Treatment is aimed at increasing mobility and independence. The cause of the damage should be identified and treated if necessary. In some cases, no treatment is required and recovery is spontaneous.
Conservative treatment is given if there is sudden onset of symptoms, minimal sensation or movement changes, no history of trauma to the area, and no evidence of nerve degeneration.
Corticosteroids injected into the area may reduce swelling and pressure on the nerve in some cases. Pain medication may be needed to control symptoms. Various other medications (phenytoin, carbamazepine, gabapentin or tricyclic antidepressants such as amitriptyline) may reduce the stabbing pains that some people experience. Whenever possible, medication use should be avoided or reduced to lessen the risk of side effects.
Surgical removal of lesions that press on the nerve may benefit some cases.
Physical therapy may be helpful to maintain muscle strength. Orthopedic appliances such as braces or splints may aid in walking. Vocational counseling, occupational therapy, job changes or retraining, or similar interventions may be recommended.
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