Severe nerve pain after CoolSculpting, 8 days in and not at all better. Could this be permanent nerve damage?

I appreciate your question.Nerve pain is the worst part of the procedure.It does get betterIf its intolerable please speak to your doctor about nerve pain medsThe best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.best of luck!Dr Schwartz

A late onset of a sharp, annoying, pain following treatment with the large CoolSculpting applicator is rare but can happen. If this occurs your physician will prescribe Neurontin to help alleviate these symptoms.  Some patients also like to wear a fitted tank top to help aid in some relief when sleeping. I would suggest follow up with your physician to see if he may want to up your dosage since this can last anywhere from 2-3 weeks. It would be extremely rare for this to be permanent. Hang in there!

Pain that occurs at day 4 is very common. It is usually gone by 2 weeks, but could last 4-6 weeks.  I would recommend you follow up with the physician that treated you.  If neurontin doesn't work, there are other things that can helpful.  It would be extremely rare to be a permanent problem.Trey Aquadro, M.D.Auburn, AL

This kind of pain can occur. It can last as much as 2-3 weeks. It typically resolves. Give it time. I would not apply ice. Sometimes compression or tight garments can make it worse. I would advise Ibuprofen. Lidocaine patches also are very helpful. We typically prescribe these and some pain medication if this occurs. I believe your symptoms will resolve. Try not to panic.

Sorry to hear about your symptoms after Coolsculpting.  I find that compression can also help in addition to the neurontin.  For my patients where the discomfort is very intense, I usually recommend increasing the dose of the medication until the symptoms subside.  I also remind the patients that if we go to higher doses, then we need to taper down the dose.  Another suggestion for your discomfort are compounding medications that have the neurontin as well as other anti-inflammatory medications.I usually explain to patients that the intensity usually subsides by the end of the 2nd week.