Peripheral Neuropathy / Nerve Pain

What is Peripheral Neuropathy / Nerve Pain?

Peripheral neuropathy refers to the various conditions that result when nerves that carry messages to and from the brain and spinal cord from and to the rest of the body are damaged or diseased. This damage interferes with the nerves’ normal functioning, causing symptoms such as pain, tingling, and muscle weakness.

What are signs & symptoms of Peripheral Neuropathy / Nerve Pain?

Extreme temperatures intolerance
Tingling or numbness in the extremities
Sharp or burning pain
Extreme sensitivity to touch
Muscle weakness or wasting
Paralysis if motor nerves are affected
Problems with coordination and balance
Problems with bowel, bladder, or digestive functions
Chronic pain in local area or multiple areas

FAQ
Peripheral Neuropathy / Nerve Pain

Peripheral neuropathy can be caused by several factors, each leading to nerve damage in different ways. Diabetes is one of the most common causes, where high blood sugar levels can damage nerves over time. Infections, including viral or bacterial, can also lead to neuropathy. Vitamin deficiencies, particularly of B vitamins, are known contributors, as these nutrients are crucial for nerve health. Autoimmune diseases, such as rheumatoid arthritis or lupus, can attack nerve tissues directly. Exposure to toxins, including heavy alcohol use, can cause nerve damage. Genetic predispositions to certain types of nerve-related conditions may increase the risk of developing neuropathy. Trauma to the nerve can injure one or multiple nerves. This trauma could just be repetitive motion or a biomechanical issue, leading to nerve damage. Toxic chemical exposures and excessive use of alcohol and illegal drugs may also cause damage to the peripheral nerves in hands and feet.

Diagnosing peripheral neuropathy involves a detailed neurological examination by a healthcare provider, supplemented by tests such as blood tests to uncover underlying conditions, electrophysiology tests like EMG and nerve conduction studies to evaluate the electrical function of muscles and nerves, and imaging tests like MRI or CT scans to identify physical causes of nerve compression. Dr. Buksh will perform detailed nerve mapping and diagnostic injections , sometimes using Ultrasound guidance to locate the nerve.

Treatment focuses on managing the condition causing the neuropathy and alleviating symptoms. Medications, including pain relievers and drugs used to treat epilepsy or depression, can help manage nerve pain. Physical therapy can improve mobility and reduce pain. For severe symptoms or cases caused by nerve compression, surgical interventions may be necessary. Lifestyle changes, especially for managing diabetes and improving vascular health, are also recommended.

You should see a healthcare provider if you experience persistent symptoms of pain, tingling, or numbness, especially if they interfere with your daily activities or if you notice muscle weakness and changes in bodily functions. Early diagnosis and treatment can prevent further nerve damage and improve long-term outcomes. Dr. Buksh can help you differentiate the different types of neuropathies and will treat the compression neuropathy, which is present in many cases and is treatable with mechanical decompression of the nerves.