Neuropathy is a basic term representing disruptions in the typical functioning of the peripheral nerves. The reasons for neuropathy are different and so is the treatment. Many a times, the neuropathy is nearly permanent and the treatment is primarily focused on avoiding additional progression of the nerve damage and other supportive procedures to prevent any complications 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 might 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 treatment.
Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based on 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, usage of hand tools etc. Surgical treatment is also an alternative and is most frequently curative if no irreversible damage to nerve has currently happened if symptoms not relieved by this method. Again, each neuropathy is special and treatment is variable.
The treatment of neuropathies secondary to other illness is the treatment of the primary disease triggering the neuropathy. If neuropathy is because of Myxedema, triggered by absence of thyroid hormone, then treatment is changing the thyroid hormone. Treatment of Diabetic Neuropathy is mainly encouraging. In diabetic neuropathies, some types like Mononeuropathies are reversible but a lot of are irreversible. Rigorous control of blood glucose levels to slow the further progression is of paramount importance. Other treatment is based upon the symptoms, like discomfort is managed with NSAID and many other drugs. Similarly the neuropathy connected with Rheumatoid Arthritis typically reacts to the treatment of Rheumatoid arthritis (with immunomodulators).
Treatment of neuropathy due to food allergy is preventing the allergen food product causing neuropathy. Neuropathy might also be due to hazardous effect of particular drugs like Chloroquine, Phenytoin, many others and anti-cancer drugs. Treatment in this case is primarily discontinuation of the drug or dosage reduction. There might be some specific treatment in certain cases, like neuropathy due to isoniazid can normally be prevented by providing pyridoxine along with it.
Many a times, the neuropathy is practically irreversible and the treatment is generally focused on preventing more progression of the nerve damage and other encouraging measures to avoid any issues due to neuropathy.
Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based on particular cause and the nerve included. The treatment of neuropathies secondary to other diseases is the treatment of the primary illness causing the neuropathy. Treatment of neuropathy due to food allergic reaction is preventing the allergen food item triggering neuropathy.
Whatever the original cause, your nerves reacted with the only survival tool they had: they contracted, they decreased their length and volume to maintain themselves, and the gaps in 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 several physiological functions of your nerves and immediately adjusts itself to your specific healing needs, beginning with the first recovery signal.
When the unit is very first turned on, it determines the electrical analog resistance and digital impedance and sets its output parameters for your physical mass. It understands if it is treating a 125 lb lady or a 350 pound man. It understands that if you use it directly on your lower back.
Specialized stimulator then sends 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 waits on an echo-like action from this initial signal.
It then evaluates this 'return" signal to figure out any aberrations.
Just as a cardiologist can take one take a look at the shape of the signal showed on an EKG monitor, and identify exactly what is wrong with the heart, we have actually had the ability to identify that the peripheral nerves have an extremely specific shape to its waveform. We can identify the nature of the issue by analyzing that waveform. This feature is constructed into the stimulator and processed by its internal microprocessor.
Abnormalities in the shape of the waveform on the method up shows issues with pins and needles; the shape of the top of the waveform shows the ability of the nerve to deliver the signal enough time for the brain to get it all; irregularities in the down slope of the waveform indicates pain, and the shape of the refractory duration as the nerve cell repolarize's itself indicates the capability of the nerve path to prepare for the next signal.
The device needs to then create, and send, a compensating waveform, to 'ravel' these abnormalities, very similar to the method sound canceling headphones work.
This procedure goes on 7.83 times every 2nd, sending a signal, analyzing the returning signal, producing a compensating signal, and sending this brand-new signal. It is constantly evaluating your action, and changing itself, to gently coax your nerve's ability to send out and get proper signals.
These impulses are sent out 7.83 times per 2nd because that is how long it get more info considers the afferent neuron to re-polarize (or reset) itself between its transmission of nerve signals. Minerals like calcium, sodium, and potassium need to pass backward and forward through the cell wall of the nerves. Extremely comparable to a 'common' TENS device, the specialized neuromuscular stimulator signals are significantly more accurate and regulated. Commons TENS gadgets utilize an unnatural, unrestrained, easy signal at a much greater frequency, specifically developed 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 system (spine) and a signal is submitted to the brain to let it understand exactly what is taking place in the back location. The brain then releases endorphins, internal pain relievers that travel through 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 lowered their length and volume to maintain themselves, and the spaces between the nerves(synapse) were stretched. A normal 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 small electromagnetic field that is sensed by the nerves in your central nervous system (spine) and a signal is submitted to the brain to let it know what is happening in the lumbar area.