The Basic Principles Of causes of peripheral neuropathy



Neuropathy is a basic term representing disruptions in the regular 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 additional progression of the nerve damage and other supportive measures to prevent any complications due to neuropathy.

Neuropathies due to nutritional shortages 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 supplements orally or by intramuscular injection of the vitamin if deficiency is due to faulty absorption of vitamins from the diet. Treatment may or may not completely reverse the neuropathy and relieve the signs and in most cases there is some irreversible damage to nerves and relentless signs in spite of therapy. Recently neuropathy due to copper deficiency has also been found. It too is treated with oral copper salts or intravenous injection of copper salts. Once again the action varies and may take numerous months.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are dealt with based upon particular cause and the nerve involved. Carpal tunnel syndrome treatment varies from medical approaches like NSAID (like Ibuprofen), local injection of steroids in wrist, and preventing irritating elements like typing in wrong positions, use of hand tools etc. If signs not here relieved by this technique, then surgical treatment is also an option and is usually curative if no irreversible damage to nerve has actually currently happened. Again, each neuropathy is unique and treatment varies.

The treatment of neuropathies secondary to other illness is the treatment of the main disease causing the neuropathy. If neuropathy is due to Myxedema, triggered by absence of thyroid hormone, then treatment is replacing the thyroid hormone. Treatment of Diabetic Neuropathy is generally encouraging. In diabetic neuropathies, some types like Mononeuropathies are reversible but most are irreparable. Rigorous control of blood sugar levels to slow the further progression is of vital value. Other treatment is based on the symptoms, like pain is handled with NSAID and numerous other drugs. Likewise the neuropathy related to Rheumatoid Arthritis typically reacts to the treatment of Rheumatoid arthritis (with immunomodulators).

Treatment of neuropathy due to food allergic reaction is preventing the allergen food item triggering neuropathy. There may be some specific treatment in particular cases, like neuropathy due to isoniazid can normally be prevented by giving pyridoxine along with it.


Lots of a times, the neuropathy is practically permanent and the treatment is mainly focused on avoiding additional progression of the nerve damage and other encouraging steps to prevent any complications due to neuropathy.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are dealt with based on specific cause and the nerve involved. The treatment of neuropathies secondary to other illness is the treatment of the main disease triggering the neuropathy. Treatment of neuropathy due to food allergic reaction is avoiding the irritant food product causing neuropathy.

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