what is neuropathy - An Overview



Neuropathy is a general term representing disruptions in the typical functioning of the peripheral nerves. The causes of neuropathy are diverse therefore is the treatment. Many a times, the neuropathy is almost irreparable and the treatment is primarily focused on preventing more progression of the nerve damage and other supportive procedures to avoid any problems due to neuropathy.

Neuropathies due to nutritional shortages 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 because of faulty absorption of vitamins from the diet. Treatment might or might not completely reverse the neuropathy and alleviate the signs and in most cases there is some permanent damage to nerves and relentless signs despite treatment. Just recently neuropathy due to copper deficiency has likewise been discovered. It too is treated with oral copper salts or intravenous injection of copper salts. Again the action is variable and may take lots of months.

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 varies from medical techniques 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 already happened if symptoms not relieved by this method. Again, each neuropathy is special and treatment is variable.

The treatment of neuropathies secondary to other diseases is the treatment of the main disease 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 mainly helpful. In diabetic neuropathies, some forms like Mononeuropathies are reversible however many are irreversible. Stringent control of blood glucose levels to slow the more progression is of paramount significance. Other treatment is based on the signs, like pain is handled with NSAID and numerous other drugs. The neuropathy associated with Rheumatoid Arthritis often reacts to the treatment of Rheumatoid arthritis (with immunomodulators).

Treatment of neuropathy due to food allergic reaction is preventing the allergen food product causing neuropathy. There might be some specific treatment in particular cases, like neuropathy due to isoniazid can usually be avoided by giving pyridoxine along with it.


Lots of a times, the neuropathy is nearly irreversible and the treatment is generally focused on avoiding more progression of the nerve damage and other supportive measures to prevent 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 causing neuropathy.

Individuals much like you, all over the world, have found that their nerves can be rebuilt and complete function restored. It does not matter what the reason for your painful peripheral neuropathy is: idiopathic, diabetic, alcoholic, hazardous, or chemotherapy induced. The basic cause is all the same. At some time, parts of your nerves were starved for oxygen. Possibly there was excessive sugar in your blood taking up the area for oxygen. Perhaps you had some pinching of your nerves somewhere. Perhaps you were exposed to a contaminant like black mold, anesthesia, or pesticides. Whatever the initial cause, your nerves responded with the only survival tool they had: they contracted, they minimized their length and volume to preserve themselves, and the spaces in between the nerves(synapse) were stretched. A regular sized nerve signal could not jump this space. Like the gap on the stimulate plug in your vehicle or mower, if that gap gets too big, the spark can not jump throughout. Therefore nerve impulses, both those increasing to the brain and those coming down from the brain suffered. Your brain began to neglect the complicated inbound signals resulting in the feeling of feeling numb and tingling. With sufficient time, these hindered signals finally let loose triggering shooting pains, burning feelings, and the sensation of pins and needles. Lastly, you began to lose touch with where your feet were, in time and area, and started to stumble and fall. This process is progressive, and can ultimately result in minimized movement, injury, even amputation. A specialized neuromuscular stimulator has the ability to stop the discomfort, decrease the feeling numb and tingle, and restore your nerve health and mobility.

Built-in microprocessors steps several physiological functions of your nerves and immediately changes itself to your specific restorative requirements, beginning with the very first healing signal.

When the system is very first turned on, it determines the electrical analog resistance and digital impedance and sets its output parameters for your physical mass. It knows if it is dealing with a 125 lb lady or a 350 pound man. If you utilize it directly on your lower back, it understands that.

Specialized stimulator then sends out a "test" signal that represents the most typical 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 for an echo-like reaction from this preliminary signal.
It then examines this 'return" signal to determine any aberrations.

Just 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 actually been able to determine that the peripheral nerves have a really 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 suggests problems with numbness; the shape of the top of the waveform suggests the capability of the nerve to provide the signal long enough for the brain to get all of it; irregularities in the down slope of the waveform indicates pain, and the shape of more info the refractory duration as the nerve cell repolarize's itself suggests the capability of the nerve pathway to get ready for the next signal.

The gadget should then develop, and send out, a compensating waveform, to 'smooth out' these abnormalities, very much like the way sound canceling headphones work.

This process goes on 7.83 times every 2nd, sending a signal, examining the returning signal, creating a compensating signal, and sending this brand-new signal. It is constantly examining your response, and changing itself, to gently coax your nerve's capability to send and get appropriate signals.

These impulses are sent out 7.83 times per 2nd because that is how long it takes for the nerve cell to re-polarize (or reset) itself between its transmission of nerve signals. Minerals like calcium, potassium, and salt need to pass back and forth through the cell wall of the nerves. This is why a common TENS simply obstructs the 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), create a small electro-magnetic field that is picked up by the nerves in your central nervous system (spine) and a signal is submitted to the brain to let it understand exactly what is happening in the lumbar area. The brain then launches endorphins, internal painkiller that travel through the blood stream to all parts of the body. These endorphins briefly ease discomfort in other parts of the body and help elevate your mood. These endorphin regulated advantages are palliative, and last for about 4 hours, offerring extra welcome relief from your peripheral neuropathy pain.


Whatever the initial cause, your nerves responded with the only survival tool they had: they contracted, they decreased their length and volume to protect themselves, and the spaces in between the nerves(synapse) were extended. A regular sized nerve signal could no longer jump this gap. Specialized stimulator then sends out a "test" signal that represents the most common 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 anxious system (spinal column) and a signal is published to the brain to let it understand exactly what is happening in the lumbar area.

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