Medications containing opioids, such as tramadol (Conzip, Ultram, others) or oxycodone (Oxycontin, Roxicodone, others), can lead to dependence and addiction, so these drugs generally are not prescribed unless all other treatments fail. For more-severe symptoms, your doctor might prescribe painkillers. Over-the-counter pain medications, such as nonsteroidal anti-inflammatory drugs, can relieve mild symptoms.
Medicationsīesides medications used to treat conditions associated with peripheral neuropathy, medications used to relieve peripheral neuropathy signs and symptoms include: If your lab tests indicate no underlying condition, your doctor might recommend watchful waiting to see if your neuropathy improves. Treatment goals are to manage the condition causing your neuropathy and to relieve symptoms. Your doctor removes a small portion of skin to look for a reduction in nerve endings. This involves removing a small portion of a nerve, usually a sensory nerve, to look for abnormalities.
These might include an autonomic reflex screen that records how the autonomic nerve fibers work, a sweat test that measures your body's ability to sweat, and sensory tests that record how you feel touch, vibration, cooling and heat. Your doctor will record your nerves' responses to the electric current. Flat electrodes are placed on the skin and a low electric current stimulates the nerves. A thin needle (electrode) is inserted into the muscle to measure electrical activity as you contract the muscle.Īt the same time your doctor or an EMG technician obtains an electromyogram, he or she typically performs a nerve conduction study.
Electromyography (EMG) records electrical activity in your muscles to detect nerve damage. CT or MRI scans can look for herniated disks, pinched (compressed) nerves, tumors or other abnormalities affecting the blood vessels and bones. These can detect vitamin deficiencies, diabetes, abnormal immune function and other indications of conditions that can cause peripheral neuropathy.
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