Alcohol-related peripheral neuropathy: a systematic review and meta-analysis PMC

Alcohol-related peripheral neuropathy: a systematic review and meta-analysis PMC

how to treat alcohol neuropathy

Thus, further preclinical and clinical studies are required to assess of this molecule in alcoholic neuropathy. These are some other questions people often ask about alcoholic neuropathy. There’s no exact timeframe for how quickly alcohol-related neuropathy develops. However, stopping consuming alcohol sooner can help stop the progression of nerve damage.

How to prevent alcoholic neuropathy

how to treat alcohol neuropathy

Fetal alcohol syndrome can occur when a person is exposed to alcohol before birth. But according to the Centers for Disease Control and Prevention (CDC), drinking less or not at all may help you avoid neurological harm. Consuming too much, especially over months or years, can result in severe symptoms. An ankle-foot orthosis (AFO) may be needed to assist patients with weak ankle dorsiflexion, eversion, and/or plantar flexion. This device also can help with ankle proprioception and can improve gait and prevent ankle sprains. Vigilant foot care and the use of shoes with an enlarged toe box are useful in preventing foot ulcers.

  • Talk with your doctor about treatment and support options available to you.
  • Using these tests, doctors can often pinpoint the abnormal nerves and determine which part of their structure is damaged.
  • These findings constitute direct evidence that spinal PKC plays a substantial role in the development and maintenance of an ethanol-dependent neuropathic pain-like state in rats.
  • Patients present with pain, ataxia, and paresthesias in the lower extremities.
  • Statistical calculation of pooled proportions was conducted in R language, using the default settings of the “meta” package and the “metaprop” function with a random effects model [8].

Diagnosis and Tests

This condition is typically not life-threatening, but the nerve damage from alcoholic neuropathy is usually permanent. In general, peripheral neuropathy isn’t likely to cause life-threatening complications or symptoms. However, there are a few conditions that fall under peripheral neuropathy that are severe and need immediate medical attention. How peripheral neuropathy develops, particularly the timeline of its progress, depends very much on what causes it. Injuries can cause it to develop instantaneously or within minutes or hours.

Join a Support Group

The most important strategy against alcoholic neuropathy lies in preventing the symptoms from getting worse by decreasing alcohol consumption as soon as possible. In addition, a support group can help you cope with the life changes you’re experiencing as a result of your condition. You might look for a support group specifically for alcoholic neuropathy or for people coping with chronic pain. You may also benefit from a support group to help you reduce your drinking or completely quit drinking alcohol. Nerves don’t have a resilient ability to regenerate if they are severely damaged.

Treatment Options for Alcoholic Neuropathy

Yes, long-term excessive alcohol consumption may lead to peripheral neuropathy, which can cause pain in your feet. Sometimes alcohol causes such severe damage to the body that a liver transplant may be necessary. In this case, there may be some improvement in the symptoms of alcoholic neuropathy after the liver transplant, but the neuropathy may also be so advanced that there may be little, if any, improvement, even after a transplant. While peripheral neuropathy generally cannot be cured, there are several medical treatments that can be used to manage the pain of alcoholic neuropathy, aiding in your recovery.

how to treat alcohol neuropathy

  • The treatments depend on what’s causing it and the symptoms you experience.
  • Alcoholic neuropathy, also called alcohol-induced peripheral neuropathy, is nerve damage in the body caused by the toxic effects of alcohol.
  • Vigilant foot care and the use of shoes with an enlarged toe box are useful in preventing foot ulcers.
  • Active denervation (presence of positive waves and fibrillations) was also present in the majority of patients.

For a list of rehabs and treatment centers near you, visit our rehab directory. However, vulnerability to neuropathy and its severity and speed of progression varies. Women, continuous as opposed to episodic drinkers, and people with a family history of the disorder appear to be more vulnerable to alcoholic neuropathy and more severe presentations. In someone with alcohol use disorder who may consistently consume large amounts of alcohol, the chronic effect of alcohol on nerves can lead to permanent damage. Alcoholic neuropathy is a severe condition that can lead to pain, loss of some bodily functions, and loss of mobility. However, recognizing the symptoms and seeking medical attention early may minimize the impact of the condition.

Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Once alcohol use has been addressed, a doctor can focus on treating alcohol-related neuropathy itself. Treatment will depend on the type, location, and severity of your symptoms. It’s important to share any history of alcohol use with the doctor to receive an accurate diagnosis.

Review Date 4/29/2023

how to treat alcohol neuropathy

Translocation of NFkβ to the nucleus has been reported to result in activation of the endogenous proteolytic enzyme system caspases [69]. Joseph & Levine [71] suggested that activity in signaling pathways that ultimately lead to apoptosis plays a critical role in the generation of neuropathic pain, before death of sensory neurones becomes apparent. Activator and effector caspases, defining components of programmed cell death signalling pathways, also contribute to pain-related behaviour in animals with small fibre peripheral neuropathies. The death receptor ligand, tumour necrosis factor α, and its downstream second messenger, ceramide, also produce pain-related behaviour via this mechanism. This suggests that these pathways are potential targets for novel pharmacological agents for the treatment of inflammatory as well as neuropathic pain [71].

Eating a nutritious diet, exercising regularly, and limiting how much alcohol you drink can all help prevent nerve damage. Avoiding injuries and toxic chemicals and carefully managing underlying disorders, such as diabetes, can also help prevent peripheral neuropathy. Hawley et al. followed up 11 patients with alcohol-related neuropathy who were abstinent from alcohol and who had begun to consume a normal diet [67].

What are symptoms of alcoholic neuropathy?

Peripheral neuropathy can be a temporary concern, or it can be permanent. How long it lasts depends on what caused it, the extent of the damage — if any — that alcohol neuropathy stages it caused, the treatments and more. While it can happen because of infectious diseases, this condition doesn’t spread from person to person on its own.