Top
30
Doctor insights on: Peripheral Neuropathy

Share
Dr. Adam Lewis
504 Doctors shared insights

Peripheral Neuropathy (Overview)

A generic medical term for dysfunction of the nerves that carry information to and from the central nervous system (the brain and spinal cord).


1

1
Can you die from peripheral neuropathy?

Can you die from peripheral neuropathy?

Rare: Some causes of peripheral neuropathy affect the nerves to the muscles for breathing, or to the heart. However most neuropathies are uncomforable, but not lethal. ...Read more

Dr. Adam Lewis
504 Doctors shared insights

Peripheral Neuropathy (Overview)

A generic medical term for dysfunction of the nerves that carry information to and from the central nervous system (the brain and spinal cord).


2

2
Can overheating be a symptom of peripheral neuropathy? Also, how is pn treated if pills don't work?

Can overheating be a symptom of peripheral neuropathy? Also, how is pn treated if pills don't work?

No: Peripheral neuropathy affects how the nerves in your limbs transmit sensation back to your brain. This means that you start to have pain or numbness without any external cause. Pn has nothing to do with appetite or dietary control. There is no treatment other than stopping the process that is causing the neuropathy if possible. Controlling diabetes, changing chemotherapy regimens etc. ...Read more

Dr. Jan Lei Iwata Dr. Iwata
1 other doctor agreed
3

3
Peripheral neuropathy (Tip)

What do I do when I feel pins and needles sensation all the time? ...See more

4

4
Living with Neuropathy (Checklist)

Monitor your blood sugar levels
Once
Wear loose-fitting shoes
Once
Abstain from alcohol
Once
Stop smoking
Once
Dr. Yo-El Ju Dr. Ju
11 doctors agreed:
5

5
Are the symptoms of peripheral neuropathy bad?

Dr. Yo-El Ju Dr. Ju
11 doctors agreed:
Are the symptoms of peripheral neuropathy bad?

Sometimes: Numbness, tingling, and burning are the most frequent symptoms of peripheral neuropathy. Many people describe it as when a foot that has "fallen asleep" is coming "back to life, " except all the time. Many people find it very uncomfortable. ...Read more

6

6
Is an aching left arm and left leg a sign of peripheral neuropathy, hiv, carpal tunnel or pinched nerve?

Is an aching left arm and left leg a sign of peripheral neuropathy, hiv, carpal tunnel or pinched nerve?

Depends: This can be a systemic disease process (neuropathy, hiv) affecting multiple nerves at once. Carpal tunnel affect the hand specifically, not the arm. You can have two pinched nerves possibly, but one tries to explain symptoms by the most simple explanation. Consider spinal cord issues, which would affect arm and leg simultaneously. ...Read more

7

7
Managing Peripheral Vascular Disease (Checklist)

Try to continue walking
Once
Make sure that your risk factors, such as blood pressure and cholesterol, are addressed
Once
Inspect your feet daily, and call your medical doctor if you experience any wounds
Daily
9

9
25 yo. No diabetes. No drinking. Diagnosed peripheral neuropathy unknown cause. Will it progreas. Will it affect breathing and heart? Docs not worried.

25 yo. No diabetes. No drinking. Diagnosed peripheral neuropathy unknown cause. Will it progreas. Will it affect breathing and heart? Docs not worried.

Idiopathic: Idiopathic peripheral neuropathy should never affect your breathing or your heart function. It is usually benign, and I can understand the docs are not worried.

The worst thing about idiopathic neuropathy is not knowing the cause, or thinking that there is a cause that was not found.

Did anyone in your family have neuropathy? ...Read more

10

10
Treating a Pinched Nerve (Checklist)

Exercise and stretch
Once
Get an X-ray/MRI if pain lasts more than 4 weeks
Once
See a spine/pain specialist if pain doesn't improve
Once
11

11
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

12

12
What will show up in a blood test for peripheral neuropathy?

Maybe: If the peripheral neuropathy is due to diabetes, B12 deficiency, HIV infection, sjogren's, porphyria, hepatitis c, lupus, or lead or arsenic poisoning (any enemies?), an appropriate blood test is confirmatory. Chemical exposures, the autoimmune and hereditary neuropathies, the late effects of alcoholism, and the mysterious cases (all too many) won't be detected. Good luck. ...Read more

13

13
What medications for peripheral neuropathy are safest for someone with reduced kidney function (gfr = 38, all other kidney tests are normal)?

What medications for peripheral neuropathy are safest for someone with reduced kidney function (gfr = 38, all other kidney tests are normal)?

TCA: Gabapentin (neurontin) may be less risky at low doses, otherwise a tricylclic like amytriptyline or nortriptyline often is effective.
Nucynta, a narcotic analgesic recently received fda indication for neuropathic pain, and also may work at a low dosage. ...Read more

14

14
Can you have peripheral neuropathy with negative nerve. Conduction tests? Tested positive for bilateral carpal tunnel

Can you have peripheral neuropathy with negative nerve. Conduction tests? Tested positive for bilateral carpal tunnel

Carpal tunnel or PN: If your nerve conduction test showed you have carpal tunnel syndrome, that is your diagnosis. Your nerve conduction test is not normal or negative if this is the diagnosis. This is a good test for distinguishing these two conditions. It is possible to have rare kinds of neuropathy with a normal nerve conduction test- this is why it is important to have an interview and exam with the test minder ...Read more

15

15
Why does pancreatitis cause peripheral neuropathy?

Why does pancreatitis cause peripheral neuropathy?

Several reasons: Chronic pancreatitis can cause Diabetes mellitus which in turn can cause diabetic neuropathy. Malabsorption of fat soluble vitamins can lead to Vitamin B12 deficiency which can cause a peripheral neuropathy.

Chronic pancreatitis patients often suffer from severe chronic abdominal pain which appears to be partly due to a peripheral neuropathy of sorts. ...Read more

16

16
What happens if I have peripheral neuropathy, does that mean I have diabetes?

What happens if I have peripheral neuropathy, does that mean I have diabetes?

Neuropathy causes: There are many causes of neuropathy, diabetes mellitus is one of them.

Many people with diabetes have neuropathy, but not all. Many people with neuropathy do not have diabetes.

It is a good idea to be tested for diabetes mellitus, and to consider other causes as well. ...Read more

17

17
What can I take to treat peripheral neuropathy in the feet?

Meds for neuropathy: (continued)... Some medications used commonly to treat discomfort from peripheral neuropathy include Gabapentin (neurontin), Pregabalin (lyrica), duloxetine (cymbalta), Amitriptyline (elavil), capsaicin (zostrix), Carbamazepine (tegretol), b vitamin supplements (such as metanx). Controlling the underlying cause (diabetes, thyroid issues, rheumatoid, others) can prevent or delay worsening. ...Read more

18

18
I have Idiopathic Peripheral Neuropathy causing sensory loss in feet. Is the electrical stimulation treatment effective in treating condition?

I have Idiopathic Peripheral Neuropathy causing sensory loss in feet. Is the electrical stimulation treatment effective in treating condition?

Peripheral neuropath: The treatment of peripheral neuropathy relies heavily on the cause of the nerve damage. The pain of the neuropathy usually controlled with medications. Treatment with the electrical stimulation fields has been investigated and analgesic benefits have been reported, but not consistent. ...Read more

19

19
What is the treatment for peripheral neuropathy?

What is the treatment for peripheral neuropathy?

Many options.: Topical capsaicin may be helpful for some, while others may benefit with oral medication such as Pregabalin (lyrica), Amitriptyline (elavil), duloxetine (cymbalta), Gabapentin (neurontin), Carbamazepine (tegretol), or valproate (depakote) to reduce the painful symptoms in the feet due to neuropathy. Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary. ...Read more

20

20
What are the best treatments for peripheral neuropathy in feet?

What are the best treatments for peripheral neuropathy in feet?

Many treatments: Unfortunately there are many treatments and best depends on what stage of neuropathy exists. See a doctor to help determine what is best for you. ...Read more

21

21
Is there a cure for peripheral neuropathy?

A cure? Often no: Peripheral neuropathy can be well managed with one (or several) medications. It is best treated (and maybe cured) by addressing the cause (diabetes, toxin exposure etc). ...Read more

22

22
Does gabapentin prevent peripheral neuropathy from getting worse?

Not exactly: Gabapentin can help control the symptoms of a peripheral neuropathy but it is less likely to really alter the ultimate course. ...Read more

24

24
My mom gets peripheral neuropathy, so am I likely to get it later?

Depends: Peripheral neuropathy is caused by things like poorly-controlled diabetes and peripheral artery disease. If you have problems like these then you are more likely to have peripheral neuropathy. However, this has nothing to do with you're mom's peripheral neuropathy. The take-home is manage the risk factors and you will reduce your chances of having a problem. ...Read more

25

25
What are the other causes of peripheral neuropathy if there is no history or diagnosis of diabetes or alcohol abuse?

Many: Many causes of peripheral neuropathy: peter dyck wrote a 2-volume textbook (2992 pages). Common causes: diabetes, thyroid conditions, others hormonal conditions, toxins (alcohol, insecticides, chemotherapy, lead, arsenic, agent orange, others), rheumatoid, lupus, vitamin deficiencies, copd, peripheral vascular conditions, & infections/immune conditions. In 30% of people, no cause can be found. ...Read more

26

26
What can I do to prevent peripheral neuropathy?

What can I do to prevent peripheral neuropathy?

Lifestyle: Manage underlying conditions as controlling your blood sugar level. You should adopt healthy lifestyle habits as eating a healthy diet that's rich in fruits, vegetables, whole grains and lean protein. Avoid things that can cause nerve damage, such as: toxic chemicals, tobacco smoke and rxcessive alcohol consumption. ...Read more

27

27
Peripheral neuropathy = what?

A general term for: "nerve damage". It can take many forms--painful or a loss of sensation/numbness. The causes are multiple. Diabetes is the most common, but exposure to chemicals, neurological diseases, alcoholism, chemotherapy, are also significant causes. ...Read more

28

28
What is peripheral neuropathy?

In the extremities: The term peripheral neuropathy refers to nerve dysfunction of the extremities. A common example of a peripheral neuropathy would be a diabetic experiencing numbness in their feet. ...Read more

29

29
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

30

30
Can peripheral neuropathy be cured?

No: A true peripheral neuropathy, once it develops, can not be cured. Other conditions such as nerve entrapment may mimic symptoms of peripheral neuropathy and can be corrected. ...Read more

Dr. Olav Jaren
1,344 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


Dr. Bennett Machanic
1,461 Doctors shared insights

Neuropathy (Definition)

Weakness, numbness, and pain from nerve damage, usually in ...Read more