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أفضل طرق علاج التهاب الأعصاب الطرفية: الأسباب والأعراض
Medical articles
Reviewed by: Dr. Abdul Rahman Al-Shammari, consultant neurosurgeon

Peripheral neuritis is a common condition that affects many people, causing annoying pain, restricting movement, and painfully preventing even the simplest daily activities. 

In this article, we will detail for you what peripheral neuritis is, the extremities most susceptible to infection, possible causes, the different types of this painful neuropathy, and the symptoms associated with it. 

We will also discuss the most important treatment methods, including available medications, and provide you with useful tips if you suffer from this disease to improve your quality of life and alleviate symptoms. 

Read on to learn everything you need about treating peripheral neuritis and the best ways to deal with it.

 What is peripheral neuritis?

Peripheral neuritis is a disorder that affects the nerves located outside the brain and spinal cord, especially those connected to the extremities of the body, such as the hands and feet. 

Peripheral nerves include those that control movement, sensation, and autonomic nerves, which in turn control body functions such as digestion and heartbeat.

 Which limbs are most susceptible to peripheral neuritis?

The extremities most susceptible to peripheral neuritis include the hands and feet. This occurs because the peripheral nerves in these areas are more exposed to stress, injuries, and repeated accidents. 

The nerves in the neck and shoulders are among the most affected nerves due to the nature of movement and daily activities that require continuous use of these areas, and they are most sensitive to pain for the same reason.

 Causes of peripheral neuritis

Causes of peripheral neuritis include:

  1. Physical injuries: Accidents, sports injuries, and constant pressure on the nerves can cause severe inflammation in these areas.
  2. الأمراض المزمنةSuch as diabetes, which is considered the most important chronic disease that causes this type of inflammation.
  3. العدوىSome viruses and bacteria can infect nerves and cause infections due to the immune system’s reaction to them.
  4. Vitamin deficiencyThe most famous of them is vitamin B12 deficiency, as nerve cells are generally formed due to the presence of vitamin B12. There are other vitamins whose deficiency can lead to nerve weakness, such as vitamin B1 and vitamin D.
  5. Exposure to toxins: Such as exposure to industrial chemicals or neurotoxic drugs such as strychnine and thallium.
  6. Immune diseases: Such as multiple sclerosis and rheumatoid arthritis, which lead to infections that severely affect the nerves.

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 Types of peripheral neuropathy

Peripheral neuropathy can be classified into several types depending on the cause or type of nerve affected as follows: 

  • Sensory neuropathy: It causes loss of sensation or tingling and pain.
  • Motor neuropathy: It leads to muscle weakness and difficulty in movement, which hinders routine activities.
  • الاعتلال العصبي اللاإرادي: It affects involuntary functions such as blood pressure and digestion, which may have a major impact on public health or cause other serious diseases, especially for the elderly.
  • Mixed neuropathyIt combines sensory and motor symptoms, and this type is the most difficult to treat, especially if its cause is a chronic disease.

 Symptoms of peripheral neuritis

Symptoms of peripheral neuritis vary depending on the type of nerve affected and the severity of the inflammation, but may include:

  • Pain and feeling of intense heat: Feeling acute pain or burning in the affected areas, deeply and continuously.
  • Tingling and numbness: A feeling of tingling or numbness in the extremities.
  • ضعف العضلاتDifficulty controlling daily movements and general muscle weakness.
  • Loss of balanceBalance problems, especially when standing or walking.
  • Skin changes: The skin may appear shiny or discolored due to damage to nerve cells in this area.

 What are the methods of treating peripheral neuritis?

Treating peripheral neuritis requires a comprehensive approach and a combination of medications so that the symptoms can be controlled and the cause treated. This treatment includes:

  • pharmaceuticalSuch as anti-inflammatories and analgesics, and we will discuss them in detail.
  • Physical therapy: Exercises to improve strength and flexibility.
  • العلاج الكهربائي: Using electrical stimulation to relieve pain.
  • تغيير نمط الحياة: Such as following a healthy diet and exercising regularly.
  • التدخل الجراحيIn severe cases that require removing pressure from the nerves, this is considered a last resort.

 Medications to treat peripheral neuritis

Medications used to treat peripheral neuritis include:

  • مسكنات الألم: Such as acetaminophen and ibuprofen for simple pain relief.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs): To reduce inflammation and swelling.
  • مضادات الاكتئاب: Such as amitriptyline and duloxetine, which help relieve nerve pain.
  • مضادات الاختلاج: Such as gabapentin and pregabalin, which are used to relieve chronic pain.
  • Vitamin supplements: To compensate for the deficiency of vitamins necessary for nerve health, especially vitamin B12.

However, you must consult a pharmacist if taking any of these medications due to their side effects on the brain, stomach, and heart.

 What is the best medication to treat peripheral neuritis?

The best medication to treat peripheral neuritis depends on the nature, severity, and causes of symptoms.

  • Gabapentin: It is used to relieve nerve pain.
  • Pregabalin: Effective in treating pain associated with nerve inflammation.
  • Duloxetine:An antidepressant that helps relieve nerve pain.
  •  Common pain relievers: Such as ibuprofen to relieve pain and inflammation.
  • Vitamin B12 supplements: If a deficiency in vitamins is the cause.

 What are the most important tips for a patient with peripheral neuritis?

To manage the symptoms of peripheral neuritis, you can follow all or some of the following tips depending on your ability, which include: 

  • Maintain physical activity: Exercise regularly to improve blood circulation and strengthen muscles.
  • Good nutritionEat a balanced diet rich in the vitamins and minerals the body needs.
  • تجنب التعرض للسموم: Stay away from harmful chemicals and smoking.
  • الراحة: Get enough sleep and rest to relieve stress.
  • Follow up treatment: Adherence to prescribed medications and treatments prescribed by the doctor.
  • التحكم في الأمراض المزمنةSuch as diabetes, by monitoring blood sugar levels regularly to reduce its impact on the rest of the body’s organs.

Treating peripheral neuritis in the neck requires special attention and continuous medical care to achieve the best results and reduce pain and suffering.

 Its causes and symptoms vary, which requires accurate diagnosis and treatment tailored to each case. By adhering to a healthy lifestyle and receiving appropriate treatment, the symptoms of this inflammation can be controlled and the quality of life improved.

 Do not hesitate to consult your doctor for the best advice and treatment options for your specific condition احجز استشارتك في مركز العلوم العصبية At Al-Mousa Hospital.

Sources and references

Peripheral Neuropathy – nih

National Health Service – nih

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