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.
Peripheral Artery Disease Warning Signs El Camino
gt;gt; Perhaps one of the areas that El Camino has become best known for is treatment ofperipheral arterial disease, and basically what that is, isblocked arteries in the legs. This is a problem that affects at least 20 millionpeople in America. It starts to impact 5 to 10%of individuals 55 years of age and older and it's probablythe strongest marker of risk
for heart attack and strokein patients in America. The testing to determine whethersomeone has peripheral arterial disease is really simple. It can be done with ablood pressure cuff. The treatment is very effectiveand it also is important to recognize this becauseobviously it then turns our eye on the heart and thebrain and make sure that we're doing all thethings that we should do
to prevent majorproblems for our patients. Now peripheral vascular diseasecan present itself in a couple of different ways andthere is a broad spectrum. Patients who smoke,patients who are diabetic, patients who carry all thetypical cardiac risk factors are at increased risk forperipheral arterial disease. The thing about peripheralarterial disease is that over time it has a very,very high risk of death.
At five years afterthe diagnosis of peripheral arterialdisease, the likelihood of survival is reduced by 25%,that's greater than or equal to colon cancer, Hodgkin'sdisease, and other things that people pay a lotmore attention to. When you get advanced stagesof peripheral arterial disease, that number goes upprecipitously to the point that, survival is of graveconcern, not because people die
from peripheral arterial diseasebut because it affects them in the form of strokeand heart attack, which obviously can be fatal. Pause gt;gt; Patients that have thisproblem oftentimes complain of fatigue, tiredness, ordiscomfort in their legs. The typical pattern is theycan walk a certain distance after which they have to stop
because their legs really won'tallow them to go any further. They rest for a few minutes, theblood recirculates in the legs, they resume their walking and can go a similar distancebefore stopping again. A lot of times this problemis blamed on old age, on immobility, onliving a sedentary life. Some people thinkit's arthritis, it can affect the hips,the buttocks, the thighs,
Peripheral Arterial Disease Symptoms Treatments
The road to a healthier life begins righthere, from one of America's most respected names in medicine: Henry Ford Health System.This is Healthy Living at Henry Ford West Bloomfield . Hi, Jimmy Rhoades herewith Nicole Kennedy, who's a vascular surgeon here at Henry Ford West Bloomfield .And Kennedy, I hear this term PAD but I don't know what it is. What is it, and whogets it? Jimmy, PAD stands for Peripheral Arterial Disease, that's hardening of thearteries or blockages in the blood vessels that go from the heart down to the toes. Anyonecan get it, it usually builds up over many years. People who are especially at risk arepeople with heart disease and risk of stroke.
Okay, and we have a question from our audiencego ahead. Yes, sometimes when I'm walking my legs cramp, do you think I have PAD? It'spossible. We treat something called claudication, that's cramping in the legs that occurs afteryou've walked a certain distance, feels better after you rest for a few minutes. That canbe a hallmark of PAD and you should see your about it. What can we do to preventPAD? Taking your medications, following with your , exercise, avoiding smoking, doingthe right things. Okay, general health. And what about treatment once you have it? Itcan be from a very simple medication all the way to a surgical procedure involving balloonsand wires, sometimes even an open bypass surgery.
Okay, and they need to consult with someonelike you to find that out. We're here for that. Okay, fantastic. You can find out awhole lot more by visiting the website. Go to wxyz henryford. , thank you so much.For more on today's Healthy Living from Henry Ford West Bloomfield , go to wxyz henryford.