January-February Diabetic Peripheral Neuropathy. The Foundation for Peripheral Neuropathy. Cleveland Clinic Journal of Medicine. May January Treatment for Gastroparesis. Jacobs A. Podiatry Today. September Diagnostic Approach to Peripheral Neuropathy.
Annals of Indian Academy of Neurology. April-June Shields R. Cleveland Clinic Center for Continuing Education.
August Myelin Sheath. Pain Medication. Peripheral Neuropathy Treatments. Jensen T. European Journal of Pain. Gabapentin for Chronic Neuropathic Pain in Adults. June 9, March 1, Carpal Tunnel Release.
Johns Hopkins Medicine Health Library. Barrett S, Nickerson D. The American Diabetes Association recommends duloxetine Cymbalta as a first treatment. Another that may be used is venlafaxine Effexor XR. Possible side effects include nausea, sleepiness, dizziness, decreased appetite and constipation. Sometimes, an antidepressant may be combined with an anti-seizure drug. These drugs can also be used with pain-relieving medication, such as an over-the-counter medication including acetaminophen Tylenol, others or ibuprofen Advil, Motrin IB, others or a skin patch with lidocaine a numbing substance.
To manage complications, you may need care from different specialists, such as a doctor that treats urinary tract problems urologist and a heart doctor cardiologist , who can help prevent or treat complications.
Be active every day. Exercise helps lower blood sugar, improves blood flow and keeps your heart healthy. The American Diabetes Association recommends minutes of moderate-intensity exercise a week for most adults with diabetes.
It's also a good idea to take a break from sitting every 30 minutes to get a few quick bursts of activity. Talk with your doctor or physical therapist before you start exercising. If you have decreased feeling in your legs, some types of exercise, such as walking, may be safer than others.
If you have a foot injury or sore, stick with exercise that doesn't require putting weight on your injured foot. There are also many alternative therapies that may help with pain relief on their own or in combination with medications.
But check with your doctor before using any alternative therapy or dietary supplement to make sure to avoid any potential interactions. For diabetic neuropathy, you may want to try:.
Living with diabetic neuropathy can be difficult and frustrating. If you find yourself feeling depressed, it may help to talk to a counselor or therapist.
Support groups also can offer encouragement and advice about living with diabetic neuropathy. A number of the complications associated with neuropathy stem from loss of sensation. Unfortunately, commonly, it requires amputations if it does progress to that point. Neuropathy can lead to complications during surgery as well, explains Highlander. That is because of a condition called Charcot neuropathic osteoarthropathy or Charcot, for short , in which inflammation and unaddressed injuries subject bones, joints, and soft tissues especially those in the feet to microfractures and deformity.
This is not the same disorder as Charcot-Marie-Tooth disease, and it can have many causes, including diabetic neuropathy. An estimated 30 million people in the United States have some form of neuropathy, according to the Foundation for Peripheral Neuropathy.
Diabetic peripheral neuropathy is the most common type, affecting 6 in 10 people who have any type of neuropathy. Furthermore, 60 to 70 percent of people with diabetes develop neuropathy. So do 30 to 40 percent of people undergoing chemotherapy. Determining which racial and ethnic groups experience neuropathy the most may be complicated by the type of neuropathy, as well as the differing ways that people communicate their pain to others, including their healthcare providers.
Yet in a December study of more than 1, people who had painful diabetic peripheral neuropathy symptoms, which was published in Clinical Diabetes and Endocrinology , Black 65 percent and Hispanic 49 percent participants were less likely than white participants 87 percent to rate their pain as moderate or severe.
Also, significantly fewer Black and Hispanic individuals reported having received a painful diabetic peripheral neuropathy diagnosis. However, higher proportions of those who were Black and Hispanic reported difficulty communicating with their healthcare provider about their pain symptoms, and feeling less comfortable about doing it.
They were also younger, on average, than white participants. Researchers said more research in diverse populations is needed to understand the disparities. However, a November study published in Clinical Cancer Research found that women of African descent being treated for breast cancer with specific chemotherapy drugs known as taxanes were more likely to report painful neuropathy symptoms than women of European descent.
These are caused by: 5, For more on potential health complications of type 2 diabetes , check out our article. Browse the site for general information on neuropathy, ranging from symptoms to coping tips. It's a one-stop shop for everything on neuropathy. CMT is a genetic disorder caused by a gene mutation.
The HNF is a great place for family members and caregivers to educate themselves. Check out the blog, newsletter, and webinar, or research upcoming events and clinical trials. On Cancer. Net, which is part of the American Society of Clinical Oncology ASCO , find essential info on the cancer-related triggers and treatments for nerve damage.
For more on the connection between cancer and nerve damage, check out our article. The FPN is an amazing resource for food and nutrition advice. Controlling blood sugar starts with good nutrition.
The site offers basic diet tips for controlling blood sugar, as well as tips for eating to help beat inflammation. This resource also guides you in grocery shopping for healthy foods and using supplements for neuropathy. For more on how to build an anti-inflammatory diet , check out our article. Want to get involved and help raise awareness of neuropathy?
Looking to join a support group? The Foundation for Peripheral Neuropathy. Muscle weakness and pain due to neuropathy can cause physical limitations. Plenty of assistive devices can help you maintain your independence. The foundation recommends items you can use inside and outside of the house.
Our Neuropathy Friends. If you're active on social media, stop by the Our Neuropathy Friends Facebook page and join the discussion. Comprising more than 4, members, this website is an excellent place to connect with people who understand your situation firsthand. Ask questions, share tips, or relate your personal experiences. Neuropathy Commons. This site provides information about online and local support groups in your area, and you can read articles on neuropathy and get information on clinical trials.
Brattleboro Retreat. But it does offer a program for chronic pain management. According to the Brattleboro Retreat website, this program helps strengthen your mind-body connection through relaxation, guided visualization, mindfulness, and other techniques with the aim of mitigating pain.
By subscribing you agree to the Terms of Use and Privacy Policy. Health Topics. Health Tools. Reviewed: September 18, Medically Reviewed.
The nerve damage behind neuropathy can have many causes. Poorly controlled diabetes accounts for about 60 percent of cases. Chemotherapy, HIV, shingles, kidney disease, autoimmune diseases, infectious diseases, alcoholism, nutrient deficiencies, hereditary disorders, and physical trauma are other causes.
In 23 percent of cases, the cause is unknown. What is the best treatment for neuropathy? Detecting and treating the underlying condition that caused your nerve damage is key to prevent further harm. Next, depending on the type of neuropathy, you may use OTC pain relievers; obtain a prescription antidepressant, antiseizure, or antiepileptic medication from your doctor; or explore neuromodulation or surgery for symptom relief.
Is neuropathy curable? In some cases, correcting the underlying condition that caused neuropathy can allow nerves to recover or regenerate. Even if the first medicine tried does not help, others may. The main medicines recommended for neuropathic pain include: amitriptyline — also used for treatment of headaches and depression duloxetine — also used for treatment of bladder problems and depression pregabalin and gabapentin — also used to treat epilepsy , headaches or anxiety There are also some additional medicines that you can take to relieve pain in a specific area of your body or to relieve particularly severe pain for short periods.
Capsaicin cream If your pain is confined to a particular area of your body, you may benefit from using capsaicin cream. Rub a pea-sized amount of capsaicin cream on the painful area of skin 3 or 4 times a day. Tramadol Tramadol is a powerful painkiller related to morphine that can be used to treat neuropathic pain that does not respond to other treatments your GP can prescribe.
Tramadol can be useful to take at times when your pain is worse. Common side effects of tramadol include: feeling sick or vomiting dizziness constipation Treating other symptoms In addition to treating pain, you may also require treatment to help you manage other symptoms.
Other problems associated with peripheral neuropathy may be treatable with medicines. For example: erectile dysfunction constipation the slow movement of food through your stomach gastroparesis In some cases, you may need more invasive treatment, such as: botulinum toxin injections for hyperhidrosis a urinary catheter if you have problems emptying your bladder Alternative and complementary therapies As peripheral neuropathy can be a very painful and troublesome problem that may only partly be relieved by standard treatments, you may be tempted to try other therapies.
These may include: acupuncture herbal medicine benfotiamine a form of vitamin B1 supplements alpha-lipoic acid an antioxidant supplements But while some people may find these helpful, the evidence for them is not always clear.
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