Everything about small fiber neuropathy



Neuropathy is a general term signifying disturbances in the typical functioning of the peripheral nerves. The causes of neuropathy are different and so is the treatment. Many a times, the neuropathy is almost irreversible and the treatment is mainly focused on preventing further development of the nerve damage and other encouraging procedures to avoid any issues due to neuropathy.

Neuropathies due to dietary shortages are primarily treated with the replenishment of the lacking nutrient. Neuropathies due to shortage of vitamins like cobalamin, thiamine, pyridoxine, niacin are treated by providing the vitamin supplementation orally or by intramuscular injection of the vitamin if deficiency is due to defective absorption of vitamins from the diet plan. Treatment might or might not entirely reverse the neuropathy and ease the signs and in numerous cases there is some long-term damage to nerves and consistent symptoms despite therapy. Recently neuropathy due to copper deficiency has actually likewise been found. It too is treated with oral copper salts or intravenous injection of copper salts. Once again the response is variable and might take lots of months.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based upon particular cause and the nerve involved. Carpal tunnel syndrome treatment varies from medical approaches like NSAID (like Ibuprofen), local injection of steroids in wrist, and preventing irritating aspects like typing in wrong positions, use of hand tools etc. If symptoms not eased by this method, then surgery is also an option and is most typically alleviative if no long-term damage to nerve has already occurred. Once again, each neuropathy here 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, brought on by absence of thyroid hormonal agent, then treatment is changing the thyroid hormonal agent. Treatment of Diabetic Neuropathy is primarily supportive. In diabetic neuropathies, some forms like Mononeuropathies are reversible however a lot of are permanent. Stringent control of blood glucose levels to slow the further development is of vital significance. Other treatment is based on the symptoms, like pain is managed with NSAID and many other drugs. Similarly the neuropathy connected with Rheumatoid Arthritis typically reacts to the treatment of Rheumatoid arthritis (with immunomodulators).

Treatment of neuropathy due to food allergy is avoiding the irritant food product causing neuropathy. There may be some particular treatment in specific cases, like neuropathy due to isoniazid can usually be avoided by offering pyridoxine along with it.


Numerous a times, the neuropathy is almost irreparable and the treatment is primarily focused on preventing further development of the nerve damage and other helpful measures to avoid any problems due to neuropathy.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based on specific cause and the nerve included. The treatment of neuropathies secondary to other diseases is the treatment of the primary illness triggering the neuropathy. Treatment of neuropathy due to food allergy is preventing the irritant food item causing neuropathy.

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