Sharply pronounced neuropathy. Symptoms and methods of neuropathy treatment and what is it? Methods of laboratory diagnostics

Among the many neuropathies are isolated dysmetabolic, intoxication (endogenous - with diabetes, renal, hepatic insufficiency, paranoplastic; exogenous - alcoholic, professional harm), infectious, immuno-allergic, vascular and ischemic, thermal neuropathy.

The cause of neuropathies

The dominant role of the nervous system in the life support of the body as a whole is well known. At the same time, under the influence of various factors, both the central and peripheral nervous system is often damaged, which is manifested by impaired metabolicism and the structure of neurons and their processes, for which axonal degeneration, segmental demyelinization and a typical reaction to the intersection of the nerve with Valerian reincarnation. Due to the metabolism disorder in neuron, either axonopathy with the decay of the axonal cylinder, or myelinopathy with a segmental or diffuse disorder of myelin shell without damage to axons and then neuropathy is developing. First of all, it develops in distal sites of axons and dendrites. The clinical picture at the same time is manifested by impaired sensitivity in the distal limbs in the form of "gloves" or "socks", a decrease or loss of deep reflexes, weakness in the brushes and footsteps. Characterized electronicimiographic changes in neuropathy with a violation of the amplitude of the M-reply, disorders of the rate of the pulse, partial blockade. When the injury of the nerve (especially its intersection), the function of motor and sensitive neurons with the development of the paralysis of the corresponding non-neuropoma and anesthesia in the unreliable is dropped.

When endogenous (in cases of diabetes, chronic renal failure) or exogenous intoxication, the function of those neurons that have the longest processes (motorway axons, dendrites of sensitive neurons of spinal ganglia) are violated). It is clinically manifested by paresium and / or impaired sensitivity in the distal limbs.

Another mechanism for the damage to peripheral nerves and the occurrence of neuropathy is a compression-ischemic. It occurs on any area along the fibers of the neurons of the spinal cord, the spinal ganglia: the spinal root, the plexus, peripheral nerve. It usually occurs in certain "narrow" places denoted by the tunnels: spasmned muscles, tendon-bone canals, fascia - through which nervous structures pass and feed them vessels. Pathological processes are more limited (than with polynenevropathies), neuron bodies are usually preserved in the spinal cord area, spinal ganglia, which allows to provide the regeneration of axons and dendrites with the regression of clinical manifestations. Therefore, therapeutic measures should include the entire gamma of pathogenetically reasonable neuropathy therapy, in particular neuroprotectors.

Symptoms of neuropathy

At the initial stages of the defeat of nerves in neuropathy, often the main clinical manifestation is as a sign of irritation of sensitive fibers. Reduced sensitivity occurs later - as a symptom of turning off the sensitive neuron function. Ancient figuratively called the pain of "watchdogs of health." In its formation, a large range of neurons, both nociceptive and antinocirtable systems and a limbic bark of the brain, where emotions and sensations are formed. Pain sensations differ depending on the zone of neurons irritation. With damage to receptor structures in the skin, periosite, ligaments, muscles, internal organs, pain is locally limited. Irritation of dendrites of sensitive neurons along the nerve, plexus or spinal roof is characterized by irradiation of acute pain (as an electric current, cutting, shooting, lancing, stitching) in the innervation zone of tissues (dermatut, dermatoneneuroid). Such pains can be eliminated by the blockades of anesthetics in the receptor zone or by the nerve, the spinal root, which was discussed above. It is more difficult to treat pain in the damage to conducting spinal cord systems (conduction pains) and thalamus, cortex of the brain - the cortical end of the sensitive analyzer, as well as psychogenic pain. It is also difficult to eliminate vegetalgia and reflected pain in the pathology of the internal organs.

The clinical picture of neuropathy can develop sharply, subaclate or chronically. Men and women are equally sick, the difference in a certain extent depends on occupational harm. The provoking point often serve supercooling, excessive physical activity, long stay in a forced inconvenient position, acute somatic disease, long malnutrition.

Diagnostic and examination methods

Diagnosis is carried out according to the history of the anamnesis, a detailed study of neurological status, the determination of clinical syndrome, knowledge of the topical diagnosis of neuropathy. Among additional diagnostic techniques are used:

electroneuromyography (ENMG), which allows you to determine the place and degree of lesion (spine, spinal nerve, peripheral nerve, motor and sensitive neurons), as well as the option of preferential lesion - axonal or demyelinating;
x-ray, CT, MRI studies - assessing the pathology of bone structures, spinal cord (degenerative spine damage, vascular, tumor, demyelinizing processes). At the same time, myelography and selective spinal (assessment of lesions of the arteries and veins of the lumbar-sacrive department may be useful;
lumbal puncture with a resection of the spinal fluid, which allows diagnosing tumor, tuberculosis, syphilitic and other processes.

The achievements of recent decades have fundamentally affected the accuracy of diagnosis and the quality of patient treatment. It means immunological techniques to include in therapeutic complexes of contemporary drugs of organospecific effects and evaluate the level of antibodies to the main protein of myelin, determining the antibodies to the nerve growth factor.

Treatment of neuropathy

Of course, therapeutic measures are based on the knowledge of etiology and pathogenesis of diagnosed neuropathy, taking into account the leading symptoms and signs, the phases of the disease (exacerbation or remission), on combining competing and corresponding pathological conditions, including psycho-emotional status. The priority tasks are in the relief of pain syndrome, the leveling of pathogenesis factors, ensuring the previous level of motor and social activity of the patient. Often, there is often a bedding and multifaceted pharmacotherapy (non-nucleic analgesics, anti-inflammatory and anti-eased agents, local anesthesia, distracting and irritating drugs, funds that activate the organism metabolism both as a whole and by addressing the definite type of metabolism). At the stage of recovery, physiotherapeutic procedures are carefully added ,. The presence of pronounced (clinically significant) autoimmune processes accompanying these diseases causes the use of a short glucocorticoid course. However, it should be emphasized by the inadmissibility of a simultaneous reception of drugs from neuropathy ("One Zhmanka"), since this leads to uncontrollable chemical reactions and there is no chance of a programmed course of the therapeutic effect from each drug. The sequence is necessary in the reception of individual drugs, taking into account their pharmacokinetics and bioavailability.

Impacts in neuropathy on the receptor apparatus of dendrites of sensitive neurons are widely used: it is local or conductive anesthesia, intraoskoye, endoommal, endosacral epidural administration of painkillers, electrostimulation reflex anesthesia, along with electrophoresis of pharmacological preparations. Angicoprotectors, spasmolitics, neuroprotectors, adaptogens, antioxidants, immunomodulators, vitamins, provitamins, coenzymes, and drugs that improve trophic cartilage and junction fabric are used very actively.

Disability and disability in neuropathy

Examination of the temporal disability and disability of patients with compression-ischemic neuropathies (tunnel syndromes) in special literature is practically not covered. At the same time, clinical experience, these neuropathy literature indicate that the prevailing majority of patients with tunnel symptoms are developing into the most active working period and often against the highest professional performance. It is overloading of some muscle groups associated with the profession (musicians, painters, collectors of apparatus, stenographic, milking), or cause for the first time tunneling neuropathy, or provoke it in the remission. Therefore, practically with each patient, the doctor has to weighing expert issues, especially in persons with compression-ischemic lesions of the nerves of the hands.

The working capacity of patients with tunnel syndromes may be reduced at different stages of the disease. In the persistent symptoms of neuropathy are pain and paresthesia. Their nightness often leads to a breakdown of sleep and severe neurotic disorders. Therefore, in the III stages of neuropathy, patients need treatment courses with temporary exemption from work, in which muscles relating to the affected tunnel are actively involved. Providing the rest of the limb 5-6 days with adequate conservative treatment with local injections of hydrocortisone and other means allows you to at least temporarily eliminate the manifestations of tunnel syndrome.

If neuropathy does not have a direct connection with professional load, then the sick leave is issued in cases of frequent night-in attacks of paresthesia and (or) pain, largely disturbing sleep. In this stage of tunnel syndrome, patients's workability can be disrupted under the conditions of load increases on the appropriate limb (for example, during the seasonal nature of the work, overtime, during the mastery of additional professional skills). In this situation, it is necessary to translate the patient to work that is not associated with the overvoltage of the corresponding muscles.

To diagnose neuropathies in this stage of the disease, all known tests are used that provoke paresthesias, pain. If a person complains about pronounced attacks of Acroparetse, spontaneously emerging at night or during work, and provoking paresthesia tests give negative results, there is a reason to think about a significant exaggeration of the symptoms of the disease. In such cases, the verification of the initial symptoms of neuropathy can be carried out using electroneuriography. Already in the early stages of tunnel syndromes, there is often an increase in time and slowing the speed of the pulse over fibers, changing the configuration and amplitude of the nerve action potential, elongation of the latent period of the M-reply.

In the stages of pronounced symptoms and persistent signs of neuropathy, patients are exempt from work and undergo treatment in neurological hospital. The period of stay in the hospital is very variable, depend on the peculiarities of pathogenesis, localization and depth of the damage to the nervous barrel, as well as on the method of treatment. In the presence of a reflex or root concomitant syndrome, the duration of staying in the hospital during neuropathy can be designed up to 45 days. For example, with sponilogenic staircase syndrome, the middle bed and day was 21.5 days, and with spondylogenic pear muscle syndrome - 37.8 days.

After the elimination of paresthesia and pain in neuropathy, the disability of the patient is largely determined by the labor regime and the profession. If the patient returns to the previous work with a significant load on the muscles belonging to the pathogenic tunnel, then it is subject to longer treatment in the rehabilitation department of the hospital, in a clinic or in a sanatorium-pretention at an industrial enterprise. In the subsequent patients with the recurrent flow of neuropathy are sent to WCC.

Resistant disability in neuropathy in patients with tunnel syndromes is rare and is due to several factors: the severity of clinical manifestations in the residual stage, the frequency of recurrences, the nature of the flow, the working conditions in this profession. Such patients should be advised to advise the trademarkologists to resolve the issue of recognition by the resistant disability associated with the professional disease.

When establishing disability of the III group in neuropathy, it is necessary to translate the patient with the opposed work to the other in the same profession, but with a decrease in qualifications or a significant change in working conditions and, accordingly, a decrease in wages. VTEK experts recommend the patient with the most suitable work for him.

The basis for determining the II group of disability in neuropathy serves long and pronounced disorders of the function of large nerves of limbs or plexuses, the small effectiveness of treatment in the conditions of a neurological or neurosurgical hospital (after 4 months of treatment), as well as after surgery in such patients. With a good course of the postoperative period in a year, the patient can be rehabilitated to be significantly rehabilitated, and it is transferred to the III group or employed through WCC.

Prevention of neuropathies

The prevention of compression and ischemic neuropathies is very promising. Ways of prevention of many tunnel syndromes are diverse:

the correct organization of the labor regime with the optimal limitation of the duration of labor associated with long-term load, stereotypical movements. It is necessary to organize work so that intensive work with the participation of alone muscles is replaced by switching to other muscles. Pregnant women are not recommended for a long laundry laundry, sew or knitting;
mechanization of labor processes. A successfully developing robotics, first of all, should replace a person performing labor with stereotypical hands. The introduction of cows to the animal husbandry of the cows facilitated the labor of the milk and led to a decrease in the frequency of the disease of the cranky channel syndrome;
the correct treatment of bone injuries, if near the fracture place is a vascular-nerving beam (for example, when a fracture of the middle third of the shoulder, the bones of the ray-tailed joint, the mulobor bone and the bones of the foot);
proper professional orientation. In the presence of bone anomalies in the form of an additional cervical rib, a high first edge, relatively small brush sizes with a narrow custodulum;
timely and persistent treatment of deforming polyarthritis, endocrine dysfunctions (diabetes, acromegaly, mixedmala, climacteries) to reduce the risk of developing tunnel syndrome during its premium (hereditary or professional).

Holding all these preventive measures will reduce the number of diseases of neuropathy and tunnel sides.

The article has prepared and edited: a surgeon doctor

Neuropathy is a neurological disease. The neuropathy of the lower extremities is manifested as a violation of the transmission of nerve pulses in the lower limbs. Neuropathy syndrome leads to destabilization of the work of various organs, including the lower limbs of a person.

Causes of the disease

When conducting various medical research, it was found that neuropathy has the following series of causes:

heredity (the presence of near or distant relatives of nervous psychological diseases);
unfavorable extension conditions of the fetus (infectious and viral diseases of the mother, inxication of the mother of the mother of harmful substances, the somatic diseases of the mother);
the heavy process of childbirth in a woman (asphyxia of a baby can provoke the neuropathy of a trigeminal nerve);
frequent cold baby diseases;
baby cranic and brain injuries in the first year of life;
diseases acquired throughout life;
alcoholism;
the effect of certain drugs (antitumor and antibiotics).

Diseases acquired for life include:

diabetes mellitus (as a result of which diabetic neuropathy develops);
avitaminosis;
infectious diseases (including AIDS);
amyloidosis;
uremia;
rheumatoid arthritis;
system red lupus;
various injuries and tumors.

Neuropathy in children

Children's neuropathy manifests itself pretty early. Breast-of-age, the baby may show the first signs of the presence of the disease. Little children suffering from neuropathy are always restless, sleep well, often wake up and twitch in a dream.

More adult children suffering from neuropathy, differ markedly from their peers excessive pallor, lethargy, lack of appetite, fast fatigue. Very often, the neuropathy among schoolchildren is expressed by the instability of a psycho - emotional state. The child often changes the mood, its noticeable modesty can sharply replace the excessive aggression. Quite often, the process of growth and development along with the right parent education contributes to the smoothing of the symptoms of neuropathy

The main signs and symptoms of the development of the neuropathy of the lower extremities

The manifestation of the first signs of the neuropathy of the legs directly depends on what nerve was damaged. In cases of damage to the sensory nerve fibers, the patient begins to feel numbness or reduced sensitivity in the legs, and sometimes there is a feeling of tingling or compresses. In case of damage to motor nerves, excessive weakness in the muscles appears, which over time is accompanied by convulsions or atrophy. The defeat of vegetative nerve fibers provokes excessive dry skin of the lower extremities, which is fraught with the development of various suppuration. All this over time leads to severe healing of wounds and gradual dieting skin.

Burning pain and numbness in limbs include the main symptoms of the disease, while the swelling, spasms, partial paralysis, the feeling of "goosebumps", the problematic of movement is considered to be accompanying neuropathy symptoms.

Varieties of the neuropathy of the lower extremities

The so-called neuropathy of the legs is divided into varieties:

neuropathy of a smallcoma nerve;
neuropathy of the Target Nerva;
sensory neuropathy.

The neuropathy of a smallcoma nerve is characterized by pinching the nerve endings in the outer part of the knee joint. The main reasons for the occurrence of the disease include injuries and anatomical features of the structure of the knee joint.

The neuropathy of the tibial nerve is accompanied by a violation of the functioning of the rear surface of the lower leg, the soles, the plantar surface of the fingers, as well as complete or partial atrophy of the back of the leg muscles.

The sensory neuropathy of the lower extremities is characterized by a complete or partial loss of sensitivity.

Methods of diagnosis and treatment of foot neuropathy

Timely diagnosis and elimination of the underlying disease - the most important factors for the successful treatment of the neuropathy of the lower limbs.

At the beginning of the process of treating the disease, the doctor must be found to find the main reason that caused disorders of the nervous system. For this, doctors carefully study all signs of neuropathy in a patient in order to exclude among them other diseases. In the process of studying the symptoms of neuropathy, the doctor conducts an outdoor inspection, finds out the genetic predisposition of the disease, checks the state of the patient's reaction.

Methods of diagnosis of neuropathy

To diagnose neuropathy in modern medicine, the following methods are used:

palpation of affected areas;
x-ray;
biopsy of nervous fiber;
research of the organism reflexes;
cerebrospinal fluid studies;

Based on the analyzes, the main cause of the neuropathy of the lower extremities is established.

Medical treatment of the neuropathy of the lower extremities

The most effective treatment of neuropathy is to combine medication and physiotherapy treatment. The primary task of the doctor in the treatment process is the elimination of the root causes of the disease. Namely, if neuropathy arose against the background of intoxication - it is necessary to carry out a complete cleaning of the body, as a result of avitaminosis - you need to resume full-fledged nutrition of the patient, etc. The main drug therapy of the low limb neuropathy consists of neurotropic, painkillers and vitamin preparations. Anesthetic medicines are prescribed in cases of strong pain.

Physiotherapeutic Treatment of Foot Neuropathy

Physiotherapeutic procedures have been widely used in the process of treating the neuropathy of the lower extremities. In neuropathy use:

magnetic therapy;
electrostimulation;
massages;
reflexotherapy;

In the process of treating the patient, it is important to carefully perform all prescriptions of the doctor and constantly inspect the affected limbs for cracks, cuts and wounds. In cases of detection of skin damage, the leg will need maximum peace. For this purpose, crutches or special unloading shoes are used, and damage is processed by antiseptics.

The success of neuropathy treatment primarily depends on the main reason for the development of the disease. If neuropathy was provoked by the development of another disease, the result will be successful. And if there is a genetic predisposition to neuropathy, it is not rapid and successful recovery. In such cases, the disease is poorly treatable and proceeds in more complex forms. Despite this, doctors constantly talk about what should be carefully referred to their health, to lead the right way of life and to contact the doctors in a timely manner.

Peripheral Neuropathy - Treatment and Restoration

Injury or illness can hit any part of the nerve fibers of our body. There is a classification of neuropathy, the creators of which focused on the type and location of the damaged nerve.

Types of nervous disorder

Peripheral neuropathy. Mechanical damage or disease amazes the nerves of the peripheral nervous system, that is, that part of the nervous tissue, which is located outside the head and spinal cord. Neuropathy of this type is localized at the tips of the fingers and legs, feet and palms.
Proximal neuropathy. Pathology is characterized by painful sensations focused in the field of hips and buttocks.
Cranial neuropathy. This kind of pathology occurs on the soil of dysfunction of any one of 12 pairs of the cranial brain nerves, which come directly from the brain. Cranial neuropathy is divided into visual and auditory. The visual neuropathy say when the visual nerve is damaged, the auditory neuropathy arises when the hearing nerve suffered.
Autonomous neuropathy occurs when a vegetative nervous system was injured as a result of injury or illness, under which the activities of the heart muscle, blood flow, digestive activity, bladder function and intestinal peristalistic, sweating and sexual sphere are found.
Local neuropathy, the symptoms of which are manifested unexpectedly, develops, as a rule, on one, defined, body section.

Why neuropathy arises

The primary sources of pathology are numerous factors. Among them are various diseases, injuries, infectious lesions and even hypo-and. List some of them:

. On the soil of this systemic disease, the peripheral damage of the nerve fibers is developing, which is still called diabetic neuropathy. In people with an increased level of blood sugar, the risk of encountering this pathology increases with age and duration of the disease. Most often, people suffer that hardly control the course of diabetes, unsuccessfully try to lose weight, have a high level of blood lipids and high blood pressure.
Violation of the integrity of nerve fibers can be caused by vitamin B12 deficiency and in the body.
The beginning of neuropathy often becomes rheumatoid arthritis, systemic red lupus and other autoimmune diseases.
The defeat of the nerves can be provoked by some infections. Among them is HIV and AIDS, syphilis, Lyme disease.
In particularly severe cases, it gives rise to post-ageretical neuropathy.
It is not difficult to guess what can serve as the beginning of alcohol neuropathy.
Pathological damage to nerves contributes to urams - a disease in which a large number of livelihood products accumulates due to renal failure.
Neuropathy can cause toxic and poisonous substances. For health, gold, arsenic, mercury, lead, synthetic solvents, nitrogen oxide, phosphates are highly dangerous.
Some antibacterial agents and drugs that are treating oncological diseases have a destructive effect on neurons.
Mechanical injury, long-term squeezing of the nerve, tumor, pumping the nerve fibers, lead to the development of neuropathy.
Sometimes the cause of nerve damage cannot be installed. Such neuropathy is called idiopathic.

Signs of pathology

All types of neuropathy, regardless of the cause, have a number of general specific features. The intensity of the manifestation of pathology in different people may noticeably vary:

with peripheral neuropathy loses sensitivity, the area of \u200b\u200bthe foot or palm does not lose. Tingling and pain can spread from the legs / hands towards the body. Numbness interferes with the patient to determine the position of the joint, which is why falls. Sometimes high sensitivity to contacts is developing;
low sensitivity at the feet is caused by the inattentive attitude towards wounds, and other damage. It threatens the penetration of infection in the deeper layers of the skin, and then into soft fabrics with bones. In history, cases of limbs amputation were recorded due to not cured microtramen;
under the defeat of the nerves responsible for the motor functions, the general weakness appear, the loss of reflexes, thinning develops, occur;
, vomiting, dyspepsia;
urinary disorder (urinary incontinence, the feeling of incomplete emptying of the bladder);
men's;
fainting;
constipation and diarrhea;
fuzzy vision;
bad heat tolerance.

Diagnosis of pathology

The necessary studies are prescribed on the basis of the initial symptoms of neuropathy. To confirm the disorder of the nervous system, tests are carried out:

Electromyography. With the help of a thin needle entered into the muscle, the electrode is installed how active muscle fibers are active.
Test for the rate of pulse over nervous fibers. Special sensors equipped with electrodes are attached to the skin of different parts of the body. Each of the sensors produces a weak electrical impulse that affects the nearest nerve. The electrical activity of the nerves indicates the rate of transmission of the pulse between the electrodes of the sensors.

In some cases, it is resorted to the biopsy of the nervous fiber: a small portion of the tissue of nerve fibers is studied under a microscope. The subject of the study, as a rule, becomes part of the ionic nerve fibers or nervous tissue on the wrist.

Drug therapy pathology

Pathology therapy begins, first of all, with the elimination of the root cause of the disease. For example, the treatment of diabetes, infectious diseases, avitaminosis can significantly improve the patient's condition, which has encountered neuropathy.

Treatment of different types of neuropathy symptomatic. It is good to all known anesthetics of type drugs do not give proper effect when it comes to damage to the nervous tissue. To drugs that are able to facilitate the suffering of the patient in neuropathy include:

antidepressants (amitriptyline, paroxetine, etc.);
anticonvulsant preparations (carbamazepine, pregabalin);
opiates (tramadol, oxycodon);
topic drugs (capsaicine cream, lidocaine plaster).

Folk remedies for neuropathy treatment

MirSets reminds that all folk recipes patient must be previously discussed with the attending physician.

This is a simple, but very effective way to accommodate pain in peripheral neuropathy. 3 times a day with bare feet trample on the leaves of fresh nettle 15-20 minutes.

Make a mixture of leaves, dyeing and souls. Each grass take 100 g and pour 3 l boiling water raw materials, insist for an hour. Then immerse the affected part of the body into this bath for 15-20 minutes.

Even if at home will not be the right herbs, you can simply hold sick legs in warm water, and then smear the feet of the cream, which includes a bee poison.

Perfectly eliminates pain in the feet of lemon peel, painted in olive oil. Bring the "medicine" to the feet, put on warm socks and leave for the night.

Whether neuropathy is possible

If possible, it is necessary to avoid complications of diseases capable of causing the development of neuropathy. With diabetes mellitus, for example, you need to regularly monitor the level, not allowing it to a critical level. This will help to avoid the appearance of diabetic neuropathy. The same applies to nervous disorder, which develops on the basis of incorrect or insufficient nutrition, alcohol abuse. Genetic and hereditary disorders of the nervous system prevent, unfortunately, it is impossible.

Peripheral neuropathy is a diagnosis that is installed in damage to the nerves responsible for the transfer of the central nervous system of muscles, skin or various organs. The first symptoms of this pathology are tickling or tingling in soles or fingers. Then the signs of neuropathy are moving to feet and hands. Usually, the disease covers at the same time all limbs, but most inconvenience brings neuropathy of the lower extremities. The sensations described can be either constant, or periodic manifestations.

In some cases, irritation of the limbs causes a person to worry, and in other symptoms do not manifest themselves. If signs neuropathy lower extremities pronounced, unpleasant sensations can cause a sick desire to avoid movement. In such cases, a person may limit its socialization, which leads to anxiety and depression.

Neuropathy can affect the nerves of different types. Experts allocate the following types of disease: motor, sensory, vegetative. In some cases, pathology affects two or all three types of nerve fibers. If the doctor highlights the defeat of some kinds of nerves as the main problem, the diagnosis is established indicating the type of predominant neuropathy (motor neuropathy).

The damage to the disease of one nervous trunk is called mononereyropathy. If the problem has spread, accompanied by paralysis with the lack of opportunity to move the limb and feel the realities of the external impact on the touch, such a state is called polyneuropathy. The state of polyneuropathy is first expressed in numbness of feet feet and hands. But then covers an increasing area of \u200b\u200bthe body, approaching the body (if the treatment is not carried out). Experts allocate hereditary and acquired peripheral neuropathy.

With the damage to the nerve trunks, the motor function is disturbed, sensitivity is lost. For motor neuropathy, experts include hyena-bar syndrome, demyelinizing neuropathy. Motor multifocal neuropathy affects legs. Symptoms of the disease appears more in the middle of the shin. The classification of the disease is carried out with the reason for its development. Post-traumatic neuropathy is accompanied by damage to nerves roots against the background of mechanical injury.

Symptoms of peripheral neuropathy of the lower extremities:

violation of the sensitivity of the limbs;
deviations and restrictions in the work of muscles and organs;
numbness;
redness;
swelling;
tingling;
lack of reaction to pain or temperature;
reinforced sensitivity to weak irritation, for example, tick;
burning;
spasms;
strong pain;
tingling;
muscle atrophy or inability to take advantage of muscle potential;
loss of reflexes;
notable changes in movements when walking: loss of equilibrium, stubbiness, fall;
more frequent emptying of the bladder without changes in the diet;
sexual dysfunction in men.

Symptoms can manifest itself comprehensively or partially, therefore, the installation of an accurate diagnosis of "peripheral neuropathy" is a solution quite difficult for a doctor that requires often a complete neurological examination. Tests and tests will help to find out the real sensitivity of nerve endings before the doctor prescribes treatment. If thin nerve fibers are affected, idiopathic neuropathy is developed, which leads to sensory problems.

The mixed form of the disease, experts include tunnel syndrome, which develops against the background of damage to the nerves for external reasons or under endogenous effects. Tunnel neuropathy is accompanied by the appearance of aponeurotic gaps, holes in bundles.

To search for common diseases that may affect the sensitivity of the nerves, blood tests. A similar method can be identified with diabetes mellitus and other malfunctions, avitaminosis, various types of insufficiency, signs of unhealthy activity of the immune system.

In the study of the cerebrospinal fluid, special antibodies can be detected, which appear during neuropathy. A highly specialized tests are designed to help explore the patient for the presence of malignant formations, blood diseases and pathologies of the heart and blood vessels.

The state of motor neurons, convulsive activity (with the relevant complaints) is examined by muscle power tests.

The state of sensory nerves is investigated using tests on the ability to feel vibration, body position, change in temperature, soft touch.

For accuracy of diagnostics, instrumental examinations can be carried out, for example, computer tomography, during which the doctor receives information about the status of organs, muscles and bones of the patient, in particular with suspicious neuropathy. Value has such deviations as changes in bones and vessels, cysts and hernia spine, neoplasms in the brain. Magnetic tomography will provide information on the size of the muscles, the number of adipose tissue, which is substituted with muscle fibers, compression effect on nerve fibers.

Electromyography involves the introduction of the needle to the muscle in order to measure the electrical activity of the muscles in a state of rest and load. This method of research will help to find out: the problem in the state of nerves or pathology struck muscles, which refuse to perform brain teams? At the same time, the study also checked the ability of the nerve to transmit the pulse - for this, the nervous end is stimulated, and researchers expect a response pulse. EMG allows you to get information about the transfer rate and impulse blocking, which is a sign of damage to myelin shell and axonal disorders.

With a biopsy of the nerve from the body of the patient, a sample of nervous tissue is extracted to examine. The biopsy in the diagnosis of peripheral neuropathy is rarely used, since this procedure can provoke subsequent manifestations of neuropathy.

Skin biopsy - while studying the skin sample and nerve endings, which are located in this sample. The method is less traumatic than biopsy, therefore, it is used in the diagnosis of neuropathy more often than the biopsy of the nerve.

To get rid of peripheral neuropathy, you need to find out the causes of the disease and to measure the possibilities of fighting the root cause. This will help remove the symptoms or reduce their manifestation. If neuropathy caused diabetes mellitus, then to combat manifestations of this pathology, it is necessary to stabilize blood sugar levels.

Neuropathy of the lower extremities can develop against the background of receiving some drugs. In this case, the symptoms of the disease disappears after stopping the reception of these medications. Signs of neuropathy can leave independently, if you increase products in the diet with vitamins of the group B or to begin receiving preparations including vitamin B12.

Physiotherapy methods will help make muscles more elastic and improve the flexibility of the joints. To protect the joint and its proper functioning, the physiotherapist may recommend a special tire. Orthopedic devices will improve stability, help train atrophied muscles and at the same time avoid muscle deformations and joints.

Physical activity improves the patient's condition during peripheral neuropathy. Reducing the symptoms of neuropathy contribute to:

learning to relax and feed biological communication;
exercise, in particular walking, yoga;
massages, qualified needlerapy, electrostimulation of nerves, warm baths;
plasmoparez to clear blood from hazardous antibodies to recover from Guienen Barra syndrome;
hospitalization with exacerbation of syndrome - patient must be treated in the hospital to normalize breathing and swallowing. This uses an oxygen mask and intravenous meals;
acceptance of painkillers if the body does not respond to ordinary painkillers, doctors can recommend antidepressants of the type of amigiportine or antispasmodic preparations, for example, gabapeptin;
physical activity - even if you first have to use the cane or crutches and a wheelchair. The dwelling of the patient should establish additional handrails in places where there is a danger of falling - in the bathroom or on the stairs.

If the cause of neuropathy becomes pressure on the nerve, the surgical intervention can solve the problem. For example, to remove the cutting channel syndrome, the wrist muscles cut.

Preventive measures

Neuropathy Prevention:

patients with diabetes should strictly observe the treatment of drugs, diets and give the body a moderate load - this will help to avoid the development of the disease and even contributes to partial recovery with minor nerve damage;
patients with diabetes mellitus people must check the status of the legs every day - with the slightest manifestations of neuropathy decreases the sensitivity of the lower extremities, so minor damage can remain unnoticed and become a gate for penetration into the body of various infections;
eat healthy food - fruits, vegetables, products from whole grain cereals;
take a pre-recommended by the doctor a complex of vitamins;
minimize contacts with poisonous substances - toxic load can provoke neuropathy development;
abandon alcohol or limit its consumption (men - up to 70 g, women - up to 40 g per day).

Pain in the knee joint: why knees are sick, causes of pain

Many people periodically hurt a knee joint. At the same time, they are experiencing new, and sometimes strong painful sensations. Often discomfort appears after sports training or at night, when a person rests.

It is worth noting that pain in the leg may occur not only in the elderly, but in young people and even children.

Why does pain arise in the knee?

The condition of the body, due to which painful sensations appear, can be interrelated or being the consequence of a certain disease. Several types of diseases are distinguished, provoking the appearance of pain in the right or left knee. Thus, the causes of pain in the knee joint can be held in the peculiarities of the structure of the joint, in degenerative or inflammatory pathologies.

This group of diseases include gonarthrosis, which in 50% of cases is the culprit of discomfort in the knee joint. This disease proceeds slowly (for many years). At the initial stage of development, a person experiences unpleasant sensations with any load on the articulation (lifting on the steps, squats).

When a person rests - pain is absent. Pathology is accompanied by a decrease in the mobility of the joint, a crunch, and a feeling of squeezing. With age, hyaline cartilage wear out, and the distance between the bones is reduced, which is why bone osteophytes are formed and squeezing vessels and nerves.

Cysts of meniscus and meniscopathy are another factor responsible for the question why knees are sick. Basically, unpleasant sensations arise only in one joint. Menish's pathology appear due to chronic injury or malicious knee damage.

During the period of exacerbation, the pain sharp and strong, it is pulsing. At the cysts of meniscus and meniscopathy, the deformation of bone tissues does not occur, however, education can cause inflammations of synovial bags or contribute to the development of gonartroz.

In addition, the factors of the occurrence of pain in the knee can be in the presence of arthritis - inflammatory lesions of the joints. This pathology is quite rare, it often develops at a young age.

As a rule, different types of arthritis (reactive, psoriatic, juvenile) is the initial stage provoking the appearance of a polyarthritis of several joints. The specific feature of this type of pathologies is to redide, swelling and increasing the intensity of painful syndrome at night and when changing the weather.

Blood impairment in the knee is another reason responsible for the question why painful sensations appear in the joint. Such a phenomenon is often observed in adolescents. But when the period of puberty ends - the saturation of the pain is reduced.

Basically, such discomfort is not felt on the entire joint area, it focuses in a certain zone. At the same time, the pain increases after exercise or hypothermia and disappears if you have a knee massage.

Tendinitis and Periatritis are factors that cause pain in the knee joint. The unpleasant sensations can appear when lifting the stairs or because of the wearing heavy items. Often, sharp or novel pain is localized under the knee or from its back side.

If the inflammation of the tendons is not treated, then the joints of the articulation appears. When touched the patient feels unpleasant painful sensations.

In addition, sharp pain in the knee may indicate the synvent. For this disease, the presence of inflammation in the synovial shell is characterized. Often, pathology is the consequence of gonartrophosis, bursita or arthritis. There is aseptic and purulent synovit, in which the knee swells and bluses, and its motorcycles are reduced.

Bursit is another disease, because of which the knee can hurt. Its symptom are severe pain in the foot joints. For the disease, an inflammatory process occurring in one or several articular bags is characterized.

Hondropathy of the patella can also provoke the occurrence of uncomfortable sensations in the lower limbs. This pathology, for which the flow of degenerative processes in the cartilage of the patella, because of its necrotization.

Padelniki inflict in the presence of chronic injuries or solar damage. The pain is enhanced with each knee movement, while the characteristic clicks in the joint are heard, and the support becomes almost impossible to it.

Chondromatosis is another reason that answers why articular acute pain occurs. With this disease in the shell of the articular bag, the mass of cartilage nodules is formed. Pathology limits the Movement Motor Opportunities, which leads to immobilization and strong discomfort arising from the pinching of tissues.

In addition, the pain in the knee joint occurs during the osteochondrite of the knee cup. So, the hyaline cartilage peeling from the surface of the joint. Initially, the intensity of painful sensations is insignificant. When the disease progresses - inflammation appears, and the pain is intensified. At the same time, the complete separation of cartilage tissues is happening, which blocks the joint.

Basin's benign and malignant tumors are another cause of discomfort in the legs. In pathology, the formation of education, which squeezes soft tissues.

In addition, painful sensations may be a consequence of diseases of other organs, in which pain is in the knee joint. These diseases include:

Hip joint dysplasia, coxarthrosis. With these diseases, painful sensations are usually applied throughout the leg.
The neuropathy of the sedation nerve arising from the intervertebral hernia of the lumbosacral spine or osteochondrosis. The disease appears in the case of pinching damaged vertebrae of the nervous barrel. At the same time, the pulsing pain often gives the thigh and knee.
Fibromyalgia. With this pathology, painful sensations are often irradized in joints, located near the affected soft tissues.

Moreover, the factors responsible for the question why articular pain appears, may be systemic diseases of the body. Such pathologies include tuberculosis bones. This disease is infectious, it can develop in extractive form and affect bone tissues, as a result of which the articulation is derived, which causes severe pain.

Osteoporosis also refer to systemic violations. In this case, the disease is becoming very fragile. Characteristic features of the disease are subject to bone exposure to fractures, the availability and drawing pain and the appearance of cramps in the leg.

Osteomyelitis is a bacterial disease, in which exhausting pains are increasing during the movement in the bones, muscles and joints. In addition, there is hyperthermia of the skin in the near-hand area and fever.

Even the systemic pathologies that cause discomfort in the knee include red lupus, gout, polyarthritis.

At the same time, certain infectious diseases can also provoke painful sensations in the knees. They develop, if treating diseases with antibiotics (Lyme disease, Reiter syndrome).

Bole varieties

Depending on the symptoms of pain in the knee, you can assume the presence of a matter of or another. Such sharp pain indicates a fracture, breaking of meniscus or bundles, bursite and exacerbation of reactive, rheumatoid or gouty arthritis.

The best pain speaks about the presence of arthritis and gonatroz, and stupid about osteochondritis, chronic synot and bursite. The unpleasant sensations appearing in the process either after exercise, signal the presence of the hondropathy of the knee joint, arthritis, the overload of the joint and arthrosis. Pulsating pain is characteristic of the injury of meniscus and deforming arthrosis.

The discomfort appearing during the bending or extension of the knee testifies to the Hondropathy of the patelter, the tendon break (partial), tend you, bursite and sublifting. Strong pain accompanies millescopathy and gout, and drilling - osteomyelitis of bones.

The tingling pain is characteristic of the solar damage of the meniscus, cyst of synovial bags, osteoporosis and vascular compression. The unpleasant sensations appearing when walking causes osteochondrite, gonarthrosis and a rolled cyst.

In a state of peace, pain can remind himself if a person is sick of gage or arthritis. Periodically, uncomfortable sensations occur during fibromyalgia and inflammation of the tendons of the knee. Reflected pain appear in osteochondrosis, violation of the development of the foot and coxarthrosis, and the sweeping occurs in the case of pinched the nerve trunks.

Diagnostics and first aid

After a medical examination, testing and collection of history to determine exact diagnosis, it is recommended to make such types of surveys:

laboratory (general and biochemical blood tests, bone marrow puncture, testing of the articular fluid, etc.);
invasive (arthroscopy);
instrumental (densitometry, radiography, MRI, CT, ultrasound).

First of all, it is impossible to make sharp movements with your knee, and the load is better to exclude at all. Moreover, regardless of the type of painful sensations in the knee joint, an anesthetic drug must be accepted (naproxen, analgin, ibuprofen).

If the appearance of pain is caused by arthrosis, then hydromassage, warm compresses and anti-inflammatory ointments will help to get rid of them.

After injury, pain will help remove the ice compresses and immobilization of the joint. And abrasions and wounds must be treated with antiseptic solutions.

How to treat pain in the knee?

Artic injuries should be treated with fixing bandages, plastering and bone management. In some cases, a surgical intervention is needed, in which bone fragments are extracted, an open blowout is carried out and the consequences of various damage are eliminated.

During rehabilitation, after removing the gypsum bandage, it is useful to make therapeutic physical education. In addition, the doctor prescribes physiotherapeutic procedures and massage therapy. And the inflammation of the joints is made to be treated:

NSAIDs;
antibiotics;
removing cyst or their blockade;
aspiration of fluid;
imposing a tight dressing.

Treatment of pain in the knee joint with psoriatic and reactive arthritis should be comprehensive. Such therapy includes the use of anti-inflammatory drugs, immunosuppressants, gold and glucocorticosteroids.

And what if a person is sick of deforming arthrosis? In this case, the disease is accepted:

corticosteroids (intra-articular injections);
compresses;
physiotherapeutic procedures;
massage;
gymnastics;
NSAID.

In case of damage to the bones and, in the case of a strong narrowing of the articular slots, it is necessary to make endoprosthetics.

With vascular pains, muscle spasme are prescribed muscle relaxants, preparations that improve tissue trophics, warming ointments, vasodilators and massages. If the diagnosis is diagnosed with osteoporosis, then the doctor prescribes vitamin D3, thyroid hormones and calcium.

When the pain occurs after damage to the knee, you need to immediately turn to the surgeon or a traumatologist. Rematologists, osteopaths and orthopedists are engaged in the treatment of chronic pathologies. If there is a suspicion for the presence of tumors, then you need to make an appointment to the oncologist.

In order for their knees to remind themselves for a long time, it is necessary to comply with such rules:

Timilely treat infectious diseases.
Implement the prevention of articular pathologies.
Avoid overcooling limbs.
Take chondroprotectors.
Protect knees in sports training (wearing special knee pads).
Normalize body weight.
Reduce the burden on the joints.
Reduce consumption of fats and salt.

details about what to do with the knees will tell Dr. Bubnovsky in the video in this article.

Symptoms and reasons for numbers of skin legs from hips to knee

The numbness of the skin of the legs from the hip to the knee is most often due to the uncomfortable posture during the seating or after some physical exertion. Do not panic immediately. Usually in a few minutes of light massage it disappears. But if this condition is repeated periodically and does not pass long, you should contact the doctor, which will appoint a survey.

What is numb?
- Why does the surface of the hip?
- Numbness during pregnancy
- Tunnel neuropathy
- Diabetic neuropathy
- Ladant osteochondrosis
- Atherosclerosis of the lower extremities
- Multiple sclerosis

In most cases, there is no reason for excitement, but it is still necessary to force themselves, since a long-term sensitivity impairment can be a symptom of any deviation in the body.

What is numb?

Onhen or paresthesia is a disturbance of sensitivity at which there may be simply discomfort on a certain skin area, or a feeling of burning and tingling. This state is usually determined by a temporary impaired of the blood circulation of any section, irritation of the surface nerve beam or a long mechanical compression. So, for example, after a long seating in an uncomfortable posture, in the leg of the hip to the knee there may be a sense of numbness and tingling. Such paresthesia quickly passes after several movements or self-massage.

Why does the surface of the hip?

Non-the surface of the feet from the hip to the knee can be due to a very simple cause - lack of physical exertion. People whose work is connected with the need for a long stay in a sitting position, there is a risk of not only frequent numbers of legs, but also the occurrence of osteochondrosis. That is why every 10-15 minutes they need to make preventive exercises.

Numbness during pregnancy

Quite often, such discomfort feels pregnant women. Since their organism is prepared for childbirth, there is a change in muscle and bone mass, which squeezes nerve endings.

Unfortunately, many pregnant women suspicious symptoms do not give any importance. However, in some cases, the doctor is simply necessary. It is recommended to contact a specialist if the following symptoms appear with numbness of the feet:

strong pain and immobility of the brush;
vision impairment;
manifestation of mental disorders;
disruption of temperature sensitivity.

In easier cases, you can simply consult a doctor who will prescribe a full nutrition, advises to follow weight, lead a healthy lifestyle and move more. During pregnancy, special exercise should be performed.

Some external factors can also provoke the temporary numbness of the legs:

nervous ovensolation;
long-term abuse of alcoholic beverages;
uncontrolled reception of drugs affecting the state of blood vessels and nerve fibers;
precooling legs.

Many doctors arising from the hips to the knee numbness are associated with age factor, wearing bandages, close underwear, lots of subcutaneous fat, overweight.

All the consequences described above are not caused by the causes of paresthesia. You can get rid of them by refusing many bad habits, and starting to lead a healthy lifestyle.

The pathology is considered to be the constantly emerging and long-term numbness of the skin of the right or left leg from the knee to the hip or even from the foot to the hip. In this case, we can talk about the defeat of a certain unit of the nervous system that arose as a result of the development of any disease.

Causes of chronic paresthesia development

Frequent and long loss of sensitivity in the hip area, a feeling of burning, "running goosebumps" and tingling can talk about the following pathologies in the body:

multiple sclerosis;
atherosclerosis;
tunnel neuropathy;
diabetic neuropathy;
lumbar osteochondrosis.

Each of these diseases should be explored in more detail.

Tunnel neuropathy

In the occurrence of compression and ischemic neuropathy in the zone of the groove region, squeezing the femoral nerve occurs, in the structure of which they are responsible for the sensitivity of the inner, front of the thigh and the motor function of the legs of the nerves.

That is why due to the damage to the nerve fibers in this area, it is started periodically for the skin of the legs, the pain, the weakness of muscle tissue occurs, the mobility of the knee joint is reduced. The cause of pathology can be a injury or unsuccessful operation.

In most cases, the doctor prescribes the following treatment:

anti-inflammatory and painful drugs;
warming dry heat;
massage;
physiopristers;
medical gymnastics.

Diabetic neuropathy

The disease that is one of the forms of complications of diabetes may have several species in which single nerves are affected or a whole network of the nervous system. It all depends on the severity of the underlying disease.

Types of diabetic neuropathy:

To avoid complications in the form of diabetic neuropathy, patients with diabetes are recommended to closely monitor blood sugar levels.

Ladant osteochondrosis

Destructive processes in the tissues of the spine cause lumbar osteochondrosis. At the same time, cartilage tissues and intervertebral discs suffer primarily. As a result, the vertebral pillar is deformed and begins to collapse. On the progression of the disease is indicated by numbness of the skin from the hip to the knee of the right or left leg. The loss of sensitivity occurs due to pinching the canal or nerve in the cross-lumbar department.

The cause of pathology may be accumulated in the zone of the damage to salts. At the initial stage of the disease, patients complain of severe thighs in the hips and back, on the periodically arising from the ringing of the skin from the knee to the hip leg.

Incompretation to the specialist and the absence of treatment can lead to the formation of hernia, deterioration of the patient's condition, and, as a result, to partial or complete motion of the limbs.

Treatment of lumbar osteochondrosis must be comprehensive and include:

Eliminating the focus of inflammation using non-steroidal anti-inflammatory funds.
Laser therapy.
Physiotherapy.
Maintaining the balance of beneficial substances by consuming the vitamin and mineral complex.
The development of the mobility of the joints and increase the tone of the muscles with special exercises of therapeutic physical education.
Massage and manual therapy sessions that help to relax muscles, eliminate the numbness of the legs, return the mobility to the joints.

However, osteochondrosis is easier to prevent than to cure, so preventive measures must be taken. To do this, in order to strengthen the muscular corset, it is regularly recommended to make a complex of special exercises. It should include various movements with hands, head slopes, squats, turns and tilting of the body in different directions and ahead, back. For people leading a sedentary lifestyle, such physical pauses should be made every two hours.

The prevention of osteochondrosis also includes balanced nutrition, morning charging, sport. You need to take care of your body from supercooling, inflammatory and infectious diseases.

Atherosclerosis of the lower extremities

In most cases, the cause of the disease is harmful habits, excess body weight, elevated cholesterol content in the blood. In large vessels, cholesterol plaques are formed, which partially close their lumen. As a result, blood circulation slows down, which leads to hypoxia of tissues and organs. Nutrients and oxygen to the joints and muscles do not receive a little, so the legs from the foot to the thigh begin to no longer.

Get rid of atherosclerosis is quite difficult. The treatment is more aimed at eliminating symptoms. Special attention is paid to the prevention of the disease. For this, the patient is recommended to get rid of bad habits, start to eat and play sports.

Multiple sclerosis

Multiple sclerosis is a disease in which tissue solidification occurs in the brain, nerve fibers are damaged, the transfer of pulses is worse. Due to this, sensitivity is lost in the affected area, and a muscular tone disorder is observed.

In the light form of pathology in the patient, legs, hips, hands and other zones. Increases body temperature, severe fatigue appears. Over time, difficulties in speech occur, the gait becomes unstable.

Treatment is appointed by a specialist individually. A good effect is achieved by taking cyclophosphamide and cortisone, with the help of which you can protect and partially restore the cells of the head and spinal cord. Preparations are accepted under the strict control of the doctor.

Noticing often repeating couples, which arises not due to constant seats or uncomfortable postures, it is necessary to immediately turn to a specialist. The doctor will conduct a survey that will help identify the cause of pathology, and appropriate treatment. It is not recommended to engage in self-medication, because - why do you have no legs, you definitely do not know. The launched underlying disease can lead to undesirable and even irreversible consequences.

Neuropathy is a disease that affects the peripheral nervous system (PNS). PNS controls motor, sensory and automatic (for example, blood pressure and sweating) of the body's function. In case of damage to the nerves, various symptoms may occur, depending on which nerves are affected. 2.4% of all people suffer from neuropathy of the feet, including 8% older than 55 years. Although the main reason is diabetes mellitus, neuropathy can be a hereditary disease or develop due to infection, other diseases or injury, so to treat this disease, you should consult a doctor.

Steps

Part 1

Change lifestyle

We regularly walk on foot. Try to leave home at least three times a week or follow safe exercises for you. You can also ask the doctor so that he recommends you the appropriate occupation. Exercise will improve blood supply and nutrition of damaged nerves. Walking reduces the overall level of blood sugar and helps better control diabetes mellitus. If you manage to control sugar diabetes, you can reduce neuropathy.

If you find it difficult to find free time for exercise, remember that it is enough to take small steps. For example, you can make cleaning in the house, play with the dog or wash your car yourself. All these activities contribute to blood circulation.

Make foot baths. Fill out a small container (for example, a pelvis) warm water and add 1 cup (about 420 grams) of the English salt to each liter of water. Make that the water temperature does not exceed 40 degrees. After that, lower the legs into the water. Warm water will help you relax and relieve pain in the steps. Among other things, the English salt contains magnesium, which contributes to muscle relaxation.

Reduce the use of alcoholic beverages or give up them at all. Alcohol is toxic for nerves, especially if they are already damaged. It is necessary to limit the consumption of alcohol to 4 servings (one portion is about 40 milliliters of a strong beverage, 120 milliliters of wine or 250 milliliters of beer), evenly used during the week. Some types of neuropathy are developing due to alcoholism, so in case of disease, neuropathy should be refracted from alcohol. Alcohol refusal will help soften the symptoms and prevent further nerve damage.
- If your family had cases of alcoholism, it is possible to completely abandon the use of alcoholic beverages. Think about completely abandoning alcohol - it will help you to keep health.
Take an evening primrose oil. This natural oil is obtained from flowers of wild plants, and it is available in the form of tablets. Ask your doctor to recommend that you appropriate dosage of the food additive, which includes an evening primrose oil. Studies have proven that fatty acids contained in this oil are capable of soften the symptoms of neuropathy. These fatty acids improve nerves.
- Helicable fatty acid GLK (gamma-linolenic acid) is also contained in the oil of the cucumber and oil of black currant.
Try acupuncture . Acupuncture is one of the methods of traditional Chinese medicine, which lies in stitching thin needles in special points on the body. Stimulation of these active, or acupuncture points leads to the release of endorphins, which facilitate pain. The acupuncture specialist inserts into acupuncture points from four to ten needles and leaves them there for about half an hour. It will take 6-12 sessions for three months.
- Before contacting a acupuncture specialist, check its reputation. Find out if it has the necessary equipment and sterile needles to avoid possible infections.
Think about additional and alternative methods of treatment. In addition to acupuncture, the symptoms of neuropathy can be facilitated by medicines and low-intensity electromyability. When electromovation, the probes are charged from a set of small batteries that are placed on the skin around those areas where pain is felt. As a result, a closed electrical chain is formed, and an electric current passes through patients, which stimulates them. It has been shown that electromostimulation is effective in the treatment of certain types of neuropathic pain, although additional research is required.

Part 2
Medicia treatment
1. Take medications designated by a doctor. For the treatment of neuropathy there are many different drugs. The doctor will pay special attention to the disease or disorder, which underlies the neuropathy, which will eliminate the symptoms and improve the functioning of the nerves in the legs. The doctor may prescribe the following drugs:
  
  Accept the opiates appointed by the doctor. To reduce pain in neuropathy, the doctor may write down the debating opiates. As a rule, it requires an individual approach, since such side effects are possible, as a dependence, addictive (the effect of the medication is reduced with time) and headaches.
  - For the treatment of chronic type neuropathy (Dizimmune neuropathy), the doctor may assign immunosuppressive tools (for example, cyclophosphamide) if other drugs do not help.
2. Meet your doctor about the surgical operation. Depending on the causes of neuropathy, the doctor may recommend a decompression surgery. Such an operation will allow freeing the nerves clad, which will help them correctly function. Decompression operations are often used to treat a custod canal syndrome. In addition, such operations can benefit with certain types of hereditary neuropathy, which are accompanied by problems with feet and ankles.
Part 3.
Strengthen health
1. Turn on more vitamins in your diet. If you are not sick diabetes or other obvious systemic diseases, neuropathy can be caused by a lack of vitamins E, B1, B6 and B12. Before taking vitamin supplements, be sure to consult your doctor. Before recommending nutritional supplements or other types of treatment, the doctor must establish the cause of neuropathy.
  - To get more vitamins along with healthy food, eat enough green leafy vegetables, egg yolks and liver.
2. Control diabetes mellitus. Neuropathy is usually developing many years after the detection of diabetes mellitus. Proper control of diabetes mellitus helps prevent neuropathy or slow down its development. However, neuropathy should not be fully cured after it has already started to develop. The doctor will pay special attention to the control of diabetes mellitus and the facilitation of pain caused by neuropathy.
  - It is necessary to follow the level of glucose in the blood. On an empty stomach, this level should be 70-130 mg / dL (3.9-7.2 mmol / l), and two hours after breakfast it should not exceed 180 mg / dl (10 mmol / l). It should also be followed by arterial pressure.
3. Prevent injury and formation of ulcers. Neuropathy can lead to a reduced feet sensitivity, which increases the likelihood of such damage such as cuts, punctures and scratches. And at home, and on the street, be sure to wear socks and shoes. Repeated damage to the feet can lead to the formation of poorly healing ulcers. In addition, with regular visits to the doctor, ask him to inspect your feet.
  - Wear loose shoes, such as slippers without a backbone, but at the same time avoid shoes, sandals or slippers with insufficient foot support. Too close shoes may interfere with normal blood circulation in the steps, which increases the risk of ulcers.
  - Ensure that the nails on the legs have a suitable length. Thus, you will prevent the formation of ingrown nails. Be careful when cutting the nails. Do not use blades to avoid random cuts.
4. Watch that the already formed ulcers were clean. Rinse the affected areas with warm water with salt. Take a sterile bandage for this and moisten it in salted water, and then remove the removable tissue from the ulce. Then impose a dry sterile bandage on the ulcers. Change the bandage once or twice a day or more often if it becomes wet. If an unpleasant smell comes from ulcers, consult a doctor immediately, as this may indicate a rather serious infection.
  - With the appearance of an ulcers, immediately inform your doctor. If the ulcers are small, you can cope with the help of dressings and antibiotics. However, major ulcers are often poorly treatable and can even lead to amputation of the fingers or feet.