Neuropathy is a basic term signifying disruptions in the typical functioning of the peripheral nerves. The causes of neuropathy are different and so is the treatment. Many a times, the neuropathy is almost irreversible and the treatment is mainly focused on preventing more development of the nerve damage and other encouraging procedures to avoid any issues due to neuropathy.
Neuropathies due to nutritional deficiencies are generally treated with the replenishment of the lacking nutrient. Neuropathies due to shortage of vitamins like cobalamin, thiamine, pyridoxine, niacin are dealt with by providing the vitamin supplementation orally or by intramuscular injection of the vitamin if deficiency is due to defective absorption of vitamins from the diet. Treatment might or might not entirely reverse the neuropathy and minimize the symptoms and in numerous cases there is some permanent damage to nerves and persistent signs regardless of treatment.
Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are dealt with based on specific cause and the nerve involved. Again, each neuropathy is special and treatment is variable.
The treatment of neuropathies secondary to other illness is the treatment of the main disease causing the neuropathy. If neuropathy is because of Myxedema, triggered by absence of thyroid hormone, then treatment is replacing the thyroid hormonal agent. Treatment of Diabetic Neuropathy is generally helpful. In diabetic neuropathies, some types like Mononeuropathies are reversible but most are irreparable. Stringent control of blood glucose levels to slow the further development is of critical importance. Other treatment is based upon the signs, like discomfort is managed with NSAID and many other drugs. The neuropathy associated with Rheumatoid Arthritis often reacts to the treatment of Rheumatoid arthritis (with immunomodulators).
Treatment of neuropathy due to food allergy is preventing the irritant food item causing neuropathy. Neuropathy might likewise be due to toxic result of specific drugs like Chloroquine, Phenytoin, numerous others and anti-cancer drugs. Treatment in this case is generally discontinuation of the drug or dosage reduction. There may be some particular treatment in specific here cases, like neuropathy due to isoniazid can typically be prevented by offering pyridoxine together with it.
Numerous a times, the neuropathy is almost irreparable and the treatment is primarily focused on preventing further development of the nerve damage and other helpful measures to avoid any problems due to neuropathy.
Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based on specific cause and the nerve included. The treatment of neuropathies secondary to other diseases is the treatment of the primary illness triggering the neuropathy. Treatment of neuropathy due to food allergy is preventing the irritant food item triggering neuropathy.