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Psoriatic Arthritis

What is Psoriatic Arthritis?

Psoriatic arthritis is a form of arthritis commonly experienced by individuals with psoriasis or those with a family history of psoriasis. Arthritis is a condition that affects the joints, with symptoms such as pain and inflammation in and around the joints. Meanwhile, psoriasis causes skin inflammation, with rashes that appear as discolored patches covered with scales (plaques).

Both psoriasis and arthritis are autoimmune diseases, which occur when the immune system mistakenly attacks the body instead of protecting it. Psoriatic arthritis develops when a person has both skin symptoms of psoriasis and inflammation in the joints.

Symptoms of Psoriatic Arthritis

Both psoriatic arthritis and psoriasis are chronic diseases that tend to worsen over time. However, individuals may experience periods during which symptoms improve or temporarily disappear.

Here are some symptoms of psoriatic arthritis to watch out for:

  • Swollen fingers and toes: Psoriatic arthritis can cause painful swelling in the fingers and toes.
  • Foot pain: It can cause pain at points where tendons and ligaments attach to bones, especially at the back of the heel or the soles of the feet.
  • Lower back pain: Some people develop spondylitis due to psoriatic arthritis, which causes inflammation in the joints between the vertebrae and between the spine and pelvis.
  • Nail changes: Nails may develop small pits, become crumbly, or separate from the nail bed.
  • Eye inflammation: Inflammation of the eye, or uveitis, can cause eye pain, redness, and blurred vision. If left untreated, this condition may lead to blindness.

Causes of Psoriatic Arthritis

Some people with psoriasis develop psoriatic arthritis. This type of arthritis sometimes appears years after someone has been diagnosed with psoriasis.

Like psoriasis, psoriatic arthritis is caused by the immune system attacking healthy tissue. However, it is not yet fully understood why some people with psoriasis develop psoriatic arthritis while others do not.

Diagnosis of Psoriatic Arthritis

Doctors diagnose psoriatic arthritis through physical examinations and several tests. They will also ask about symptoms and examine the patient’s skin and joints.

There is no single test that can diagnose this condition. However, doctors may recommend certain tests to rule out other causes of the symptoms. For example, a blood test might be conducted to check for signs of infection.

Additionally, imaging tests may be recommended to examine the joints for damage or inflammation. These imaging tests may include:

  • X-rays
  • MRI
  • CT scans
  • Ultrasound

Treatment of Psoriatic Arthritis

The primary treatment for psoriatic arthritis involves medication, such as:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Steroid injections
  • Disease-modifying anti-rheumatic drugs (DMARDs)
  • Biologic therapies

Doctors may also refer patients to a physiotherapist, occupational therapist, or both. A physiotherapist can teach exercises that help strengthen the joints and prevent further damage.

An occupational therapist can suggest adjustments at home and work. For instance, they may recommend tools that make specific tasks easier.

If you have specific questions regarding psoriatic arthritis or want to consult further about overall skin health, visit Mandaya Royal Hospital Puri. Our hospital is equipped with advanced medical technology and supported by a multidisciplinary team of experienced specialists.

Schedule an appointment now through the Chat feature via WhatsApp, Book Appointment, or the Care Dokter app available on Google Play and the App Store to simplify your visit, view your queue number, and get complete information.

Pancreatic Cancer

What is pancreatic cancer?

Pancreatic cancer occurs when the cells in the pancreas mutate (change) and multiply uncontrollably, forming a tumor. The pancreas is a gland located between the spine and the stomach. Its function is to produce hormones that regulate blood sugar levels and enzymes that aid in digestion.

Most cases of pancreatic cancer begin in the pancreatic ducts. The main pancreatic duct (Wirsung’s duct) connects the pancreas to the common bile duct. Early-stage pancreatic tumors are not visible on imaging tests. For this reason, many people are not diagnosed until the cancer has spread (metastasized). In addition, this type of cancer is resistant to many cancer drugs, making it difficult to treat.

Here are some types of pancreatic cancer:

  • Exocrine tumors: More than 90% of all pancreatic tumors are exocrine tumors. The most common type of pancreatic cancer is adenocarcinoma, which starts in the cells that line the organs.
  • Neuroendocrine tumors: Less than 10% of pancreatic tumors are neuroendocrine tumors (NETs). Islet cell carcinoma is another name for NETs.

Symptoms of pancreatic cancer

Pancreatic cancer symptoms often do not appear until the disease is advanced. When severe, signs and symptoms may include:

  • Abdominal pain that radiates to the side or back
  • Loss of appetite
  • Weight loss
  • Yellowing of the skin and the whites of the eyes, known as jaundice
  • Pale or floating stools
  • Dark-colored urine
  • Itching
  • New diagnosis of diabetes or worsening of existing diabetes
  • Pain and swelling in the arm or leg, which may be caused by blood clots
  • Fatigue or weakness

Causes of pancreatic cancer

Anyone can develop pancreatic cancer. However, the exact cause is not always known.

A person may be more likely to develop pancreatic cancer if they:

  • Are over the age of 65 (pancreatic cancer is less common in people under 40)
  • Have certain medical conditions, such as chronic pancreatitis
  • Have a family history of pancreatic cancer

In addition, many pancreatic cancer cases are linked to lifestyle factors.

Diagnosis of pancreatic cancer

Early-stage pancreatic cancer is difficult to detect. This is because doctors cannot feel the pancreas during a routine examination and tumors are hard to see with standard imaging tests.

If a doctor suspects pancreatic cancer, they may recommend a combination of tests, which may include:

1. Imaging tests

  • CT scan
  • MRI
  • PET scan
  • Endoscopic ultrasound

2. Blood tests

Blood tests can detect tumor markers—substances that may indicate the presence of cancer.
For pancreatic cancer, levels of carbohydrate antigen (CA) 19-9 may suggest a tumor. CA 19-9 is a type of protein released by pancreatic cancer cells.

3. Laparoscopy

Doctors may use laparoscopy to determine the severity of pancreatic cancer and whether it can be surgically removed. During the procedure, doctors make several small incisions in the abdomen and insert a long tube with a camera at the end to look inside the abdomen for abnormalities. A biopsy is often taken during this procedure.

Treatment for pancreatic cancer

1. Surgery

Surgery is the only realistic way to cure pancreatic cancer. However, it is only recommended if doctors believe they can remove the entire tumor. Otherwise, the benefit may not be significant.

For surgery to be successful, the cancer must be confined to the pancreas. Even then, complete removal may not be possible.
Different surgical techniques are used depending on the tumor’s location and size.

2. Chemotherapy

Chemotherapy uses drugs to kill cancer cells. These drugs can be administered orally or through an IV. Doctors may use chemotherapy as a standalone treatment, especially for advanced pancreatic cancer. It may also be recommended before surgery to shrink the tumor or after surgery to destroy remaining cancer cells.

3. Radiation therapy

Radiation therapy uses high-energy X-rays to kill cancer cells. This treatment is commonly used to treat pancreatic cancer.

Mandaya Royal Hospital Puri has a Comprehensive Cancer Center that can help with the detection and treatment of various types of cancer, including pancreatic cancer. Don’t hesitate to visit our hospital and consult with our team of experienced and specialized doctors.

Use our Chat via WhatsApp feature, Book Appointment, or the Care Dokter app—available on Google Play and the App Store—to simplify your visit, check your queue number, and get complete information.

Polycystic Ovarian Syndrome (PCOS)

PCOS (Polycystic Ovarian Syndrome), atau sindrom polikistik ovarium atau adalah kondisi ketika sel telur tidak matang sempurna, sehingga berukuran kecil, akibat gangguan keseimbangan hormon reproduksi. Sel telur yang tidak matang ini akhirnya membentuk kista-kista kecil dalam jumlah banyak.

Sering kali, PCOS disebabkan oleh gangguan keseimbangan hormon pada wanita usia subur. Salah satu masalah yang muncul dari sindrom polikistik ovarium ini adalah orang yang mengalaminya jadi sulit hamil.

Penyebab Polycystic Ovarian Syndrome (PCOS)

Penyebab pasti PCOS hingga kini belum diketahui. Namun, kemungkinan PCOS terjadi akibat masalah hormon yang tidak seimbang.

Wanita memiliki hormon estrogen dan progesteron. Dalam jumlah kecil, wanita juga memiliki hormon testosteron, yakni hormon pria, di dalam tubuhnya. Ketidakseimbangan hormon reproduksi inilah yang dapat menyebabkan seseorang mengalami PCOS. 

Berikut ini adalah beberapa faktor yang dapat meningkatkan risiko Anda mengalami PCOS:1. Tingkat androgen yang tinggi

Normalnya, wanita memang memiliki hormon androgen, yakni testosteron di dalam tubuhnya dalam jumlah yang sangat kecil.

Ketika kadar hormon testosteron dalam tubuh wanita berlebihan, kondisi ini bisa membuat ovarium tidak dapat melepaskan sel telur yang sudah matang saat ovulasi.

Hal ini bisa berdampak pada siklus menstruasi dan kesuburan wanita.

2. Resistensi insulin

Insulin berguna untuk membantu sel tubuh memecah kadar gula darah. Bila sel tubuh resisten atau kebal terhadap insulin, glukosa akan tetap berada di dalam darah dan meningkatkan kadar glukosa darah. Kadar insulin yang terlalu tinggi dapat membuat tubuh menciptakan terlalu banyak hormon androgen yang memengaruhi proses ovulasi dan menyebabkan PCOS.

3. Genetik

Sindrom polikistik ovarium cenderung diturunkan dalam satu keluarga. Apabila ibu, bibi, atau saudara perempuan Anda ada yang mengalami PCOS, maka risiko Anda untuk mengalami hal serupa pun lebih besar.

4. Inflamasi ringan

Sebuah studi menunjukkan bahwa orang yang mengalami peradangan (inflamasi) kronis dalam level ringan juga berpotensi mengalami PCOS.

Ini karena kista-kista kecil yang terbentuk mungkin saja memproduksi androgen.

Selain itu, orang yang memiliki obesitas juga diketahui memiliki angka peradangan yang lebih tinggi dibandingkan mereka yang punya berat badan ideal.

Baca Juga: Tes Kesuburan Pria yang Perlu Dilakukan Sebelum Program Hamil

Gejala (PCOS)

Wanita dengan PCOS memiliki kadar hormon androgen yang berlebihan. Hal ini menyebabkan ovarium tidak dapat melepaskan sel telur yang matang. Sebaliknya, justru menciptakan sel telur kecil dan tidak matang, yang berkembang menjadi kantung-kantung kecil berisi cairan (kista) pada ovarium. 

Saat seorang wanita tidak mengalami ovulasi, menstruasi juga mungkin saja tidak terjadi. Maka itu, gejala utama PCOS yang paling khas adalah siklus menstruasi yang tidak teratur. 

Anda mungkin hanya mengalami haid kurang dari delapan kali dalam setahun, memiliki jarak siklus haid yang pendek kurang dari 21 hari atau lebih dari 35 hari. Pada sebagian wanita PCOS juga dapat menyebabkan menstruasi berhenti.

Selain itu sekitar 70% wanita dengan PCOS juga dapat mengalami hirsutisme, yaitu pertumbuhan rambut ekstra pada wanita di bagian wajah, dagu, atau bagian tubuh lain di mana pria biasanya memiliki rambut.

Berikut ini adalah beberapa gejala PCOS:

  • Menstruasi tidak teratur
  • Tidak mengalami menstruasi sama sekali
  • Pertumbuhan jerawat di wajah, dagu, dada, dan punggung bagian atas (hirsutisme)
  • Berat badan bertambah atau kesulitan menurunkan berat badan
  • Penipisan rambut atau rambut rontok di kulit kepala, seperti pola kebotakan pada pria
  • Area lipatan kulit yang menggelap, seperti di lipatan leher, di pangkal paha, serta di bawah payudara
  • Tag kulit, yaitu pertumbuhan kulit berlebih berukuran kecil yang biasanya tumbuh di ketiak atau area leher

Munculnya kista ovarium berukuran kecil dalam jumlah banyak saat dilakukan tes USGBaca juga: Mitos dan Fakta untuk Mendapatkan Kehamilan 

Pengobatan Polycystic Ovarian Syndrome (PCOS)

Biasanya, dokter mengetahui Anda memiliki PCOS dari serangkaian tes kesuburan wanita. Meski demikian, USG transvagina juga dapat menunjukkan ada tidaknya kista-kista kecil yang terbentuk.

Meskipun tidak bisa disembuhkan tetapi pengobatan dapat diberikan untuk mengontrol gejala PCOS yang menyebabkan Anda merasa tidak nyaman.

Perubahan gaya hidup

Kelebihan berat badan adalah salah satu faktor yang menyebabkan Anda mengalami PCOS. Jika Anda memiliki kelebihan berat badan, dokter dapat menyarankan untuk lebih rajin berolahraga dan menjalankan pola makan sehat dengan diet rendah kalori. 

Penurunan berat badan dapat membantu mengurangi gejala, meningkatkan efektivitas obat PCOS bahkan memperbaiki masalah kesuburan.

Pemberian obat-obatan

Untuk mengembalikan ketidakseimbangan hormon dokter dapat memberikan:

  • Kombinasi pil KB yang mengandung estrogen dan progesteron untuk menekan produksi androgen. Obat ini dapat membantu memperbaiki siklus haid, mengurangi pertumbuhan rambut ekstra dan jerawat.
  • Terapi  progesteron selama 10 sampai 14 hari setiap 1 sampai 2 bulan. Terapi ini dapat memperbaiki siklus haid dan melindungi dari kanker endometrium. Terapi ini juga tidak akan mencegah kehamilan. 

Dokter juga dapat merekomendasikan pemberian obat-obatan hormon seperti clomifene, letrozole dan metformin untuk membantu mengatur siklus menstruasi sehingga Anda bisa lebih mudah mendapatkan kehamilan.

Prosedur medis khusus

Dokter dapat juga menyarankan metode pengobatan lain sesuai kebutuhan. Electrolysis adalah salah satu prosedur medis untuk menghilangkan rambut ekstra di tubuh. Anda juga bisa mendapatkan perawatan untuk menghilangkan jerawat. Pembedahan ovarium mungkin juga jadi pilihan untuk membuat ovarium bekerja lebih baik.

PCOS adalah salah satu penyebab umum infertilitas pada wanita. Kehamilan pada wanita dengan PCOS juga memerlukan perhatian khusus karena lebih berisiko. 

Selain itu, PCOS juga telah dikaitkan dengan berbagai kondisi medis lain termasuk diabetes, tekanan darah tinggi, kadar kolesterol jahat tinggi, gangguan sleep apnea, depresi dan kecemasan serta kanker endometrium.

Maka dari itu segera periksakan ke dokter jika Anda mengalami gejala PCOS seperti haid tidak teratur maupun gejala lain yang telah disebutkan di atas. Dengan penanganan yang tepat wanita pemilik PCOS bisa memperoleh kehamilan. 

Lihat juga: Mengetahui Tahapan Pemeriksaan Promil yang Perlu dilalui 

Fertility Clinic di Mandaya Royal Hospital Puri menyediakan layanan tes kesuburan bagi pasangan yang ingin merencanakan kehamilan. Anda dan pasangan bisa mengikuti program hamil 25 hari yang disusun oleh Dokter Konsultan Fertilitas dan Andrologi berpengalaman. 

Gunakan fitur Chat melalui Whatsapp, Book Appointment, atau aplikasi Care Dokter yang bisa di-download di Google Play dan App Store untuk mempermudah kunjungan, melihat nomor antrian, dan mendapatkan informasi lengkap lainnya.

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dr. Pribadyo, SpM (K)-KVR, MPH

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Speciality Opthalmology
Location Mandaya Royal Puri
Language Spoken Indonesia, English
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Educational Background

  • General Practitioner, Brawijaya University
  • Postgraduate Programme in Ophthalmology, University of Indonesia
  • Post Graduate Programme Hospital Management, Gajah Mada University

Courses & Training

  • Vitreoretinal fellowship, Ophthalmology Departement, Faculty of Medicine University of Indonesia/ Cipto Mangunkusumo Hospital (FMUI/CMH), Jakarta
  • Phacoemulsification fellowship, Ophthalmology Departement, Faculty of Medicine University of Indonesia/ Cipto Mangunkusumo Hospital (FMUI/CMH), Jakarta
  • Vitreoretinal Course, Tan Thock Seng Hospital Singapore
  • LASIK Course, Melborne LASIK Centre Australia
  • Prebylasik Course Allain Telandro, Cannes French
  • Opthhalmic Ultrasonography Teaching Course and Orbital and Oculopastic Management, Jakarta Participant 2000
  • Advanced Course in VitreoRetinal Surgery, Singapore Participant 2002
  • Symposium and Live Surgery “Update in Vitreo Retina and Oculoplastic Surgery Participant 2003
  • The 1st International Retina Meeting in Tianjin, China Participant 2006
  • Jakarta Vitreo Retinal Meeting 2006, Latest Trend in Diagnostic and Management of Diabetic Retinopathy Participant 2006
  • 10th Continuing Ophthalmology Education: Understanding Retinal Vascular Occlusive Diseases Participant 2006
  • VitreoRetina Interest Group Meeting in 5th Sumatera Ophthalmologist Meeting. Palembang Participant 2007
  • Latest Advances in Retinal Diseases. Singapore Participant 2007
  • 4th Congress of the Asia Pacific Vitreo Retina Society. Taipei Participant 2009
  • 7th JEC Saturday Seminar: All You Need to Know about Retina from Baby to Elderly. Jakarta Participant 2010
  • 5 th Congress of the Asia Pacific Vitreo Retina Society. Singapore Participant 2010
  • A Weekend Symposium of Retinal Updates (Didactic). Singapore Participant 2011
  • 11th Congress of The European Society of Retina Specialist. London Participant 2011
  • Continuing Ophthalmology Education: Focus on Diabetic Retinopathy, from Screening to Managing Complications. Jakarta Participant 2012
  • 12th Congress of The European Society of Retina Specialist, Milan Italy, 6-9 September 2012 Participant 2012
  • Anti VEGF in Ophthalmology Symposium. Jakarta Participant 2013
  • The 1st Indonesia Vitreo Retina Society Meeting. Jakarta Participant 2015
  • The 1st Indonesia Vitreo Retina Society Meeting. Jakarta Speaker 2015
  • All You Need to Know About Diabetic Retinopathy in Daily Practice Participant 2016
  • 15th National Congress & 44th Annual Scientific Meeting of Indonesian Ophthalmologist Association
  • Vitreoretinal Surgical Challenges Participant 2020
  • IOL Technology Upd Date & Technique for Better Result Participant 2020
  • INAPOSS – Motoric Examination l Participant 2020
  • Switching on The Light for The New Normal Participant 2020
  • Ivis Webinar Series – Retina Participant 2020
  • RSCM Kirana – NUH Collaborative Webinar Series ( Series 1 of 4 Neuro-ophthalmology and Glaucoma ) Participant 2020
  • Pediatric eye cases whats urgent emergent Participant 2020
  • Complications in Cataract Surgery Participant 2020
  • Cataract Surgery Tips for All Skills Experience Levels Participant 2020
  • Optic Nerve Problems in Daily Clinical Practice Cases You Wouldn_t Want to Miss Participant 2020
  • Starting to do Laser Vision Correction Participant 2020
  • RSCM Kirana – NUH Collaborative Webinar Series ( Series 3 of 4 Retina – Uveitis – Posterior Segment Malignancy ) Participant 2020
  • Cataract Surgery _ Don_t Let Pandemic Stand in Your Way Participant 2020
  • High Achievement for Visual Outcome Participant 2020
  • Retinal Detachment and Glaucoma Participant 2020
  • Step by Step in Toric IOL Implantation Participant 2020
  • Posterior Segment Consideration in Cataract Surgery, Participant 2020
  • Learning the Basics Ophthalmology Community Participant 2020
  • Immediately Sequential Bilateral Cataract Surgery (ISBCS) An online Course Participant 2020
  • Safe Approach to Acute Ocular Motility Problems Participant 2020
  • Update on APGC Guidelines Series 2 Glaucoma Medical Treatment Participant 2020
  • INASCRS Cyber Meeting Series _Raising The Bar in Cataract Solutions With Exceptional Outcome Participant 2020
  • Comprehensive Examination and Diagnosis of Optic Nerve Diseases Participant 2020
  • Management of Ophthalmological Cases in Daily Practice Participant 2020
  • From Zero to Hero A New Perspective of Contact Lens Participant 2020
  • A Clinical Focus : Practice Essentials and Targeted Therapy in Managing Dry Eye Participant 2020
  • Phaco Nightmares and Glued IOL in Sticky Situations : An Online Course Participant 2020
  • Visual Function Optimization Participant 2020
  • Biometrik Mata
  • Foto Fundus Mata
  • Laser Argon
  • Laser YAG
  • Operasi Katarak
  • Operasi Mata
  • Operasi Pterigium
  • Oftalmoskopi
  • Pemeriksaan Glaukoma
  • Pemeriksaan Visus Mata
  • Pemeriksaan dan Konsultasi Mata
  • Pengobatan Kista Konjungtiva
  • Perawatan Glaukoma
  • Tes Buta Warna
  • Tonometri
  • USG Mata
  • Pemeriksaan Slit Lamp (Biomikroskop)
  • Pemeriksaan dan Konsultasi Mata Anak
  • Pengobatan Kalazion

Primary Location

Mandaya Royal Puri

Jl. Metland Boulevard Lot. C-3 Metland Cyber City Puri, RT.001/RW.002, Parung Jaya, Kec. Karang Tengah, Kota Tangerang, Banten 15159

Appointment +6221-5092-8888

Peripheral Neuropathy

Peripheral neuropathy is a condition involving damage to the peripheral nerves that connect the central nervous system (brain and spinal cord) to other parts of the body. This condition can be caused by various factors and presents with symptoms that vary depending on the type and severity.

Causes of Peripheral Neuropathy

Peripheral neuropathy can be caused by various factors, both medical and non-medical. Here are some common causes of peripheral neuropathy:

1. Diabetes

Diabetes is one of the most common causes of peripheral neuropathy. Prolonged high blood sugar levels can damage small nerves in the body, especially in the feet and hands.

2. Alcohol

Consuming large amounts of alcohol over a long period can lead to vitamin deficiencies, resulting in nerve damage.

3. Physical Trauma or Surgery

Physical injuries or trauma that cause damage to peripheral nerves can result in neuropathy. Examples include back injuries, injuries to the extremities, or injuries involving specific nerves. Surgery that damages nerves can also lead to peripheral neuropathy.

4. Infections

Infections from various types of viruses, bacteria, or parasites can cause peripheral neuropathy. Examples include HIV infection, hepatitis C, or herpes zoster virus infection.

5. Toxins

Exposure to certain chemicals or toxins can also cause peripheral neuropathy. Examples include mercury, lead, arsenic, or certain industrial chemicals.

6. Autoimmune Diseases

Some autoimmune diseases such as lupus, Guillain-Barré syndrome, or other autoimmune inflammatory diseases can cause the immune system to attack peripheral nerves.

7. Metabolic Disorders

Vitamin B12 deficiency, disorders of the endocrine system (such as hypothyroidism), or other metabolic disorders can cause peripheral neuropathy.

8. Cancer and Cancer Treatment

Certain types of cancer or cancer treatments like chemotherapy can cause neuropathy as a side effect.

9. Genetics

Peripheral neuropathy can also be genetic or inherited within families, such as Charcot-Marie-Tooth (CMT) or other hereditary neuropathies.

Symptoms of Peripheral Neuropathy

Symptoms of peripheral neuropathy can vary depending on the type and severity of the condition. However, some common symptoms often experienced with peripheral neuropathy include:

  • Numbness and tingling: Sensations of numbness or tingling often occur in the feet and hands but can occur in other parts of the body as well. These sensations can be continuous or occur intermittently.
  • Pain: Pain in the feet and hands. The pain experienced can be like a burning sensation, stabbing pain, or dull ache.
  • Sensitivity to touch: Some cases of peripheral neuropathy cause excessive sensitivity to light touch or extreme temperatures, such as cold or heat.
  • Loss of sensation: Difficulty sensing temperature, touch, or pain in affected areas. This can increase the risk of injury or wounds without awareness.
  • Loss of balance: Impaired balance or coordination, which can lead to difficulty walking or performing physical activities.
  • Muscle weakness: Muscles feel weak and have difficulty lifting even light objects. This weakness usually occurs gradually.
  • Changes in skin: Skin in affected areas may undergo changes such as dryness, cracking, or changes in color.
  • Motor function disturbances: Disturbances in motor function, such as difficulty moving fingers, hands, or feet.
  • Sensory organ disturbances: Peripheral neuropathy can also cause disturbances in sensory organs, such as visual or hearing impairments.

Management of Peripheral Neuropathy

Management of this condition depends largely on its type. The primary goal of management is to reduce pain and, if possible, cure it.

Here are some types of peripheral neuropathy management:

1. Treating the underlying cause

If neuropathy is caused by specific medical conditions such as diabetes, treating the underlying disease is the appropriate solution. For example, controlling blood sugar levels for neuropathy caused by diabetes.

2. Medications

Doctors may prescribe various types of medications to reduce neuropathy symptoms, such as:

  • Analgesics (pain relievers) to reduce pain.
  • Antidepressants or anticonvulsants to control numbness and tingling.
  • Anti-inflammatory drugs to reduce nerve inflammation.
  • Vitamin B12 or other supplements if neuropathy is caused by nutritional deficiencies.

3. Physical therapy

Physical therapy can help strengthen muscles, improve balance, and enhance coordination. Physical therapists can also provide suitable exercises to help overcome muscle weakness.

4. Occupational therapy

This therapy helps individuals with peripheral neuropathy perform daily activities effectively. Therapists also assist patients in making specific activity modifications.

5. Pain management therapy

Besides pain relievers, pain management techniques such as hot-cold therapy, relaxation techniques, or massage therapy can help reduce discomfort.

6. Use of assistive devices

Using assistive devices like canes, foot braces, or wheelchairs can aid in mobility and reduce the risk of injury.

7. Lifestyle changes

Adopting a healthy lifestyle including a balanced diet, regular exercise, avoiding alcohol and smoking, and maintaining a healthy weight can help manage neuropathy symptoms.

8. Nerve therapy

In some cases, nerve therapies such as nerve stimulation with electrical signals can help reduce symptoms.

If you feel that symptoms of a nerve disorder are affecting your daily activities, visit a doctor immediately.

Feel free to consult at Mandaya Royal Hospital. Our Brain-Spine-Pain department is ready to handle various muscle complaints such as muscular dystrophy. Here, we employ a multidisciplinary approach, where several specialist doctors from different fields address your nerve issues.

Additionally, Mandaya Hospital offers medical rehabilitation services to help patients regain muscle function.

Schedule your appointment with a doctor now via Whatsapp Chat, Book Appointment page, or the Care Dokter app, available for download on Google Play and the App Store. In addition to appointments, you can also monitor queue numbers and get other comprehensive information there.

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drg. Priscilla Daniego Pahlawan, Sp.KG

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Speciality Dentistry, Dental - Endodontics
Location Mandaya Royal Puri
Language Spoken Indonesia, English
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Jadwal Dokter Tim Gigi & Mulut

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Primary Location

Mandaya Royal Puri

Jl. Metland Boulevard Lot. C-3 Metland Cyber City Puri, RT.001/RW.002, Parung Jaya, Kec. Karang Tengah, Kota Tangerang, Banten 15159

Appointment +6221-5092-8888
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dr. Primartanto Wibowo, Sp.An-KIC

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Speciality Anesthesiology sub. Intensive Care, Anasthesiology
Location Mandaya Royal Puri
Language Spoken
Rating:(average: 5 out of 5. Total: 3)
Patient Satisfaction Reviews 3 Patient Comment

Educational Background

  • Spesialis Anestesi, Universitas Indonesia
  • Konsultan Intensive Care, Universitas Padjajaran

Courses & Trainings

  • Fundamental Critical Care Support Course
  • Multidiscipline Critical Care

Primary Location

Mandaya Royal Puri

Jl. Metland Boulevard Lot. C-3 Metland Cyber City Puri, RT.001/RW.002, Parung Jaya, Kec. Karang Tengah, Kota Tangerang, Banten 15159

Appointment +6221-5092-8888

Patient Satisfaction Reviews

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Rating:(average: 5 out of 5. Total: 3)

3 Patient Comments

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drg. Petrina Chandra, Sp.KG

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Speciality Dentistry, Dental - Endodontics
Location Mandaya Royal Puri
Language Spoken Indonesia
Patient Satisfaction Reviews 0 Patient Comment

Educational Background

  • Kedokteran Gigi, Universitas Trisakti
  • Endodontic Resident, Universitas Trisakti

Courses & Trainings

  • Seminar Khusus Forum Kursus Dental
  • 3M Dental Expo 2019
  • Anatomical Canal Preparation and Disinfection
  • Seminar Ilmiah Nasional IKORGI III
  • Cabut Gigi
  • Foto Panoramik Gigi
  • Pembersihan Gigi
  • Pemeriksaan dan Konsultasi Perawatan Gigi
  • Pengobatan Gigi Sensitif
  • Rontgen Gigi
  • Scaling Gigi
  • Tambal Gigi

Primary Location

Mandaya Royal Puri

Jl. Metland Boulevard Lot. C-3 Metland Cyber City Puri, RT.001/RW.002, Parung Jaya, Kec. Karang Tengah, Kota Tangerang, Banten 15159

Appointment +6221-5092-8888
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