There are 8 million cases of peripheral neuropathy in the United States today which arise from multifactorial causes. Dr. Ghalali provides treatment for peripheral neuropathy to patients that come to him from across the country seeking recovery for their symptoms.
Peripheral Neuropathy Treatment
What is peripheral neuropathy?
Peripheral Neuropathy is damage to the nerves that exist outside of the brain and spinal cord. It typically causes weakness, numbness, burning, or paresthesia in the lower extremities. Your peripheral nerves are vital for sending sensory information to the spinal cord and brain which allows you to know if something is too hot for example. Neuropathy can also affect organs of the body leading to cardiac arrythmias, bladder incontinence, and gut motility issues.
Why does peripheral neuropathy occur?
Vascular disease can lead to peripheral neuropathy by narrowing of the blood supply reducing oxygenation to the nerve fibers. Endothelial dysfunction from heart disease restricts the amount of blood flow to extremities. The breakdown of a compound called myoinositol alters myelin sheath surrounding the nerves leading to a vulnerable nerve fiber. The myelin sheath breaks down and you end up with a nerve fiber that can’t send the proper signal.
What Are the Types of Peripheral Neuropathy?
Let’s break down the different types of neuropathy. Peripheral neuropathy encompasses various types, including diabetic neuropathy, alcoholic neuropathy, and chemotherapy-induced neuropathy. Other types may arise from autoimmune disorders, infections, or inherited conditions. Each type exhibits distinct symptoms and requires specific treatment approaches. Consulting a healthcare professional is essential for accurate diagnosis and appropriate management.
- Diabetes Mellitus – Affecting small nerve fibers
- Peripheral – Affecting small, medium, and large fibers
- Medication Induced – Spontaneous (will discuss in detail)
- Alcoholic Neuropathy – Large fiber neuropathy due to thiamine deficiency
How Bad Can Peripheral Neuropathy Get?
Peripheral Neuropathy can lead to poor capillary refill where blood flow return is slowed, reducing oxygenation to peripheral extremities, which can then in turn lead to ulcers due to loss of sensation. The burning can be so intense it can feel like a blowtorch is being applied to the skin. The pins and needles sensation can become extremely painful in some cases.
What Causes Peripheral Neuropathy?
Neuropathy is caused by damage to the myelin sheath which protects the nerve from injury. In our experience, the number one cause of peripheral neuropathy are medication induced side effects. Typically, the fluoridated medications can lead to peripheral neuropathy, these include fluoroquinolone antibiotics, antidepressants, chemotherapy, and statin medications to mention a few. When the protective layer of the nerve called the endoneurium is compromised, this can lead to neuropathy.
How to Treat Peripheral Neuropathy
Regenerative Medicine LA - Helping Peripheral Neuropathy in Los Angeles, CA
Peripheral Neuropathy treatment starts with finding the underlying cause, usually medication or toxin induced. Once the etiology is determined, regenerative treatment is used to repair the damaged nerves and the collagen fibers that protect the nerves from further injury. The endoneurium surrounding each myelin sheath is comprised of collagen which is integral for nerve protection. Vitamins like Alpha Lipoic Acid, Magnesium, and Thiamine play an integral role in healthy nerve cells. Our Regenerative programs offer customized high dose IV intensive therapy to combat peripheral neuropathy with great success.
Dr. Mark Ghalili of Regenerative Medicine LA is a highly credible expert in the treatment of patients with peripheral neuropathy. With specialized training in regenerative medicine and a focus on innovative approaches to neuropathic conditions, Dr. Ghalili has earned recognition for his expertise. His extensive clinical experience, positive patient reviews, and commitment to utilizing cutting-edge treatments for peripheral neuropathy demonstrate his reputation as a trusted and knowledgeable provider in this field of regenerative medicine.
Peripheral Neuropathy FAQs
Can you die from peripheral neuropathy?
While peripheral neuropathy itself is not typically life-threatening, it can lead to complications that may have serious consequences. If left untreated, the underlying causes of neuropathy, such as diabetes or infections, can pose significant health risks. So while, peripheral neuropathy is not necessarily a life threatening condition, the pain may become unbearable to the point where strong pain medications may be the only way to subside the symptoms. Early diagnosis and proper management are crucial to prevent potential complications. Getting peripheral neuropathy under control early on is vital for long term success.
How is peripheral neuropathy typically diagnosed?
Peripheral neuropathy is typically diagnosed through a combination of medical history, physical examination, and diagnostic tests. Here are the common steps involved in diagnosing peripheral neuropathy:
- Medical History: The doctor will begin by discussing your symptoms and medical history. They will ask questions about the type of symptoms you are experiencing, their duration, and any underlying conditions or medications that might be relevant.
- Physical Examination: A physical examination is performed to assess nerve function and identify any visible signs of neuropathy. The doctor may check your reflexes, muscle strength, coordination, and sensation in different parts of your body.
- Neurological Examination: A neurological examination is conducted to evaluate the nervous system. The doctor may examine your cranial nerves, reflexes, muscle tone, and coordination. They may also perform specific tests to assess your sensory perception, such as using a tuning fork to check your ability to feel vibrations.
- Laboratory Tests: Various blood tests may be ordered to identify underlying causes or contributing factors of peripheral neuropathy. These tests can include a complete blood count (CBC), blood glucose levels, kidney and liver function tests, vitamin B12 levels, thyroid function tests, and tests for autoimmune diseases.
- Electromyography (EMG): EMG is a test that measures the electrical activity of your muscles and nerves. It can help determine whether there is nerve damage and the extent of the damage. During this test, small needles are inserted into specific muscles, and the electrical signals are recorded and analyzed.
- Nerve Conduction Studies (NCS): NCS is often performed along with EMG. It measures the speed and strength of the electrical signals traveling through your nerves. Electrodes are placed on the skin, and a mild electrical impulse is applied to a specific nerve. The response is recorded, helping to identify any abnormalities in nerve conduction.
- Imaging Studies: In some cases, imaging studies such as magnetic resonance imaging (MRI) or computed tomography (CT) scan may be ordered to rule out other potential causes or to detect structural abnormalities that could be affecting the nerves.
- Skin Biopsy: In certain situations, a small skin biopsy may be performed to examine the nerve endings under a microscope. This test can help diagnose small fiber neuropathy, a type of peripheral neuropathy affecting the small nerve fibers responsible for pain and temperature sensations.
It’s important to note that the specific diagnostic process may vary depending on the suspected cause of peripheral neuropathy and the individual patient’s circumstances. A healthcare professional will determine the appropriate tests based on your symptoms and medical history.