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. Numerous a times, the neuropathy is practically permanent and the treatment is primarily focused on preventing further progression of the nerve damage and other supportive measures to prevent any complications due to neuropathy.

Neuropathies due to dietary 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 supplementation orally or by intramuscular injection of the vitamin if deficiency is due to defective absorption of vitamins from the diet. 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 signs despite therapy.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are dealt with based on particular cause and the nerve included. Carpal tunnel syndrome treatment differs from medical techniques like NSAID (like Ibuprofen), regional injection of steroids in wrist, and preventing annoying elements like typing in wrong positions, use of hand tools and so on. Surgery is likewise a choice and is most frequently curative if no permanent damage to nerve has actually currently happened if signs not reduced by this approach. Again, each neuropathy is special and treatment varies.

The treatment of neuropathies secondary to other diseases is the treatment of the primary disease triggering the neuropathy. If neuropathy is due to Myxedema, triggered by lack of thyroid hormone, then treatment is changing the thyroid hormonal agent. Treatment of Diabetic Neuropathy is primarily supportive.

Treatment of neuropathy due to food allergy is avoiding the irritant food product causing here 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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