Treatment begins by identifying and treating any underlying medical problem, such as diabetes, nerve damage, or infections. Even if you already have some form of neuropathy, healthy lifestyle steps can help you feel your best and reduce the pain and symptoms related to the disorder. You’ll also want to quit smoking. Some cases of neuropathy can be easily treated and sometimes cured. In some cases, the neuropathy is permanent. In these cases, treatment is aimed at controlling and managing symptoms and preventing further nerve damage. Treatment options include the following:
Medicines can be used to control pain. A number of different medications contain chemicals that help control pain by adjusting pain signaling pathways within the central and peripheral nervous system. These medications include:
Narcotic medications are not usually used for neuropathy pain due to limited evidence that they are helpful for this condition.
When treating patients with for their neuropathy and neuropathic pain at Denver Pain Management Clinic, Dr. Hong may recommend additional treatment modalities to help specifically alleviate the nerve related pain. These therapies may include:
Transcutaneous electrical nerve stimulation (TENS): This treatment involves placing electrodes on the skin at or near the nerves causing your pain. A gentle, low-level electrical current is delivered through the electrodes to your skin. Treatment schedule (how many minutes and how often) is determined by your therapist. The goal of TENS therapy is to disrupt pain signals, so they don’t reach the brain
Peripheral Neuropathy: Evaluation and Differential Diagnosis
GREGORY CASTELLI, PharmD, BCPS, BC-ADM, University of Pittsburgh Medical Center St. Margaret, Pittsburgh, Pennsylvania
KRISHNA M. DESAI, MD, Columbia University Medical Center, New York, New York
REBECCA E. CANTONE, MD, Oregon Health and Science University, Portland, Oregon
Am Fam Physician. 2020 Dec 15;102(12):732-739.