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PERIPHERAL NEUROPATHY
IN MARINE CITY

Are you living with the challenges of neuropathy or peripheral neuropathy? This condition occurs when the peripheral nervous system, responsible for connecting your limbs and organs to the central nervous system, becomes damaged.

Common Causes of Peripheral Neuropathy

  • Diabetes: The most common cause.
  • Traumatic Injury: Accidents or other physical trauma.
  • Infection: Viral or bacterial infections can damage nerves.
  • Metabolic Disorders: Conditions like hypothyroidism or vitamin deficiencies.
  • Toxins: Exposure to certain chemicals or heavy metals.

Causes of Peripheral Neuropathy

The underlying cause of neuropathy can vary widely. In nearly 40% of cases, the cause remains unknown, referred to as idiopathic neuropathy.

Common Causes of Neuropathy

  • Diabetes: Affects approximately 70% of Americans with diabetes.
  • Acquired Neuropathies: Alcoholism, poor nutrition, trauma, nerve pressure, repetitive movements, autoimmune diseases (like rheumatoid arthritis or lupus), toxins, heavy metal poisoning, certain medications, cancer treatments, hereditary disorders, tumors, and other diseases (e.g., HIV/AIDS, Lyme disease, liver disease, kidney disease, hypothyroidism).

Symptoms of Peripheral Neuropathy

Common symptoms include:

  • Pain, numbness, or tingling in the extremities (hands and feet)
  • Weakness or muscle wasting
  • Sensitivity to touch
  • Loss of coordination

Common Symptoms

Neuropathy often causes painful sensations like tingling, burning, and prickling. While pain duration varies, early treatment of underlying conditions can improve symptoms.

Types of Peripheral Neuropathy

Peripheral neuropathy can be categorized based on the affected nerves:

  • Sensorimotor polyneuropathy: Affects both sensory and motor nerves.
  • Autonomic neuropathy: Affects nerves controlling processes like breathing, heartbeat, and perspiration.

Classification of Peripheral Neuropathy

  • Mononeuropathy: Affects a single nerve (e.g., carpal tunnel syndrome, Bell's palsy).
  • Multiple Mononeuropathy: Affects two or more individual nerves.
  • Polyneuropathy: Affects a broad range of peripheral nerves (e.g., associated with diabetes).

Additional Classifications

  • Functional classification: Motor, sensory, autonomic, or a combination.
  • Type of onset: Hours, days, weeks, months, or years.  

Prevalence of Peripheral Neuropathy

According to the Neuropathy Association, over 20 million Americans suffer from neuropathy, making it more prevalent than conditions like Alzheimer's, Epilepsy, Rheumatoid Arthritis, HIV, Parkinson's Disease, and Multiple Sclerosis combined. Diabetes is a major cause, affecting an estimated 15-18 million people.

Peripheral Neuropathy in the Extremities

Peripheral neuropathy most commonly affects the extremities, including the arms, wrists, hands, legs, ankles, and feet.

Who is at Risk for Neuropathy?

Neuropathy can affect anyone, regardless of age, gender, or ethnicity. However, certain factors may increase your risk:

  • Lifestyle: Poor nutrition, excessive alcohol consumption, and repetitive movements can contribute to neuropathy.
  • Medical Conditions: Diabetes, autoimmune diseases, compromised immune systems, kidney disease, liver disease, and thyroid disorders can increase your risk.

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DIAGNOSING NEUROPATHY: A COMPREHENSIVE APPROACH

Diagnosing neuropathy can be complex, as it often occurs as a symptom of an underlying condition. A thorough evaluation is necessary to identify the root cause.

The Diagnostic Process

  • Medical History: A detailed review of your symptoms and medical history.
  • Physical Exam: Assessment of your overall health and neurological function.
  • Neurological Exam: Evaluation of reflexes, muscle strength, tone, sensory perception, posture, and coordination.
  • Blood Tests: To check for vitamin B-12 deficiency and other underlying conditions.
  • Urinalysis: To assess kidney function.
  • Thyroid Function Tests: To evaluate thyroid health.
  • Nerve Conduction Test: Measures the speed of electrical signals traveling through your nerves.
  • Nerve Biopsy (in some cases): A procedure to examine nerve tissue.

Neuropathy Treatment Options

There are various approaches to treating neuropathy, including:

  • Medications: Antidepressants and anticonvulsants are commonly used to manage pain. Opioids may be considered in severe cases but carry a risk of addiction.
  • Topical Creams: Lidocaine and capsaicin can provide localized pain relief.
  • Alternative Therapies: Cannabinoids, Botox, ketamine, dietary supplements, chiropractic adjustments, therapeutic massage, yoga, and acupuncture may offer benefits.
  • Neuromodulation: Surgical implantation of devices like spinal cord stimulators, spinal pumps, or electrodes may be considered in severe cases.

Lifestyle Modifications

    • Proper Nutrition: A healthy diet is crucial, especially for diabetics.
    • Exercise: Regular physical activity can help manage symptoms.
    • Quit Smoking: Smoking can exacerbate neuropathy.
    • Self-Care: Massaging hands and feet can provide temporary relief and avoid further nerve damage.

As always remember that if you have questions you can call the team at American Chiropractic Medical Services in Marine City for help.

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