There are many questions asked by people about peyronies disease, like “what is the best treatment for peyronie disease“? Peyronie’s disease is an inherited abnormality of the nervous system which results in the enlargement and weakening of the spinal cord. This condition usually occurs in young children whose spinal cords are still being developed, but it can also occur in people of any age who have experienced trauma or fractures to the spinal cord. The symptoms depend on the location of the lesion within the spine.
The first step is normally non-surgical in nature, as a first line of treatment. This is to prevent any further damage to the spinal cord. Local anesthesia is used and it is also used for pain relief. There may be local or general anesthesia depending upon the severity of the disorder. Painkillers and/or muscle relaxants may be prescribed by the doctor in order to alleviate the pain and the associated discomfort and limitations.
Depending on the severity of the disorder, the doctor will most likely recommend surgery. However, if this is not an option, other forms of treatments will then be administered. Pain killers and muscle relaxants are usually administered first, followed by non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and steroid injections to control the pain.
As the disease progresses, more treatment options become available. There are several medications used to treat Peyronie’s disease which can be administered orally and/or intravenously. They are: Isotretinoin, Acyclovir, Humira, Bellergal, Ketoconazole, Naproxen, Phenytoin, Erythromycin, Triamcinolone, and Indacin. These medications are used in various doses and combinations to address different problems related to the nerve roots affected by the disease. Oral medications are usually used first, followed by injected medications for severe and secondary disease.
For secondary disease, oral steroids and interferon may also be used. In this case, steroid injections are usually first given to address the pain, inflammation, and swelling of the spinal cord and surrounding tissues. If these do not work, or if the pain becomes worse, additional steroid is given. As a last resort, intrathecal injectable steroids may also be used. The dosage of the steroids depends on the severity of the condition.
Irrespective of the type of treatment, any changes in the spinal cord structure should be addressed. This is done so that the chances of complications arising from the condition are minimal. This can be done through surgeries (Lumpectomy and Sacro-Occipital), medicines, physical therapy, and other treatments used to alleviate the pain, minimize spinal deformity, and delay the progression of the disease.