Neuropathy and Neuropathic Pain
Complementary and alternative treatment modalities are commonly used 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 roles that the gut microbiome and inflammation play 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 also encouraging. This chapter reviews the available evidence supporting the safe use of complementary and alternative treatments as adjunctive or preferred options to symptomatic treatment with pharmaceuticals in commonly encountered conditions associated with neuropathy and neuropathic pain.