14/06/2022
These habits support your nerve health:
- 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 a good source of vitamin B-12, but talk to your doctor about B-12 supplements.
- Exercise regularly. With your doctor's OK, try to get at least 30 minutes to one hour of exercise at least three times a week.
Avoid factors that may cause nerve damage, including repetitive motions, cramped positions that put pressure on nerves, exposure to toxic chemicals, smoking and overindulging in alcohol.
DIAGNOSIS
Peripheral neuropathy has many potential causes. Besides a physical exam, which may include blood tests, diagnosis usually requires:
- A full medical history. Your doctor will review your medical history, including your symptoms, lifestyle, exposure to toxins, drinking habits and a family history of nervous system (neurological) diseases.
- Neurological examination. Your doctor might check your tendon reflexes, your muscle strength and tone, your ability to feel certain sensations, and your posture and coordination.
Tests
Your doctor may order tests, including:
Blood tests. These can detect vitamin deficiencies, diabetes, abnormal immune function and other indications of conditions that can cause peripheral neuropathy.
Imaging tests. CT or MRI scans can look for herniated disks, pinched (compressed) nerves, tumors or other abnormalities affecting the blood vessels and bones.
Nerve function tests. 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.
At the same time your doctor or an EMG technician obtains an electromyogram, he or she typically performs a nerve conduction study. Flat electrodes are placed on the skin and a low electric current stimulates the nerves. Your doctor will record your nerves' responses to the electric current.
Other nerve function tests. These might include an autonomic reflex screen that records how the autonomic nerve fibers work, a sweat test that measures your body's ability to sweat, and sensory tests that record how you feel touch, vibration, cooling and heat.
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.
Treatment
Treatment goals are to manage the condition causing your neuropathy and to relieve symptoms. If your lab tests indicate no underlying condition, your doctor might recommend watchful waiting to see if your neuropathy improves.
Medications
Besides medications used to treat conditions associated with peripheral neuropathy, medications used to relieve peripheral neuropathy signs and symptoms include:
Pain relievers. Over-the-counter pain medications, such as nonsteroidal anti-inflammatory drugs, can relieve mild symptoms. For more-severe symptoms, your doctor might prescribe painkillers.
Anti-seizure medications. Medications such as gabapentin (Gralise, Neurontin, Horizant) and pregabalin (Lyrica), developed to treat epilepsy, may relieve nerve pain. Side effects can include drowsiness and dizziness.
Topical treatments. Capsaicin cream, which contains a substance found in hot peppers, can cause modest improvements in peripheral neuropathy symptoms. You might have skin burning and irritation where you apply the cream, but this usually lessens over time. Some people, however, can't tolerate it.
Antidepressants. Certain tricyclic antidepressants, such as amitriptyline, doxepin (Silenor, Zonalon) and nortriptyline (Pamelor), have been found to help relieve pain by interfering with chemical processes in your brain and spinal cord that cause you to feel pain.
Side effects of antidepressants may include dry mouth, nausea, drowsiness, dizziness, changes in appetite, weight gain and constipation.
USE OF JIGSIMUR
Daily use of Jigsimur, following the prescribed dosage morning and night will repair the affected nerves and kill all the pains permanently.
