Everything about small fiber neuropathy



Neuropathy is a basic term representing disruptions in the regular performance of the peripheral nerves. The reasons for neuropathy are diverse therefore is the treatment. Numerous a times, the neuropathy is practically permanent and the treatment is primarily focused on preventing additional progression of the nerve damage and other supportive measures to prevent any complications due to neuropathy.

Neuropathies due to nutritional shortages are generally treated with the replenishment of the lacking nutrient. Neuropathies due to shortage of vitamins like cobalamin, thiamine, pyridoxine, niacin are dealt with by providing the vitamin supplements orally or by intramuscular injection of the vitamin if deficiency is due to defective absorption of vitamins from the diet. Treatment may or may not completely reverse the neuropathy and alleviate the symptoms and in a lot of cases there is some irreversible damage to nerves and relentless signs regardless of treatment. Recently neuropathy due to copper deficiency has also been discovered. It too is treated with oral copper salts or intravenous injection of copper salts. Once again the action varies and might take numerous months.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are dealt with based upon particular cause and the nerve included. Carpal tunnel syndrome treatment differs from medical methods like NSAID (like Ibuprofen), local injection of steroids in wrist, and avoiding irritating aspects like typing in incorrect positions, usage of hand tools etc. If symptoms not alleviated by this technique, then surgical treatment is likewise a choice and is frequently curative if no permanent damage to nerve has actually currently happened. Again, each neuropathy is special and treatment varies.

The treatment of neuropathies secondary to other diseases is the treatment of the main disease causing the neuropathy. If neuropathy is due to Myxedema, triggered by absence of thyroid hormone, then treatment is replacing the thyroid hormonal agent. Treatment of Diabetic Neuropathy is primarily supportive.

Treatment of neuropathy due to food allergic reaction is avoiding the irritant food product causing neuropathy. There might be some particular treatment in certain cases, like neuropathy due to isoniazid can generally 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 encouraging steps to prevent any issues due to neuropathy.

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

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