What Are the Treatments for Non-Diabetic Peripheral Neuropathy?
Peripheral neuropathy is a condition that causes numbness, tingling, pain, weakness, and other aggravating sensations in the hands and feet, according to Mayoclinic.com 12. Peripheral neuropathy occurs because of nerve damage, whether it be from systemic diseases, injuries, vitamin level abnormalities, infections or exposure to toxins 12. While these risk factors may cause peripheral neuropathy, diabetes is the most common cause 12. Treatment requires a thorough assessment of the patient's risk factors so the proper treatment plan can be constructed.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Treatment of Underlying Disease
According to MedlinePlus, treatment of the underlying disease which is causing peripheral neuropathy should be the first step in the treatment plan 12. Treatment of diseases such as:
- diabetes
- Guillain-Barre syndrome
- rheumatoid arthritis
- sarcarcoidosis
- or other underlying diseases will prevent further nerve damage
- in some cases heal damaged nerves
If a patient is unaware of underlying diseases that are causing peripheral neuropathy, he should be sure to let his doctor know of other abnormal symptoms he is experiencing 12.
Medications
Drugs That Cause Peripheral Neuropathy
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According to MayoClinic.com, peripheral neuropathy can be treated with different medications 12. The first type of medication used to treat mild symptoms include over-the-counter pain medications. In more severe cases, the doctor may prescribe opiates, or other narcotic medications. Other options include anti-seizure medications which may also help treat peripheral neuropathy symptoms 12. Although effective, physicians do not know how these medications help with nerve symptoms. In addition to pain relievers and anti-seizure medications, a doctor may prescribe a lidacaine patch or anti-depressants to relieve symptoms. Therefore, patients should thoroughly discuss treatment options with a physician before proceeding.
- According to MayoClinic.com, peripheral neuropathy can be treated with different medications 1.
Physical Therapy
Physical therapy may be beneficial in treating symptoms of peripheral neuropathy 12. A physical therapist will teach a patient exercises and use specific modalities to help improve symptoms, increase muscle strength and improve control. In addition, a physical therapist may recommend specific braces or splints that can improve mobility and the ability to use the affected leg, according to MedLine Plus. Therefore, a patient should be sure to attend all physical therapy sessions in order to gain the maximum benefit for peripheral neuropathy 12.
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References
- MedlinePlus: Peripheral Neuropathy
- MayoClinic.com: Peripheral Neuropathy
- Peripheral Neuropathy. National Institute of Diabetes and Digestive and Kidney Diseases. Published February 1, 2018.
- Multiple Sclerosis. National Center for Complementary and Integrative Health. Published November 19, 2019.
- Peripheral Neuropathy. National Institute of Diabetes and Digestive and Kidney Diseases. Published February 1, 2018.
- Peripheral Neuropathy Fact Sheet. National Institute of Neurological Disorders and Stroke. August 13, 2019.
- Misra UK, Kalita J, Nair PP. Diagnostic approach to peripheral neuropathy. Ann Indian Acad Neurol. 2008;11(2):89-97. doi:10.4103/0972-2327.41875
- Hurwitz BJ. The diagnosis of multiple sclerosis and the clinical subtypes. Ann Indian Acad Neurol. 2009;12(4):226-30. doi:10.4103/0972-2327.58276
- De angelis F, John NA, Brownlee WJ. Disease-modifying therapies for multiple sclerosis. BMJ. 2018;363:k4674. doi:10.1136/bmj.k4674
- Codron P, Cousin M, Subra JF, et al. Therapeutic plasma exchange in chronic dysimmune peripheral neuropathies: A 10-year retrospective study. J Clin Apher. 2017;32(6):413-422. doi:10.1002/jca.21530
- Suanprasert N, Taylor BV, Klein CJ, Roforth MM, Karam C, Keegan BM et al. Polyneuropathies and chronic inflammatory demyelinating polyradiculoneuropathy in multiple sclerosis. Mult Scler Relat Disord. 2019 Feb 27;30:284-290. doi: 10.1016/j.msard.2019.02.026.
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