Loss of peripheral neuropathy

Overview damaged peripheral neuropathy and nerve neuralgia is divided into two major categories diseases. Common peripheral neuropathy loss : trigeminal neuralgia, idiopathic facial paralysis, Polyneuritis (peripheral neuritis). Acute infection multiple nerve neuritis, brachial plexus injury, ulnar nerve injury, the radial nerve injury, the median nerve injury, tibial nerve injury, the common peroneal nerve injury, the lateral femoral cutaneous neuritis, sciatica, and other intercostal neuralgia. Cause pathogenesis Neuralgia refers to the involvement of sensory nerve distribution occurred pain, The nerve conduction neurotransmitter function and no obvious changes, such as trigeminal neuralgia. Peripheral neuropathy refers to certain parts of the nerve inflammation, poisoning, ischemia, lack of nutrition, metabolic disorders, injuries caused by a group of diseases and injuries, an inflammatory nature of the habit is known as neuritis. Clinical manifestations of peripheral nerve injury and inflammation of the major clinical manifestations : ① movement disorders : flaccid paralysis. reduce muscle tension, muscle atrophy; ② sensory dysfunction : partial numbness, burning, irritation, hypersensitivity, entities such as a sense of loss; ③ reflection obstacles : tendon reflexes weakened or disappeared. ④ autonomic dysfunction : smooth skin, redness or cyanosis, no sweat. Shao Khan or sweating that (toe), etc. A rough rattle. After peripheral nerve injury, he often appears edema, contracture, and other complications, attention should be paid to prevention. Loss of peripheral neuropathy check, in addition to detailed and comprehensive collection of history, general physical examination, there should be checks and evaluation function, peripheral neuropathy to understand the extent of damage and make the prognosis and set goals of rehabilitation, rehabilitation plan, evaluate the effect of rehabilitation. Blood, urine and biochemical data, EMG. Treatment of these lesions to deal with the drug therapy, surgical treatment and rehabilitation therapy. General drug for the treatment of primary lesions early, Surgical treatment for conservative treatment without the need for surgery or treatment of injury, and rehabilitation therapy in peripheral neuropathy with loss of early recovery or surgery should be performed before and after treatment. The purpose of rehabilitation is to eliminate or alleviate pain, prevent muscle tendon contracture lifted, joint stiffness, prevent muscle atrophy, enhance muscle strength, restoring movement and sensory function, and ultimately restore the patient's ability to live and work. (1) prevention and treatment of complications. 1. Edema : available Chigaohuanshi, elastic bandage oppression, massage and passive limb movement, hot pack, warm bath, the wax bath, infrared, Reel and Bath FM, shortwave or microwave, and other ways to improve local blood circulation, promote tissue edema, or fluid absorption. 2. Contracture : prevention is extremely important. In addition to the prevention of edema, but also will suffer limb and joint maintained in a functional position, and can use triangle, plywood, Gypsum child care or other support with fixed or support for child care, and care should be taken to avoid loss of sensation in parts of the oppression, in order to avoid causing new damage. 3. Secondary trauma : traumatic event, as often wound Nutrition disorders, treatment is more difficult. Loss of feeling and so on to the site to keep clean and protect them. FM available to wound, microwaves, ultraviolet and laser treatment methods to promote wound healing. (2) to promote nerve regeneration. Right nerve with conservative treatment of patients after repair of early therapy to the damaged nerve regeneration, and can be applied to promote nerve regeneration drugs. (3) to maintain muscle mass, meet the nerve disclaimer. Use electro-acupuncture, electrical stimulation therapy and massage and passive movement, transmission of nerve impulses and other methods to prevent, delay, reduce denervated muscle atrophy, maintain muscle mass. (4) to enhance muscle strength, and promote the restoration of motor function. Once involvement muscle EMG with more of the action potential, it should begin to increase muscle strength training, to promote the restoration of motor function. (5) To promote the recovery of sensory function. (6) lifted psychological disorder. Loss of peripheral neuropathy patients, often accompanied by psychological problems. Available medical missionary, psychological counseling, group therapy, the patient demonstrations, occupational therapy and other methods to eliminate or reduce the patient's psychological barriers, make it play an active role. active in rehabilitation therapy. Right conservative treatment fails or needs and are suitable for surgical treatment of patients with peripheral nerve injury, timely surgical treatment. Involvement of limb function can not be completely restored or completely fail to be resumed and should be considered separately to the specific circumstances of its design, preparation aids, compensate for functional training.