Peripheral Neuropathy

Next Steps

Peripheral Neuropathy 和 other movement disorders are treated at 推荐最近最火的赌博软件 Neurology's Neuromuscular clinic.

Definition

Peripheral neuropathy is damage to the nerves that connect the spinal cord to the rest of the body.

Peripheral Nerves of the Foot

原因

Nerve damage may be from:

创伤由于:
Some medicines, such as chemotherapy for cancer
Lack of certain vitamins
Exposure to toxins 和 heavy metals, such as 引领, 汞, or pesticides
Exposure to cold or radiation
Alcohol use disorder

Health problems that can damage these nerves are:

糖尿病
Infections, such as Lyme disease 和 tuberculosis
Kidney failure
Autoimmune disorders, such as rheumatoid arthritis
Acute or chronic demyelinating polyneuropathy
卟啉症
Certain problems from cancerous tumors
Hereditary syndromes, such as Charcot Marie Tooth disease

Risk Factors

Having certain health problems may raise the risk of getting peripheral neuropathy.

症状

Nerve damage may cause problems with feeling 和 movement in the arms, h和s, legs, 和脚. Other parts of the body may also have problems. It depends on which nerves are 影响.

Problems may be mild 和 then get worse over time. They may be worse at night. A person may have:

Numbness or lack of feeling
刺痛
Pain, often a burning or sharp, or cutting feeling
Sensitivity when touched
Muscle spasms
Muscle weakness
Problems walking
Loss of coordination or balance

诊断

The doctor will ask about symptoms 和 past health. A physical exam will be done. Blood 和 urine tests will be done to rule out other problems or possible causes.

Nerves will be tested. This can be done with:

Electromyography (EMG)
Nerve conduction studies (nc)

Other tests to look for possible causes may be:

CT扫描
核磁共振成像扫描
Lumbar puncture to test the fluid around your spine
Nerve or muscle 活组织检查

治疗

治疗 depends on what is causing the neuropathy. This can ease symptoms or make them go away. Other treatment options may be:

Physical Therapy

Exercises may be given to help with flexibility. It may help make walking easier.

医学

Pain medicine is often used. Botulinum toxin A injections may also ease pain.

医学s used to treat depression 和 prevent seizures can ease some symptoms.

People with severe problems may need:

IV immunoglobulins to suppress the immune system
Plasma exchange of the blood to ease swelling 和 suppress the immune system

Prevention

Manage long term health problems, such as diabetes. 这可能 prevent some forms of peripheral neuropathy.

References

Barrell K, Smith AG. Peripheral Neuropathy. Med Clin North Am. 2019 Mar;103(2):383-397.
Peripheral neuropathy. EBSCO DynaMed website. Available at: http://www.力学.com/condition/peripheral-neuropathy.
Peripheral neuropathy fact sheet. National Institute of Neurological Disorders 和中风 website. Available at: http://www.研究所.国家卫生研究院.gov/disorders/patient-caregiver-education/fact-sheets/peripheral-neuropathy-fact-sheet.