Small Fiber Neuropathy Symptoms Diagnosis and Treatment
Small fiber neuropathy is really an interestingcondition because it consists typically of just burning, numbness, pain of the feet,sometimes the hands later on without necessarily having any abnormalities on your EMG or nerveconduction study. So what I tell patients and actually residents or students who trainunder us is that a normal nerve conduction study does not exclude a neuropathy. And wewill confirm this by doing additional testing, specifically the nervous the the examinationat the bedside asking patients about their symptoms, for example, loss of sensation tocool or or hot temperatures, loss of pain sensation and also doing skin biopsies wherewe look at nerve densities in the skin both
from the calf and the thigh as well as doinga special test that looks at sweat function both in your foot in in the legs as well asthe feet to gauge the level of small fiber nerve damage. Small fiber neuropathy typicallywill progress unless the underlying cause is identified and reversed. Diabetes of coursebeing the most common cause is always screened for. But once the more common causes are excludedand the focus becomes on excluding any underlying secondary disease process but also controllingpain because if patients' symptoms of pain are generally controlled they tend to do prettywell and really have no other major functional deficits. I've really become interested overthe years is how interconnected neurology
and rheumatology are and one thing I oftendo on patients who have unexplained small fiber even autonomic neuropathy is have themsee rheumatology or get evaluated for connective tissue disorders like lupus or Sjogren's orsarcoid and sometimes even if we are not directly involved in treating the patients, this canbe the first sign of an underlying connective tissue disorder that can then be brought tothe attention of rheumatology and addressed from their standpoint.
Why Cant We Reverse Nerve Damage
Every year, tens of millions of Americanssuffer from nerve damage, some irreparably so. Science can heal bones, grow new organsand even restore our microbiomes, but why is it so hard to fix our nerves? Hey guys Lissette here for DNews The human body posses a remarkable abilityto heal. Bones refuse, skin wounds mend, and the immune system adapts to infection,after infection. But there's one area of the body that struggles to recover after aninjury: The nervous system. Nerve damage can be some of the most debilitating and permanenttype of injury.
The nervous system is an incredibly complexnetwork used to send electrical information throughout your body. It can basically bedivided into two sections. With the brain and spinal cord making up the central nervoussystem or CNSâ€¦. and the nerves made up of fibers of sensory and motor neurons comprisingthe peripheral nervous system. Each cell in the nervous system from the tipof your finger up your arm, up your spinal column, into your brain, is very specialized.And each has a unique function on the pathway, like a circuit. If one these gets cut or injured,it's hard for an exact replacement cell to be put in in the right spot. Think aboutwhen you get a cut on your skin. If the cut
goes deep enough, exact replicas of cellswon't cover the wound, instead fibrous tissues form. which we call scars. And scars arepart of the problem in regrowing nerves, they often get in the way especially in the caseof spinal cord injuries. As part of the CNS, spinal cord injuries are notoriously difficultto heal; partially because of the way nerve cells in the CNS are made. According to the book, â€œResults and Problemsin Cell Differentiationâ€�, the CNS also has certain proteins that weirdly, inhibit cellregeneration. While this might sound like a bad idea, it's hugely beneficial overallto the formation of the CNS. These cells need
to grow exactly where they are supposed to,just one out of place could be bad. Like. think of an electrical circuit, each unithas to be in a specific order in specific place to work. If one is out of place, theintegrity of the CNS is compromised. Neurons in the CNS also lack certain cleaningcells. Nerve cells are made up of many parts, but they send signals through threads coveredin a protective sheet of myelin. These threads are called axons. Axons are the long partof the cell that reaches out to the cell next to it to send information down the line.Like arms handing the bucket down the line in a bucket brigade. So these are obviouslysuper important and need protecting. That's
where the Schwann cells come in. which areonly found in the Peripheral nervous system. Schwann cells, which aren't neurons butGLEEL cells, produce the myelin that help protect the axons. But, a study publishedin The Journal of Cell Biology found they also clean up damaged nerves making wayfor the healing process to take place and new nerves to be formed. But the problem is.these Schwann cells are missing from the CNS. What they have instead are myelin producingcells called oligodendrocytes. But these cells don't clean up damaged nerve cells at all.Which is part of the problem. So unfortunately, according to RichardG. Fessler professor at Rush University Medical
Center quot;There are currently no therapies whichsuccessfully reverse the damagequot; from injuries to the spinal cord. But research is currentlyunderway to examine the potential success of stem cell treatment, where stem cells areinjected directly at the injury site. Still, it will take a few years to see the resultsof such trials. But there are times your body can regeneratenerves. The peripheral nervous system doesn't have the same blocking proteins that the CNShas, and Schwann cells help heal the damage. So it's able to regrow nerves, albeit slowly.For instance, if you cut a nerve into your shoulder, it could take a year to regrow.By that time.the muscles in your arms could
Peripheral Neuropathy Patient Reviews Bellevue Chiropractor
Hello I am Dwight Altenburg I'm a 62 yearold male and I had a background of pain symptoms in my feet for the last 10 years. I didn'trealize that the pains would be so long going and sustaining so I dismissed them and blamingthings such as the wearing heavy boots shoes that I wore through my occupation of workingfor the fire department for the last 40 years. The pain was worse in the evenings, it washot, very tingling, but I used to try to dismiss it. My wife would say to put ice packs onmy feet. And I said that I tried that but I doesn't help. So I started reading aboutsome of the foot symptoms and the sort of pain that was caused in the feet and I hadno idea that it was Peripheral Neuropathy.
I read that Peripheral Neuropathy can be relatedto diabetes. I was diagnosed with diabetes 7 years ago. I went to the medical sand was put on medications for 6 months and in that time I dropped at least 57 lbs. Istarted to exercise and it all seemed to help a little. I would play with my nutrition anddiet trying different things. I tried low carbohydrates, I went and got educationalclasses from Evergreen , I really became serious about wanting to improve myhealth so that I would be around for my grandchildren. I had gotten really scared about some of thesymptoms that diabetes can cause and I didn't want to have that so I decided to give mybest go. The pain in my feet seemed to improve
after losing the weight, for at least a coupleof years, but I started to notice it more again as I started to exercise. It seemedthat the exercises I was doing, walking or riding a bicycle might play into it but whenI was away from those exercises for a week or so it didn't seem to go away any more.I received an ads in the Newspaper about neuropathy and how the Bellevue Pain could alleviatethe symptoms. I identified with those symptoms that were occurring to me and wanted to tryand stop this and nip this in the butt like I did with my diabetes. So
I went through this pain program of Polzin's. I went through 10 weeks and I would say that my feet have returned toat least 90% normal feeling. I can feel my foot on the gas petal again. I can feel hotand cold differences more so than other parts of my body. The prickling and so forth hasgone away. At night I used to have to sleep with the covers and blankets pulled up offmy feet so they wouldn't affect them. It was just so annoying that it would take meso much longer to fall asleep. Now I'm finding that it doesn't bother me when the sheetsare touching my feet and I do not have to put my feet outside of the covers. I'm feelingmuch more of an improvement in all those areas.
I'm feeling very happy for it and I'mvery happy that I came to the Bellevue Pain Institute. I look forward to the home upkeep.I hope that others will be able to do this and be successful at it as well.