Mononeuritis multiplex

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Central nervous system

Mononeuropathy multiplex; Multifocal neuropathy

The goals of treatment include treatment of the cause if possible, supportive care to maximize independence and control of symptoms. This may include control of blood sugar levels for diabetics, nutritional supplementation, or medical treatments of conditions as appropriate.

To maximize self-care and independence, physical therapy, vocational therapy, occupational therapy and orthopedic interventions may be recommended. For example, exercises and retraining may increase muscle strength and control. Appliances such as wheelchairs, braces, and splints may enhance mobility.

Safety is an important consideration for people with sensation or movement difficulties. Lack of muscle control may increase the risk of falls or other injury. Decreased sensation can also increase the risk of falls. It may also increase the risk of injury because the person is unable to perceive a potential source of harm.

Safety measures for people with movement difficulty may include railings, removal of obstacles (such as loose rugs that may slip on the floor) and other measures as appropriate.

Safety measures for persons with limited sensations include an awareness of the lack of sensation and compensation through other measures. Specific measures may include the use of adequate lighting (including lights left on at night), testing of water temperature before bathing, the use of protective shoes (no open toes or high heels), and similar measures. Shoes should be checked often for grit or rough spots that may injure the feet.

People with decreased sensation should check their feet (or other affected area) frequently for bruises, open skin areas, or other injuries that may go unnoticed and become severely infected because the pain nerves of the area are not signalling the injury.

People with mononeuropathy multiplex are prone to new nerve injury at pressure points such as knees and elbows. They should avoid prolonged pressure on these areas caused by leaning on the elbows, crossing the knees, or holding similar positions.