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Neuropathy | Duke Health

October 16th, 2023 8:22 pm

Neuropathy treatments vary widely based on type, cause, and symptoms. Treating contributing conditions is crucial to reducing neuropathy symptoms and possibly reversing nerve damage. Duke offers the full range of therapies, from traditional treatments to breakthrough options.

Pain ManagementOur neurologists are experienced in treating neuropathic pain and partner with pain medicine specialists to reduce or eliminate debilitating pain caused by neuropathy. From medications to transcutaneous electrical nerve stimulation (TENS) therapy, we have an array of options so we can find what works best for you.

Peripheral Nerve Stimulators and Spinal Cord StimulatorsNew surgically placed devices like peripheral nerve stimulators and spinal cord stimulators use electricity to relieve certain types of chronic pain. Spinal cord stimulators are FDA approved to treat diabetic neuropathy symptoms. Research shows they can help reduce pain and improve function.

SteroidsOral or intravenous steroids treat neuropathies caused or worsened by inflammation.

Intravenous Immunoglobulin (IVIG)This IV medication can reverse nerve damage caused by autoimmune neuropathies like GBS and CIDP.

Amyloid-Reducing MedicationsThese medicines can stall or reverse symptoms of amyloidosis neuropathy by slowing down the production of defective proteins called amyloid that can cause neuropathy.

Antibody TherapyThis infusion medication is administered every four to six months to help stabilize or reverse neuropathic nerve damage caused by vasculitis or inflammation.

Plasma Exchange TherapyAlso called PLEX or plasmapheresis, this can treat neuropathies caused by inflammation and autoimmune disorders. Through a central line in your upper chest or an IV in your arm, a special machine withdraws your blood, removes cells that cause inflammation and destructive antibodies, and then returns the blood along with extra fluid. Duke is one of only a handful of centers in North Carolina that offers plasma exchange therapy.

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Neuropathy | Duke Health

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