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Neuropathy 101: Comprehensive Guide to Causes and Treatments

Dr. Nieto
Medically reviewed by Robert Nieto
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Dr. Nieto
Medically reviewed by Robert Nieto

Our nerves are like the body’s electrical wiring, sending signals throughout the system. When these nerves become damaged, it is called neuropathy. This condition can cause pain, weakness, and other unpleasant symptoms.

Neuropathy affects millions worldwide, but many don’t fully understand it. That is why neuropathy doctors are available to help you with this difficult task.

In this article, we will briefly break down the basics of neuropathy. We will examine what causes nerve damage and how it affects everyday life. You will learn about the different types of neuropathy and their symptoms. Most importantly, we will discuss the different treatments that can help manage neuropathy. If you have neuropathy or know someone who has it, this is the guide for you. Let’s unravel the mystery of this common but complex disease.

Definition of Neuropathy 

This condition involves damage to the peripheral nerves. They transmit signals between the central nervous system (the brain and spinal cord). They also transmit signals to the rest of the body. This damage disrupts communication. It leads to a variety of symptoms. These include pain, numbness, tingling, and muscle weakness. These symptoms mainly affect the extremities, such as the hands and feet.

Neuropathy can result from multiple causes. They are: 

  • diabetes;
  • infections;
  • inherited disorders;
  • traumatic injuries;
  • exposure to toxins. 

The condition may affect a single nerve (mononeuropathy). It can damage multiple nerves in distinct areas (multiple mononeuropathy.) Sometimes, such illnesses affect many nerves throughout the body (polyneuropathy). Neuropathy depends on the type and severity of the nerve damage. It can significantly impact a person’s daily activities and overall quality of life. Early diagnosis and tailored treatment plans are essential. They help to manage symptoms effectively and prevent further nerve damage.

Different types of Neuropathy 

This condition can manifest in various forms. Each has distinct characteristics and underlying causes. Here are the different types of neuropathy:

  • Peripheral: This type affects the peripheral nerves. Neuropatia periferica commonly leads to pain and numbness. It may cause weakness in the hands and feet.
  • Autonomic: Involves damage to nerves that control involuntary bodily functions. They are heart rate, digestion, and bladder control.
  • Proximal: Affects nerves in the hips, thighs, or buttocks. It causes pain and muscle weakness in these areas.
  • Small Fiber: This type damages small nerve fibers. Small fiber neuropathy leads to pain and temperature sensitivity issues. They often appear on the feet and hands.
  • Focal: Involves damage to a single nerve or group of them. It results in sudden weakness or pain. This is often in the hand, head, torso, or leg.
  • Diabetic: Caused by high blood sugar levels, it can affect various types of nerves. It leads to peripheral, autonomic, proximal, or focal neuropathy.
  • Alcoholic: This type results from excessive alcohol consumption. They damage the peripheral nerves. Alcoholic neuropathy causes pain and weakness.

Understanding the specific type of neuropathy is crucial for effective treatment and management.

Common symptoms associated with Neuropathy

This condition presents a range of symptoms. They depend on the type and extent of nerve damage. Here are some common symptoms associated with neuropathy:

Common-symptoms-associated-with-Neuropathy

  • Pain: This symptom is sharp, burning, or throbbing. The pain appears mainly in the hands and feet.
  • Numbness: A lack of sensation or feeling as if wearing neuropathy socks feeling. This commonly starts in the extremities.
  • Tingling: A prickling or “crawling” sensation. This usually appears in the fingers and toes.
  • Muscle Weakness: Difficulty lifting objects, walking, or performing delicate motor tasks.
  • Sensitivity to Touch: This appears even with light pressure. Such symptoms can cause pain.
  • Loss of Coordination: Difficulty with balance and coordination. It leads to an increased risk of falls.

Recognizing these symptoms early and consulting a neuropathy doctor is crucial. It will help with effective management and treatment.

Causes of Neuropathy

This condition can stem from various underlying causes. Each contributes to damage to the peripheral nerves. Common culprits include diabetes mellitus. It affects nerve function due to prolonged high blood sugar levels. Other causes encompass autoimmune diseases. They are Guillain-Barré syndrome, infections such as Lyme disease and shingles. Also among them is trauma or injury to nerves. 

Diabetic Neuropathy

This condition arises because of the prolonged high blood sugar levels. They damage nerves throughout the body. Key factors contributing to diabetic neuropathy include:

  • Glucose Levels: Persistently elevated, this impairs nerve function over time.
  • Microvascular Damage: Reduced blood flow to nerves. It happens because of diabetes-related microvascular complications.
  • Inflammation: This condition can exacerbate nerve damage.
  • Genetic Factors: Genetic predisposition may increase susceptibility to diabetic neuropathy.

Treatments for diabetic neuropathy include managing blood sugar levels and adopting a healthy lifestyle. Such steps help prevent or slow the progression.

Autoimmune diseases and Neuropathy

Autoimmune diseases can lead to neuropathy through various mechanisms, involving the immune system’s attack on peripheral nerves. Common autoimmune-related causes of neuropathy include:

  • Guillain-Barré Syndrome: Affects the peripheral nerves. It causes weakness and paralysis.
  • Chronic Inflammatory Demyelinating Polyneuropathy (CIDP): Gradual damage to nerve fibers. It happens because of chronic inflammation.
  • Vasculitic Neuropathy: Inflammation of blood vessels. It affects nerve blood supply.
  • Rheumatoid Arthritis: Joint inflammation. It can also affect nerves.
  • Systemic Lupus Erythematosus (SLE): Autoimmune disorder. It causes inflammation that may involve nerves.

Infections and their influence on Neuropathy

They can contribute to neuropathic periferica or another type. It happens through various mechanisms. Common infections include:

  • Viral Infections: Herpes simplex (HSV), varicella-zoster (shingles), and HIV can directly affect nerves.
  • Bacterial Infections: Lyme disease (caused by Borrelia burgdorferi) and leprosy (Mycobacterium leprae). They can lead to nerve damage.
  • Viral Toxins: Some viruses release toxins that damage nerve tissue.
  • Autoimmune Response: Infections can trigger immune responses that mistakenly attack nerves.
  • Inflammatory Response: The body’s immune response to infections can cause it around nerves. Inflammation leads to symptoms of neuropathy.

Genetic Factors Causing Neuropathy

Genetic factors can predispose individuals to various types of neuropathy. Some key genetic causes include:

  • Charcot-Marie-Tooth Disease: This is a hereditary condition. It affects peripheral nerves.
  • Familial Amyloid Polyneuropathy: Inherited disorder, in this condition, abnormal protein deposits damage nerves.
  • Hereditary Sensory Neuropathy: Genetic conditions. They lead to sensory nerve dysfunction.
  • Hereditary Motor Neuropathy: Causes progressive muscle weakness. It happens because of genetic mutations.
  • Fabry Disease: This is a genetic disorder. It leads to the accumulation of certain fats. Such a condition causes nerve damage.

Individuals should understand these genetic factors. It will help in early diagnosis and management of inherited neuropathies.

Diagnosing Neuropathy

This aspect involves an evaluation of symptoms, medical history, and specialized tests. They will assess nerve function. Prompt diagnosis determines the underlying cause and tailors effective treatment plans. It aims to alleviate symptoms and prevent further nerve damage.

Importance of early diagnostics 

A neurologist (or neuropathy doctor) can help manage neuropathy effectively by identifying underlying causes. Prompt diagnosing also initiates timely treatment. It can prevent further nerve damage and alleviate symptoms. This step also improves the overall quality of life for patients. Early intervention allows healthcare providers to develop personalized treatment plans. They may include medications, lifestyle modifications, and therapies. 

Interpreting diagnostic results 

This step involves assessing nerve conduction studies, electromyography (EMG), and their biopsy findings. Abnormal results may indicate nerve damage or dysfunction. They help to pinpoint the type and extent of neuropathy. Blood tests for underlying conditions. They are diabetes or autoimmune diseases. Blood tests provide crucial insights. A neuropathy doctor interprets these results to tailor treatment plans. 

Treatments for Neuropathy

The treatment plan focuses on managing symptoms and addressing underlying causes. Options include medications. They are pain relievers, antidepressants, and anticonvulsants to manage pain and discomfort. Physical therapy, lifestyle modifications, and alternative therapies like acupuncture may also be necessary. They improve nerve function and quality of life for individuals with neuropathy.

Treatments-for-Neuropathy

Medications used in Neuropathy treatment

Several medications manage neuropathy symptoms and improve nerve function. Here are they:

  • Antidepressants: They are amitriptyline and duloxetine. Such medications help alleviate neuropathic pain.
  • Anticonvulsants: Gabapentin and pregabalin stabilize nerve cells. They reduce pain signals.
  • Pain Relievers: Acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs). They help relieve mild to moderate pain.
  • Opioid Analgesics: Tramadol may help in severe neuropathic pain. Usually, it is not amenable to other treatment methods.
  • Topical Medications: Lidocaine patches to numb painful areas on the skin.

Each neuropathy medication targets specific symptoms. They improve the patient’s comfort and function.

Non-drug treatments such as therapy and surgery 

These treatment methods aim to alleviate symptoms and address underlying causes. Here are they:

  • Physical Therapy: Exercises to improve strength, balance, and coordination.
  • Occupational Treatment: These techniques manage daily tasks. They also minimize nerve strain.
  • Transcutaneous Electrical Nerve Stimulation (TENS): This device relieves pain. It sends mild electric currents.
  • Acupuncture: Traditional Chinese medicine method to reduce pain and improve nerve function.
  • Surgical Decompression: Relieves pressure on nerves to alleviate symptoms. They have carpal tunnel syndrome.

For diabetic neuropathy medication, consult a healthcare provider for personalized advice and management.

Role of lifestyle changes in controlling Neuropathy

Lifestyle changes help to manage neuropathy. They control symptoms and slow their progression. Strategies include:

  • maintaining stable blood sugar levels for diabetic neuropathy;
  • adopting a balanced diet and regular exercise to improve nerve function;
  • quitting smoking;
  • limiting alcohol consumption;
  • managing stress.

New and evolving treatments for Neuropathy 

They include innovative approaches. For example, regenerative medicine techniques like stem cell therapy and growth factor injections. Advancements in neurostimulation therapies include spinal cord and peripheral nerve stimulation. They offer promising options for managing neuropathic pain. These treatments aim to provide relief and improve function in individuals with neuropathy in cases where traditional therapies have been less effective.

Living with Neuropathy 

Living with this illness poses challenges. They appear because of their impact on daily life. Many patients wonder if neuropathy can be reversed. Treatments can help manage symptoms and slow progression. Complete reversal is often difficult. Lifestyle adjustments and regular medical care are essential. They help to optimize the quality of life despite the condition’s persistence.

Effects of Neuropathy on daily life

Such a condition can significantly disrupt daily life. It affects mobility, sensation, and overall function. Walking, holding objects, and maintaining balance become challenging. Pain, numbness, and sensitivity can also impair sleep and mental well-being. They necessitate adaptation strategies and comprehensive management. It will help to mitigate the impact on daily activities.

Emotional impacts and mental health concerns

Neuropathy often leads to emotional impacts and mental health concerns. They are anxious about future disability and depression. Such conditions appear because of chronic pain and impaired quality of life. Coping with uncertainty and adjusting to lifestyle changes are common challenges. Small fiber neuropathy life expectancy highlights the need for holistic support. Mental health interventions are pivotal alongside physical treatment strategies.

Support resources and strategies for coping

Coping with neuropathy involves utilizing support resources. Among them are:

  • support groups;
  • online forums;
  • educational materials.

They connect with others facing similar challenges. Common strategies include:

  • physical therapy for maintaining mobility;
  • relaxation techniques for managing pain;
  • nutrition counseling for overall health.

These resources help individuals improve their quality of life despite symptoms of neuropathy.

How Lone Star Neurology Can Help

This neurological center offers specialized care and expertise in diagnosing and treating neuropathy. With a team of dedicated neuropathy doctors, we provide comprehensive evaluations. Also, we offer personalized treatment plans and ongoing support. It will help to manage symptoms effectively. Our commitment to patient-centered care ensures individuals receive the best possible outcomes.

Expertise and experience of our team 

Our team at Lone Star Neurology has extensive knowledge. We have a lot of experience treating a wide range of neuropathic conditions. Our team provides compassionate care. We have specialized training in neurology and neuropathies. Our doctors use advanced diagnostics. We offer innovative treatment options tailored to each patient’s needs.

Personalized approach to Neuropathy treatment

We prioritize individualized approaches to treatment methods. We begin with thorough assessments. They help us to understand each patient’s unique needs and symptoms. This is especially pivotal for early-stage-foot neuropathy. Our treatment plans integrate evidence-based therapies and lifestyle recommendations. We aim to alleviate signs and optimize long-term outcomes for our patients.

Contact us for a consultation 

Contact us today to schedule a consultation. Our experienced doctors are ready to provide comprehensive evaluations. They will give you personalized treatment plans tailored to your specific needs.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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