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Dr. Bilal Sulaiman

Dr. Bilal Sulaiman

Licensed Doctor

الأسئلة المجابة 21678 | نسبة الرضا 98.7%

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6 month ago suffered from numbness tingling in my...

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6 month ago suffered from numbness tingling in my foot gradually developed to be in both leg completly no balance while walking .heavy leg and stabbing feeling in my legs and heavy back feeling hardly walking .later feeling numbness in both hands MRI for lumbar,Dorsal' Cervical' Brain and they all ok .NCV & F wave electrophysiological studies are suggestive of peripheral neuropathy in both LL of demylinating and axonal nature with lumbar radiculopathy Which effective treatment should i have ?

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إجابة الخبير: Dr. Bilal Sulaiman

Dr. Bilal Sulaiman

Dr. Bilal Sulaiman

Licensed Doctor

الأسئلة المجابة 21678 | نسبة الرضا 98.7%

Dear Customer
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Treament options for peripheral neuropathy ?

  • Treatments depend entirely on the type of nerve damage, symptoms, and location.
  • Addressing neuropathy’s causes.
  • Correcting underlying causes can result in the neuropathy resolving on its own as the nerves recover or regenerate.
  •  healthy lifestyle habits such as maintaining optimal weight, avoiding toxic exposures, eating a balanced diet, and correcting vitamin deficiencies.
  • Smoking cessation.
  • Exercise .
  • Self-care skills in people with diabetes .
  • Strict control of blood glucose levels

Drugs that can be used in peripheral neuropathy

  • Inflammatory and autoimmune conditions leading to neuropathy can be controlled using immunosuppressive drugs such as prednisone, cyclosporine, or azathioprine.
  • Plasmapheresis can help reduce inflammation or suppress immune system activity.
  • Agents such as rituximab that target specific inflammatory cells, large intravenously administered doses of immunoglobulins, and antibodies that alter the immune system, also can suppress abnormal immune system activity.
  • For motor symptoms, mechanical aids such as hand or foot braces can help reduce physical disability and pain.
  • Orthopedic shoes can improve gait disturbances and help prevent foot injuries.
  • Sensory symptoms, such as neuropathic pain or itching caused by injury to a nerve or nerves, are more difficult to control without medication.
  • Some people use behavioral strategies to cope with chronic pain as well as depression and anxiety that many may feel following nerve injury.
  • Medications recommended for chronic neuropathic pain are also used for other medical conditions.
  • Among the most effective are a class of drugs first marketed to treat depression.
  • Nortriptyline and newer serotonin-norepinephrine reuptake inhibitors such as duloxetine
  • hydrochloride modulate pain by increasing the brain’s ability to inhibit incoming pain signals.
  • Common drugs include gabapentin, pregabalin, and less often topiramate and lamotrigine.
  • Narcotics (opioids) can be used for pain that doesn’t respond to other pain-control medications and if disease-improving treatments aren’t fully effective. 
  • Surgery is the recommended treatment for some types of neuropathies like Protruding disks 


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إسأل Licensed Doctor

Dr. Bilal Sulaiman

Dr. Bilal Sulaiman

Licensed Doctor

الأسئلة المجابة 21678 | نسبة الرضا 98.7%

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