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Neuropathy

Neuropathy is a disease affecting the peripheral nervous system. Strictly speaking, neuropathy affects both the autonomic and somatic functions. With the exception of bowel movement, the side effects of chemotherapy are mostly limited to the somatic (sensory) functions. This is called peripheral Neuropathy.

Peripheral neuropathy is a fairly common side effect experienced by patients undergoing chemotherapy. It is described as peripheral neuropathy, because this disease attacks the peripheral nervous system.

The truth of the matter is that some individuals are more prone than others to contract neuropathy. It certainly is more prevalent in patients who suffer from secondary conditions such as celiac disease, diabetes, malnutrition and alcohol addictions, amongst others; as well as in patients who have a prior chemotherapy history.

The nature of the disease does not really allow for total relief. Because of this, it is advisable for caretakers of cancer patients to be well informed of the symptoms and the management of peripheral neuropathy.

Symptoms

There are many different symptoms that may manifest once the patient contracts Neuropathy.

  • Sensations on the body / skin in the absence of stimulation. This is quite a common occurrence in diabetic patients.
  • Exaggerated discomfort, even if gently touched. There may also be an exaggerated response to temperature. For example, your patient may perceive tepid water as boiling hot.
  • Burning sensation in limbs.
  • Numbness, tingling, prickling and pins ‘n needles.
  • Electric shock sensations caused by conflicting input from the nerves to the brain.
  • Mouth numbness
  • Constipation
  • Cramps
  • General weakness and sensation loss

Neuropathy mostly affects the limbs and bowels, but also sometimes the face, back, chest, neck etc. The onset could be sudden, but is usually seen to occur gradually after a few months’ chemotherapy. There have been some cases where the symptoms disappeared or diminished after the chemotherapy treatments were discontinued, but for many the symptoms remain for extended periods of time.

The prolonged nature of Neuropathy is exactly why its proper management is of the utmost importance.

Management of Neuropathy

The effective management of Neuropathy relies heavily on the caregiver of the patient. Neuropathy as a disease cannot be treated. Instead, focus is placed on alleviating the symptoms and finding ways to make the patient as comfortable as possible. Although the largest number of symptoms relate to sensation (Somatic), attention needs to be paid to the bowels (Autonomic) because this could cause a brand new set of complications for the patient and prolong the recovery process.

Somatic (Sensation)

For somatic symptoms, massages, lotions and creams can help to alleviate numbness, prickling and cramps. Pain could be relieved by means of compresses. Resting the affected limb or body part could reduce the discomfort experienced, perceptibly.

To prevent an increase in the levels of discomfort, encourage your patient to adhere to the following guidelines:

  • Avoid extreme temperature changes. Dress warmly during winter or when visiting air conditioned places.
  • Protect hands when cooking, gardening, washing, etc.
  • Use gloves for any activity that could cause aggravation.
  • Avoid prolonged exposure to the sun. Protective clothing is generally recommended.
  • Short duration, simple exercises, like deep breathing and relaxation, help in reducing discomfort.
Autonomic (Involuntary)

The most common involuntary symptom of Neuropathy is constipation. It is imperative to follow an appropriate dietary regime to avoid this. The patient’s diet should include roughage as well as plenty of liquids (especially water). Bowel movement must be monitored. If there are any problems, it should be reported to the doctor. To encourage and maintain a balanced digestive process, walking a sensible distance every day is recommended.

Alternative Treatments

There are limited benefits in as far as prescription medications are concerned. For this reason, your patient’s doctor may prescribe some alternative treatments in addition to the standard treatments used. These may include:

  • Acupuncture
  • Infrared Photo Energy: An emission, similar to infrared, with an 890nm wavelength that stimulates the release of Nitric Oxide, into the bloodstream, thus increasing circulation. This improved circulation decreases the pain experienced by the patient and improves sensation.
  • Physical Therapy: Allows patients to be as active as their pain levels will allow, thus stimulating the body's natural ability to increase circulation.
  • Natural Supplements: Both Vitamin B12 & L’ Argenine have received positive reviews both by patients and homeopathic physicians.