4 doctors weighed in:

What is the best treatment for pain of neuropathy?

4 doctors weighed in
Dr. Christopher Dowd
Internal Medicine
2 doctors agree

In brief: Control glucose

Most important is to control ur blood sugar-w/o that it will likely cont to progress.
Tx aimed @ sx include oral: gabapentin, pregabalin, some antidepressants (ex duloxetine), more & topical: capsaicin, lidocaine, tens, more. Dfclt to predict who will respond to which the best. Lots of choices & i gen talk thru in's & out's of many & decide together which to try 1st, etc. May need combo top + oral.

In brief: Control glucose

Most important is to control ur blood sugar-w/o that it will likely cont to progress.
Tx aimed @ sx include oral: gabapentin, pregabalin, some antidepressants (ex duloxetine), more & topical: capsaicin, lidocaine, tens, more. Dfclt to predict who will respond to which the best. Lots of choices & i gen talk thru in's & out's of many & decide together which to try 1st, etc. May need combo top + oral.
Dr. Christopher Dowd
Dr. Christopher Dowd
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1 comment
Dr. Christopher Dowd
I agree with Dr. Arnold--tx should be addressed at the underlying cause. Diabetes is probably the most common cause, but as she pointed out, there are others. Good luck!
Dr. Michele Arnold
Physical & Rehabilitation Medicine

In brief: Treat the cause

If you are fortunate enough to know the cause of your neuropathy, the best treatment is to treat the underlying cause (control thyroid, diabetes, rheumatoid, abstain from alcohol, avoid heavy metals or insecticide exposure, etc).
Very few options exist to help nerves heal (daily b complex vitamin has some merit), and most treatments simply help control symptoms.

In brief: Treat the cause

If you are fortunate enough to know the cause of your neuropathy, the best treatment is to treat the underlying cause (control thyroid, diabetes, rheumatoid, abstain from alcohol, avoid heavy metals or insecticide exposure, etc).
Very few options exist to help nerves heal (daily b complex vitamin has some merit), and most treatments simply help control symptoms.
Dr. Michele Arnold
Dr. Michele Arnold
Thank
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