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Peripheral Neuropathy

Also called: Distal Sensory Neuropathy, Somatic Neuropathy, Sensory Neuropathy, Somatic Peripheral Neuropathy, Diffuse Neuropathy

- Summary
- About peripheral neuropathy
- Types and differences
- Risk factors and causes
- Signs and symptoms
- Diagnosis methods
- Treatment and prevention
- Questions for your doctor

Reviewed By:
Andrew Biondo, D.O.

Treatment and prevention

Acquired neuropathies (i.e., those that are not caused by inherited conditions) usually are best treated by addressing the underlying condition causing the nerve damage. In some cases, surgery may be helpful, such as when a nerve is compressed due to an entrapment injury. An examples of such a surgery is a carpal tunnel syndrome release. There is no cure for most inherited neuropathies.

If the condition itself cannot be cured, symptoms associated with peripheral neuropathy may be reduced or eliminated through various therapies. Over-the-counter analgesics can be used to treat mild neuropathies. Anticonvulsants, antidepressants and anesthetics also may be used.

Use of certain devices such as wheelchairs, hand or foot braces and splints can either help compensate for muscle weakness or alleviate nerve compression. In some cases, orthopedic shoes can help people with gait problems. Mechanical ventilation can aid the breathing of patients with severe forms of neuropathy.

As long as the nerve cell itself has not been destroyed, peripheral nerves have the ability to regenerate. This may be helped by physical therapy or occupational therapy. Physical therapy includes a mixture of exercises, massage and other treatments to maintain strength and flexibility. Occupational therapy is similar to physical therapy, but it focuses on improving patients’ fine motor skills.

Other steps that can help a person relieve symptoms associated with neuropathies include:

  • Avoiding toxin exposure
  • Limiting alcohol consumption
  • Restoring proper vitamin levels
  • Quitting smoking

Maintaining good health is often the best defense against the damage of neuropathies. This includes maintaining a healthy weight, engaging in regular exercise and eating a well-balanced diet.

In addition, patients often are advised to take various measures to increase their safety, which may help prevent certain injuries that can cause peripheral neuropathy. Safety measures may include installing railings and adequate lighting and removing potentially dangerous obstacles (e.g., loose rugs). Patients are urged to avoid placing prolonged pressure on the body’s pressure points, such as elbows and knees. Pressure in these areas can result in additional nerve damage.

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Review Date: 02-13-2008
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