By rray, 3 June, 2024 Monitor comorbidities that may impact sx optimize sleep nutrition stress reduction
By rray, 3 June, 2024 If significant neuropathy progressive weakness worsening gait instability refer to neurology 1
By rray, 3 June, 2024 If neuropathic pain consider gabapentin pregabalin duloxetine nortriptyline topical capsaicin dry needling heat U S referral to neurology pain mgmt 1
By rray, 3 June, 2024 If HA lifestyle mods sleep exercise eating diary stress avoid med overuse consider OTC supplements mag melatonin coenzyme Q10 riboflavin feverfew non pharm tx acupuncture relaxation therapies biofeedback gentle stretching ergonomics trigger point injectio
By rray, 3 June, 2024 If dizziness vertigo tinnitus hearing loss evaluate for other causes e g autonomic dysfunction and offer adequate hydration 64 oz per day compression stockings if postural vestibular rehab white noise for tinnitus hearing loss hearing aids ENT audiology r
By rray, 3 June, 2024 If visual sx w o red flag findings avoid contributing meds e g anticholinergics antihistamines consider vision rehab 1
By rray, 3 June, 2024 Consider referrals to PM R PT OT speech social worker orthotist as appropriate 1