Review Article
Volume 13 Issue 2 - 2021
Non-Pharmacologic Care and Management of Neuropathy
Nicholas A Kerna1,2*, John V Flores3,4, Hilary M Holets3,4, Lawrence U Akabike5, Mark H Chen6, Emmaneulla Olubumni Solomon7, Kevin D Pruitt5, John Hayes Jr9 and Shain Waugh10
1SMC–Medical Research, Thailand
2First InterHealth Group, Thailand
3Beverly Hills Wellness Surgical Institute, USA
4Orange Partners Surgicenter, USA
5Larrico Enterprises, LLC, USA
6For Your Health, LLC, USA
7Obafemi Awolowo University, Nigeria
8Kemet Medical Consultants, USA
9NeuropathyDR®, USA
10Fettle Path, USA
*Corresponding Author: Nicholas A Kerna, (mailing address) POB47 Phatphong, Suriwongse Road, Bangkok, Thailand 10500.
Received: December 28, 2020; Published: Janaury 30, 2021


According to the International Association of the Study of Pain (IASP), neuropathic pain is caused by a primary lesion or dysfunction of the nervous system. The lesion may be peripheral, spinal, or supra-spinal and is differentiated from other types of pain due to sensory symptoms caused by a compromised peripheral or central nervous system. Neuropathic pain is further delineated as “evoked pain” or “rest pain”, the latter typically observed in spinal cord injury patients. Neuropathies can be cranial, autonomic, or focal.

The major types and categories of neuropathies include chronic degenerative neuropathy, post-traumatic neuropathy, diabetic neuropathy, stroke-related neuropathy, and peripheral neuropathy. Common comorbidities include Alzheimer’s disease and Parkinson’s disease. Neuropathic conditions are diagnosed by a patient’s medical history, examination, and when indicated, electromyography (EMG) and the nerve conduction velocity (NCV) test. This research explores non-pharmacologic care and management of specific neuropathies, particularly nutrition, and nutritional supplementation, and photobiomodulation therapy (PBMT), also known as low-level laser therapy (LLLT). Comparisons are given regarding these modalities and conventional treatments. Although research into the efficacious applications of nutrition, nutritional supplements, and photobiomodulation therapy is in its relative infancy, these modalities seem promising when used alone or, in combination and or as conjunctive therapies with conventional treatments.

Keywords: Alzheimer’s Disease; Demyelination; Diabetic Neuropathy; Neuropathic Pain; Nutritional Supplements; Parkinson’s Disease; Vitamins


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Citation: Kerna NA, Flores JV, Holets HM, Akabike LU, Chen MH, Solomon EO, Pruitt KD, Hayes Jr J, Waugh S. “Non-Pharmacologic Care and Management of Neuropathy”. EC Neurology 13.2 (2021): 67-76.

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