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Peripheral Neuropathy

Medical Author: Standiford Helm II, MD
Medical Editor: William C. Shiel, Jr., MD, FACP, FACR

What is a peripheral neuropathy?

Peripheral neuropathy is disorder of nerve(s) apart from the brain and spinal cord. Patients with peripheral neuropathy may have tingling, numbness, unusual sensations, weakness, or burning pain.

What causes a peripheral neuropathy?

There are many possible causes of peripheral neuropathy, including:

  1. Diabetes Mellitus

  2. Shingles (post herpetic neuralgia)

  3. Vitamin deficiency, particularly B12 and folate

  4. Alcohol

  5. Autoimmune diseases, including lupus, rheumatoid arthritis or Guillain-Barre syndrome

  6. AIDS, whether from the disease or its treatment, syphilis, and kidney failure

  7. Inherited disorders, such as amyloid polyneuropathy or Charcot-Marie-Tooth disease

  8. Exposure to toxins, such as heavy metals, gold compounds, lead, arsenic, mercury, and organophosphate pesticides

  9. Cancer therapy drugs such as vincristine (Oncovin, Vincasar), and other medications [for example antibiotics such as metronidazole (Flagyl), and isoniazid (Nydrazid, Laniazid)]

While diabetes and post herpetic neuralgia are the most common causes of peripheral neuropathy, often times no cause is found. In these situations, it is referred to as idiopathic peripheral neuropathy.

Sometimes, peripheral nerve entrapments, such as carpal tunnel syndrome, are considered peripheral neuropathies. In these cases, pressure on the nerve rather than a disease state leads to nerve malfunction.



Next: Is there any treatment for peripheral neuropathy? »

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Peripheral Neuropathy

Diabetic Neuropathy Overview

Diabetic neuropathy, a common complication of diabetes, is damage to the nerves that allow you to feel sensations such as pain. There are a number of ways that diabetes damages the nerves, but they all seem related to blood sugar being too high for a long period of time.

Diabetes-related nerve damage can be painful, but it isn't severe pain in most cases.

There are four types of diabetic neuropathy: peripheral, autonomic, proximal, and focal.

Diabetic Peripheral Neuropathy

The areas of the body most commonly affected by diabetic peripheral neuropathy are the feet and legs. Nerve damage in the feet can result in a loss of foot sensation, increasing your risk of foot problems. Injuries and sores on the feet may go unrecognized due to lack of sensation. Therefore, you should practice proper skin and foot care. Rarely, other areas of the body such as the arms, abdomen, and back may be affecte...

Read the Diabetic Neuropathy article »










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