Treatment is aimed at maximizing mobility and independence. The cause of the nerve dysfunction should be identified and treated as appropriate. In some cases, no treatment is required and recovery is spontaneous. Conservative treatment is usually appropriates if there was sudden onset, minimal sensation changes, no difficulty in movement, no history of trauma to the area, and no evidence on testing of degeneration of the nerve axon.
Surgical removal of lesions that press on the nerve may help in some cases. In cases of severe injury to the nerve, such as laceration, recovery may be not possible or may be limited. Over-the-counter or prescription analgesics may be needed to control nerve pain. Various other medications may reduce the stabbing pains that some people experience, including phenytoin, carbamazepine, or tricyclic antidepressants such as amitriptyline. Steroids may help with nerve inflammation related to a herniated disc. 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. The use of braces, splints, orthopedic shoes or other appliances may help to compensate for lost or impaired function. Vocational counseling, occupational therapy, occupational changes, job retraining, or similar interventions may be recommended.
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