How to treat peripheral neuropathy at Nghe An Rehabilitation Hospital

Thanh Hien June 30, 2020 16:36

(Baonghean.vn) - Peripheral neuropathy is a disease caused by damage to the peripheral nerves. If not treated promptly, the patient may lose sensation, experience pain, numbness, and even prolonged damage that can cause muscle atrophy... For treatment, Nghe An Rehabilitation Hospital has many effective methods.

What is peripheral neuropathy?

Peripheral neuropathy is a disease caused by damage to the peripheral nerves. The disease disrupts the process of exchanging information between the brain and muscles, skin, and internal organs, causing symptoms such as pain or numbness.

There are currently more than 100 types of peripheral neuropathy identified. All have their own characteristic symptoms, development patterns, and prognosis.

Peripheral neuropathy phenomena. Illustration photo
For peripheral neuropathy, clinical manifestations depend on the type of nerve fibers damaged. Most peripheral neuropathies affect sensory fibers more than motor fibers.

Common symptoms in people with peripheral neuropathy include: Sensory disturbances, people with peripheral neuropathy will have abnormal sensations, loss of sensation, pain, numbness, tingling, burning, muscle weakness. These symptoms often begin slowly. In some people, symptoms may be mild or unnoticeable. In many cases, patients have severe, persistent symptoms, especially at night.

Muscle problems and peripheral nerve damage also cause motor impairment, including weakness of the muscles innervated by the nerve. Notably, severe, long-term nerve damage can cause muscle atrophy. The patient will have difficulty performing simple tasks such as buttoning a shirt... Loss of tendon reflexes typically occurs before the onset of motor weakness.

Autonomic dysfunction, symptoms of autonomic dysfunction include postural hypotension and syncope. Patients may have orthostatic hypotension, absent or inappropriate increase in heart rate, heat intolerance due to sweating disorders, bladder and bowel dysfunction, and erectile dysfunction in men.

Bệnh nhân đang điều trị đau thần kinh ngoại biên ở Bệnh viện PHCN Nghệ An
A patient is being treated for peripheral neuropathy at Nghe An Rehabilitation Hospital. Photo: Duc Anh
There are many causes of peripheral neuropathy. The main causes include direct trauma and pressure on the nerves in people who have to wear a cast or use crutches for a long time, jobs that require long periods of time in one position such as typing, or people with bone tumors. Inflammation includes lupus, Sjogren's syndrome, polyarteritis nodosa, polyneuropathy. Metabolic causes, typically in patients with diabetes. In addition, there are other causes such as people with HIV, AIDS, alcoholics, some genetic diseases, vitamin deficiencies, diseases such as autoimmune diseases, liver disease, kidney disease and hypothyroidism, exposure to certain toxins and drugs, especially cancer drugs, family history of neuropathy.

Peripheral neuropathy, if not treated promptly and properly, can cause complications such as skin damage (due to loss of sensation). Infections, especially in areas of skin with severe loss of sensation. Falls (due to muscle weakness and loss of sensation can cause loss of balance leading to falls).

Treatment methods

At Nghe An Rehabilitation Hospital, the number of patients hospitalized due to peripheral neuropathy is increasing. Mr. Nguyen Van Hiep (Nghia Xuan - Quy Hop), 65 years old, said: “When I first woke up, my legs and arms could not move, especially in the cold winter, my joints were numb, painful, and itchy in my arms and legs. This feeling often started in my toes and feet, causing loss of sensation in my legs and arms. Sometimes I could not feel the heat or cold when touching objects. There were times when it was severe, leading to swollen, red joints, causing pain and discomfort, greatly affecting my daily life and work. After 1 week of treatment at Nghe An Rehabilitation Hospital, my joints in my legs and arms were softer, no longer itchy and tingling in the morning. My limbs moved more easily.”

Having a motorbike accident, she had to wear a cast on her leg for more than 2 months. After the cast was removed, her toe joints could not move because of the long-term cast. Due to lack of exercise, her leg muscles became weak, with muscle atrophy and numbness, making it very difficult to walk. To recover, she chose Nghe An Rehabilitation Hospital for physical therapy. After only a short time, her toes and leg joints moved more easily, and the feeling of numbness gradually decreased.

Patient Hoang Thi Nga (Dien Hanh commune, Dien Chau district)

Điều trị bệnh
Treatment of peripheral neuropathy at Nghe An Rehabilitation Hospital. Photo: Duc Anh

In general, patients need to combine medication and physical therapy for rehabilitation, which is the most effective treatment for peripheral neuropathy. However, peripheral neuropathy treatment is very complicated, so patients need to follow the doctor's treatment regimen to achieve effectiveness.

Professor Dr. Cao Minh Chau - Head of the Department of Rehabilitation, Hanoi Medical University - Director of the Rehabilitation Center, Bach Mai Hospital, Vice President of the Vietnam Rehabilitation Association - the person who directly supports the transfer of techniques to Nghe An Rehabilitation Hospital.

Ms. Thai Thi Xuan - Director of Nghe An Rehabilitation Hospital said: To effectively treat peripheral neuropathy, first of all, it is necessary to determine the cause of the disease to develop a suitable treatment regimen for each patient. In the past, the Hospital has applied physical therapy methods such as acupuncture, massage, physiotherapy and exercise. This is one of the very good methods for patients with peripheral neuropathy... without leaving sequelae, painless treatment and especially without having to take medication.

In addition, surgery or nerve blockade is possible, this method is mainly used for patients with severe spinal cord injuries. Or when the above treatment methods are not effective, surgery is required.

To prevent peripheral neuropathy, good control of underlying diseases and lifestyle changes are the two most important ways to prevent it. Good control of blood sugar. For diabetic patients, good foot care is needed to avoid complications. Stop smoking and drinking alcohol. Eat a balanced, nutritious diet. Exercise regularly.

For advice on comprehensive rehabilitation methods, please contact the Science and Technology Council - Nghe An Rehabilitation Hospital immediately:

With the spirit of "All for patient satisfaction", "Where patients place their trust";

The first "Green - Clean - Beautiful Hospital - Hotel" model in Nghe An.

Address: No. 220, Binh Minh Street, Cua Lo Town, Nghe An Province.

Clinic Phone: 02383.922.922

24/7 hotline: 02383.922.922

Hotline: 0966.251.414; 0912.002.210

Director's phone number: 0912.487.568.

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