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Doctor insights on: Neuropathy Specialist

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What specialist should I see for mgus associated peripheral neuropathy?

What specialist should I see for mgus associated peripheral neuropathy?

Heme and neuro: Mgus is not associated with a peripheral neuropathy. See a neurologist for the neuropathy and a hematologist for the mgus. ...Read more

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Dr. Olav Jaren
1,351 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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Surgery for peripheral neuropathy?

Surgery for peripheral neuropathy?

Depends: The cause of the neuropathy must first be identified. Neurological consultation can help to define a cause and frame proper treatment. The type of neuropathy often defines treatment. ...Read more

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Why would a Vascular Study be recommend by a surgeon for Chronic Idiopathic Peripheral Neuropathy/Neuralgia (severe left foot) and Pudendal Neuralgia?

Why would a Vascular Study be recommend by a surgeon for Chronic Idiopathic Peripheral Neuropathy/Neuralgia (severe left foot) and  Pudendal Neuralgia?

Complete: These types of conditions are not straight forward. There are many interconnecting bodily systems so this test is being ordered to rule out all potential causes. For examples, some of my pudendal neuralgia patient's have had disorder of varicose veins that compress and aggrevate the nerve. ...Read more

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Peripheral neuropathy and rls?

Peripheral neuropathy and rls?

Neurologic issues: Peripheral neuropathy leads to numbness, tingling and at times sharp shooting pains of the extremities while restless leg syndrome causes urge to move legs due to aching, tingling and shaking. ...Read more

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What causes peripheral neuropathy?

Many causes: There are many causes of peripheral neuropathy. Common causes are elevated blood sugar, alcohol, and vitamin B12 deficiency. A common "cause" is idiopathic neuropathy, meaning the cause cannot be found. Other causes include medicine side effects, certain kinds of infections, cancer, inherited causes, chemical exposure, and changes in blood chemistry. ...Read more

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Why would a Vascular Study be recommend to me, by surgeon, for Chronic Idiopathic Peripheral Neuralgia/Neuropathy and Pudendal Neuralgia.

Why would a Vascular Study be recommend to me, by surgeon, for Chronic Idiopathic Peripheral Neuralgia/Neuropathy and Pudendal Neuralgia.

To Rule Out Ischemia: I am not certain why the test was ordered, but suspect that it may have been an attempt to insure that you are not suffering from peripheral vascular disease--which can mimic some of the symptoms of a peripheral neuropathy/neuralgia. ...Read more

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What specialist treats cervical spine problems?

What specialist treats cervical spine problems?

Spine specialists: These include neurosurgeons, pain doctors, rehab doctors, orthopedic surgeons and physical therapists. ...Read more

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What treats neuropathy?

Most Rx limited help: The central nervous system is made up of the brain and the spinal cord; all the nerves to the rest of the body stem from the cns, and is called peripheral nervous system; neuropathy (n) is a disorder of the peripheral nerves. Examples are diabetic neuropathy, alcohol-induced n. And carpal tunnel, a n. Of the median nerve in the wrist. Gabapentin, lyrica, (pregabalin) tegretol etc may help but no cures, yet. ...Read more

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How to treat non-diabetic peripheral neuropathy?

How to treat non-diabetic peripheral neuropathy?

It depends: It depends on the etiology of what is causing the neuropathy. Often times in a diabetic the cause is the medical condition. In a non-diabetic where the diabetes is not the etiology one may look towards the back i.E herniated disc etc as a possible cause. Medications chosen are esentially the same. For both conditions nutrional supplements i.E l-methyl folate, (folic acid) alpha-lipoic acid and befotalamine. ...Read more

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What is axonal peripheral neuropathy?

What is axonal peripheral neuropathy?

Axonal PN: Axonal peripheral neuropathy is an illness that may cause numbness and weakness affecting the feet, legs and sometimes the hands. In this condition the nerve cells (axons) that transmit information become ill. Common causes of this condition are hormonal and blood chemistry disorders...... http://www.ninds.nih.gov/disorders/peripheralneuropathy/detail_peripheralneuropathy.htm ...Read more

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Contemplating surgery. I have type II diabetes, depression, carpal tunnel syndrome, peripheral neuropathy. Abnormal nerve conduction Multileveled bilateral acute on chronic cervical radiculopathy.Correlate EMG findings with cervical spine MRI. Severe sens

Contemplating surgery. I have type II diabetes, depression, carpal tunnel syndrome, peripheral neuropathy. Abnormal nerve conduction Multileveled bilateral acute on chronic cervical radiculopathy.Correlate EMG findings with cervical spine MRI. Severe sens

Double Crush: Sounds like you may have what's known as "double crush" phenomenon. Both cervical spine and entrapment of the ulnar/median nerve causing symptoms. Certainly, carpal tunnel and/or cubital tunnel release is easier and less risky than neck surgery and usually considered before neck surgery. Unfortunately, diabetes puts you at high risk for recurrence of carpal/cubital tunnel syndrome. ...Read more

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Holly Barth Dr. Barth
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Can diabetic peripheral neuropathy be reversed?

Holly Barth Dr. Barth
2 doctors agreed:

Some: Usually by getting a diabetic person's sugars tightly controlled, some of the neuropathy will be reversed. However, severe nerve damage is a permanent problem. Dr kurzweil review: there is no question that well-controlled diabetes helps prevent progression of the complications. I'm not aware of evidence that actual pathological changes in peripheral nerves can be reversed. ...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 type of specialist should you see for sciatic nerve pain?

What type of specialist should you see for sciatic nerve pain?

Your primary doctor: You should start by seeing your primary doctor. You may get better with physical therapy, medications, or heat and ice. Your doctor may order an MRI or other studies, and depending on those you might be referred to a neurosurgeon or neurologist. ...Read more

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Does a neurologist treat nerve damage ?

Does a neurologist treat nerve damage ?

Neurology Rx: Neurologists often diagnose and treat causes of nerve damage, especially for neuropathy. Sometimes surgeons help treat causes of nerve damage, like carpal tunnel syndrome (hand surgeons), radiculopathy (orthopedic surgeons) and the spinal cord (neurosurgeons). Sometimes nerve damage is repaired with a nerve graft, but that is rare. ...Read more

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Can neuropathy go away?

Can neuropathy go away?

Depends: It depends on what the cause of neuropathy is. In majority of cases you can improve symptoms by treating the underlying cause and taking appropriate meds. ...Read more

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What specialist should I see for mgus associated peripheral neuropathy?

Heme and neuro: Mgus is not associated with a peripheral neuropathy. See a neurologist for the neuropathy and a hematologist for the mgus. ...Read more

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Have sjogrens no complications yet except for fatigue I have seen many specialists and gp's.Have mild neuropathy in lower extremeties should I be worried about lymphoma if blood work is normal?

Have sjogrens no complications yet except for fatigue  I have seen many specialists and gp's.Have mild neuropathy in lower extremeties should I be worried about lymphoma if blood work is normal?

There is some risk: Sjogren's has been assoc with low grade b cell lymphoma but as long as blood counts and metabolic profile are ok i would not worry about it. If abnormal then radiology and bone marrow evaluation may be warranted. ...Read more

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Have had zoster on both hands for 10 mos.—resists acyclovir & brivudine. Positive zoster test; some neuropathy; no underlying disease found. What is the best next step? Neurologist? Other specialist?

Have had zoster on both hands for 10 mos.—resists acyclovir & brivudine. Positive zoster test; some neuropathy; no underlying disease found. What is the best next step? Neurologist? Other specialist?

Unusual presentation: Although I have seen zoster present in mysterious ways, this is unusual. The fact that you have a referral neuropathy, makes me think you have a lot more going on than just a zoster. If you're ign tider for herpes is positive, it is possible that the herpes may have caused your peripheral neuropathy. Dennesta case, enteropathy is now its own disease and you will need chronicum therapy. I consult neurologist. ...Read more

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Dr. Dr.
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Skeletal muscle loss/ischemia evident by high myoglobin in urine (25). What are the markers for myalgia vs neuropathy? Patient on gabapentin and decreased gfr (20), cymbalta was discontinued for low gfr. Which specialist would be best for the issue?

Dr. Dr.
1 doctor agreed:
Skeletal muscle loss/ischemia evident by high myoglobin in urine (25). What are the markers for myalgia vs neuropathy? Patient on gabapentin and decreased gfr (20), cymbalta was discontinued for low gfr. Which specialist would be best for the issue?

Painful muscles: Hi JahanaraC, your primary doctor can check a CK (creatnine kinase). This is a good indicator of muscle breakdown. If there is, your doctor may refer you to a rheumatologist/internal medicine doctor. If it is normal, then a neurologist may be more appropriate. Hope that helps. ...Read more

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With 30 percent optic nerve damage should treatment be provided by a glaucoma specialist or is an ophthalmologist able to provide same treatment?

With 30 percent optic nerve damage should  treatment be provided by a glaucoma specialist or is an ophthalmologist able to provide same treatment?

Depends: If your pressure is now well controlled, and repeated testing shows no further damage, then you are fine with your general ophthalmologist. ...Read more

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Sporadic sharp pain on coccyx. Dr thot nerve damage. Xray found free floatin coccyx. Specialist reviewed. suggests mri-erosion is rare for age. Worry?

Sporadic sharp pain on coccyx. Dr thot nerve damage. Xray found free floatin coccyx. Specialist reviewed. suggests mri-erosion is rare for age. Worry?

Coccyx pain: Without the films, these are my thoughts: it is more likely you hurt the coccyx once, and that it did not heal. The coccyx (or tail bone) is very tender, and can commonly be a source of injury or pain. There's no need to worry though, and the mri would probably clear up whatever is happening back there, so you won't have to think about it. Above all, don't worry. Does anything help it? ...Read more

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My specialist suggests an operation to implant a Xen stent as I have experienced increased optic nerve damage in last 12 mths. ?

My specialist suggests an operation to implant a Xen stent as I have experienced increased optic nerve damage in last 12 mths. ?

No easy answers from: a distance. Suggest study: https://www.xengelstent.com/XENGelStent, https://hcp.xengelstent.com/about-xen & https://hcp.xengelstent.com/ab-interno-approach from the manufacturer for more information & perspective. The device does make sense; yet skill & care by the placing surgeon would be critically important. ...Read more

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I take lyrica (pregabalin) for neuropathy and i take 150mg. It doesn't really help. Should i take more or what?

I take lyrica (pregabalin) for neuropathy and i take 150mg. It doesn't really help. Should i take more or what?

Alternatives: Sometimes people are not happy with lyrica (pregabalin). If you think taking more may help, you should consult with the person who provided it first. If you do not want to use it, be sure to get instructions about tapering the dose slowly. There are other options for this condition- medicine options include gabapentin and amitriptyline. Good luck! ...Read more

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Is there anything that can cause neuropathy if a person doesn't have diabetes?

Is there anything that can cause neuropathy if a person doesn't have diabetes?

Pain, numbness. : Peripheral neuropathy can be caused by many things, including diabetes, excessive alcohol use, or chemotherapy. Patients can have tingling, burning, itching, a "tight" feeling, pain, and numbness, and once it happens it's impossible to get normal sensation back. Some medications reduce the tingling, but nothing can reverse numbness. ...Read more

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What if you can't find the cause of peripheral neuropathy?

It is difficult: You most likely will find the cause. There are thousands of causes of neuropathy. Most common causes are just a few. If you have a hard time finding answer then go to an academic neurology center where the cases are discussed with many other doctors to find an answer. ...Read more

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My pediatrician says my child may have compression neuropathies, but I don't understand. What does it mean?

My pediatrician says my child may have compression neuropathies, but I don't understand. What does it mean?

Nerve pressure: Compression is the same thing as pressure. The medical term refers to problems with nerves (numbness, tingling, weakness, pain) caused by something pushing on those nerves. The something can be bone, ligament, muscle or other soft tissue. ...Read more

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Is it beneficial to take medicine such as gabapentin, etc if you don't know what is causing your neuropathy?

Assuming: it provides relieves from the pain or discomfort of neuropathy, it is definitely worthwhile. You don't need to know the cause to benefit from treatment. ...Read more

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What treats neuropathy?

Most Rx limited help: The central nervous system is made up of the brain and the spinal cord; all the nerves to the rest of the body stem from the cns, and is called peripheral nervous system; neuropathy (n) is a disorder of the peripheral nerves. Examples are diabetic neuropathy, alcohol-induced n. And carpal tunnel, a n. Of the median nerve in the wrist. Gabapentin, lyrica, (pregabalin) tegretol etc may help but no cures, yet. ...Read more

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How to manage neuropathy?

Nerve symptoms: Peripheral neuropathy can be secondary to numerous causes. It is best to uncover the cause and treat directly. To treat symptoms, doctors might use gabapentin, lyrica, (pregabalin) or cymbalta, but a medical food such as metanx might be useful. ...Read more

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Dr. Bennett Machanic
1,473 doctors shared insights

Neuropathy (Definition)

A condition in which a person experiences weakness, numbness, and pain from nerve damage, usually in ...Read more


Dr. Arnold Malerman
842 doctors shared insights

Nerve Pain (Definition)

Neuralgia is a sharp, shocking pain that follows the path of a nerve and is due to irritation or ...Read more