Neuropathy is a general term representing disruptions in the typical functioning of the peripheral nerves. The reasons for neuropathy are diverse and so is the treatment. Many a times, the neuropathy is nearly irreparable and the treatment is primarily focused on avoiding more progression of the nerve damage and other supportive procedures to avoid any problems due to neuropathy.
Neuropathies due to nutritional deficiencies are generally treated with the replenishment of the deficient nutrient. Neuropathies due to deficiency of vitamins like cobalamin, thiamine, pyridoxine, niacin are dealt with by providing the vitamin supplementation orally or by intramuscular injection of the vitamin if shortage is due to faulty absorption of vitamins from the diet. Treatment might or may not completely reverse the neuropathy and relieve the signs and in many cases there is some irreversible damage to nerves and consistent symptoms regardless of therapy.
Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based upon particular cause and the nerve involved. Carpal tunnel syndrome treatment differs from medical methods like NSAID (like Ibuprofen), local injection of steroids in wrist, and preventing annoying factors like typing in incorrect positions, use of hand tools etc. Surgery is likewise a choice and is most often alleviative if no long-term damage to nerve has currently happened if signs not eased by this approach. Once again, each neuropathy is distinct and treatment is variable.
The treatment of neuropathies secondary to other illness is the treatment of the primary illness triggering the neuropathy. If neuropathy is due to Myxedema, triggered by absence of thyroid hormone, then treatment is changing the thyroid hormone. Treatment of Diabetic Neuropathy is generally helpful. In diabetic neuropathies, some forms like Mononeuropathies are reversible however many are irreparable. Stringent control of blood glucose levels to slow the more progression is of vital significance. Other treatment is based on the symptoms, like pain is managed with NSAID and numerous other drugs. Similarly the neuropathy related to Rheumatoid Arthritis often reacts to the treatment of Rheumatoid arthritis (with immunomodulators).
Treatment of neuropathy due to food allergic reaction is avoiding the irritant food item triggering neuropathy. Neuropathy may likewise be due to toxic impact of certain drugs like Chloroquine, Phenytoin, numerous others and anti-cancer drugs. Treatment in this case is generally discontinuation of the drug or dosage reduction. There might be some specific treatment in specific cases, like neuropathy due to isoniazid can usually be avoided by giving pyridoxine in addition to it.
Many a times, the neuropathy is practically irreversible and the treatment is primarily focused on preventing more progression of the nerve damage and other encouraging measures to avoid any complications 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 diseases is the treatment of the main disease triggering the neuropathy. Treatment of neuropathy due to food allergy is preventing the allergen food product triggering neuropathy.
Whatever the original cause, your nerves reacted with the only survival tool they had: they contracted, they reduced their length and volume to protect themselves, and the spaces between the nerves(synapse) were extended. A normal sized nerve signal could no longer leap this gap. Therefore nerve impulses, both those going up to the brain and those coming down from the brain were impaired.
Integrated microprocessors steps numerous physiological functions of your nerves and automatically adjusts itself to your particular therapeutic requirements, starting with the first recovery signal.
When the unit is first switched on, it measures the electrical analog resistance and digital impedance and sets its output specifications for your physical mass. If it is dealing with a 125 lb female or a 350 lb guy, it understands. If you use it directly on your lower back, it understands that.
Specialized stimulator then sends out a "test" signal that represents the most common waveform for healthy peripheral nerves. This signal goes from one foot, up the leg, to the nerve roots in your lower back, down the other leg, to the other foot. It then awaits an echo-like response from this initial signal.
It then examines this 'return" signal to determine any aberrations.
Simply as a cardiologist can take one appearance at the shape of the signal displayed on an EKG screen, and detect what is incorrect with the heart, we have been able to recognize that the peripheral nerves have a very particular shape to its waveform. For that reason we can diagnose the nature of the problem by examining that waveform. This function is built into the stimulator and processed by its internal microprocessor.
Irregularities in the shape of the waveform en route up indicates problems with feeling numb; the shape of the top of the waveform indicates the capability of the nerve to provide the signal long enough for the brain to receive all of it; abnormalities in the downward slope of the waveform suggests discomfort, and the shape of the refractory period as the nerve cell repolarize's itself shows the ability of the nerve pathway to get ready for the next signal.
The gadget must then produce, and send out, a compensating waveform, to 'ravel' these irregularities, extremely much like the way noise canceling earphones work.
This procedure goes on 7.83 times every second, sending a signal, evaluating the returning signal, developing a compensating signal, and sending this new signal. It is continuously examining your response, and adjusting itself, to carefully coax your nerve's capability to send and receive appropriate signals.
Because that is how long it takes for the nerve cell to re-polarize (or reset) itself in between its transmission of nerve signals, these impulses are sent out 7.83 times per second. Minerals like sodium, potassium, and calcium need to pass backward and forward through the cell wall of the nerves. Extremely comparable to a 'common' TENS gadget, the specialized neuromuscular stimulator signals are significantly more accurate and regulated. Commons TENS gadgets use an unnatural, unrestrained, easy signal at a much greater frequency, particularly designed to stop the cells ability to repolarize. This is why a common 10S simply obstructs the nerve signals. This device is a very specific type of 10S, which fixes up the neuropathy patient.
The signals, (as they cross the synaptic junctions in the nerve roots of the lower back to get from one leg to the other), create a small electromagnetic field that is noticed by the nerves in your main anxious here system (spinal column) and a signal is published to the brain to let it understand exactly what is taking place in the lumbar location. The brain then launches endorphins, internal discomfort reducers that take a trip by means of the blood stream to all parts of the body.
Whatever the initial cause, your nerves reacted with the only survival tool they had: they contracted, they reduced their length and volume to preserve themselves, and the gaps between the nerves(synapse) were stretched. A typical sized nerve signal could no longer jump this space. Specialized stimulator then sends out a "test" signal that represents the most typical waveform for healthy peripheral nerves. These impulses are sent out 7.83 times per 2nd since that is how long it takes for the nerve cell to re-polarize (or reset) itself in between its transmission of nerve signals. The signals, (as they cross the synaptic junctions in the nerve roots of the lower back to get from one leg to the other), develop a little electro-magnetic field that is picked up by the nerves in your central nervous system (spine) and a signal is uploaded to the brain to let it know what is happening in the back area.