Treatments for neuropathy and neuropathic pain

Treatment for neuropathy involves addressing the cause or easing the pain if that is not possible.

In the case of diabetic neuropathy:

• Lower high blood sugar levels (by injecting insulin for example) to prevent nerve damage.
• Regular control of the feet to prevent serious complications. This is because diabetic neuropathy can lead to foot injuries that go unnoticed due to loss of feeling.

Regarding neuropathies of toxic origin, it is sufficient to remove the exposure to the suspected toxin or to stop the drug in question, which will stop the nerve damage.

Togafitiga o vailaau

• Anti-epileptic drugs (eg gabapentin and carbamazepine).
• Antidepressants from the class of serotonin and norepinephrine reuptake inhibitors (eg duloxetine and venlafaxine) and tricyclics (eg nortriptyline and desipramine).
• Opioid analgesics (eg morphine). These drugs carry risks.
• Local anesthetic for temporary, localized pain relief.
• When diabetes damages the autonomic nerves, the automatic functions of the body can be affected. There are both devices and drugs (anticholinergic or antispasmodic drugs) to help with urinary problems.
• Aveese mai Cayenne pepa containing capsaicin and available in creams, may relieve pain that may follow a rash (see below). There are also creams that contain an anesthetic called lidocaine.
• Digestive problems – gastroparesis (delayed emptying of the stomach) can be reduced by making dietary changes and taking medication to prevent diarrhea, constipation and nausea.
• The risk of postural hypotension (low blood pressure when standing) can be decreased by avoiding alcohol and drinking plenty of water.
• Sexual dysfunction: Appropriate drug treatments for some men are sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).

Cotton clothes are recommended because they cause less irritation,

Stress relief and relaxing therapies (e.g. relaxation techniques, massage,akupunika, transcutaneous neurostimulation) also help some people cope better with pain and function better.

Treatment of mononeuropathies

When neuropathy is caused by compression of a single nerve, treatment is similar regardless of which nerve is involved, and depends on whether the compression is transient or permanent.

Treatments include rest, heat, and medications that reduce inflammation.

I le Carpal tunnel syndrome, therapy includes oral or injected corticosteroid drugs, and ultrasound (acoustic vibration technique).

If the mononeuropathy worsens despite standard measures taken, surgery may be necessary. If the nerve compression is corrected, for example when it is caused by a tumor, the treatment is also based on surgery.

Auala faʻaopoopo

The following approaches are considered possibly or probably effective in the treatment of neuropathy. the Cayenne pepa seems to be the most effective.

• Le iapsicum frutescens, or cayenne pepper. Some studies indicate that applying a cream to the skin or using a patch containing capsaicin (0,075%), the active chemical in capsicum, reduces pain in people with neuropathy caused by diabetes.
• Acetyl-L-carnitine. Acetyl-L-carnitine (2000-3000 mg) is believed to reduce pain in people with recent diabetes who have poorly controlled type 2 diabetes after 6 months of treatment.
• Alpha lipoic acid. One study indicates that alpha-lipoic acid (600 to 1800 mg per day) can reduce symptoms (burning, pain and numbness in the legs and arms) of peripheral neuropathy in diabetic patients.
• Co-enzyme Q-10. Studies show that taking coenzyme Q10 reduces pain in people with diabetic neuropathy.