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Peripheral Neuropathy 

Peripheral neuropathy happens when the nerves that are located outside of the brain and spinal cord (peripheral nerves) are damaged. This condition often causes weakness, numbness and pain, usually in the hands and feet. It also can affect other areas and body functions including digestion and urination.

Peripheral neuropathy can result from traumatic injuries, infections, metabolic problems, inherited causes and exposure to toxins. One of the most common causes of neuropathy is diabetes.

People with peripheral neuropathy usually describe the pain as stabbing, burning or tingling. Sometimes symptoms get better, especially if caused by a condition that can be treated. Medicines can reduce the pain of peripheral neuropathy.

Symptoms 

Every nerve in the peripheral system has a specific job. Symptoms depend on the type of nerves affected.

Nerves are divided into:

  • Sensory nerves that receive sensation, such as temperature, pain, vibration or touch, from the skin.

  • Motor nerves that control muscle movement.

  • Autonomic nerves that control functions such as blood pressure, sweating, heart rate, digestion and bladder function.

Symptoms of peripheral neuropathy might include:

  • Gradual onset of numbness, prickling, or tingling in your feet or hands. These sensations can spread upward into your legs and arms.

  • Sharp, jabbing, throbbing or burning pain.

  • Extreme sensitivity to touch.

  • Pain during activities that shouldn't cause pain, such as pain in your feet when putting weight on them or when they're under a blanket.

  • Lack of coordination and falling.

  • Muscle weakness.

  • Feeling as if you're wearing gloves or socks when you're not.

  • Inability to move if motor nerves are affected.

If autonomic nerves are affected, symptoms might include:

  • Heat intolerance.

  • Excessive sweating or not being able to sweat.

  • Bowel, bladder or digestive problems.

  • Drops in blood pressure, causing dizziness or light-headedness.

These habits support your nerve health:

  • Eat a diet rich in fruits, vegetables, whole grains and lean protein to keep nerves healthy. Protect against low levels of vitamin B-12 by eating meats, fish, eggs, low-fat dairy foods and fortified cereals. If you're vegetarian or vegan, fortified cereals are a good source of vitamin B-12, but talk to your health care professional about B-12 supplements.

  • Exercise regularly. With a health care professional's OK, try to get at least 30 minutes to one hour of exercise at least three times a week.

Avoid factors that may cause nerve damage. These factors can include repetitive motions, exposure to toxic chemicals, smoking and drinking too much alcohol.

Physiotherapy

In the management of peripheral neuropathy, physiotherapy focuses on supporting people to maintain their independence and ability to participate in daily activities such as study, work, home and community life.

  • Peripheral neuropathy physiotherapy treatment achieves this using treatment strategies designed to:

  • Improve or maintain your muscle strength and range of movement

  • Prevent muscle shortening (contracture) and deformity

  • Improve or maintain your balance and coordination

  • Assist with pain management

  • Help you manage the physical impact of your condition.

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