Neuropathy

10 min read

Neuropathy is a general term for a variety of conditions that affect the nerves. It is a common condition that affects millions of people worldwide. Neuropathy can be caused by a number of different factors, including diabetes, chemotherapy, and certain medications. It can also be caused by physical trauma, such as a car accident or a fall.

Neuropathy can cause a variety of symptoms, including pain, numbness, tingling, and weakness. It can also cause balance problems, difficulty walking, and loss of sensation. In some cases, neuropathy can lead to more serious complications, such as organ damage or paralysis.

Neuropathy is typically diagnosed through a physical exam and a review of the patient's medical history. In some cases, additional tests may be needed to confirm the diagnosis. Treatment for neuropathy depends on the underlying cause and the severity of the condition. Treatment options may include medications, physical therapy, and lifestyle changes.

Neuropathy can be a difficult condition to manage, but with proper treatment and lifestyle changes, it is possible to reduce symptoms and improve quality of life. It is important to talk to your doctor about any symptoms you are experiencing and to discuss the best treatment options for you.

Take the Neuropathy Assessment

Symptoms

Common Symptoms of Neuropathy

  • Numbness or reduced sensation in the hands and feet
  • Tingling or burning sensations in the hands and feet
  • Sharp, jabbing, or electric-like pain
  • Extreme sensitivity to touch
  • Loss of balance and coordination
  • Muscle weakness
  • Fatigue

Less Common Symptoms of Neuropathy

  • Dry eyes and mouth
  • Digestive problems
  • Bladder problems
  • Sexual dysfunction
  • Sweating problems
  • Vision problems
  • Hearing problems

If you experience any of these symptoms, it is important to talk to your doctor. They can help you determine if you have neuropathy and what treatment options are available.

Causes

Diabetes

Diabetes is one of the most common causes of neuropathy. High blood sugar levels can damage the nerves, leading to neuropathy. This is especially true in people with type 2 diabetes, as they are more likely to have high blood sugar levels for longer periods of time.

Alcohol Abuse

Alcohol abuse can also lead to neuropathy. Alcohol can damage the nerves, leading to pain, numbness, and tingling in the hands and feet. It can also cause other symptoms, such as muscle weakness, balance problems, and difficulty walking.

Vitamin Deficiencies

Vitamin deficiencies can also cause neuropathy. Vitamin B12 deficiency is one of the most common causes of neuropathy. Vitamin B12 helps to maintain healthy nerves, and a deficiency can lead to nerve damage and neuropathy.

Certain Medications

Certain medications can also cause neuropathy. Chemotherapy drugs, for example, can damage the nerves and lead to neuropathy. Other medications, such as certain antibiotics and anticonvulsants, can also cause neuropathy.

Getting a Diagnosis

Physical Exam

Your doctor will begin by performing a physical exam. During this exam, they will check your reflexes, muscle strength, and sensation in your hands and feet. They may also check your blood pressure and heart rate. This exam can help your doctor determine if you have neuropathy.

Nerve Conduction Studies

Nerve conduction studies measure the speed of electrical signals traveling through your nerves. This test can help your doctor determine if you have nerve damage. During the test, electrodes are placed on your skin and small electrical shocks are sent through your nerves. The results of the test can help your doctor diagnose neuropathy.

Blood Tests

Your doctor may also order blood tests to check for conditions that can cause neuropathy, such as diabetes, vitamin deficiencies, and autoimmune diseases. These tests can help your doctor determine if you have a condition that is causing your neuropathy.

Imaging Tests

Imaging tests, such as an MRI or CT scan, can help your doctor determine if there is any damage to your nerves. These tests can also help your doctor rule out other conditions that may be causing your symptoms.

Conclusion

Diagnosing neuropathy can be difficult, as the symptoms can be similar to other conditions. However, there are a few tests that can help your doctor determine if you have neuropathy. These tests include a physical exam, nerve conduction studies, blood tests, and imaging tests. If you think you may have neuropathy, talk to your doctor about the tests that can help diagnose your condition.

Questions for Your Doctor

Medical History

Your doctor will want to know your medical history, including any medications you are taking, any illnesses or injuries you have had, and any family history of neuropathy. This information will help your doctor determine the cause of your neuropathy and the best treatment plan.

Symptoms

Your doctor will want to know the details of your symptoms, such as when they started, how long they last, and how severe they are. Be sure to tell your doctor if you have any other symptoms, such as fatigue, weakness, or balance problems.

Treatment Options

Your doctor will discuss the various treatment options available to you. These may include medications, physical therapy, lifestyle changes, or surgery. Your doctor will help you decide which option is best for you.

Follow-up Care

Your doctor will want to monitor your progress and make sure that your treatment plan is working. Be sure to keep all of your follow-up appointments and let your doctor know if your symptoms worsen or if you experience any new symptoms.

Questions

Be sure to ask your doctor any questions you may have about your condition or treatment. Your doctor is there to help you, so don't be afraid to ask questions.

Treatment

Medications

Medications are often prescribed to help manage the pain associated with neuropathy. These include over-the-counter pain relievers such as ibuprofen and acetaminophen, as well as prescription medications such as gabapentin and pregabalin. Antidepressants and anticonvulsants may also be prescribed to help reduce the pain.

Topical Treatments

Topical treatments such as creams, ointments, and patches can be used to help reduce the pain associated with neuropathy. These treatments can be applied directly to the affected area and can provide relief from the pain and discomfort.

Alternative Treatments

Alternative treatments such as acupuncture, massage, and chiropractic care can also be used to help manage the symptoms of neuropathy. These treatments can help to reduce the pain and improve circulation in the affected area.

Lifestyle Changes

Making lifestyle changes can also help to reduce the symptoms of neuropathy. Eating a healthy diet, exercising regularly, and avoiding alcohol and smoking can all help to reduce the pain and discomfort associated with neuropathy.

Drugs & Medications

Types of Drugs for Neuropathy

The type of drug used to treat neuropathy depends on the underlying cause. Commonly prescribed drugs include:

  • Antidepressants: These drugs can help reduce pain and improve sleep.
  • Anticonvulsants: These drugs can help reduce nerve pain.
  • Topical creams: These creams can help reduce pain and inflammation.
  • Opioids: These drugs can help reduce pain, but they can also be addictive.
  • Corticosteroids: These drugs can help reduce inflammation and pain.

Side Effects of Drugs for Neuropathy

Like all medications, drugs for neuropathy can have side effects. Common side effects include:

  • Drowsiness
  • Nausea
  • Headache
  • Dizziness
  • Constipation
  • Weight gain

It's important to talk to your doctor about any side effects you experience while taking drugs for neuropathy. Your doctor may be able to adjust your dosage or switch you to a different medication.

Conclusion

Neuropathy can be a painful and debilitating condition, but there are a number of drugs available to help manage the symptoms. It's important to talk to your doctor about the best treatment option for you. Be sure to discuss any side effects you experience while taking the medication.

Diet

Foods to Eat

When living with neuropathy, it is important to eat a balanced diet that is rich in vitamins and minerals. Eating a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats can help support nerve health and reduce inflammation. Some specific foods to include in your diet are:

  • Leafy greens such as spinach, kale, and collard greens
  • Berries such as blueberries, strawberries, and raspberries
  • Nuts and seeds such as almonds, walnuts, and chia seeds
  • Healthy fats such as olive oil, avocados, and fatty fish
  • Whole grains such as quinoa, oats, and brown rice
  • Lean proteins such as chicken, turkey, and fish

Foods to Avoid

In addition to eating a balanced diet, it is important to avoid certain foods that can worsen neuropathy symptoms. These include:

  • Processed foods such as chips, crackers, and cookies
  • Refined carbohydrates such as white bread and pasta
  • Sugary drinks such as soda and juice
  • Fried foods such as french fries and fried chicken
  • Alcohol and caffeine

Conclusion

Making dietary changes can help manage neuropathy symptoms and improve overall health. Eating a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats can help support nerve health and reduce inflammation. It is also important to avoid processed foods, refined carbohydrates, sugary drinks, fried foods, alcohol, and caffeine.

Lifestyle

Exercise

Regular exercise can help improve circulation and reduce pain associated with neuropathy. Low-impact activities such as walking, swimming, and yoga are all good options. It is important to start slowly and gradually increase the intensity of the exercise. It is also important to wear supportive shoes and avoid activities that put too much strain on the feet.

Healthy Diet

Eating a healthy diet can help reduce inflammation and improve overall health. Foods that are high in antioxidants, such as fruits and vegetables, can help reduce nerve damage. It is also important to limit processed foods and sugar, as these can worsen symptoms. Eating a balanced diet can also help maintain a healthy weight, which can reduce the strain on the feet.

Manage Stress

Stress can worsen symptoms of neuropathy, so it is important to find ways to manage stress. Relaxation techniques such as deep breathing, meditation, and yoga can help reduce stress levels. It is also important to get enough sleep and take time for yourself to relax and unwind.

Foot Care

Taking care of your feet is important for people with neuropathy. Wearing supportive shoes and avoiding walking barefoot can help reduce the risk of injury. It is also important to inspect your feet regularly for any cuts, blisters, or other signs of injury. If you notice any changes, it is important to seek medical attention.

Pain Management

Managing pain associated with neuropathy can be challenging. Over-the-counter medications such as ibuprofen and acetaminophen can help reduce pain. It is also important to talk to your doctor about other options, such as prescription medications or alternative therapies.

Conclusion

Neuropathy can be a difficult condition to manage, but there are lifestyle changes that can help reduce symptoms and improve quality of life. Regular exercise, a healthy diet, stress management, foot care, and pain management can all help reduce the symptoms of neuropathy.