Neuropathy is a general term denoting disturbances in the normal performance of the peripheral nerves. The reasons for neuropathy are diverse therefore is the treatment. Lots of a times, the neuropathy is practically permanent and the treatment is primarily focused on preventing further progression of the nerve damage and other supportive procedures to avoid any issues due to neuropathy.
Neuropathies due to dietary shortages are primarily treated with the replenishment of the lacking nutrient. Neuropathies due to deficiency of vitamins like cobalamin, thiamine, pyridoxine, niacin are dealt with by offering the vitamin supplements orally or by intramuscular injection of the vitamin if shortage is because of faulty absorption of vitamins from the diet. Treatment may or may not entirely reverse the neuropathy and relieve the signs and in most cases there is some irreversible damage to nerves and persistent signs regardless of treatment. Just recently neuropathy due to copper shortage has also been discovered. It too is treated with oral copper salts or intravenous injection of copper salts. Once again the action varies and might take numerous months.
Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based on specific cause and the nerve involved. Once again, each neuropathy is special and treatment is variable.
The treatment of neuropathies secondary to other diseases is the treatment of the main illness causing the neuropathy. If neuropathy is because of Myxedema, triggered by lack of thyroid hormone, then treatment is replacing the thyroid hormonal agent. Treatment of Diabetic Neuropathy is generally helpful. In diabetic neuropathies, some forms like Mononeuropathies are reversible but many are irreversible. Rigorous control of blood sugar levels to slow the additional progression is of paramount value. Other treatment is based upon the symptoms, like pain is handled with NSAID and lots of other drugs. The neuropathy associated with Rheumatoid Arthritis typically reacts to the treatment of Rheumatoid arthritis (with immunomodulators).
Treatment of neuropathy due to food read more allergic reaction is preventing the allergen food item triggering neuropathy. Neuropathy might also be due to poisonous impact of specific drugs like Chloroquine, Phenytoin, many others and anti-cancer drugs. Treatment in this case is primarily discontinuation of the drug or dose reduction. There might be some particular treatment in specific cases, like neuropathy due to isoniazid can usually be avoided by offering pyridoxine together with it.
Many a times, the neuropathy is almost irreparable and the treatment is primarily focused on preventing more 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 particular cause and the nerve included. The treatment of neuropathies secondary to other diseases is the treatment of the primary illness causing the neuropathy. Treatment of neuropathy due to food allergy is preventing the irritant food item triggering neuropathy.