How is it managed?

There's currently no cure for HNPP, but some of the symptoms can be treated, and lifestyle changes can make a huge difference.

Lifestyle advice

Ifyou can feel anywarning signs (such as tingling),stop what you're doing to try to preventfurther damage tothe nerve.

It's wise to avoid:

• prolonged sitting with crossed legs
• leaning on elbows , resting the backs of arms on a chair or having someone rest on your arm
• repetitive movements of the wrists or elbows

Make a note of the sorts of activities that trigger symptoms and change the way you do them next time for example, use a machine or tool to do the work, or get someone to help you.

An occupational therapist can advise on ways you can best carry out day-to-day activities.

Physiotherapy isnot usually needed.A damaged nerve needs time to repair itself, so if you have muscle weakness, carry on using the limb just enough to keep the blood flowing to it to help it heal, but go easyand don't push it.

If you're overweight, now may be a good time to lose the weight if the disease gets worse, you may find it difficult to be active.

Orthoses, splints and protective pads

People with foot drop or wrist drop may benefit from an ankle-foot orthosis or wrist splint, which can be worn at night.

Protective pads for the elbows and knees may prevent the nerves from being aggravated.

Afoam pad on top of the mattress may also lessen pressure on the affected nerve.

Medication

If you're suffering from nerve pain, some antidepressants and anti-seizure drugs may help.

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