For most metabolic neuropathies, the best treatment is to correct the underlying metabolic problem. Vitamin deficiencies are treated with an appropriate diet. Abnormal blood sugar or thyroid function may require specific medications to correct the problem.

In some cases, pain is treated with medications that reduce abnormal pain signals from the nerves. Specific lotions, creams, or medicated patchs can provide relief in some cases.

Weakness is often treated with physical therapy. Affected patients may need to learn how to use a cane of walker if balance is affected. Special braces on the ankles may be needed to walk better.

For additional information and support, see www.neuropathy.org.

The outlook mainly depends on the underlying metabolic cause. In some cases, the problem can easily be fixed. In other cases, the underlying metabolic problem cannot be adequately controlled and nerves may continue to deteriorate.

• Pain
• Weakness
• Trouble walking
• Numbness
• Inury to feet