Fascination About small fiber neuropathy



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 nearly irreparable and the treatment is generally concentrated on avoiding additional development of the nerve damage and other helpful steps to prevent any problems due to neuropathy.

Neuropathies due to nutritional deficiencies are mainly treated with the replenishment of the deficient 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 completely reverse the neuropathy and alleviate the symptoms and in most cases there is some irreversible damage to nerves and relentless signs regardless of treatment. Recently neuropathy due to copper deficiency 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 dealt with based on particular cause and the nerve involved. Again, each neuropathy is unique and treatment is variable.

The treatment of neuropathies secondary to other illness is the treatment of the main illness causing the neuropathy. If neuropathy is due to Myxedema, triggered by absence of thyroid hormonal agent, 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 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. Likewise the neuropathy associated with Rheumatoid Arthritis often reacts to the treatment of Rheumatoid arthritis (with immunomodulators).

Treatment of neuropathy due to food allergic reaction is avoiding the allergen food product triggering neuropathy. Neuropathy may also be because of hazardous impact of certain drugs like Chloroquine, Phenytoin, many others and anti-cancer drugs. Treatment in this case is primarily discontinuation of the drug or dose decrease. There might be some specific treatment in certain cases, like neuropathy due to isoniazid can generally be avoided by providing pyridoxine along with it.


Numerous a times, the neuropathy is practically permanent website and the treatment is generally focused on avoiding 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.

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