Peripheral Neuropathy

What is peripheral neuropathy?

Neuropathy is occurring secondary to damage to nerves.   This is usually a generalized process affecting all nerves of upper and lower extremities. Typically a person experiences a burning sensation along with numbness in the tips of their toes or fingers that later progress to involve more the extremity if is not diagnosed and treated.

In a generalized peripheral neuropathy this can be hereditary in origin, occur after an infection, toxin exposure, metabolic derangement such as a vitamin or mineral deficiency or secondary effects of poorly controlled diabetes.

Potential symptoms that you may experience with this condition:

  • Burning sensation in feet and/or hands
  • Numbness and tingling in the extremities
  • Weakness in the upper and/lower extremities
  • Difficulty with walking
  • Itching in extremities
  • Coordination difficulties
  • Blisters and calluses

Treatment and diagnostic options for this condition:

  1. Identify any reversible causes with a metabolic workup
  2. Nerve conduction and electromyography to assist in identifying the characteristics of neuropathy which can impact treatment
  3. Medications: Neurontin, Lyrica, Amitriptyline, Nortriptyline
  4. Regular visitation with podiatrist