Treatment FAQ

what is the best treatment for neuropathy upper legs and hands?

by Clair Friesen Published 3 years ago Updated 2 years ago

How is neuropathy in the hands treated?

Stop tobacco or alcohol use that could be damaging your nerves. Get plenty of physical activity or get a fitness plan from a physical therapist that involves specific exercises for your neuropathy in legs. Electrical nerve stimulation treatment, which can be prescribed through a physician.

What is the best medication for peripheral neuropathy?

Immune suppressing or immune modulating treatments: Various treatments are used for individuals whose neuropathy is due to an autoimmune disease. These include oral medications, IV infusion treatments, or even procedures like plasmapheresis where antibodies and other immune system cells are removed from your blood and the blood is then returned to your body.

What can I do about neuropathy in my legs?

Feb 03, 2021 · Medications to control symptoms include duloxetine ( Cymbalta ), gabapentin ( Neurontin ), pregabalin ( Lyrica ), or some antiepileptic medications Surgical treatment may be recommended for people...

Do you need surgery for peripheral neuropathy?

May 18, 2018 · Individuals have different needs, and a treatment plan may involve one or more of the following: Vitamin supplements, involving vitamins E, B6, and B12, among others Over-the-counter pain relief,...

What causes neuropathy in upper thigh?

It's caused by compression of the nerve that provides sensation to the skin covering your thigh. Tight clothing, obesity or weight gain, and pregnancy are common causes of meralgia paresthetica. However, meralgia paresthetica can also be due to local trauma or a disease, such as diabetes.Mar 1, 2022

Can you get neuropathy in your upper thigh?

What is proximal neuropathy? Proximal neuropathy is a rare and disabling type of nerve damage in your hip, buttock, or thigh. This type of nerve damage typically affects one side of your body and may rarely spread to the other side.

Can you get neuropathy in your arms and legs?

Signs and symptoms of peripheral neuropathy might include: Gradual onset of numbness, prickling or tingling in your feet or hands, which can spread upward into your legs and arms.Jul 3, 2021

How do I get rid of neuropathy in my legs?

To help you manage peripheral neuropathy:Take care of your feet, especially if you have diabetes. Check daily for blisters, cuts or calluses. ... Exercise. ... Quit smoking. ... Eat healthy meals. ... Avoid excessive alcohol. ... Monitor your blood glucose levels.Jul 3, 2021

How do I get rid of numbness in my upper thigh?

Treating thigh numbnessmaintain a healthy diet.exercise regularly.lose excess weight.wear looser clothing.

Can neuropathy nerve damage be reversed?

If the underlying cause of the neuropathy can be treated and cured (such as neuropathy caused by a vitamin deficiency), it's possible that the neuropathy can be reversed too. However, frequently by the time individuals are diagnosed with a neuropathy, there is some degree of permanent damage that can't be fixed.Dec 16, 2019

What is the latest treatment for neuropathy?

Gabapentin and Pregabalin have been approved by the Food and Drug Administration (FDA) for the treatment of neuropathic pain.Mar 22, 2019

What's the best home remedy for neuropathy?

8 natural treatments for peripheral neuropathyVitamins. Some cases of peripheral neuropathy are related to vitamin deficiencies. ... Cayenne pepper. Cayenne pepper contains capsaicin, an ingredient in hot peppers that makes them spicy. ... Quit smoking. ... Warm bath. ... Exercise. ... Essential oils. ... Meditation. ... Acupuncture.

What is the most effective treatment for neuropathy?

The most effective treatment was nortriptyline. Of the study subjects taking this medication, 25% reported their discomfort improved by at least 50%. The least effective treatment was pregabalin: only 15% of study subjects reported that much improvement. Side effects were common with all of the treatments.Dec 1, 2020

Can neuropathy in the legs be cured?

Diabetic neuropathy has no known cure. The goals of treatment are to: Slow progression of the disease. Relieve pain.Mar 3, 2020

Is walking good for neuropathy?

Walking can reduce the pain and other symptoms of neuropathy from the nerve damage in your feet and lower legs. Walking and other light aerobic exercises have various benefits for people affected by neuropathy, which is a wide range of conditions involving disease and damage to the peripheral nerves.Oct 19, 2021

What cream is good for nerve pain?

Lidocaine is the medicine in most anesthetic creams. When you rub the cream on, the lidocaine blocks the nerves in that part of your body from sending pain signals to your brain. You can also get patches with lidocaine in them. You wear the patch on the part of your body that is hurting.Jan 22, 2022

What is sensory polyneuropathy?

The term “idiopathic” means that no cause can be identified; “sensory” refers to the type of nerve, in this case those carrying nerve signals such as pain or temperature; “poly” means “many” and “neuropathy” means nerve disease.

Is there a cure for a syphilis?

No cause, no cure. Regardless of which name is used, the condition is frustrating, annoying, and sometimes debilitating. And without an identifiable and reversible cause, there is no cure. While a number of medications are commonly prescribed, it’s not clear which is most effective or safest.

How to prevent neuropathy in feet?

Cigarette smoking can affect circulation, increasing the risk of foot problems and other neuropathy complications. Eat healthy meals. Good nutrition is especially important to ensure that you get essential vitamins and minerals. Include fruits, vegetables, whole grains and lean protein in your diet.

How to help diabetics with neuropathy?

To help you manage peripheral neuropathy: Take care of your feet , especially if you have diabetes. Check daily for blisters, cuts or calluses. Wear soft, loose cotton socks and padded shoes. You can use a semicircular hoop, which is available in medical supply stores, to keep bedcovers off hot or sensitive feet.

What is the purpose of EMG?

Electromyography (EMG) records electrical activity in your muscles to detect nerve damage. A thin needle (electrode) is inserted into the muscle to measure electrical activity as you contract the muscle.

What is the procedure to remove a nerve?

Nerve biopsy. This involves removing a small portion of a nerve, usually a sensory nerve, to look for abnormalities. Skin biopsy. Your doctor removes a small portion of skin to look for a reduction in nerve endings.

What is plasma exchange?

Plasma exchange involves removing your blood, then removing antibodies and other proteins from the blood and returning the blood to your body. In immune globulin therapy, you receive high levels of proteins that work as antibodies (immunoglobulins). Physical therapy.

Is it safe to do acupuncture?

You might need multiple sessions before you notice improvement. Acupuncture is generally considered safe when performed by a certified practitioner using sterile needles. Alpha-lipoic acid. This has been used as a treatment for peripheral neuropathy in Europe for years.

What is the treatment for peripheral neuropathy?

In rare cases, peripheral neuropathy is treated by using medication, including immunoglobulin injections, immunosuppressants, or corticosteroids.

What happens if you have neuropathy in your hands?

People who suffer from neuropathy in their hands, or peripheral neuropathy, experience a significantly reduced quality of life if they do not receive treatment. Treatment should be directed at the underlying cause of the condition, which also determines how successful it will be. For instance, it is often caused by diabetes, ...

Why do my hands feel neuropathy?

Neuropathy in the hands can be caused by a variety of reasons. Diabetes is common, and this can be controlled by healthy lifestyle choices. It is also commonly caused by a vitamin B12 deficiency, which can be treated through supplementation.

What is the best medication for headaches?

Alternatively, people may be prescribed duloxetine, which is usually a treatment for depression or bladder problems. Gabapentin and pregabalin are also common prescriptions, which are usually provided to people with anxiety, headaches, or epilepsy.

What is the best treatment for pain in the face?

Lidocaine. Another option is the lidocaine plaster. This is a large plaster that is filled with a local anesthetic. It can help if the pain is found only in a very localized area. The plaster is simply applied to that area, and the skin slowly absorbs the anesthetic.

Can you take tramadol for flareups?

Tramadol may also be prescribed, although this is rare. It is a strong opiate painkiller that has addictive properties. This is why it will only be prescribed if all other treatment options have failed and it is usually only given for a short period of time, for instance, when people have serious flareups.

Can you use a saline solution on a broken skin?

While a natural product, it can cause side effects including a burning sensation and some skin irritation. This is why it should not be used on skin that is already inflamed or broken, and it is vital that you wash your hands straightaway afterwards.

How do you know if you have peripheral neuropathy?

Signs and symptoms of peripheral neuropathy might include: Gradual onset of numbness, prickling or tingling in your feet or hands, which can spread upward into your legs and arms. Sharp, jabbing, throbbing or burning pain. Extreme sensitivity to touch.

What causes neuropathy in the elderly?

These include Sjogren's syndrome, lupus, rheumatoid arthritis, Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy and vasculitis. Diabetes. This is the most common cause. Among people with diabetes, more than halfwill develop some type of neuropathy.

What is the function of the peripheral nervous system?

Your peripheral nervous system sends information from your brain and spinal cord (central nervous system) to the rest of your body. The peripheral nerves also send sensory information to the central nervous system. Peripheral neuropathy can result from traumatic injuries, infections, metabolic problems, inherited causes and exposure to toxins.

What causes numbness in the hands and feet?

Peripheral neuropathy, a result of damage to the nerves outside of the brain and spinal cord (peripheral nerves), often causes weakness, numbness and pain, usually in your hands and feet. It can also affect other areas of your body.

Can chemo cause neuropathy?

Medications. Certain medications, especially those used to treat cancer (chemotherapy), can cause peripheral neuropathy. I njury or pressure on the nerve. Injuries, such as from motor vehicle accidents, falls or sports injuries, can sever or damage peripheral nerves.

What are the different types of nerves?

Nerves are classified into: Sensory nerves that receive sensation, such as temperature, pain, vibration or touch, from the skin. Motor nerves that control muscle movement. Autonomic nerves that control functions such as blood pressure, perspiration, heart rate, digestion and bladder function. Signs and symptoms of peripheral neuropathy might ...

What causes lightheadedness and dizziness?

Excessive sweating or not being able to sweat. Bowel, bladder or digestive problems. Drops in blood pressure, causing dizziness or lightheadedness. Peripheral neuropathy can affect one nerve (mononeuropathy), two or more nerves in different areas (multiple mononeuropathy), or many nerves (polyneuropathy). Carpal tunnel syndrome is an example of ...

What are the symptoms of neuropathy?

If you have neuropathy, the most commonly described feelings are sensations of numbness, tingling (“pins and needles”), and weakness in the area of the body affected. Other sensations include sharp, lightening-like pain; or a burning, throbbing or stabbing pain. Cleveland Clinic is a non-profit academic medical center.

How many types of neuropathy are there?

There are over 100 types of neuropathies and each type can develop differently. The way your condition progresses and how quickly your symptoms start can vary greatly depending on the type of nerve or nerves damaged, and the underlying cause of the condition. There are many causes of neuropathy.

What is the peripheral nervous system made of?

Overview. Your peripheral nervous system is made up of the nerves outside your central nervous system. Sensory nerves carry messages to your brain. Motor nerves carry messages to your muscles.

How does neuropathy affect the brain?

This disrupts the way the neurons communicate with each other and with the brain. Neuropathy can affect one nerve ( mononeuropathy) or nerve type, a combination of nerves in a limited area (multifocal neuropathy) or many peripheral nerves throughout the body (polyneuropathy).

What is it called when you feel numbness in your hands?

Neuropathy is damage or dysfunction of one or more nerves that typically results in numbness, tingling, muscle weakness and pain in the affected area. Neuropathies frequently start in your hands and feet, but other parts of your body can be affected too. Neuropathy, often called peripheral neuropathy, indicates a problem within ...

How common is neuropathy?

Neuropathy is very common. It is estimated that about 25% to 30% of Americans will be affected by neuropathy. The condition affects people of all ages; however, older people are at increased risk. About 8% of adults over 65 years of age report some degree of neuropathy.

Is alcohol toxic to nerves?

Alcohol may also be directly toxic to peripheral nerves. Inherited disorders: Charcot-Marie-Tooth (CMT) disease is the most common hereditary neuropathy. CMT causes weakness in the foot and lower leg muscles and can also affect the muscles in the hands.

How to prevent peripheral neuropathy?

Eating a nutritious diet, exercising regularly, and abstaining from excessive alcohol consumption can all help prevent nerve damage. Avoiding injuries and toxic chemicals and carefully managing underlying disorders, such as diabetes, can also help prevent peripheral neuropathy. Pagination. 1. 2.

Why is neuropathy important?

Early diagnosis and treatment of peripheral neuropathy is important, because the peripheral nerves have a limited capacity to regenerate, and treatment may only stop the progression -- not reverse damage.

What is the best treatment for nerve compression?

Medications to control symptoms include duloxetine ( Cymbalta ), gabapentin ( Neurontin ), pregabalin ( Lyrica ), or some antiepileptic medications. Surgical treatment may be recommended for people with nerve damage from injury or nerve compression. Mobility aids, such as a cane, walker, or wheelchair, may be helpful.

What is the purpose of an EMG test?

You may also be given an electromyogram (EMG) and nerve conduction velocity (NCV) tests, which is used to assess nerve and muscle function and measure the electrical properties of the nerves. Using these tests, doctors can often pinpoint the abnormal nerves and determine which part of their structure is damaged.

How to treat alcoholic neuropathy?

Over-the-counter and prescribed medications can help to relieve pain associated with alcoholic neuropathy. The best thing a person with alcoholic neuropathy can do is to stop or significantly reduce their alcohol intake. It will likely be the first thing a doctor suggests.

What is neuropathy caused by?

Outlook. Alcoholic neuropathy is a severe condition caused by excessive alcohol use. Damage to the nerves leads to unusual sensations in the limbs, reduced mobility, and loss of some bodily functions. Recognizing the symptoms and seeking treatment early can reduce the risk of permanent disability. In this article, we look at what alcoholic ...

Does alcohol cause neuropathy?

Excessive, long-term consumption of alcohol can lead to malnutrition as well as nerve damage, and both contribute to the development of alcoholic neuropathy. Alcohol can impede the processing, transportation, and absorption of essential nutrients. Some people with alcohol use disorder also have inadequate food intake.

Can alcoholic neuropathy be recovered?

A wide range of support networks and medical treatments are available. Individuals with alcoholic neuropathy often make a partial or full recovery, depending on the extent and duration of their alcohol consumption. Last medically reviewed on May 18, 2018. Alcohol / Addiction / Illegal Drugs.

What test is used to diagnose alcoholic neuropathy?

Several tests can be used to diagnose alcoholic neuropathy, and more than one may be necessary. They include: Blood chemistry test. This can give an indication of a person’s overall health, including blood sugar levels and liver and kidney function. Complete blood count (CBC).

What is community based support?

Community-based support is also available from organizations such as Alcoholics Anonymous and Self-Management and Recovery Training. A doctor may also recommend other options. Alcoholic neuropathy can make daily life difficult, so it is essential to begin by managing the symptoms.

What is the condition that can lead to chronic pain, loss of some bodily functions, and permanent disability?

Alcoholic neuropathy is a severe condition that can lead to chronic pain, loss of some bodily functions, and permanent disability. However, recognizing the symptoms and seeking medical attention early can minimize the impact of the condition.

What causes femoral neuropathy?

Potential causes of femoral neuropathy include: 1 An injury 2 Excessive pressure on the nerve 3 Something pressing on the nerve, such as a tumor or other growth

What causes sciatica in the back of the leg?

Where the two conditions differ is the cause: Pressure on or damage to the sciatic nerve causes sciatica, while pressure on the femoral nerve causes femoral neuropathy. Sciatica tends to affect the back of the leg more than the front.

Can sciatica affect the back of the leg?

Sciatica tends to affect the back of the leg more than the front. Pinpointing the location of changes in sensation can help your doctor diagnose either sciatica or femoral neuropathy, and they may recommend a diagnostic scan. Once your doctor determines the underlying cause, your treatment will be more effective because it can target ...

What happens when your nerves are damaged?

When any of these types of nerves are damaged or even destroyed, this can affect the entire way your body communicates—called Neuropathy.

Can neuropathy be hereditary?

Although it might be difficult for you to pin down only one cause of your Neuropathy, a medical professional can generally figure out what is causing your nerve damage or discomfort. The cause behind the symptoms and the bigger issue can be either hereditary or acquired.

No Cause, No Cure

Researchers Compare Four Treatments For Neuropathy

  • Researchers publishing in JAMA Neurology describe the results of a unique trialin which 402 people with idiopathic sensory polyneuropathy were randomly assigned to one of four medications: duloxetine, mexiletine, nortriptyline, or pregabalin. After 12 weeks, each person rated their neuropathy symptoms on a scale from 1 to 10, noted any side effects...
See more on health.harvard.edu

The Study Wasn’T Perfect

  • This trial had a number of important limitations: 1. The trial lasted only 12 weeks. For a condition that is typically lifelong, longer-term results would be more helpful. 2. The four medications compared in this trial were chosen because they work in different ways. But other commonly prescribed drugs were not included. For example, this trial tells us nothing about how well gabap…
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The Bottom Line

  • Direct comparisons of treatments for idiopathic sensory polyneuropathy — which many simply call neuropathy — are sorely needed, so this trial is important. Yet, the biggest take-home message of this research is that many current treatments aren’t very good. Overall, nortriptyline and duloxetine appeared to outperform the other drugs in this trial, so they would be good choic…
See more on health.harvard.edu

Diagnosis

Treatment

Clinical Trials

Alternative Medicine

Lifestyle and Home Remedies

  • To help you manage peripheral neuropathy: 1. Take care of your feet, especially if you have diabetes.Check daily for blisters, cuts or calluses. Wear soft, loose cotton socks and padded shoes. You can use a semicircular hoop, which is available in medical supply stores, to keep bedcovers off hot or sensitive feet. 2. Exercise.Regular exercise, such...
See more on mayoclinic.org

Preparing For Your Appointment

Prognosis

Cause

Treatment

Side effects

Medical uses

  • Amitriptyline is often prescribed. This is often used as a treatment for depression and headaches, but it also works on nerve pain. Alternatively, people may be prescribed duloxetine, which is usually a treatment for depression or bladder problems. Gabapentin and pregabalin are also common prescriptions, which are usually provided to people with an...
See more on nervepainremedies.com

Risks

Uses

Introduction

Overview

Symptoms

Causes

Risk Factors

Complications

Prevention

  • Manage underlying conditions
    The best way to prevent peripheral neuropathy is to manage medical conditions that put you at risk, such as diabetes, alcoholism or rheumatoid arthritis.
  • Make healthy lifestyle choices
    These habits support your nerve health: 1. Eat a diet rich in fruits, vegetables, whole grains and lean protein to keep nerves healthy.Protect against vitamin B-12 deficiency by eating meats, fish, eggs, low-fat dairy foods and fortified cereals. If you're vegetarian or vegan, fortified cereals are …
See more on mayoclinic.org

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