In some cases affected nerves can swell, causing pain, loss of feeling, and weakness in the muscles of the hands or feet. Early diagnosis and treatment is very important and can prevent many of the complications associated with the disease. Many patients with tuberculoid or paucibacillary disease can even self heal without benefit of treatment but it is the standard of care to treat all patients identified with the disease. Problems with fingers or toes can be prevented by avoiding injury and infections to these areas, and by taking the HD medicines. Some patients report that they get worse after treatment has begun.
Some patients experience what is called reaction after treatment has begun.
Reaction can be mild or severe. If mild, no treatment or only over the counter anti-inflammatory medication may be sufficient. More severe reaction can be harmful to nerves and should be promptly treated by a physician. If you think you are having reaction of any type, it is best to notify your physician so that he can decide on appropriate treatment. Unfortunately, the rash caused by Hansen's disease often resembles other skin diseases.