Neuropathy-Dr.Kirpa Johar - HariDaan Laser Wellness

Neuropathy

PERIPHERAL NEUROPATHY

The Name of the Condition Tells You a bit About What it is:
   
bullets1 Peripheral - Beyond (in this case, beyond the brain and the spinal cord)
   
bullets1 Neuro - Related to the nerves
 
  bullets1 Pathy - Disease

                                                 neuropathy

                                                                         Diabetic peripheral neuropathy

The peripheral nerves make up an intricate network that connects the brain and spinal cord to the muscles, skin and internal organs. 

Peripheral nerves come out of the spinal cord and are arranged along lines in the body called dermatomes. Typically, damage to a nerve will affect one or more dermatomes, which can be tracked to specific areas of the body. Damage to these nerves interrupts communication between the brain and other parts of the body and can impair muscle movement, prevent normal sensation in the arms and legs and cause pain.

                                                                                    neuropathy2

                                                                                           Dermatomes

Peripheral neuropathy may affect one nerve (mononeuropathy), two or more nerves in different areas (multiple mononeuropathy) or many nerves (polyneuropathy).


Symptoms


Signs and symptoms of peripheral neuropathy may include
   bullets1 Gradual onset of numbness and tingling in your feet or hands, which may spread upward into your legs and arms.
   bullets1 Sharp, jabbing or burning pain.
   bullets1 Extreme sensitivity to touch.
   bullets1 Lack of coordination and falling.
   bullets1 Muscle weakness or paralysis if motor nerves are affected.

                                                                      neuropathy3

                                                                                                 Neuropathic pain

If autonomic nerves are affected, signs and symptoms may include:
   bullets1 Heat intolerance and altered sweating
   bullets1 Bowel, bladder or digestive problems
   bullets1 Changes in blood pressure, causing dizziness or light-headedness


Causes of Peripheral Neuropathy

There are many factors that can cause peripheral neuropathies, so it is often difficult to pinpoint the origin. 


Neuropathies occur by:

1. 
Acquired Neuropathies are caused by environmental factors such as toxins, trauma, illness, or infection. Known causes of acquired neuropathies include:
   bullets1 Diabetes
   bullets1 Several rare inherited diseases
   bullets1 Alcoholism
   bullets1 Poor nutrition or vitamin deficiency
   bullets1 Certain kinds of cancer and chemotherapy used to treat them
   bullets1 Kidney or thyroid disease
   bullets1 Infections such as Lyme disease, shingles, or AIDS


2. 
Hereditary Neuropathies are not as common.

3. 
Idiopathic Neuropathies are from an unknown cause. As many as one-third of all neuropathies are classified in this way

Treatment

Treatment for peripheral neuropathy depends on the underlying cause and the type of symptoms you are experiencing.


Treatment goals are to manage the condition causing your neuropathy and to relieve symptoms.

1. Medications
    Medications used to relieve peripheral neuropathy pain include:

   bullets1 Pain relievers
   bullets1 Anti-seizure medications
   bullets1 Capsaicin
   bullets1 Antidepressants.


2. Therapies
   Various therapies and procedures may help ease the signs and symptoms of peripheral neuropathy.

   bullets1 Transcutaneous electrical nerve stimulation (TENS).
   bullets1 Plasma exchange and intravenous immune globulin.
   bullets1 Physical therapy.


3. Surgery
   
bullets1 If neuropathies caused by pressure on nerves, such as pressure from tumours, you may need surgery to reduce the pressure

Low Level Laser Therapy Treatment for Neuropathy

Low Level Laser Therapy (LLLT) is the application of red and near infrared light over injuries to stimulate cellular repair. 


The action of laser with respect to tissue regeneration and improved blood circulation were due to the following effects: 
 
 bullets1 Increased activity of some cells, such as leukocytes and phagocytes, and increased calcium in the cell cytoplas
   bullets1 Interaction with cytochromes, stimulating redox activity in the cellular respiratory chain and resulting in cell activation
   bullets1 Accelerated cell division and growth;
   bullets1 Activation of protein and cytokine synthesis;
   bullets1 Stimulation of production of adenosine triphosphate (ATP), which enhances the cells' mitotic activity; and
   bullets1 Relaxation of the vessel walls (vasodilatation) by photolysis of complexes such as nitric oxide


LLLT has emerged as an effective therapeutic modality in the treatment of painful neuropathy in that it is able to modify pain, microcirculation and some electrophysiological parameters of peripheral nerve function.

LLLT has no known side effects, is safe and effective