Neuropathy is a general term denoting disturbances in the normal functioning of the peripheral nerves. The causes of neuropathy are diverse therefore is the treatment. Lots of a times, the neuropathy is nearly irreparable and the treatment is generally focused on preventing additional development of the nerve damage and other encouraging steps to avoid any problems due to neuropathy.
Neuropathies due to nutritional deficiencies are generally treated with the replenishment of the lacking nutrient. Neuropathies due to shortage of vitamins like cobalamin, thiamine, pyridoxine, niacin are treated by giving the vitamin supplementation orally or by intramuscular injection of the vitamin if shortage 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 many cases there is some permanent damage to nerves and persistent signs regardless of therapy.
Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are dealt with based on particular cause and the nerve included. Carpal tunnel syndrome treatment varies from medical approaches like NSAID (like Ibuprofen), regional injection of steroids in wrist, and preventing annoying factors like typing in incorrect positions, usage of hand tools etc. If symptoms not alleviated by this technique, then surgery is also an alternative and is most frequently curative if no permanent damage to nerve has actually already occurred. Again, each neuropathy is special and treatment varies.
The treatment of neuropathies secondary to other illness is the treatment of the primary illness causing the neuropathy. If neuropathy is due to Myxedema, triggered by absence of thyroid hormone, then treatment is changing the thyroid hormone. Treatment of Diabetic Neuropathy is generally supportive.
Treatment of neuropathy due to food allergy is preventing the allergen food product causing neuropathy. Neuropathy might also be because of harmful result of certain drugs like Chloroquine, Phenytoin, anti-Cancer drugs and many others. Treatment in this case is mainly discontinuation of the drug or dosage reduction. There may be some particular treatment in specific cases, like neuropathy due to isoniazid can usually be prevented by offering pyridoxine in addition to it.
Numerous a times, the neuropathy is nearly permanent and the treatment is generally focused on preventing more progression of the nerve damage and other helpful measures to prevent any issues due to neuropathy.
Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based on particular cause and the nerve involved. The treatment of neuropathies secondary to other illness is the treatment of the primary disease triggering the neuropathy. Treatment polyneuropathy of neuropathy due to food allergy is preventing the irritant food item triggering neuropathy.