The question on what our approach to treatment of neuropathy requires a fairly long answer, and I will try to do my best in as few words as possible. It is important to realize that neuropathy is not one condition but many conditions that have different causes and therefore different treatments. Important examples are focal neuropathies that start suddenly without any warning and can result in a facial palsy, paralysis of other nerves throughout the body. These are due to vascular accidents where the blood supply to the nerve is interrupted and will heal spontaneously. A mild diuretic will often reduce the amount of fluid in the confined space in which the nerve is trapped and provide relief.
Yoga stretching exercise can help, or even shots of steroids into the wrist.
If all else fails,then surgery may be appropriate. The problem is that the diagnosis is often not made, and then the condition can go on to permanent damage so that little can be done for the nerves. Then there is a form of neuropathy that affects the nerves to the thighs and the shoulders. We used to call this diabetic amyotrophy and believed that it would take a year or two to recover. We now know that this is not true, and the condition is often an inflammatory one, a vasculitis or even an autoimmune destruction of nerves.