The treatment for hyperesthesia centers around addressing the underlying cause. If you experience hyperesthesia due to diabetic neuropathy, keeping your blood glucose under control can help keep the problem from getting worse.
If a vitamin B12 deficiency is causing the hyperesthesia, a physician might prescribe B12 supplements. After treating the underlying condition or removing the triggering stimulus, most people will find that the symptoms of hyperesthesia resolve.
If there’s an underlying problem in the brain or spinal cord, your doctor will assess and treat this accordingly.
Managing the effects of episodes
Some conditions linked to neuropathy, like diabetes, are chronic. It’s important to find methods of reducing the physical and emotional sensations around hypersensitivity.
What you can do
It’s important to remember that the condition is usually manageable. Making certain lifestyle changes can ease your symptoms considerably. You may want to try to:
- Reduce your caffeine and alcohol intake, or eliminate them completely.
- Eat a well-balanced, nutritious diet.
- Train yourself to stay calm during flares of hypersensitivity by regularly practicing yoga or meditation.
What your doctor can do
Some medical interventions might also help, including:
- Physical therapy. This can help people who experience increased pain as a result of their hyperesthesia regain mobility and improve their quality of life.
- Cognitive behavioral therapy (CBT). CBT can be effective in reducing the unpleasant responses caused by any stimulus.
- Antiepileptic drugs, including gabapentinoids. People experiencing seizures can take anticonvulsant medications to reduce the frequency and severity of their seizures. These medications can also help reduce hyperesthesia pain in people who don’t experience seizures.
- Anxiolytic medications. People can take anxiety-reducing medication if they are experiencing fear and anxiety around their condition. Hyperesthesia can be debilitating and affect your ability to be around the many stimuli of daily life. This can have a negative effect on your mental health.
- Antidepressant medications. Antidepressants can help reduce neuropathic pain as well as depression.
A 2020 review suggests a diet with plenty of flavonoids might help people reduce the effects of neuropathy. Flavonoids are compounds in plants that provide antioxidants, which help counter the harmful effects of damaging free radical molecules around your body.
However, the review largely used studies that tested the effects of flavonoids in a lab and on animals, rather than in humans. The review also focused only on peripheral neuropathy, but other types like central neuropathy might work differently.
So, it’s difficult to say that the findings can carry over to humans or all types of neuropathy, but they are promising.