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Joint and Muscle pain while on gabapentin?

Chronic Pain | Last Active: Sep 3, 2025 | Replies (23)

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Profile picture for debbyswimmer @debbyswimmer

Are there data on PEA for helping nerve pain? What dose? I have much nerve pain from a compressed femeral nerve at L4-5. I've had 2 epidural cortisone injection, and after a terrible 4-day flare from the last injection, am finally getting improvement such that I can walk short distances- yea! But I still have pain throughout my leg and in particular a numbness and burning on my lower leg. I suspect that will take months if not years for that to recover- but anything to reduce that nerve pain would be helpful. I have not been able to see what dose of PEA is used without a lot more digging- but it sounds like something worth looking into

AI summary- makes it sound like the best thing since blue cheese- but none of my doctors have mentioned it:
Modulation of the endocannabinoid system: PEA interacts with cannabinoid receptors (CB1 and CB2) and the transient receptor potential vanilloid type-1 (TRPV1) channels, influencing pain signaling pathways.
Interaction with PPAR-alpha: PEA activates the peroxisome proliferator-activated receptor alpha (PPAR-α), which plays a role in regulating inflammation and pain.
Reduction of neuroinflammation: PEA reduces mast cell migration and degranulation and decreases the over-activation of glial cells (microglia and astrocytes), which contribute to inflammation and pain sensitization.

2025 Review: https://link.springer.com/article/10.1007/s40122-024-00685-4

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Replies to "Are there data on PEA for helping nerve pain? What dose? I have much nerve pain..."

A doctor recommended it for a relative in 2018, but it was only available at that time from a compounding pharmacy. He tried it for a while, but it didn't help him. I don't remember how much he was taking, but they recommend 1,200mg per day. I also don't know if his problem was nerve pain. It apparently has anti-inflammatory benefits as well, another reason I'd like to try it. I can no longer take any OTC NSAIDs like ibuprofen or Aleve, even a small dose, as it gives me gastritis.