The neuropathic pain Diaries



Neuropathy is a basic term denoting disturbances in the regular functioning of the peripheral nerves. The causes of neuropathy are diverse therefore is the treatment. Many a times, the neuropathy is nearly permanent and the treatment is mainly focused on avoiding additional progression of the nerve damage and other encouraging procedures to prevent any complications due to neuropathy.

Neuropathies due to dietary deficiencies are generally treated with the replenishment of the deficient nutrient. Neuropathies due to deficiency of vitamins like cobalamin, thiamine, pyridoxine, niacin are dealt with by giving the vitamin supplements orally or by intramuscular injection of the vitamin if shortage is due to defective absorption of vitamins from the diet plan. Treatment might or may not entirely reverse the neuropathy and minimize the symptoms and in lots of cases there is some permanent damage to nerves and relentless signs despite treatment.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based on particular cause and the nerve involved. Carpal tunnel syndrome treatment differs from medical methods like NSAID (like Ibuprofen), local injection of steroids in wrist, and preventing aggravating aspects like typing in incorrect positions, use of hand tools etc. Surgical treatment is also an alternative and is most frequently curative if no long-term damage to nerve has currently happened if symptoms not eased by this method. Again, each neuropathy is special and treatment is variable.

The treatment of neuropathies secondary to other illness is the treatment of the main disease triggering the neuropathy. If neuropathy is due to Myxedema, caused by lack of thyroid hormone, then treatment is changing the thyroid hormone. Treatment of Diabetic Neuropathy is generally helpful.

Treatment of neuropathy due to food allergic reaction is avoiding the irritant food item triggering neuropathy. There may be some particular treatment in specific cases, like neuropathy due to isoniazid can generally be prevented by giving pyridoxine along with it.


Numerous a times, the neuropathy is almost permanent and the treatment is mainly focused on avoiding further development of the nerve damage and other supportive steps to prevent any issues due to neuropathy.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based on particular cause and the nerve involved. The treatment of neuropathies secondary to other illness is the treatment of the primary illness causing the neuropathy. Treatment of neuropathy due to food allergic reaction is avoiding the irritant food item triggering neuropathy.

Whatever the initial cause, your nerves reacted with the only survival tool they had: they contracted, they decreased their length and volume to maintain themselves, and the gaps in between the nerves(synapse) were extended. A normal sized nerve signal might no longer jump this gap. Hence nerve impulses, both those going up to the brain and those coming down from the brain were impaired.

Built-in microprocessors procedures several physiological functions of your nerves and instantly adjusts itself to your specific healing needs, starting with the very first healing signal.

When the system is very first turned on, it determines the electrical analog resistance and digital impedance and sets its output parameters for your physical mass. If it is dealing with a 125 lb lady or a 350 pound man, it knows. If you utilize it directly on your lower back, it understands that.

Specialized stimulator then sends a "test" signal that represents the most common waveform for healthy peripheral nerves. This signal goes from one foot, up the leg, to the nerve roots in your lower back, down the other leg, to the other foot. It then waits on an echo-like action from this initial signal.
It then evaluates this 'return" signal to figure out any aberrations.

Just as a cardiologist can take one appearance at the shape of the signal showed on an EKG monitor, and identify exactly what is wrong with the heart, we have actually had the ability to identify that the peripheral nerves have an extremely specific shape to its waveform. We can identify the nature of the issue by analyzing that waveform. This function is constructed into the stimulator and processed by its internal microprocessor.

Abnormalities in the shape of the waveform en route up shows issues with tingling; the shape of the top of the waveform shows the ability of the nerve to deliver the signal enough time for the brain to get it all; irregularities in the down slope of the waveform indicates pain, and the shape of the refractory duration as the nerve cell repolarize's itself indicates the capability of the nerve path to prepare for the next signal.

The device needs to then develop, and send, a compensating waveform, to 'ravel' these abnormalities, very much like the method sound canceling headphones work.

This procedure goes on 7.83 times every 2nd, sending a signal, analyzing the returning signal, producing a compensating signal, and sending this brand-new signal. It is constantly evaluating your reaction, and changing itself, to gently coax your nerve's ability to send out and get proper signals.

These impulses are sent out 7.83 times per second because that is how long it takes for the nerve cell to re-polarize (or reset) itself between its transmission of nerve signals. Minerals like calcium, salt, and potassium need to pass back and forth through the cell wall of the nerves. This is why a common TENS merely obstructs the nerve signals.

The signals, (as they cross the synaptic junctions in the nerve roots of the lower back to obtain from one leg to the other), create a small electromagnetic field that is noticed by the nerves in your main worried system (spine) and a signal is submitted to the brain to let it understand exactly what is taking place in the lumbar area. The brain then releases endorphins, internal painkiller that take a trip by means of the blood stream to all parts of the body. These endorphins temporarily alleviate pain in other parts of the body and assistance raise your state of mind. These endorphin modulated benefits are palliative, and last for about 4 hours, offerring additional welcome remedy for your peripheral neuropathy discomfort.


Whatever the original cause, your nerves reacted with the only survival tool they had: they contracted, they lowered their length and volume to maintain themselves, and the gaps between the nerves(synapse) were stretched. A typical sized nerve signal might no longer leap this space. Specialized stimulator then sends out a "test" signal that represents the most typical waveform for healthy peripheral nerves. These impulses are sent out 7.83 times per second because that is how long it takes for the nerve cell to re-polarize (or reset) itself between its transmission of nerve signals. The signals, (as they cross the synaptic junctions in the nerve roots of the lower back to get from one leg to the other), produce a little electro-magnetic field that is picked up by the nerves in your main nervous system (spine) website and a signal is uploaded to the brain to let it know what is occurring in the back location.

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