Once the diagnosis is made we will determine the best possible treatment for the patient trying to prevent further nerve damage and trying to reverse the process. The earlier in the disease process that we see the patient the better chances of recovery. The later in the disease course the patient comes to our attention the chances of recovery are less and patients might require surgical procedures that could have been avoided early in the disease course. Patients could havse full recovery with minimal intervention if they seek medical attention early in their disease course.