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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Peripheral Neuropathy Be Treated?

I was diagnosed with auto-immune-related neuropathy in both feet and legs. There is no pain, only loss of balance, muscle, and numbness, etc. Is there anything other than infusion therapy or the equivalent pills being prescribed as treatment? Are there any clinic trials?
Thu, 2 Nov 2017
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Ayurveda Specialist,  's  Response
**
Thanks for contacting with your health concern and although the neuropathy is autoimmune mediated [Guillian- Barre syndrome is commonest] even then address any contributing causes such as vitamin deficiency [vitamin B12], hormonal deficiencies [diabetes], medication-related toxicity [alcohol] or compression that can lead to neuropathy.

1. Ask for blood investigations like blood sugar, urea, creatinine, VDRL, autoantibodies, serum folate and B12, and thyroid and liver function tests.

2. empirical treatment is usually disappointing or treatment-resistant so in your case best management is:

- Intravenous high dose Immunoglobulin therapy.
- Plasmapheresis.
- Physiotherapy
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How Can Peripheral Neuropathy Be Treated?

** Thanks for contacting with your health concern and although the neuropathy is autoimmune mediated [Guillian- Barre syndrome is commonest] even then address any contributing causes such as vitamin deficiency [vitamin B12], hormonal deficiencies [diabetes], medication-related toxicity [alcohol] or compression that can lead to neuropathy. 1. Ask for blood investigations like blood sugar, urea, creatinine, VDRL, autoantibodies, serum folate and B12, and thyroid and liver function tests. 2. empirical treatment is usually disappointing or treatment-resistant so in your case best management is: - Intravenous high dose Immunoglobulin therapy. - Plasmapheresis. - Physiotherapy