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Overview

Peripheral Nerve: Treatment, Cost and Side Effects

What is the Peripheral Nerve? How is the Peripheral Nerve treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the Peripheral Nerve?

Peripheral nerves, synonymous to peripheral nervous system, basically are the nerves that join your spinal cord and brain to the rest of your body parts. Any damage caused to the peripheral nerves can affect the brain and its ability to send instructions to other organs and muscles. Putting pressure on a nerve or stretching can lead to peripheral nerve injury. Specific health conditions like diabetes or high blood pressure, bone marrow disorder or deficiency of certain vitamins can also damage the nerves. Moreover, if you have a genetic history of nerve disorders, you may experience peripheral nerve disorder. Peripheral nerves are of three kinds- sensory nerve that connects to the skin, motor nerves that connect to the muscles, and autonomic nerve that connects to the internal organs. Damage to any part of the peripheral nerves lead to the following symptoms- numbness or tingling sensation in the hands and feet, sharp pain, thinning of the skin, sudden drop in the blood pressure, digestive problems, excessive sweating, weakness, losing balance and lack of coordination.

Peripheral nerve disorders can be diagnosed with the help of blood tests, imaging tests, nerve and skin biopsy, electromyography, neurological examination and review of your medical history. The condition can be treated with medications and specific therapies.

How is the Peripheral Nerve treatment done?

The doctor will first go through the medical conditions- symptoms, lifestyle, and family history of neurological disorders- and then examine your muscle tone, strength, tendon reflexes, and your ability to feel certain sensation. Blood tests are conducted to check for diabetes or any vitamin deficiency. Electromyography inserts a thin needle electrode into your muscles to record electrical activity in your nerves. Low muscle activity indicates a nerve injury. Nerve conduction test places electrodes at two different portions of your body to measure how well electrical signals pass through the nerves.

Treatment of peripheral nerve disorders depends on its causes and diagnosis. If the disorder is conditioned due to diabetes, your doctor will recommend specific medications to control your blood glucose. If the cause is deficiency of certain vitamins, you may be prescribed vitamin supplements. Drugs like Acetaminophen, Ibuprofen, Carbamazepine and Aspirin can help ease the pain and reduce the symptoms of peripheral nerve damage. Your doctor may also suggest corticosteroid injections and seizure medications like Pregabalin or Gabapentin. Transcutaneous Electronic Nerve Stimulation (TENS) is a drug-free therapy that places electrodes on your skin to send small amount of electric currents into the skin.

Who is eligible for the treatment? (When is the treatment done?)

If you observe the following symptoms- numbness or a tingling sensation in the hands and feet, sharp pain, or weakness, thinning of the skin, sudden drop in the blood pressure, digestive problems, excessive sweating, weakness, inability to walk or run- then you are probably suffering from peripheral nerve injury or disorder, and is eligible for the treatment.

Who is not eligible for the treatment?

Pain in different parts of the body does not necessarily indicate an internal nerve injury. Hence, those who have been inflicted with injury due to other medical conditions are not eligible for the treatment.

Are there any side effects?

Overdose of certain pain killers and seizure medications as well as electromyography test can lead to serious complications. The most common side effects are- abdominal pain, high fever, coughing out blood, nausea and vomiting, abnormal bleeding or bruising, discoloration of the skin, infection, redness or swelling.

What are the post-treatment guidelines?

Post treatment guidelines for peripheral nerve injury require people to look after their health conditions, especially if you are diabetic. Include sufficient amount of vegetables and fruits in your diet. Increase consumption of food that is rich in vitamin-B12. Avoid consumption of alcohol. Exercising at least thrice a week can reduce the risk of peripheral nerve disorders. Those who work for long hours on desk should not sit at one position for too long, so keep moving around for sometime after an hour or two. Wear comfortable shoes specially designed for your feet that can ease the nerve pain.Continue with the medications if and as prescribed by your doctor.

How long does it take to recover?

It usually takes a few months to recover from peripheral nerve injury. However, after the initial treatment you will have to continue with the medication and therapy, and make some lifestyle changes for a faster recovery.

What is the price of the treatment in India?

The cost of undergoing peripheral nerve disorder treatment can vary somewhere between Rs.3000 to Rs.25,000 depending on the type of medication or therapy you will receive.

Are the results of the treatment permanent?

The treatment results are not permanent. Although in most cases peripheral nerve tissues heal after months of treatment and care, in certain situations, the condition may recur. For instance, nerve injury inflicted by radiation therapy does not heal well.

What are the alternatives to the treatment?

Alternative treatment options can be physical therapy or yoga. That helps your muscles to become flexible and help improve your movement. You can also try acupuncture which basically involves inserting needles into various parts of your body to reduce symptoms of peripheral nerve disorder.

Popular Questions & Answers

I am 53 years old. I have pain and numbness in palm. For pain I got the medicine and for numbness doctor has given me typlin 10 which is used for depression but he says it is also useful for numbness. Is it ok to take it?

Fellow of Faculty of Pain Medicine (FFPMRCA), Fellowship of the Royal College of Anaesthetists (FRCA), Post Gradate Certificate in Musculoskeletal Ultrasound, European Diploma in Regional Anaesthesia and Acute Pain Management, Diploma in Anesthesia, MBBS Bachelor of Medicine and Bachelor of Surgery
Pain Management Specialist, Delhi
Antidepressants are commonly used drugs for nerve type of pain. Nerve pain generally presents as burning or electric shock like pain in a numb area or the area may have altered sensation. The medicine is more likely to affect the pain rather than ...

Hi, I attached here 2 MRI, X Ray reports. Please advise how could I come out from back pain without surgery. MRI - LUMBAR spine 19,10.2016: Findings: loss of normal lumbar lordosis seen? Due to muscle spasm. Lumbar vertebrae appears normal in alignment .No listhesis. Small Schmorl's nodes noted involving the endplates of multiple lumbar vertebra. Degeneration ofL1-L2, L2-L3 and L4-L5 lumbar intervertebral disc Posterior annular tear noted at L1-L2, L2-L3 and L4-LSlevels. At Ll-L2 level there is right paramidline protrusion, No foramina narrowing. At L2-L3, L3-L4 diffuse posterior disc bulge noted ,causing effacement of ventral thecal sac and inferior recess of bilateral neural foramina narrowing at L3-L4 level. At L4-L5 level, posterocentral and left forminal protrusion causing, significant canal stenosis and left neural foramina narrowing ,resulting in compression of exiting L4 and traversing LS nerve roots at this level. At LS-Sllevel, no disc bulge or herniation. Conus medullaris appear unremarkable. Impression: - Lumbar spondylosis degenerative changes as mentioned ,predominant at L4-L5 level. - At L4-LSlevel, posterocentral and left forminal protrusion causing, significant canal stenosis and left neural foramina narrowing ,resulting in compression of exiting left L4 and traversing Left LSnerve roots at this level. Approving Doctor: Somasundaram Sivaraman. MD.DNB. FRCR (UK) Patient Name: Shaheed Choudhury Referring Physician: Gender: M Age: 02.08.70 Patient 10: 1401083 Admission Type: OutPatient LUMBO SACRALAPLVIEWSof 17.10.2016: NATIONAL HOSPITAL Loss of lumbar lordosis denoting muscle spasm Mild spondylitis changes seen more at L 3 and 4, with narrowed L4-5 disc spaces Approving Doctor: Dr. Lamia Shehata Date October 09, 20'07 Patient Name S Choudhury Age 38 Yrs Sex Male File Number: 21064 Ref. Clinic: Al Hammadi Hospital/Cumberland Ref. Physician: Dr. Khalid abdomen NON ENHANCED L-SPINE MRI: CLINICAL: Low back pain and left sciatica. TECHNIQUE: The :rv1RsItudy of the lumbosacral spine was obtained by sagittal Tl and T2 weighted images and axial Tl and T2 weighted images through T121L1 to LS/S1 disc spaces. FINDINGS: The MRI study of the lumbosacral spine disclosed evidence of degeneration of lumbar intervertebral disc spaces depicted by low signal intensity on T2 and reduced height at T121L1, Ll/2, L2/3 and L4/S disc spaces. There is mild dorsolumbar kyphosis at L1I2. The spinal canal is of normal satisfactory caliber. The conus is of normal shape and normal signal. The L 112disclosed posterior right paracentral broad based disc protrusion. The L2/3 disclosed posterior left paracentral broad based disc protrusion with focal high signal intensity consistent with focal tear in the annulus fibrosus at posterior left paracentral region. The L4/5 disc space disclosed posterior central broad based disc protrusion with left predominance causing significant compression on the anterior surface of the thecal sac at this level and associated with narrowing of lateral recesses bilaterally more pronounced on the left side with compromising of the exiting left L5 nerve root. CONCLUSION: The MRl examination of the lumbosacral spine disclosed degenerative changes of lumbar intervertebral disc spaces more pronounced on T 121L1, L 112 and L4/5 with mild dorsolumbar kyphosis at L 112 and posterior right paracentral broad based disc protrusion at L 112, posterior left paracentral broad based disc protrusion at L2/3 and posterior central broad based disc protrusion at L4/5. Dictated by: Dr. Omima AI badly Reviewed by: Gulf Radiology Staff (AZ)

MBBS, D - Ortho, DNB - Orthopaedic Surgery, MNAMS, Fellowship Advanced Spine Surgery, Fellowship Disc Replacement Surgery, Visiting Spine Fellowship, Visiting Fellowship Spine Deformity Correction, Felloship Minimal Inavsive Spine Surgery
Orthopedist, Jaipur
Sir you are having left Lowe limb radiating pain along with tingling and Numbness, you can't walk for long because of leg pain. This is all because of nerve compression by disc material. As per the reports compression is significant but I can comm...
3 people found this helpful

Completed 73 years on 30th Dec. Since last 5 years suffering from peripheral diabetic neuropathy where in claudication pain in calf and thies mussels as well as numbness in soles of both the legs. Unable to walk more then 10 steps. Diabetes fully controlled. Hba1c always be! ow 6.0 Taking glynase MF one tab each before launch and dinner. I can send all case papers

MBBS, fellowship in diabetology, diploma in diabetes care
Diabetologist, Ahmedabad
Its very nice that you have controlled your sugar level to normal values, for your peripheral neuropathy need to take vit b complex inj or tab for your leg cramps need to go for Doppler study. Regards.

What is diabetic retinopathy, I am getting some different sensation on my left foot, this occurs after sitting on the floor and or after getting up from a chair. Is there is any exercise to minimize this effect or natural/Ayurveda remedies.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Diabetic retinopathy is one of the fairly often seen long term complication of diabetes mellitus. In this microvasculature of retina (small blood vessels supplying the retina) are affected due to excess glucose in the blood. Thes...
5 people found this helpful

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