Integrative Neuromuscular Medicine: Neuropathy and Neuropathic Pain: Consider the Alternatives. Author: Rowin J1 Affiliation: <sup>1</sup>Wellness and Integrative Neurology, Advanced Pain and Anesthesia Consultants, Centers for Pain Management, Westchester, Illinois, USA. Conference/Journal: Muscle Nerve. Date published: 2019 May 10 Other: Special Notes: doi: 10.1002/mus.26510. [Epub ahead of print] , Word Count: 147 Complementary and alternative treatment modalities are commonly utilized by patients for neuropathy and neuropathic pain due to perceived lack of benefit from conventional medical treatment. As the association between metabolic syndrome and neuropathy is increasingly recognized, diet and lifestyle interventions are becoming important components in the management of neuropathy. Progress in the understanding of the gut-immune interaction highlights the role the gut microbiome and inflammation plays in the modulation of neuropathy and neuropathic pain. Evidence for nutritional interventions, exercise, supplements, acupuncture and mindfulness-based practices in the treatment of neuropathic pain is encouraging. This article will review the available evidence to support the safe use of complementary and alternative treatments for commonly encountered conditions associated with neuropathy and neuropathic pain. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved. KEYWORDS: complementary; integrative; neuropathic pain; neuropathy; treatment PMID: 31074875 DOI: 10.1002/mus.26510