Video Transcript

Treatment is aimed at relieving any offending force on the nerve itself, whether its compression or anything that is affecting the nerve currently. Sometimes that's possible, sometimes it isn't. Sometimes the injury has already happened and all we can do is support the nerve in its recovery. Sometimes the compression is occurring as we are treating or diagnosing the patient. In the case of spinal causes, such as radiculopathy, herniated disc, inflammation that causes this type of neuropathic pain, that has to be treated in order for the nerve to recover. Compression needs to be alleviated. If it's structural, then a surgical approach may be necessary, but it is important to determine specifically what is compressing where the nerve is affected, of course.

Treatment usually is a combination of factors: treating the underlying cause - such as compression - supporting the nerve recovery with everything the nerve needs, including normalizing the transmission of the impulses along the path of the nerve. And that's done with a number of different medications that are available to us. So, the medications are old, but still work very well and some of the medications are much newer and initially had a different indication, but we learned that they affect the nerves in a very positive way. What I mean by a positive way is that not only do they relieve the pain that's associated with the neuropathic process, but they also support the normal transmission of the impulses, which helps in the recovery as well. At the same time, it's important to maintain the function that may be compromised due to the neuropathic process itself or the pain that arises from the neuropathic process. So, physical therapy and exercises, stretching, manipulations are all very helpful in treatment of neuropathic pain as well as general stress management that usually has to come for the patient to support their recovery. So, a unified approach for treating the reason for the neuropathic process, recovery for the nerve, supporting the recovery for the nerve, and supporting the patient in the context of their life are all very important in treating neuropathy.