Chronic Inflammatory Demyelinating Polyradiculoneuropathy Treatment & Management

Updated: Jun 13, 2018
  • Author: Richard A Lewis, MD; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Treatment

Medical Care

Untreated, chronic inflammatory demyelinating polyradiculoneuropathy is characterized by accumulating disability that requires physical and occupational therapy, orthotic devices, and long-term treatment. Close follow-up care with a physician knowledgeable in the field is necessary to adjust treatment.

Medications and plasma exchange may be utilized to avert disease progression.

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Surgical Care

Surgical and orthopedic consultation may be required for sural nerve biopsy or in severe disease with joint deformities that require corrective surgery.

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Consultations

Consult a neurologist for evaluation, diagnosis, and treatment of CIDP and possible associated diseases.

Consult a physical medicine and rehabilitation specialist for physical and occupational therapy and evaluation for orthotic devices.

Other consultations (eg, internist, hematologist, oncologist, rheumatologist) may be necessary if associated diseases are present. Some treatments may be best accomplished with the assistance of a hematologist or rheumatologist.

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Diet

No specific diet has been proven beneficial in CIDP.

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Activity

Activity generally depends on the level of disability. Encourage physical therapy and an active lifestyle.

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