Mononeuropathy

Alternative names:

neuropathy - isolated

Treatment:

Treatment is aimed at maximizing the ability to use the affected body part. The cause should be identified and treated as appropriate. In some cases, no treatment is required and recovery is spontaneous.

If there is no history of trauma to the area, conservative treatment is indicated by sudden onset, minimal sensation changes, and no difficulty in movement, and no test results indicating degeneration of the nerve axon.

Corticosteroids injected into the area may reduce swelling and pressure on the nerve in some cases. Surgical intervention is indicated if the symptoms are from entrapment of the nerve. Surgical removal of lesions that press on the nerve may benefit some cases.

Control of symptoms:
Over-the-counter analgesics or prescription pain medications may be needed to control pain (neuralgia). Various other medications may reduce the stabbing pains that some people experience, including phenytoin, carbamazepine, or tricyclic antidepressants such as amitriptyline. Whenever possible, their use should be avoided or minimized to reduce the risk of medication side effects.

Physical therapy exercises may be appropriate for some people to maintain muscle strength. Orthopedic assistance may maximize the ability to use the affected body part. This may include the use of braces, splints, or other appliances.

Vocational counseling, occupational therapy, occupational changes, job retraining, or similar interventions may be recommended.

Expectations (prognosis):

Mononeuropathy is rarely fatal but may be disabling and painful.
If the cause of the nerve dysfunction can be identified and successfully treated, there is a possibility of full recovery. The extent of disability varies, from no disability to partial or complete loss of movement or sensation. Nerve pain may be quite uncomfortable and persist for a prolonged period of time.

Complications:

• recurrent or unnoticed injury to the affected area
• deformity, mild to severe
• decreased self esteem

Calling your health care provider:

Call your health care provider if symptoms of nerve dysfunction are present. Early diagnosis and treatment increase the chance of controlling symptoms.