Neuropathy is a general term denoting disturbances in the normal functioning of the peripheral nerves. The causes of neuropathy are varied and so is the treatment. Many a times, the neuropathy is almost irreversible and the treatment is mainly concentrated on avoiding additional development of the nerve damage and other helpful steps to avoid any problems due to neuropathy.
Neuropathies due to dietary shortages are primarily 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 because of faulty absorption of vitamins from the diet. Treatment may or may not totally reverse the neuropathy and minimize the symptoms and in most cases there is some long-term damage to nerves and consistent symptoms despite therapy. 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 reaction is variable and may take many months.
Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are dealt with based upon specific cause and the nerve involved. Carpal tunnel syndrome treatment varies from medical techniques like NSAID (like Ibuprofen), regional injection of steroids in wrist, and preventing annoying elements like typing in wrong positions, use of hand tools and so on. If signs not eased by this method, then surgery 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 helpful. In diabetic neuropathies, some types like Mononeuropathies are reversible but most are irreparable. Rigorous control of blood glucose levels to slow the further progression is of vital value. Other treatment is based upon the symptoms, like pain is handled with NSAID and lots of other drugs. Similarly 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 preventing the allergen food item triggering neuropathy. There might be some specific treatment in certain cases, like neuropathy due to isoniazid can generally be avoided by giving pyridoxine along with it.
Many a times, the neuropathy is nearly permanent and the treatment is mainly focused on avoiding additional progression of the nerve damage and other supportive procedures to prevent any complications check here due to neuropathy.
Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are dealt with based on particular cause and the nerve involved. The treatment of neuropathies secondary to other diseases is the treatment of the main disease causing the neuropathy. Treatment of neuropathy due to food allergic reaction is preventing the allergen food product triggering neuropathy.