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 varied 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 deficiency of vitamins like cobalamin, thiamine, pyridoxine, niacin are treated by giving the vitamin supplementation orally or by intramuscular injection of the vitamin if deficiency is due to malfunctioning absorption of vitamins from the diet plan. Treatment might or might not totally reverse the neuropathy and ease the signs and in most 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 reaction is variable and may take many months.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based on specific cause and the nerve involved. Once again, each neuropathy is special and treatment is variable.

The treatment of neuropathies secondary to other illness is the treatment of the primary disease causing the neuropathy. If neuropathy is due to Myxedema, triggered by absence of thyroid hormone, then treatment is replacing the thyroid hormone. Treatment of Diabetic Neuropathy is generally encouraging. In diabetic neuropathies, some types like Mononeuropathies are reversible but read more most are irreparable. Rigorous control of blood sugar levels to slow the additional progression is of vital value. Other treatment is based upon the symptoms, like pain is handled with NSAID and numerous other drugs. The neuropathy associated with Rheumatoid Arthritis frequently responds to the treatment of Rheumatoid arthritis (with immunomodulators).

Treatment of neuropathy due to food allergic reaction is avoiding the allergen food product triggering neuropathy. Neuropathy may also be because of poisonous impact of certain drugs like Chloroquine, Phenytoin, many others and anti-cancer drugs. Treatment in this case is primarily discontinuation of the drug or dose reduction. There might be some particular treatment in certain cases, like neuropathy due to isoniazid can usually be avoided by providing pyridoxine along with it.


Many a times, the neuropathy is nearly permanent and the treatment is mainly focused on avoiding additional progression of the nerve damage and other supportive procedures to prevent any complications due to neuropathy.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are dealt with based on particular cause and the nerve involved. The treatment of neuropathies secondary to other diseases is the treatment of the main disease causing the neuropathy. Treatment of neuropathy due to food allergic reaction is avoiding the allergen food product triggering neuropathy.

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