Peripheral neuropathy is a condition that affects the peripheral nerves, which are the nerves located outside of the brain and spinal cord. These nerves are responsible for sending sensory information, such as touch, pain, and temperature, to the brain, as well as controlling muscle movement. When these nerves are damaged or not functioning properly, it can lead to a wide range of symptoms. Common symptoms include numbness, tingling, burning sensations, sharp or shooting pain, muscle weakness, poor coordination, or sensitivity to touch. Symptoms may begin gradually and often start in the hands or feet, sometimes progressing upward over time.
Peripheral neuropathy can have many underlying causes. Some of the most common include diabetes, vitamin deficiencies (such as B12), autoimmune conditions, infections, medication side effects, toxin exposure, and inherited nerve disorders. In some cases, the exact cause may not be immediately clear, which is why a thorough evaluation is essential.
Your evaluation typically begins with a detailed medical history and a comprehensive neurological examination to assess reflexes, strength, sensation, and coordination. Based on these findings, additional testing may be recommended. This can include EMG and nerve conduction studies, which help measure how well your nerves and muscles are functioning and can identify the type and severity of nerve damage. Bloodwork is often ordered to rule out common and treatable causes such as diabetes, vitamin deficiencies, thyroid disorders, or autoimmune diseases. Depending on your specific symptoms, additional specialized testing may also be recommended.
Our goal is to accurately identify the type and cause of your peripheral neuropathy. By understanding the underlying problem, we can develop a targeted and effective treatment plan aimed at relieving symptoms, slowing progression, and improving your overall quality of life.