Neuropathy, Neuritis, Neuralgia: Diagnosis and Therapy

As a result of the typical symptoms, the affected nerve is usually quickly identified. The search for the cause, on the other hand, is often more protracted and does not always lead to success. Depending on the results of the physical examination and the suspected trigger, further tests follow, such as blood tests, computer or magnetic resonance imaging, examinations of the function of muscles and nerves, electrophysiological diagnostics or X-ray examinations of the vessels.

What therapy is available?

Treatment methods are as numerous as the triggers – so only a rough overview can be given here. Where possible, the cause is addressed; alongside this, attempts are made to alleviate the symptoms. In some cases, surgical intervention must also be considered.

Medications are mainly used against the acute or chronic pain – in addition to the usual weak to strong painkillers, antidepressants, antiepileptics, radical scavengers (alpha lipoic acid) and local anesthetics. Depending on the nerve pain, therapy using electricity (TENS = transcutaneous electrical nerve stimulation) is also used successfully.

In addition, physiotherapeutic measures, relaxation and psychotherapeutic procedures are used.

Alternative treatment methods

Frequently, good results can be achieved with the help of alternative methods, especially for chronic nerve pain. Typically, the following methods are used:

  • Acupuncture
  • Homeopathy
  • Osteopathy
  • Feldenkrais
  • Biofeedback
  • Oxygen multistep therapy