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Doctor insights on: Neuropathy

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Dr. Bennett Machanic
46 years in practice
44M people helped
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Dr. Bennett Machanic
46 years in practice
44M people helped
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I've been diagnosed with peripheral neuropathy. My right calf and leg are numb all of a sudden. No other symptom. Is this neuropathy symptom or clot?

I've been diagnosed with peripheral neuropathy. My right calf and leg are numb all of a sudden. No other symptom. Is this neuropathy symptom or clot?

More info needed: Sudden onset of numbness in the leg is unusual, and needs investigation. The numbness sounds more like a neurological problem than a clot in a leg vein, and I believe a consultation with a neurologist is in order. If you have pain, swelling , redness of the leg or change of color of the overlying skin, please see a doctor immediately. ...Read more

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Right sterno sticks out/clicks, right shldr blade clicks, ribs sore, Thoracic O.S symptoms/neuropathy.Esoph spasms, always swallowing air.All related?

Right sterno sticks out/clicks, right shldr blade clicks, ribs sore, Thoracic O.S symptoms/neuropathy.Esoph spasms, always swallowing air.All related?

Can B but not direct: Your right sternum and shoulder blade, rib complex can be related musculoskeletally to create the clicking action. The thoracic outlet syndrome with neuropathy is usually a lower extremity (arm/neck) issue. Esophageal spasm can occur from vagal nerve roots, and/or cervical ganglion issues. So, taking advil or ibuprofen can cause gastritis, and spasms. ...Read more

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What is the use of gabapentyn 300 mg for patients w early signs of neuropathy and myopathy?

What is the use of gabapentyn 300 mg for patients w early signs of neuropathy and myopathy?

See belwo: Gabapentin is a very commonly used medications for people who have painful symptoms due to problems with their nerves (neuropathy). It was origiannly designed as a medicine for epilepsy (seizures) but is used much more for pain conditions. It is considered safe after over 20 years of use and does not interact with other medications. Itcan have side effects such as weight gain, swelling, drowsiness. ...Read more

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I work really hard to stay in shape and eat right. Now I have a diagnosis of neuropathy. What else can I do so that it doesn't affect my overall health?

I work really hard to stay in shape and eat right. Now I have a diagnosis of neuropathy. What else can I do so that it doesn't affect my overall health?

Many things: Maintain ideal body weight (bmi 18-24), avoid alcohol, treat any underlying condition that is causing the neuropathy (diabetes, thyroid condition, rheumatoid arthritis, emphysema/copd, sleep apnea), take a b complex vitamin once daily, and check your feet daily for sores. Neuropathy may cause pain, numbness, tingling, imbalance, & weakness; only rare & severe types of neuropathy cause disability. ...Read more

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Dr. Bennett Machanic
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46 years in practice
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What tests can diagnose small fiber neuropathy and is it common to have facial numbness first then the extremities?

Biopsy: The best way is a biopsy in the lower leg. This is relatively painless and only requires some local anesthesia in the skin. Most small fiber neuropathies begin in the extremities. Facial numbness is more concerning for a possible central nervous system issue. I would recommend seeing a neurologist. ...Read more

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What diagnostic testing should be done to determine if peripheral neuropathy is my problem?

What diagnostic testing should be done to determine if peripheral neuropathy is my problem?

NCV/EMG: The two tests: nerve conduction velocity/electromyogram, usually done together can help determine your neuropathy. It is often done by a neurologist, but other docs do them as well. If you have symptoms/concerns, consult your doc who can help you find the answer/work-up appropriate for your case...Good luck. ...Read more

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What doctor/specialty can order conduction test for neuropathy?

What doctor/specialty can order conduction test for neuropathy?

Any specialty: Any physician (md or do) or podiatrist can order. The test itself should be performed by a physiatrist (physical medicine and rehabilitation physician) or neurologist. ...Read more

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What are the tests for diabetic neuropathy?

Nerve Biopsy: There are new test that help diagnosis the degree and severity of diabetic neuropathy. Epidermal nerve fiber testing is a new way to test for neuropathy. Also having a emg/ncv (nerve flow test) perfomred will also assist in diagnosing neuropathy. A thorough clinical exam by your docotor will also help in diagnosisng your problem with tunning forks, and monofilament testing. ...Read more

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Dr. Ihab Ibrahim
1,132 doctors shared insights

Nerve Damage (Definition)

A complete nerve transection will leave an area totally numb. The distribution of the numbers depends upon where the nerve was cut. A partial nerve injury may leave the area tingly or incompletely numb. Finally even if the nerve is not cut the swelling and bruising to the tea can affect the nerve as well. Usually we consider sharp penetrating injuries as likely having nerve lacerations when sensation is lost. A hand surgeon can examine the hand and pinpoint the site or extent of nerve injury and recommend ...Read more


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