Is Nerve Pain Inevitable Among Chronic Kidney Disease Patients Conducting Hemodialysis?

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The upper limbs (extremities) can be affected by Hemodialysis (HD) vascular access construction in people who have Chronic Kidney Disease (CKD) because nerves may become damaged, according to an International Urology and Nephrology study. In other cases, severe nerve damage (Neuropathy) has been linked to the harmful build-up of toxins in the bodies of HD patients. Nerve pain is a regular and significant problem in more than 50% of HD patients, and it is unfortunately not being effectively managed which unarguably impacts the quality of life for those on dialysis. 

Recommended Reading: How those with Kidney Disease on Dialysis can manage Neuropathic Pain (NP)

In fact, the Pain Management Index describes the effectiveness of pain management in dialysis patients as  negative 74.8%, indicating poor management of pain. However, there are some things that you probably have not done to help you correct this problem. 
It is widely understood that within the first 3 months of commencing HD, your dialysis site is "not seasoned", and patients may experience a lot of pain. If you continue to experience pain when getting onto your dialysis machine, you may consider using a smaller needle for instance, size 17G. Also, you may ask your Nephrologists if it is recommended to apply Lidocaine cream or  Ethylene Oxide spray to numb your site before inserting your dialysis needle. 

Recommended Reading: Pain Management For Chronic Kidney Disease Patients. Why Doctors Are Cutting Prescriptions? 

Neuropathic pain may sometimes be alleviated by painkillers (analgesics). Although there are some sold over the counter, you should talk to your Nephrologists before beginning any medicinal regimen. Several types of untraditional drugs have recently proved helpful to many people suffering from more severe forms of chronic neuropathic pain. They include mexiletine (a drug developed to correct irregular heart rhythms), gabapentin (used in the treatment of epileptic seizures), as well as some classes of antidepressants such as amitriptyline. 

Recommended Reading: Significant Portion Of ESRD Patients Suffer Severe Pain: How To Control Without Fear Of Addiction

Injections of local anesthetics like Lidocaine or topical patches containing Lidocaine may relieve pain that is found to be intractable, according to the National Institute of Neurological Disorders and Stroke. In the most severe cases, doctors can surgically destroy nerves; however, the results are often temporary and it has been noted that the procedure can lead to additional complications.

Recommended Reading: Foods That Stop Chronic Inflammation, Reduce Heart Disease, Joint Pain And More In CKD Patients

In general, adopting healthy habits-such as maintaining your personal recommended weight, avoiding toxins as much as possible, exercising, balancing your diet, correcting vitamin deficiencies, and avoiding alcohol consumption; can all reduce the physical and emotional effects of neuropathy. Such changes may also create conditions in your body that assist nerve regeneration.

Recommended Reading: CKD Patients Diagnosing And Correcting Twitching, Restlessness and Tremors Associated With ESRD

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References:

"Nerve Conduction Changes following Arteriovenous Fistula Construction in Hemodialysis Patients." National Center for Biotechnology Information. U.S. National Library of Medicine.

"What Are the Factors That Can Cause Neuropathy or Nerve Damage About Chronic Neuropathy & Its Cause:." Http://www.mcvitamins.com/. Mcvitamins.

"Peripheral Neuropathy Fact Sheet." : National Institute of Neurological Disorders and Stroke (NINDS).

"Pain in Hemodialysis Patients: Prevalence, Cause, Severity, and Management." National Center for Biotechnology Information. U.S. National Library of Medicine.

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