Neuropathy, also known as peripheral neuropathy or polyneuropathy, refers to nerve damage outside the brain and spinal cord. It affects over 40 million people in the United States alone, with the most common causes being diabetes, leprosy, HIV/AIDS, and chemotherapy. As the population ages and chronic diseases like diabetes become more common, the number of neuropathy cases continues to rise.
At least 10% of people over 40 and 50% of diabetics experience some form of neuropathy. If you're noticing numbness, tingling, pain, or weakness in your hands or feet, it may be time to get tested for neuropathy.
The nervous system is divided into two main parts:
1. Central Nervous System (CNS): Consists of the brain and spinal cord.
2. Peripheral Nervous System (PNS): Includes the nerves outside the brain and spinal cord that transmit messages to different parts of the body.
Neuropathy occurs when the peripheral nervous system is damaged, disrupting the communication between the brain and the body. Nerves act like electrical cables, sending important signals to muscles, organs, and tissues.
Nerve fibers are classified into two categories:
Large fibers: These nerves are covered in a protective myelin sheath and control muscle movements, balance, touch, and vibration.
Small fibers: These thinner nerves carry signals related to pain, temperature, and autonomic functions (like heart rate and digestion).
Small fiber neuropathy often involves burning pain and tingling, while large fiber neuropathy may cause muscle weakness and loss of coordination.
Motor Neuropathy: Affects the muscles, leading to weakness, muscle cramps, or fatigue.
Sensory Neuropathy: Causes sensory disturbances like pain, numbness, or loss of feeling in the hands and feet.
Autonomic Neuropathy: Impacts involuntary functions like heart rate, digestion, bladder control, and sexual function. This can cause issues such as irregular heartbeat, gastrointestinal discomfort, or dizziness.
Symptoms vary depending on the type of nerve damaged:
Motor Symptoms: Muscle weakness, cramping, and reduced mobility.
Sensory Symptoms: Tingling, burning, or numbness in the hands and feet. Sensory loss can lead to unnoticed injuries or balance issues.
Autonomic Symptoms: Irregular heartbeat, digestive issues, bladder dysfunction, and sexual difficulties.
If you are experiencing any of these symptoms, it’s crucial to seek early diagnosis and treatment to manage neuropathy and prevent further nerve damage.
While there is no cure for neuropathy, treatments focus on managing symptoms and slowing progression. Treatment options may include:
Medications for pain relief
Physical therapy to strengthen muscles
Managing underlying conditions like diabetes
Lifestyle changes, including diet and exercise
Specialized therapies for specific types of neuropathy
Don’t let neuropathy control your life. Early intervention can help you manage symptoms and prevent further damage. If you’re experiencing symptoms of neuropathy, call (541) 234-8600 today to book an appointment.