Win over EpilepsyJanuary 13, 2019
PARKINSON’S DISEASEApril 21, 2019
What is Peripheral Neuropathy & its symptoms?
Peripheral Neuropathy is a disorder of peripheral nerves in which patient feels abnormal sensation in hands & feet (glove & stocking pattern):
- Tingling and numbness.
- Pins & needle sensation.
- Burning pain like sensation.
- Ants crawling like sensation.
- Decrease hot/cold sensation.
Symptoms usually starts in bilateral feet then progress up-to ankle, later involves bilateral hands.
What are the common causes of peripheral Neuropathy?
- Diabetes Mellitus.
- Alcohol Intake.
- Nutritional (Vit B-12 Deficiency).
- Drugs/ Toxins.
- Carpal Tunnel Syndrome.
When do we need to consult Neurologist?
- If the sensory symptoms are interfering with daily routine activities.
- Decrease in movements of hands & feet like difficulty while buttoning-unbuttoning the shirt, opening cap of jar/bottle, Difficulty in holding or slipping of footwear.
- Difficulty in walking/ imbalance/ataxia.
- Thinning of muscles of foot & hand.
- Toe/ foot and hand deformities.
Which investigations are required to detect peripheral Neuropathy?
Certain blood tests like:
- Complete Blood Count(CBC).
- Fasting blood sugars(FBS).
- Random Blood sugars(RBS).
- Thyroid profile.
- Vit B12 Levels.
- Nerve Conduction Studies.
What is the treatment of peripheral Neuropathy?
- Control of Diabetes Mellitus/ blood sugar.
- Correction of Vit B12 Deficiency/ healthy diet.
- Quit Alcohol.
- Certain Medicines which help in improving nerve functions and decrease symptoms.
Dr Gourav Jain, MD, DM Neurology (PGI Chandigarh)