Peripheral Neuropathy Overview Full Information and Treatment of Peripheral Neuropathy
Peripheral Neuropathy is a commoncondition occurring when injury or disease damagesyour peripheral nervous system originating from your brain and spinalcord peripheral nerves extends to your skinmuscle and tissues or peripheral nervous system relaysvital information between your body and the brain in theform of electrical impulses there are three types of peripheralnerves motor nerves regulate the movements loveyour body skeletal muscles
sensory nerves transmit sensations such as heat vibration touch and pain to the brain comic nerves regulate the activities upinternal organs and glands each nerve is made up of manyinterconnected cells called neurons that transmit impulses at lightning speed this constantexchange allows your brain to respond to vitalinput from your body
however damage to the nerves disruptsthis critical link resulting in peripheral neuropathy damage to a single nerve called MononaRobert B usually results from injury orrepetitive stress an example %uh Monona Robert E is carpaltunnel syndrome repeated impact to the nerve in yourwrist may cause tingling pain and weakness in your hand arm and shoulder
government have multiple nerves calledPaulina Robert the is far more common damaged typically begins in the nervesfarthest from the central nervous system and progresses symmetrically Paulina Robert the can be caused bydiabetes and other systemic diseases infections or exposure to toxic substances
one or all the three nerve types may be affectedand symptoms are specific to each damage to sensory nerves characteristic have diabetes can lead to numbness inyour hands and feet with diminished ability to detecttemperature insensitivity to pain or over sensitivity to pain Paulina Robert the may also cause damageto your motor nerves
which can result in muscle weakness twitching and pain common signs %uh nerve damage include intolerance to heat loss of bladder control gastrointestinal disturbances impairment a breathing
Avoiding Leg Amputations Due to Peripheral Arterial Disease QA
MUSIC My name is Thomas Reifsnyder, and I'm avascular surgeon at Johns Hopkins. MUSIC My job as a vascular surgeon basically isone of education. Every patient that we see we try toeducate not only about their disease but about whatthe treatment options are. And I try to guide them to what would be the best treatment modality fortheir disease.
MUSIC One of the things that absolutely amazes me is that people will undergo anamputation of their lower extremity and not get a second opinion before their leg isremoved. Peripheral arterial disease requires a lotof expertise and a lot of experience to be able to treat in thebest fashion. I frequently get phone calls fromphysicians and family members of patients.
Telling me that their loved one is goingto require an amputation. And when I see those patients as a secondopinion. Frequently the repair or the re, or thenecessary surgery to save that limb is known as, it, is easily done and something that can absolutely change thepatient's life. Its much better than to do a fairlysignificant operation and save a limb than it is to undergo anamputation. Many surgeons and many physicians outthere
believe that an amputation solves theproblem. You can get an, a prosthesis and you'll beable to walk again. And you don't have to undergo multipleprocedures to try to save that limb. Most patients can actually undergo one ortwo sophisticated operations and save a limb, which will absolutelychange their life. Peripheral Arterial Disease which, whichused to be called Peripheral Vascular Disease basically is blockage of thearteries going to an extremity. Technically, it could involve blockage ofarteries going to the arm or hand.
But that's uncommon. The most common is blockage to the lowerextremities. Millions of Americans have peripheralarterial disease. The most common presentation is nosymptoms whatsoever. In other words, they go to their ,and the cannot feel their pulses. There are millions of people in America who have decreased circulation in theirlower extremities, but because they're getting older, they'renot
as mobile, they don't have any symptomswhatsoever. Those patients we don't typically see as avascular surgeon. The more common presentation for a patientwith peripheral arterial disease, is someone who develops pain in theircalves or legs when walking. That is called lower extremityclaudication. In the past, we didn't treat that veryaggressively because it's not a threat to the patient's life orlimb. However in this day and age where we havea variety of minimally invasive