5 Strategies to Manage CIDP Symptoms

Live Well With CIDP: 5 Ways to Manage Symptoms Beyond Medication

Live Well With CIDP: 5 Ways to Manage Symptoms Beyond Medication
iStock
Living with chronic inflammatory demyelinating polyneuropathy (CIDP) means managing symptoms that can range from frustrating to debilitating. Depending on the severity of your CIDP, you may experience tingling in your hands and feet, numbness, coordination problems, and impaired mobility that requires a wheelchair or walker.

In addition to working with your neurologist to establish a treatment plan, you can implement a few strategies into your daily or weekly routine to make every day life with CIDP a bit easier. Here are some things you can do now to raise your CIDP symptom-management game.

1. Work With a Physical or Occupational Therapist

Many people with CIDP experience muscle weakness, balance problems, and diminished reflexes. Physical therapy can help you improve muscle strength and coordination, maintain mobility, and reduce neuropathic pain, and occupational therapy can help you work on fine motor skills and teach you new ways to perform daily tasks so you can maintain your independence.

“I think it's very helpful to work with physical and occupational therapists — they can guide you in what exercises to do or not to do,” says Michal Vytopil, MD, PhD, vice chair of neurology at Beth Israel Lahey Health’s Lahey Hospital and Medical Center, in Burlington, Massachusetts. Dr. Vytopil generally recommends low-impact aerobic exercise, like walking, swimming, or stationary cycling, which are less likely to cause musculoskeletal damage.

When choosing a therapist, be sure they have experience working with people who have conditions involving nerve damage. Also, be sure to get the all-clear from your doctor before starting new physical activity — and better yet, ensure your physical therapist and your doctor are coordinating and communicating about your care plan.

2. Focus on Good Nutrition

A healthy diet is an important part of managing CIDP, and should focus on a Mediterranean-style diet that includes anti-inflammatory, nutrient-dense foods such as fresh fruits and vegetables, whole grains, nuts, and fish. For people with a peripheral neuropathy condition such as CIDP, it’s particularly important to steer clear of foods high in saturated fats and processed foods, as well limit or avoid high-sugar foods and alcohol, which have been found to put your nerve health at risk.

It’s also important to stay hydrated if you’re undergoing intravenous immunoglobulin therapy to prevent side effects ranging from headaches to kidney damage.

3. Seek Mental Health Support

Some research suggests people living with CIDP have a higher risk of developing mental health symptoms and disorders.

 Many people admit feeling sadness when thinking about life before symptoms began, a time with fewer limitations. Self-image may also be impacted; perhaps you now see yourself primarily as someone who has CIDP, rather than recognizing your condition as only a part of who you are and something you can learn to manage.

You may find it healing to work with a mental health professional who can help you process complicated feelings about living with CIDP and develop coping strategies to feel more content and in control in your daily life. You could also consider joining a chronic pain support group. There, you’ll meet people who understand what you’re experiencing and may share details on the latest treatments and strategies that are working for them.

4. Find Balance and Learn to Prioritize

It’s not just physical balance you’ll want to maintain — you’ll have to listen to your body and find a rhythm of activity and rest that feels good to you. By prioritizing and accepting help from friends and family, you can focus on what’s most important and protect your overall health.

5. Use Assistive Devices

Whether it’s a brace, walker, or small tool to make it easier for you to do things around the house, assistive devices can make a big difference by reducing pain, adjusting for muscle weakness, and preventing injury. They can also help you stay independent and safe.

 “Things like bracing will help not only manage symptoms, but reduce flares and improve quality of life when you have CIDP,” says Lewis.
Some other examples of assistive devices include:

  • Handrails and grab bars in the bathroom
  • Bathtub and shower thermometer to help you check the water temperature
  • Gloves to prevent cuts or scrapes when doing housework
  • Jar openers
  • Zipper pulls
  • Button hook
  • Long-handled shoe horn

Managing CIDP goes beyond medications. It also requires collaboration between you, your neurologist, and other specialists working together to minimize symptoms and help you maintain your quality of life.

The Takeaway

  • Living with CIDP can involve a wide range of symptoms, from mild tingling to significant weakness and mobility challenges, making daily life difficult for some people.
  • Alongside medical interventions, lifestyle measures — such as working with physical and occupational therapists, eating a healthy diet, and using assistive devices — can help you manage symptoms and maintain independence.
  • A holistic, team-based approach that combines medical care with personalized lifestyle strategies and mental health help can improve quality of life and allow you to feel more in control of your condition.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). Cleveland Clinic. December 4, 2023.
  2. Chronic Inflammatory Demyelinating Polyradiculoneuropathy. Johns Hopkins Medicine.
  3. Exercise May Reduce Neuropathic Pain. The Foundation for Peripheral Neuropathy.
  4. Peripheral Neuropathy Nutrition. The Foundation for Peripheral Neuropathy.
  5. Li FM et al. A Review of Mental Health Outcomes in Guillain-Barre Syndrome (GBS) and Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). Neurology. April 8, 2025.
  6. Managing & Coping with Neuropathy. The Foundation for Peripheral Neuropathy.
  7. Assistive Devices. The Foundation for Peripheral Neuropathy.

Rachana K. Gandhi Mehta, MBBS

Medical Reviewer

Rachana K. Gandhi Mehta, MBBS, is an associate professor in the department of neurology at Wake Forest University School of Medicine in Winston-Salem, North Carolina. She specializes in the diagnosis and management of neuromuscular disorders, with a clinical focus on conditions such as myasthenia gravis, autoimmune neuromuscular disorders, and amyloidosis-related neuropathy, and also conducts various electrodiagnostic procedures.

Dr. Mehta is a strong advocate for integrating research and patient care. She has published extensively in peer-reviewed journals, and her research interests include myasthenia gravis, chronic inflammatory demyelinating polyneuropathy (CIDP), amyloid neuropathy, and utilizing neuromuscular ultrasound for various neuromuscular disorders. In addition to her clinical and research endeavors, Dr. Mehta is actively involved in teaching and mentoring neuromuscular fellows, residents, and medical students.

She completed her medical degree (MBBS) at Pramukhswami Medical College, Sardar Patel University, India, followed by an internship and neurology residency at Cleveland Clinic Florida, where she served as chief resident. She then pursued advanced fellowship training in neuromuscular medicine at Duke University Medical Center in Durham, North Carolina. She is board-certified in neurology, neuromuscular medicine, and electrodiagnostic medicine.

k26

Katherine Lee

Author

Katherine Lee is a writer and editor who specializes in health, science, and parenting content. She has written for Verywell, where she covered school-age parenting, and worked as an editor at Parenting and Working Mother magazines. She has written and edited numerous articles and essays on science, parenting, and children's health and development for What to Expect, the American Association for the Advancement of Sciences, the American Psychological Association, and Newsweek, among others