Wellness and Integrative Neurology, Advanced Pain and Anesthesia Consultants, Centers for Pain Management, Westchester, Illinois, USA.
Muscle Nerve. 2019 Aug;60(2):124-136. doi: 10.1002/mus.26510. Epub 2019 May 30.
Complementary and alternative treatment modalities are commonly utilized by patients for neuropathy and neuropathic pain due to perceived lack of benefit from conventional medical treatment. As the association between metabolic syndrome and neuropathy is increasingly recognized, diet and lifestyle interventions are becoming important components in the management of neuropathy. Progress in the understanding of the gut-immune interaction highlights the role the gut microbiome and inflammation plays in the modulation of neuropathy and neuropathic pain. Evidence for nutritional interventions, exercise, supplements, acupuncture, and mindfulness-based practices in the treatment of neuropathic pain is encouraging. This article reviews the available evidence to support the safe use of complementary and alternative treatments for commonly encountered conditions associated with neuropathy and neuropathic pain. Muscle Nerve 60: 124-136, 2019.
由于传统医学治疗的疗效不佳，患者常采用补充和替代治疗方法来治疗神经病变和神经性疼痛。随着代谢综合征与神经病变之间的关联被逐渐认识，饮食和生活方式干预正成为神经病变治疗的重要组成部分。人们对肠道-免疫相互作用的理解不断深入，突显了肠道微生物组和炎症在调节神经病变和神经性疼痛方面的作用。有证据表明，营养干预、运动、补充剂、针灸和基于正念的练习在治疗神经性疼痛方面具有积极作用。本文综述了现有证据，以支持安全使用补充和替代疗法来治疗常见的与神经病变和神经性疼痛相关的病症。《肌肉神经》60: 124-136, 2019.
