what is neuropathy - An Overview



Neuropathy is a basic term signifying disturbances in the regular performance of the peripheral nerves. The reasons for neuropathy are varied and so is the treatment. Lots of a times, the neuropathy is practically irreversible and the treatment is mainly concentrated on avoiding further development of the nerve damage and other encouraging steps to prevent any issues due to neuropathy.

Neuropathies due to dietary deficiencies are mainly treated with the replenishment of the lacking nutrient. Neuropathies due to shortage of vitamins like cobalamin, thiamine, pyridoxine, niacin are treated by giving the vitamin supplements orally or by intramuscular injection of the vitamin if shortage is due to defective absorption of vitamins from the diet plan. Treatment may or may not entirely reverse the neuropathy and minimize the symptoms and oftentimes there is some irreversible damage to nerves and consistent symptoms regardless of treatment. Recently neuropathy due to copper shortage has actually also been found. It too is treated with oral copper salts or intravenous injection of copper salts. Once again the reaction is variable and might take numerous 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 currently happened if symptoms not relieved by this method. Again, each neuropathy is special and treatment varies.

The treatment of neuropathies secondary to other diseases is the treatment of the main disease triggering the neuropathy. If neuropathy is due to Myxedema, caused by absence of thyroid hormone, then treatment is replacing the thyroid hormonal agent. Treatment of Diabetic Neuropathy is mainly encouraging.

Treatment of neuropathy due to food allergy is preventing the allergen food product triggering neuropathy. Neuropathy may likewise be due to hazardous effect of particular drugs like Chloroquine, Phenytoin, anti-Cancer drugs and various others. Treatment in this case is primarily discontinuation of the drug or dose decrease. There may be some particular treatment in certain cases, like neuropathy due to isoniazid can normally be prevented by offering pyridoxine along with it.


Numerous a times, the neuropathy is almost permanent and the treatment is mainly focused on avoiding further development of the nerve damage and other supportive procedures to prevent 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 involved. The treatment of neuropathies secondary to other illness is the treatment of the primary illness causing the neuropathy. Treatment of neuropathy due to food allergic reaction is avoiding the irritant food item triggering neuropathy.

Whatever the original cause, your nerves reacted with the only survival tool they click here had: they contracted, they reduced their length and volume to protect themselves, and the gaps in between the nerves(synapse) were stretched. A typical sized nerve signal might no longer jump this space. Thus nerve impulses, both those going up to the brain and those coming down from the brain were impaired.

Built-in microprocessors procedures several physiological functions of your nerves and immediately adjusts itself to your specific healing needs, starting with the very first healing signal.

When the system is first switched on, it determines the electrical analog resistance and digital impedance and sets its output specifications for your physical mass. It understands if it is treating a 125 lb female or a 350 lb guy. If you use 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 analyzes this 'return" signal to identify any aberrations.

Simply as a cardiologist can take one take a look at the shape of the signal displayed on an EKG display, and diagnose what is incorrect with the heart, we have been able to recognize that the peripheral nerves have a very particular shape to its waveform. We can detect the nature of the problem by evaluating 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 indicates problems with feeling numb; the shape of the top of the waveform indicates the ability of the nerve to provide the signal enough time for the brain to receive everything; problems in the downward slope of the waveform suggests discomfort, and the shape of the refractory period as the nerve cell repolarize's itself suggests the capability of the nerve pathway to prepare for the next signal.

The gadget must then produce, and send out, a compensating waveform, to 'smooth out' these abnormalities, very just like the method sound canceling headphones work.

This process goes on 7.83 times every 2nd, sending out a signal, analyzing the returning signal, producing a compensating signal, and sending this brand-new signal. It is constantly evaluating your reaction, and changing itself, to gently coax your nerve's ability to send out and get proper signals.

These impulses are sent 7.83 times per second since that is how long it takes for the nerve cell to re-polarize (or reset) itself in between its transmission of nerve signals. Minerals like potassium, salt, and calcium must pass back and forth through the cell wall of the nerves. This is why a typical TENS merely 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 electromagnetic field that is noticed by the nerves in your main worried system (spine) and a signal is uploaded to the brain to let it know what is occurring 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 preserve themselves, and the gaps between the nerves(synapse) were stretched. A typical sized nerve signal might no longer leap this space. Specialized stimulator then sends out a "test" signal that represents the most common waveform for healthy peripheral nerves. These impulses are sent 7.83 times per second because that is how long it takes for the nerve cell to re-polarize (or reset) itself 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), produce a little 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 know exactly what is occurring in the back location.

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