An inpatient detox may be suggested when a person’s alcohol use disorder is very severe. Deficiencies in these nutrients can harm overall health and stop nerves from functioning correctly. She is actively involved in research in chronic inflammatory demyelinating neuropathy at the Peripheral Neuropathy Center and supervises the general neurology resident clinic at NewYork-Presbyterian Hospital.

We found more potent effects with tocotrienol as compared with α-tocopherol [55]. One of the other important issues in alcoholic individuals is the source of their calorie intake. These individuals draw the majority of calories from calorie rich alcoholic beverages with low nutritive value. Chronic abuse of alcohol depletes the pool of liver proteins which are consumed for energy production and insufficient intake of proteins only worsens this imbalance. Resulting disturbances in protein and lipid metabolism lead to undernourishment which adversely influences other metabolic pathways, including those influencing the function of the nervous system. A priority treatment approach is to increase the patient’s caloric intake of nutritious foods.

Enhancing Healthcare Team Outcomes

If you are having difficulty avoiding alcohol, there are resources that can help you quit. While not specifically approved for the treatment of alcoholic neuropathy, antidepressants are often prescribed to help control the pain. Alcoholic neuropathy is also caused by nutritional deficiency, as well as alcoholic neuropathy recovery time toxins that build up in the body. Alcohol decreases the absorption of nutrients, such as protein and vitamin B12, causing significant deficits that affect many areas of the body, including the nerves. Constant pain in the hands or feet is one of the most bothersome aspects of alcoholic neuropathy.

Besides blood chemistry test and complete blood count (CBC), esophagogastroduodenoscopy is needed when a patient vomits and has nausea for an unknown reason; X-rays of the gastrointestinal tract can also be performed. Electromyography and nerve conduction tests are performed in order to reveal signs of ALN. Sensory functions and reflexes can be tested during a neurological examination. The best way to prevent peripheral neuropathy is to manage medical conditions that put you at risk. The use of warm or hot footbaths is a potential hazard in alcoholic neuropathy, because such treatment may cause burns to a patient with an insensate extremity.

Neurological Effects of Alcohol

Dr. Vo has also completed a postdoctoral research fellowship focused on chronic inflammatory demyelinating polyneuropathy. Dr. Jennifer Langsdorf received her medical degree from Washington University in Saint Louis after graduating summa cum laude from the University of Delaware. She completed her internship in internal medicine and her neurology residency training at the Harvard-Beth Israel Deaconess Medical Center in Boston. She followed this with a fellowship in electromyography and clinical neurophysiology also at the Harvard-Beth Israel Deaconess Medical Center.

Gabapentin, pregabalin, and carbamazepine are commonly used to alleviate burning and stabbing dysesthesias. Tricyclic antidepressants, including amitriptyline, desipramine, and nortriptyline, work similarly to the antiseizure medications. Duloxetine is a serotonin-norepinephrine reuptake inhibitor that may improve neuropathic pain. Desired outcomes of these medications include reduced pain and improved sleep. Taking these medications at bedtime may be indicated because of their sedative effects. This could lead to disability, chronic pain, and damage to your arms and legs.

Medical Professionals

Involved in the healthcare industry for over 45 years, Patricia previously worked for Tenet Corporation as a Business Office Manager for their seven local hospitals, and prior to that she was a Business Office Manager for Summit Corporation. Patricia began her career at Presbyterian Intercommunity Hospital in Whittier. Take the following steps if you suspect you have neuropathy from overconsumption of alcohol.

N-acetylcysteine may have application in the prevention or treatment of neuropathy. Rats with experimentally-induced diabetes for 2 months had a 20% reduction in nerve conduction velocity and 48% reduction in endoneurial blood flow. A mechanism of cisplatin chemotherapy-induced peripheral neuropathy was elucidated in an in vitro mouse model.

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