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Peripheral neuropathies treatment

peripheral neuropathies

Peripheral neuropathy is damage to one or more peripheral nerves. It includes numerous syndromes characterized by sensitivity disorders of varying severity, pain, muscle weakness, and atrophy, decreased deep tendon reflexes, vasomotor symptoms, both individually and in combination. They are classified based on anamnesis and physical examination findings. Neurophysiological studies (study of the rate of propagation of excitation along the nerves and electromyography) can establish the localization of the lesion and determine whether it is predominantly axonal (usually metabolic damage) or demyelinating (usually autoimmune damage). Treatment of peripheral neuropathy is mainly aimed at eliminating the cause.

 

Peripheral neuropathy can affect:

  • One nerve (mononeuropathy).
  • From 2 separate nerves or more in separate areas (multiple mononeuropathies).
  • Several nerves at the same time, which indicate a diffuse process (polyneuropathy).

Why is peripheral neuropathy dangerous?

Neuropathy is a time bomb in the human body. This serious disease causes degenerative-dystrophic changes in the peripheral nerves. With neuropathy, the transmission of nerve impulses is disrupted, leading to disruptions in the functioning of individual organs, tissues, and muscles. It can affect the facial, ulnar, radial, sciatic, trigeminal, and other nerves. A person develops muscle weakness, the skin over the lesion turns red and swells, a sensitivity disorder, muscle atrophy occurs. The disease is accompanied by severe pain.

The main danger of the disease is disorders of musculoskeletal functions, developing against the background of muscle atrophy and paralysis. The progression of the disease can significantly complicate a person’s life and cause permanent disability. You need to see a doctor and start treating peripheral neuropathy to avoid dire consequences at the first symptoms.

What happens if you don’t use treatments for peripheral neuropathy?

treatments for peripheral neuropathy

In most cases, neuropathy leads to severe complications that pose a real threat to your health, ability to work, and physical activity. Among the complications are:

  • Weakness in the affected limbs.
  • Loss of sensitivity.
  • Convulsions.
  • Impaired coordination of movements.
  • Dizziness.
  • Tremor.
  • Fainting.

According to medical studies, the rate of development of these pathologies and complications has been growing rapidly in recent years.

If the patient does not take urgent measures for treatments for peripheral neuropathy or uses ineffective treatment, then powerful pathological processes will inevitably start in his body, which will lead to severe disorders of the functioning of the musculoskeletal system and other organs. A person may have problems in everyday life and the professional sphere. With a severe course of the disease, disabilities are possible. Timely prescribed treating peripheral neuropathy can help avoid serious consequences.

Peripheral neuropathy diagnostics

Peripheral neuropathy should be considered in patients with diffuse or multifocal sensory impairment and/or muscle weakness without increased reflexes. However, if initially, the symptoms were asymmetric and then became relatively diffuse, then the cause of the disease may be multiple mononeuropathies. Doctors need to ask patients in detail about the onset of symptoms to determine whether they arose symmetrically or asymmetrically. For example, the patient should be asked whether symptoms appeared in both feet at about the same time (symmetrically) or first in one foot, then in one arm, and then in the other foot (asymmetric).

If the symptoms correspond to polyneuropathy, an attempt should be made to establish whether the symptoms were initially asymmetric (which may indicate multiple mononeuropathies).

 

The clinical picture, especially the nature of the development of symptoms, can assist in establishing the cause of peripheral neuropathy:

  • Asymmetric neuropathies indicate vasculitis.
  • Symmetrical, distal neuropathies are usually caused by intoxication or metabolic disorders.
  • Slowly progressive, chronic neuropathies can be hereditary or associated with prolonged exposure to toxic substances or metabolic disorders.
  • Acute neuropathies suggest an autoimmune disorder, vasculitis, toxicity, infection or post-infection reaction, drug effect, or cancer.
  • Rash, skin ulcers, and Raynaud’s syndrome in patients with asymmetric axonal neuropathy suggest a state of hypercoagulability, parainfectious or autoimmune vasculitis.
  • Weight loss, fever, lymphadenopathy, and massive lesions suggest a tumor or paraneoplastic syndrome.

In all patients with polyneuropathy, the presence of axonopathies should be considered.

What is the treatment of peripheral neuropathy?

What is the treatment of peripheral neuropathy

The brain controls absolutely all processes in the human body. Brain cells receive information from all organs and systems, analyze this information, develop the desired reaction, and transmit the corresponding orders to various human body organs through nerve cells.

Neuropathy arises from a combination of various factors. These factors lead to the malfunction of certain parts of the brain and disruption of neural connections. In other words, the brain stops giving the correct orders for the clear work of your nervous system, which leads to neuropathy and then to more serious consequences.

Peripheral neuropathies treatment is aimed at eliminating the cause of the disease. It is necessary to discontinue the drug and eliminate the toxic effects that caused the disease or correct nutritional deficiencies. While these measures can eliminate or reduce complaints, recovery is slow and may not be complete.

If the cause cannot be eliminated, then treatment of peripheral neuropathy is limited to minimizing disability and pain. A physical therapist and rehabilitation specialist may recommend appropriate orthopedic devices for the relief of neuropathic pain.

 

For demyelinating polyneuropathies, immunomodulatory treatment is usually used:

  • Plasmapheresis or intravenous immunoglobulins for acute demyelination.
  • For chronic myelin dysfunction, plasmapheresis or intravenous immune globulin, corticosteroids, and/or metabolic inhibitors are used.
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Lone Star Neurology
4.4
Based on 632 reviews
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Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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