What is a neuropathy?
Neuropathies are diseases of peripheral nerves, those that extend from the spinal cord to the rest of the body. There are many different types of peripheral nerves performing many different functions, and many different ways in which these nerves can be damaged. Because of this, neuropathies are a highly variable set of diseases, with different presentations and treatments.
How do I know I might have a neuropathy?
Neuropathy causes different symptoms depending on which nerves are involved. Some neuropathies cause numbness, while others cause pain most typically described as burning or electrical. These symptoms are often, but not always, worse at night. Longer nerves are often affected earlier in the course of the disease, causing symptoms to appear first in the feet and then progress upwards with time. Other neuropathies cause disruption of the involuntary aspects of the nervous system, leading to irregularities in pulse or blood pressure, reduced sweating, nausea, or other GI symptoms. One other common symptom is imbalance, especially in dark environments, caused by numbness in the feet.
What causes neuropathies?
Some neuropathies are caused by other diseases, most commonly diabetes, but also others including thyroid disease, vitamin deficiencies, or inflammatory disease such as lupus. Others are caused by dysfunction of the immune system which causes it to attack peripheral nerves. In some cases, a definitive underlying cause for the neuropathy is never able to be identified.
How are neuropathies diagnosed and treated?
At Midtown Neurology, we use state of the art testing techniques to identify, characterize, and treat neuropathy, starting with a comprehensive history and physical examination to clarify the timecourse of the disease and to determine which nerve populations are affected. Laboratory testing can be used to look for underlying disease, and more specialized electrical testing can be used to clarify the distribution and severity of nerve dysfunction. In some cases, microscopic analysis of small nerve fibers in the skin (a procedure known as a punch biopsy) can be used to further investigate the neuropathy.
Treatment of neuropathy depends on the results of these investigations. If an underlying cause is identified, it can be treated; even in the cases in which the neuropathy cannot be reversed, this treatment can prevent progression of disease. Medications can also be used to reduce nerve irritability and counteract autonomic dysfunction, reducing the symptoms of neuropathy, even in cases where the neuropathy itself cannot be treated. Physical therapy is often helpful in cases where neuropathy causes loss of balance.
At Midtown Neurology, P.C. in Atlanta we are here to provide you with the best individualized neuropathy care. Neuropathy is a vast collection of disorders caused by damage to the peripheral nervous system that affects 20 million Americans. Most commonly, neuropathy affects the hands and/or the feet causing a painful burning or tingling sensation.
The most common form of neuropathy is symmetrical polyneuropathy, which mainly affects the feet and legs on both sides of the body. The symptoms can be far ranging as the sensations may come and go depending on the underlying factors that are causing the neuropathy. Some of the most common issues that are associated with neuropathy are diabetes, chemotherapy, prolonged medication use, cholesterol drugs, chronic fatigue, fibromyalgia, alcoholism and trauma but many cases are idiopathic in nature, meaning the cause is unknown.
Our providers will use the information provided by the patient along with a full examination of the patient, combined with diagnostic testing that may include Nerve Testing and EMG, laboratory testing, and even possibly skin biopsies to help determine the type and cause of neuropathic conditions.
Once the diagnostics are completed and the provider determines that the patient is a candidate for the neuropathy program, treatments will begin. Under the neuropathy treatment umbrella there is a combination of different therapies that make up the protocol.
Call 404-653-0039 to schedule a consultation for neuropathy treatment and care in the Atlanta area.