Peripheral neuropathy | Foot PN

Peripheral neuropathy | Foot PN

Peripheral neuropathy | Foot PN
  • What causes neuropathy in the feet?

Traumatic injuries, infections, metabolic problems, inherited causes, and toxins can all cause peripheral neuropathy. Diabetes is one of the most common causes. People suffering from peripheral neuropathy describe their pain as stabbing, burning, or tingling.

  • What is the most effective treatment for peripheral neuropathy?

Exercise. Walking three times a week, for example, can help reduce neuropathy pain, improve muscle strength, and help control blood sugar levels. Gentle routines such as yoga and tai chi may also be beneficial. Stop smoking.

  • What exactly is neuropathy?

Pay attention to the pronunciation. (noor-AH-puh-thee) A nerve disorder that causes pain, numbness, tingling, swelling, or muscle weakness throughout the body. It usually starts in the hands or feet and progresses over time.

  • How is foot neuropathy identified?

Sensory evaluation

The neurological physical examination in the office is the most important exam for testing for neuropathy in the foot. Deep tendon reflex, proprioceptive exam, sharp and dull touch, warm and cold temperature testing, and vibratory sensation are all part of this exam.


Peripheral neuropathy is characterised by weakness, numbness, and pain in the hands and feet as a result of nerve damage outside of the brain and spinal cord (peripheral nerves). It can also have an impact on other areas and functions of the body, such as digestion, urination, and circulation.

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The peripheral nervous system relays information from the brain and spinal cord (central nervous system) to the rest of the body. Peripheral nerves also transmit sensory data to the central nervous system.

Traumatic injuries, infections, metabolic problems, inherited causes, and toxins can all cause peripheral neuropathy. Diabetes is one of the most common causes.

People suffering from peripheral neuropathy describe their pain as stabbing, burning, or tingling. Symptoms often improve, especially if they are caused by a treatable condition. Medications can help to alleviate the pain of peripheral neuropathy.

Sensory nerves that receive sensations from the skin, such as temperature, pain, vibration, or touch
Motor nerves are the nerves that control muscle movement.
Blood pressure, perspiration, heart rate, digestion, and bladder function are all controlled by autonomic nerves.
Among the signs and symptoms of peripheral neuropathy are:

Numbness, prickling, or tingling in your feet or hands that can spread up into your legs and arms
Sharp, jabbing, throbbing, or burning discomfort
Touch sensitivity to the extreme
Pain during activities that should not cause pain, such as putting weight on your feet or putting them under a blanket.
Falling due to a lack of coordination
Muscle fatigue
Having the impression that you are wearing gloves or socks when you are not
Paralysis if the motor nerves are damaged
Signs and symptoms of autonomic nerve dysfunction may include:

  • Heat sensitivity

Excessive sweating or inability to sweat
Problems with the bowel, bladder, or digestion
Blood pressure drops, causing dizziness or lightheadedness
Peripheral neuropathy can affect one nerve (mononeuropathy), two or more nerves in different areas (multiple mononeuropathy), or many nerves (multiple polyneuropathy) (polyneuropathy). Mononeuropathy is exemplified by carpal tunnel syndrome. Polyneuropathy is the most common type of peripheral neuropathy.

  • When should you see a doctor?

If you notice unusual tingling, weakness, or pain in your hands or feet, seek medical attention right away. Early diagnosis and treatment give you the best chance of controlling your symptoms and preventing further nerve damage.

The following medical conditions can cause peripheral neuropathy:

Autoimmune disorders Sjogren’s syndrome, lupus, rheumatoid arthritis, Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, and vasculitis are examples of these.
Diabetes. This is the most typical reason. More than half of diabetics will develop some form of neuropathy.
Infections. Certain viral or bacterial infections, such as Lyme disease, shingles, Epstein-Barr virus, hepatitis B and C, leprosy, diphtheria, and HIV, fall into this category.

Disorders that are inherited. Hereditary neuropathy disorders include Charcot-Marie-Tooth disease.
Tumors. Cancerous (malignant) and noncancerous (benign) growths can form on or press on nerves. Polyneuropathy can also develop as a result of some cancers that affect the immune system. This is a type of degenerative disorder known as paraneoplastic syndrome.

Disorders of the bone marrow These include blood proteins that are abnormal (monoclonal gammopathies), bone cancer (myeloma), lymphoma, and the rare disease amyloidosis.
Other illnesses Kidney disease, liver disease, connective tissue disorders, and an underactive thyroid are examples (hypothyroidism).

  • Neuropathies can also be caused by:

Alcoholism. Poor dietary choices made by alcoholics can result in vitamin deficiencies.
Poisoning exposure Industrial chemicals and heavy metals such as lead and mercury are examples of toxic substances.
Medications. Certain medications, particularly those used to treat cancer (chemotherapy), have the potential to cause peripheral neuropathy.
Nerve damage or compression Peripheral nerves can be severed or damaged as a result of injuries such as car accidents, falls, or sports injuries. Nerve pressure can be caused by wearing a cast, using crutches, or repeatedly performing a motion such as typing.
Deficiencies in vitamins B vitamins, including B-1, B-6, and B-12, as well as vitamin E and niacin, are essential for nerve health.
A number of cases have no identifiable cause (idiopathic).

Risk factors for peripheral neuropathy include:

Diabetes, particularly if your blood sugar levels are poorly controlled.
Misuse of alcohol
Vitamin deficiencies, particularly B vitamin deficiencies
Lyme disease, shingles, Epstein-Barr virus, hepatitis B and C, and HIV are all examples of infections.
Rheumatoid arthritis and lupus are examples of autoimmune diseases in which your immune system attacks your own tissues.
Disorders of the kidneys, liver, or thyroid
Toxins exposure
Repetitive motion, such as that required for some jobs
Neuropathy runs in the family.
Peripheral neuropathy complications can include:

Skin injuries and burns You may not notice temperature changes or pain in numb areas of your body.
Infection. Without your knowledge, your feet and other sensitive areas can be injured. Check these areas on a regular basis and treat minor injuries immediately, especially if you have diabetes.
Falls. Lack of balance and falling can cause weakness and loss of sensation.

Prevention for peripheral neuropathy include

Control the underlying conditions.
The best way to avoid peripheral neuropathy is to control any risk factors, such as diabetes, alcoholism, or rheumatoid arthritis.

  • Make healthy lifestyle decisions.
    These practises benefit your nerve health:

To keep your nerves healthy, eat a diet high in fruits, vegetables, whole grains, and lean protein. Consume meats, fish, eggs, low-fat dairy products, and fortified cereals to avoid vitamin B-12 deficiency. Fortified cereals are a good source of vitamin B-12 if you’re vegetarian or vegan, but consult your doctor about B-12 supplements.
Regular exercise is essential. With your doctor’s permission, try to get at least 30 minutes to an hour of exercise three times per week.Peripheral neuropathy | Foot PN
Avoid factors that may cause nerve damage, such as repetitive motions, cramped positions that put pressure on nerves, toxic chemical exposure, smoking, and excessive alcohol consumption.
Research and education (MFMER). Every right is reserved.Peripheral neuropathy | Foot PN

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