significant head, neck, or spine injury
Call 911 for stroke like symptoms or other medical emergencies. Once urgent causes have been addressed, rehabilitation can be considered for persistent symptoms when appropriate.
Local access
Chronic nerve pain care in Calabasas for patients across Greater Los Angeles
The clinic is located in Calabasas and sees patients who travel from nearby communities for in person neurological evaluation and rehabilitation.
Patients searching for nerve pain treatment in Los Angeles or neuropathic pain treatment in Tarzana, CA may choose to visit our Calabasas clinic when they want a neurological rehabilitation focused evaluation. This page remains centered on Calabasas so local intent stays clear and does not compete with future city specific pages.
Patient experiences
What existing patients have shared about nerve pain care
“After years of burning pain in my legs, I was told to just manage it with meds. Dr. Chizari and his team finally explained what was really happening and treated the cause. I now go days without pain. Something I never thought possible.”
“I had nerve pain from a herniated disc that nothing helped. Their approach didn’t just mask the pain it changed the way my body responded to it. I feel like I got my life back.”
These testimonials are preserved from the existing Chronic Neurological Pain page. Confirm that each testimonial is documented and approved for website use before publishing. Individual results vary, and no specific result can be guaranteed.
Why a neurology led approach can matter
Chronic pain can change movement, attention, sleep, and sensory confidence
The goal of rehabilitation is not simply to chase a lower pain score. It is to understand how the nervous system and daily function interact, then build a plan that is safe, measurable, and realistic.
Persistent pain can make normal movement feel threatening. People may stop using an arm normally, avoid walking, become sensitive to touch, sleep poorly, or spend more attention monitoring symptoms. These changes can reinforce disability even when the original tissue injury is no longer the whole story.
A neurology led rehabilitation approach may combine sensory retraining, movement, pacing, autonomic regulation, and education with appropriate medical care. The exact plan depends on your diagnosis, examination, safety factors, and response over time.
Function first
Track what you can do more comfortably, not only the number you assign to pain.
Graded challenge
Use enough input to stimulate adaptation without repeatedly provoking major flares.
Reassess often
Adjust the plan when the examination, symptom behavior, or functional goals change.
Common questions
Frequently asked questions about chronic neurological pain
What qualifies as chronic neurological pain?
Neurological pain usually refers to pain connected with injury or disease affecting sensory pathways in the peripheral or central nervous system. Neuropathic pain may feel burning, shooting, electric, tingling, numb, or unusually sensitive. Chronic pain is generally persistent over time, but the exact diagnosis should be based on the cause and clinical evaluation rather than duration alone.
How is neuropathic pain different from regular muscle or joint pain?
Muscle and joint pain is often linked to tissue loading, inflammation, strain, arthritis, or mechanical irritation. Neuropathic pain is associated with the somatosensory nervous system and commonly produces burning, electric, shooting, tingling, numbness, or pain from light touch. Mixed pain is also possible, which is why a person can have both nerve and musculoskeletal contributors at the same time.
What does central sensitization syndrome treatment usually involve?
There is no single treatment that fits every sensitized pain presentation. Management may involve education, graded activity, sleep support, stress regulation, medication when medically appropriate, and rehabilitation aimed at improving sensory tolerance and function. The first priority is confirming that central sensitization is actually relevant and not overlooking nerve compression, inflammatory disease, vascular problems, or another cause.
What is a chronic neuropathic pain syndrome?
It is a persistent pain presentation related to disease or injury affecting sensory nerves or central sensory pathways. Examples can include painful peripheral neuropathy, post herpetic neuralgia, radiculopathy, post surgical nerve injury, trigeminal neuralgia, and some forms of central pain after stroke or spinal cord injury. Different syndromes need different workups, so the label should not replace diagnosis.
Can you help with nerve compression or nerve damage after surgery?
We can evaluate stable neurological symptoms after medical or surgical causes have been appropriately assessed. If you have new weakness, rapidly worsening numbness, fever, wound changes, severe swelling, or other post surgical warning signs, contact the surgical team or seek urgent medical care first. Rehabilitation may be considered afterward when it is safe and appropriate.
What does neurological pain management at California Brain & Spine Center include?
It begins with a detailed history and functional neurological examination. Depending on findings, care may include sensory and motor retraining, proprioceptive work, graded rehabilitation, and selected supportive modalities such as PEMF or Low Level Laser Therapy. These options are not automatic and are used only when the evaluation provides a clinical reason.
What should I look for when comparing neurological relief centers?
Look for a center that starts with evaluation rather than selling a device or package first. Ask how the provider distinguishes peripheral nerve pain from central pain, how progress is measured, when they refer to medical neurology or pain medicine, and whether treatment recommendations change when your response changes. Clear scope of practice and realistic expectations matter.
Can chronic pain happen after a stroke?
Yes. Some people develop central post stroke pain when sensory pathways in the brain have been affected. New stroke symptoms always require emergency care. For stable chronic pain after a known stroke, treatment may involve medical pain management and rehabilitation, depending on the individual presentation and the recommendations of the medical team.
How long does neurological rehabilitation for chronic pain take?
There is no reliable universal timeline. Response depends on the cause, duration, neurological findings, medical conditions, sleep, activity tolerance, and whether the pain is peripheral, central, sensitized, or mixed. We prefer to set measurable functional goals and reassess progress rather than promise improvement within a fixed number of visits.
Take the next step
You do not need another generic explanation for persistent nerve pain.
Start with a conversation about what your symptoms feel like, what has already been ruled out, and whether a neurological rehabilitation focused evaluation in Calabasas is appropriate for you.
California Brain & Spine Center · 4768 Park Granada, Ste 107, Calabasas, CA 91302