Fascination About small fiber neuropathy



Neuropathy is a general term denoting disruptions in the typical functioning of the peripheral nerves. The causes of neuropathy are diverse therefore is the treatment. Numerous a times, the neuropathy is almost irreversible and the treatment is primarily concentrated on preventing more development of the nerve damage and other helpful measures to avoid any problems due to neuropathy.

Neuropathies due to nutritional deficiencies 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 deficiency is because of faulty absorption of vitamins from the diet. Treatment might or might not completely reverse the neuropathy and reduce the symptoms and in most cases there is some irreversible damage to nerves and relentless symptoms despite treatment. Just recently neuropathy due to copper deficiency has also been found. It too is treated with oral copper salts or intravenous injection of copper salts. Once again the reaction is variable and may take lots of months.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based upon particular cause and the nerve involved. Carpal tunnel syndrome treatment varies from medical techniques like NSAID (like Ibuprofen), regional injection of steroids in wrist, and avoiding aggravating elements like typing in wrong positions, usage of hand tools etc. Surgical treatment is also an option and is most frequently curative if no irreversible damage to nerve has actually already taken place if symptoms not alleviated by this technique. Again, each neuropathy is special and treatment varies.

The treatment of neuropathies secondary to other illness is the treatment of the primary illness causing the neuropathy. If neuropathy is due to Myxedema, triggered by lack of thyroid hormonal agent, then treatment is replacing the thyroid hormone. Treatment of Diabetic Neuropathy is primarily supportive.

Treatment of neuropathy due to food allergic reaction is avoiding the irritant food item triggering neuropathy. Neuropathy may also be because of toxic impact of certain drugs like Chloroquine, Phenytoin, numerous others and anti-cancer drugs. Treatment in this case is generally discontinuation of the drug or dose decrease. There may be some particular treatment in specific cases, like neuropathy due to isoniazid can usually be avoided by giving pyridoxine in addition to it.


Lots of a times, the neuropathy is practically irreparable and the treatment is primarily focused on avoiding additional development of the nerve damage and other helpful measures to avoid 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.

People similar to you, all over the world, have found that their nerves can be rebuilt and full function brought back. It does not matter what the cause of your uncomfortable peripheral neuropathy is: idiopathic, diabetic, alcoholic, toxic, or chemotherapy caused. The basic cause is all the very same. At some time, parts of your nerves were starved for oxygen. Maybe there was excessive sugar in your blood taking up the space for oxygen. Possibly you had some pinching of your nerves somewhere. Possibly you were exposed to a toxic substance 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 between the nerves(synapse) were extended. A regular sized nerve signal could not jump this space. Like the gap on the trigger plug in your car or mower, if that gap gets too large, the stimulate can not hurdle. Thus nerve impulses, both those increasing to the brain and those coming down from the brain suffered. Your brain began to neglect the complicated incoming signals leading to the sensation of tingling and tingling. With enough time, these prevented signals finally let loose causing shooting discomforts, burning sensations, and the sensation of pins and needles. You started to lose touch with where your feet were, in time and area, and began to fall and stumble. This process is progressive, and can ultimately result in decreased movement, injury, even amputation. A specialized neuromuscular stimulator has the ability to stop the discomfort, reduce the pins and needles and tingle, and restore your nerve health and movement.

Integrated microprocessors measures a number of physiological functions of your nerves and automatically adjusts itself to your particular therapeutic requirements, starting with the first recovery signal.

When the unit is first switched on, it measures the electrical analog resistance and digital impedance and sets its output specifications for your physical mass. If it is treating a 125 pound woman or a 350 lb male, it knows. If you use it straight on your lower back, it knows that.

Specialized stimulator then sends a "test" signal that represents the most common 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 on an echo-like action from this initial signal.
It then evaluates this 'return" signal to figure out any aberrations.

Just as a cardiologist can take one look at the shape of the signal showed on an EKG monitor, and identify exactly what is wrong with the heart, we have had the ability to determine that the peripheral nerves have a really particular shape to its waveform. Therefore 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 long enough for the brain to receive all of it; problems in the downward slope of the waveform suggests discomfort, and the shape of the refractory period as the afferent neuron repolarize's itself shows the ability of the nerve pathway to get ready for the next signal.

The device should then develop, and send, a compensating waveform, to 'smooth out' these abnormalities, really similar to the way 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 appropriate signals.

Since that is how long it takes for the nerve cell to re-polarize (or reset) itself in between its transmission of nerve signals, these impulses are sent 7.83 times per second. Minerals like sodium, potassium, and calcium must pass back and forth through the cell wall of the nerves. Extremely comparable to a 'typical' TENS device, the specialized neuromuscular stimulator signals are greatly more regulated and precise. Commons TENS gadgets use an unnatural, uncontrolled, basic signal at a much greater frequency, particularly created to stop the cells capability to repolarize. This is why a common TENS merely obstructs the nerve signals. This gadget is a really specific type of TENS, which fixes up the neuropathy client.

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 little electro-magnetic field that is picked up by the nerves in your central anxious system (spinal column) and a signal is neuropathy symptoms published to the brain to let it understand what is happening in the lumbar area. The brain then launches endorphins, internal discomfort reducers that travel via the blood stream to all parts of the body.


Whatever the original cause, your nerves responded with the only survival tool they had: they contracted, they minimized their length and volume to maintain themselves, and the gaps between the nerves(synapse) were stretched. A typical sized nerve signal could no longer leap this space. Specialized stimulator then sends out a "test" signal that represents the most typical 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 small electro-magnetic field that is picked up by the nerves in your main nervous system (spine) and a signal is uploaded to the brain to let it know exactly what is occurring in the back location.

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