How to treat neuropathy

Treating neuropathy means finding and treating the cause, relieving symptoms and preventing injury.

Step 1: find the cause

A doctor examines you and may order blood tests for sugar, HbA1c, B12, thyroid, kidney and liver function. Nerve conduction studies, electromyography and sometimes nerve biopsy or a spinal fluid test are used for some types.

Step 2: treat the cause

• Control diabetes
• Replace B12 or other missing nutrients
• Stop alcohol and any harmful medicines
• Treat infections and autoimmune disease
• Release pinched nerves with splints, injections or surgery

Step 3: manage pain

Medicines such as pregabalin, gabapentin, duloxetine or low-dose amitriptyline, and topical patches or creams, as prescribed.

Step 4: protect and rehabilitate

• Daily foot checks and proper footwear
• Physiotherapy for strength and balance
• Occupational therapy for hand function
• Fall prevention

Step 5: regular follow-up

Check blood sugar, B12 and nerve function as advised.

Where Ayurveda fits

Some therapies may offer comfort, but they should not replace medical care.

Emergency (112 or 102): rapidly rising weakness, trouble breathing or swallowing, or loss of bladder control.

Remember

Nerves heal slowly. Early treatment of the cause gives the best outcome.

When to get help

See a doctor if you have numbness, tingling, burning pain or weakness that lasts more than a few days, especially with diabetes. Avoid long self-medication and unknown herbal products, and do not use oils, herbs or home remedies on infants or young children without a paediatrician's advice. In an emergency call 112 or 102.