16 doctors weighed in:

What test need to be run for a neuropathy diagnosis and can it be cured and is there a better drug than neurotin?

16 doctors weighed in
Dr. James Cunnar
Family Medicine
11 doctors agree

In brief: EMG-NCV

Electromyography with nerve conduction velocities is a common way of diagnosing neuropathy (specifically peripheral neuropathy).
There are a number of other medicines besides neurontin, such as lyrica, (pregabalin) Cymbalta and the tricyclic class. Hope you feel better. Soon.

In brief: EMG-NCV

Electromyography with nerve conduction velocities is a common way of diagnosing neuropathy (specifically peripheral neuropathy).
There are a number of other medicines besides neurontin, such as lyrica, (pregabalin) Cymbalta and the tricyclic class. Hope you feel better. Soon.
Dr. James Cunnar
Dr. James Cunnar
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1 comment
Dr. Sahba Ferdowsi
Great response. Wishing you'all the very best.
Dr. Michio Abe
Internal Medicine
9 doctors agree

In brief: Many drugs!

There are many treatment adjuncts and alternatives to Neurontin for neuropathic pain, including tricyclic antidepressants like amitriptylin, snri antidepressants like cymbalta, and topical anesthetics like Lidoderm patches.
Lyrica (pregabalin) is related to neurontin, but more potent, faster and more bioavailable. May want to be switched to Lyrica (pregabalin) if Neurontin titrated up to 3600mg/day without adequate relief.

In brief: Many drugs!

There are many treatment adjuncts and alternatives to Neurontin for neuropathic pain, including tricyclic antidepressants like amitriptylin, snri antidepressants like cymbalta, and topical anesthetics like Lidoderm patches.
Lyrica (pregabalin) is related to neurontin, but more potent, faster and more bioavailable. May want to be switched to Lyrica (pregabalin) if Neurontin titrated up to 3600mg/day without adequate relief.
Dr. Michio Abe
Dr. Michio Abe
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Dr. Michio Abe
Internal Medicine
4 doctors agree

In brief: Neuropathy

There are many different forms of neuropathy, including peripheral polyneuropathy, which is commonly due to diabetes, prediabetes or B12 deficiency.
The diagnosis of peripheral neuropathy can be made based on clinical exam by a physician, typically using a tuning fork (i do this all the time on patients' toes) or a 10 gram monofilament. Nerve conduction test can be done in difficult cases.

In brief: Neuropathy

There are many different forms of neuropathy, including peripheral polyneuropathy, which is commonly due to diabetes, prediabetes or B12 deficiency.
The diagnosis of peripheral neuropathy can be made based on clinical exam by a physician, typically using a tuning fork (i do this all the time on patients' toes) or a 10 gram monofilament. Nerve conduction test can be done in difficult cases.
Dr. Michio Abe
Dr. Michio Abe
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Dr. Gurmukh Singh
Pathology
3 doctors agree

In brief: Depends on cause

Emg and ncv may establish the presence of neuropathy but not reveal the cause which are many fold.
Neurontin (gabapentin) helps with the pain. Cure would depend on the cause of neuropathy that may be vitamin deficiency, lead or arsenic poison, diabeters, alcohol, leprosy etc.

In brief: Depends on cause

Emg and ncv may establish the presence of neuropathy but not reveal the cause which are many fold.
Neurontin (gabapentin) helps with the pain. Cure would depend on the cause of neuropathy that may be vitamin deficiency, lead or arsenic poison, diabeters, alcohol, leprosy etc.
Dr. Gurmukh Singh
Dr. Gurmukh Singh
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Dr. Barbara Saracino
Family Medicine
3 doctors agree

In brief: Tests for neuropathy

There are diffent kinds of neuropathy so the first thing that has to be done is to find out what kind you have .
Tests labwork including vitamin B12 b6 Folic Acid thyroid testing muscle enzymes testing calcium magenisum and potassium complete metabolic including A1c testing the arteries verins and nerves have to be tested by venous and arterial doppler studies and EMG studies to test the nerves.

In brief: Tests for neuropathy

There are diffent kinds of neuropathy so the first thing that has to be done is to find out what kind you have .
Tests labwork including vitamin B12 b6 Folic Acid thyroid testing muscle enzymes testing calcium magenisum and potassium complete metabolic including A1c testing the arteries verins and nerves have to be tested by venous and arterial doppler studies and EMG studies to test the nerves.
Dr. Barbara Saracino
Dr. Barbara Saracino
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