Neuropathic pain occurs when the nerves are unable to transmit sensation to the brains. It is often a result of an injury or disease. It is a very common symptom but only few people go on to experience pain that is called neuropathic pain. There are lots of ways to treat neuropathic pain, the most common of them are anticonvulsants and tricyclic anti depressants such as Amitriptyline, Nortriptyline and Desipramine. There are also other prescribed anti depressants which are very effective for some people such as Venlafaxine and bupropion. There are also selective Serotonin reuptake inhibators (SSRI) like Paroxetine and Citalopram that is also used by many medical practitioners. Some doctors prefer pain killers as well in treating neuropathic pain especially the non-steroidal anti-inflammatory drugs (NSAID) such as Aleve or Motrin. In very extreme cases which are difficult to treat with drugs, pain specialist may also use an implantable device to manage the pain. Another very common drug in treating neuropathic pain is anti-seizure medicines such as Carbamazepine, Phenytoin, Gabapentin and Lamotrigine. There are also medicines for topical application but are given only to those who have minor pains. Lidocaine and Capsaicin are the most common topical application medicines.
The greatest challenge that the doctors go through in treating neuropathic pain is to diagnose and detect the underlying cause. The treatment of neuropathic pain is done mostly by pharmaceutical drugs. Anticonsulvants and tricylic anti depressants are the most common form of drugs used by doctors. In minor cases of neuropathic pain, certain medicines are given for topical application either in gel or patch forms. Certain injections are also available in the market to treat neuropathic pain such as Steroid injections and Opinoid injections. In some cases local anesthetics is also used. Nerve blocks are the last resort for treating neuropathic pain. In this procedure, medicine is injected to the affected part of the body which disrupts the pain signal. In very extreme cases of neuropathic pain, there are other surgical mode such as neurolytic blocks using cryzogenic freezing, radio frequency ablation, surgical nerve block and radio surgery.
All person who is diagnosed with neuropathic or even show the symptoms can go for a checkup and treatment. There can be very minute symptoms which can be hard to detect initially. Tingling and numbness are also related with neuropathic pain which is ignored by most people. It is better to go for a medical and nerve checkup in order to get a proper diagnosis and treat neuropathic pain.
If a person experiences pain due to certain injury, then it is not neuropathic pain. However, if that pain continues for a long period or becomes chronic then you need a checkup.
The side effects of neuropathic pain treatment vary greatly depending on the mode of treatment. Like any other drugs and its side effects, the drugs used in treating neuropathic pain also has some side effects such as constipation, dizziness, blurred vision and stomach upset. The side effects of nerve block can be identified as elevated blood sugars, weight gain, and soreness at the site of injection, rash and itching. Steroid and opinoid injections may increase your body temperature, blood sugar, anxiety and sleeplessness. Respiratory depression, nausea and somnolence are some side effects related to surgical and anesthetics treatment of neuropathic pain.
One of the most important post treatment guidelines is to take proper and complete rest in order to recover from the pain and also to prevent the pain from becoming chronic. Exercising can be a part of the post-treatment guidelines or sometimes be a continuation of the treatment. Checking the blood sugar level daily is also prescribed and finally changing your eating habits can prove to be beneficial as well. Vitamin B12, anti-oxidants and anti-inflammatory foods are very effective in nerve building. Increasing the amount of water that a person consumes daily also helps in quick recovery.
Neuropathic pain treatment is a slow and gradual process even if you are opting for surgical nerve blocks. The reason for that is nerve takes a very long time in healing completely. As it is very delicate and complex at the same time, treatment of neuropathic pain can last quite long. On an average, minor neuropathic pain may take at least 3 to 6 months for proper healing. Severe neuropathic pain requires a lot more time especially if it is chronic, it can take a lifetime to recover.
The price of treatment varies greatly depending on the diagnosis, methods of treatment and the type of interventions used. If you have a minor neuropathic pain that can be treated with drugs, it may cost INR 5000 up to INR 20000. However, for surgeries and other advance mode of treatment, the total cost may fall between 6 lacs to 15 lacs depending on the hospital and your city.
Neuropathy is a very delicate and complex study as it deals with nerves and so are the problems and treatments related to it. There is always a chance of neuropathic pain becoming chronic. So the results are not permanent in many cases. Proper diagnosis and treatment of the cause of origin may have permanent result.
Treating neuropathic pain is an ancient thing so there are lots of natural remedies and alternative for treating neuropathic pain. Turmeric is very much effective in treating nerve pain. Green juices which include vegetable such as cucumber, parsley, spinach, and broccoli heal nerve pain. Ginger and some wild herbs such as wild lettuce and vervain are also used in some parts. Other important natural intake should include water, Vitamin B6 and B12, anti oxidants and anti inflammatory rich foods. Apart from these natural remedies, acupuncture and yoga has proven to be very effective against neuropathic pain.
Neuropathy is a condition where high levels of glucose in the blood can lead to nerve damage and poor circulation. When circulation gets affected blood doesn't move around the body as well as it should. Cuts and grazes will not heal easily and the person may experience pain and and cramps in the legs. And it might develop as atherosclerosis an inflammatory disease that causes thickening of the blood vessels neuropathy is of three types they are
A. Sensory neuropathy which affects the nerves carrying information around the body from the bones skin and muscles to the brain.
B. Motor neuropathy which damages the nerves that send information about movement
The sensation of pain and numbness are quite common in patients suffering from high blood sugar. If you are suffering from nerve damage from high blood sugar, chances are you have diabetic peripheral neuropathy. The discomfort can affect your mood and overall quality of life. But with some easy to follow steps can help you keep peripheral neuropathy under control.
With these few tips, you will be able to manage the peripheral neuropathy better.
Diabetic neuropathy is damage to your nerves as a secondary complication of diabetes. This damage, along with impairing your lifestyle, is highly uncomfortable and painful. This condition needs immediate medical attention and changes to your lifestyle for proper management.
There are several types of this disease, all of which can be traced to the underlying condition of excessive sugar in the body and blood. These types can also be managed by easy-to-do hacks until you get proper clinical care. They are:
This is a type of neuropathy that affects the foot region, and the legs. The abdomen and back are less common target areas.
The common symptoms include-
Here is what you can do to ensure this condition does not hit you in its worst form-
• Wear comfortable and well-fitting shoes
• Take good care to clean, trim and hydrate your toenails
• Monitor your feet daily for the symptoms
This is a type of neuropathy that affects the abdominal region, the digestive system, spreading out to the urinary and reproductive systems as well.
These are the common symptoms you should look out for in yourself-
• Nausea and vomiting
• A difficulty in achieving erections in men, or deficient ones
• A difficulty in achieving orgasms in women, or reduced lubrication of the reproductive organs in women
Here are a few things you can do for prevention and primary care of the disease-
• Eat smaller amounts of food, and regulate your diet to increase your fruit and vegetable intake
• Seek catheterization or urinary surgery
This is a type of neuropathy that affects your upper leg, thigh and buttock region.
The common symptoms exhibited by patients of this type of neuropathy are-
• Pain in the thigh, upper legs or buttocks
• A general lack of firmness and strength in the legs
• General discomfort and weakening in the thigh or buttock region
Here is what you can do to take care of your proximal neuropathy, and avoid the most dangerous attacks-
• Talk to your doctor immediately after spotting the signs, and seek medical help in the form of prescribed medications such as anaesthetics and narcotics, or lifestyle changes
• Go for alternative forms of treatment like physiotherapy for your legs
This is the fourth and last type of diabetic neuropathy. It is characterized by acute attacks of only selected nerves in the body and causing weakness in the affected regions.
The symptoms of this type include-
• An attack on nerves in several parts of the body, including those as diverse and situated as far away in the body as the chest and the legs. It can also attack specific nerves inside the head.
• Weakness and a feeling of discomfort in the affected parts
• Double vision
• Paralysis and lack of control over movement on one side of the face
These are the tips you can follow to avoid your life being severely affected by this type of neuropathy-
• Seeking immediate medical help from your doctor in the form of medications and insulin
• Anti-convulsants help relieve pain and control seizures
Diabetic retinopathy is a secondary complication of diabetes which affects parts of your nervous system. It causes extreme pain and discomfort in certain cases, and weakness in the areas it affects. To avoid sudden and uncontrollable attacks, regularly monitor your body for the symptoms, and consult a doctor as soon as you locate any.
Global statistics state that 60% of the diabetics are known to have foot neuropathy and almost 1 in 5 diabetic foot ulcers end in amputation. This is a known fact. But what is unknown is that the acting earliest and taking a podiatrist advice on the appearance of the danger signs, reduce this likelihood of amputation by 85%. In a normal lifetime the feet support a human being for over a hundred thousand steps, which is roughly equal to 4 times around the world. So it’s time you show how much you support your feet.
Any of these danger sign necessitates your urgent consult with a podiatrist. Never hesitate to consult for the silliest of the reason. It is your foot and you have to act. Taking care of these simple things will definitely keep your feet far from the worse.
Peripheral neuropathy (PN) is damage to or disease affecting nerves, which may impair sensation, movement, gland or organ function, and affects other aspects of health, depending on the type of nerve affected. The treatment by a physical therapist helps in reducing symptoms and improves an individual’s quality of life. As the cause, type, and symptoms of peripheral neuropathy can vary, the approach to care also varies. Physical therapy is helpful in maintaining strength, mobility, and function.
Strengthening exercises for peripheral neuropathy moderately improve muscle strength. Exercising can help, when done regularly. They further reduce the neuropathic pain and also helps in controlling the blood sugar levels.
Objectives of physiotherapy include:
Maintaining and improving functions via a range of motion through stretching.
Strengthening muscles which include exercising against increasing resistance, use of weights and isometric exercise.
Balance training helps in providing stability and prevents falls.
Braces or splints can be used to enhance balance and posture.
Following recommendations and care are provided by physiotherapist:
Moderate intensity exercise- It helps to improve strength and physical function.
Never gliding activities- Includes exercises shown by a physiotherapist who will help you move and glide your nerves.
Balance and coordination activities - Your physiotherapist works on strategies to improve your balance and coordination. Improving balance and coordination helps to decrease your risk of falling and injuries that arise due to it. Balance exercises are a crucial part of the recovery of peripheral neuropathy. Balance training is important in overcoming the feeling of stiffness and unsteadiness, especially among elderly people.
Education – Your physiotherapist educates you on how to safely manage peripheral neuropathy. It mainly focuses on improving your safety, preventing further complications, and finding alternative ways to perform certain tasks.
Kinetic therapy in peripheral nerve injuries- It should not be started until the late stage of nerve regeneration when progressive strength return can be seen. After an injury to the nerve, physiotherapeutic methods are used to eliminate paresis and to restore normal function of muscles as well as to improve circulation.
Electrostimulation – It plays an important role in the treatment of various neuromuscular dysfunctions.
Magnetotherapy- It is used where a pulsed low-frequency magnetic field is applied. It has well-known effects on enhancing enzymatic activity, oxy-reductive processes and proper blood circulation resulting in better oxidation and conduction characteristics of regenerating peripheral nerves. It enhances the regeneration of nerve fibers.
Bio-laser stimulation- where low energy biostimulation lasers are used in palatial, continuous manner. Laser radiation can also be used to rejoin the nerve stumps.
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