317 St. Francis Dr. Suite 350
Greenville, SC 29601


317 St. Francis Dr.
Suite 350
Greenville, SC 29601
Tel: 1-864-235-1834, Fax: 1-864-235-2486

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864-235-1834

Neuropathy

Peripheral Neuropathy: Diagnosis and Treatment

There are several diagnosis and treatment options for peripheral neuropathy. Peripheral neuropathy means the nerve endings in the hands or feet are not working properly. Clinical presentations can include numbness, weakness and burning pain. If the nerve endings in the feet are more severely involved patients may complain of poor balance or get open sores. When the hands are involved difficulty performing normal tasks like holding objects, manipulating door keys, or being able to tell if tap water is hot can be a problem.

The most common form is peripheral neuropathy involves the small, sensory nerve fibers. The larger fibers are responsible for motor control. There are also very small nerve fibers, called the sympathetic nerves, which are responsible for burning pain and skin temperature regulation. Depending upon which nerve fibers are involved different symptoms occur. Hereditary diseases, hardening of the arteries, diabetes, and heavy metals may all be responsible for peripheral neuropathy. Most often however doctor just can’t figure out why someone has neuropathy. Doctors call that form “Idiopathic” (no known cause).

The most common forms of peripheral neuropathy are due to vascular disease or diabetes. In these instances the small, sensory nerve fibers usually are the first to become involved. In early cases people often don’t even know they have a problem. Possibly they went to the doctor with low back pain only to find out during electrical nerve testing (EMG and nerve conduction testing) that there was a problem discovered in the sensory nerves in the feet.

More advanced nerve testing for the sympathetic nerves includes the use of thermal imaging or sympathetic skin response testing. In this test nothing touches the skin; infrared imaging is used to measure abnormalities in skin temperature regulation. Depending upon the results of nerve testing follow up studies of the vasculature or laboratory looking for other reasons for the neuropathy may be done as well.

Treatment depends upon the kind of neuropathy found but most commonly is directed toward restoring function (when the motor fibers are involved) or reducing pain. If the sensory nerves are severely involved then it is also very important to educate patients about skin care so that they don’t get an ulcer. These can be very hard to heal.

There are several medications that address neuropathy pain, however they all come with their own set of side effects and are only marginally successful in providing relief. Nerve blocks can be particularly helpful, especially when treatment of the nerves closer to the trunk or in the spine have an impact on symptoms. More recently Platelet Rich Plasma (PRP) and Stem Cell injections have shown quite a bit of promise.

While we are not quite certain why these injections (or grafts) work we do know that when properly placed they can cause new blood vessel growth in the extremities. That of course can lead to both pain reduction and regeneration. This is an exciting and promising treatment option. If you have peripheral neuropathy it is a good idea to explore your options and find a doctor with specialized expertise in its diagnosis and treatment.

Neuropathy and PAD brochure (PDF)

Are Topical Creams Effective For Neuropathy?

green topical creams jar

You feel a tingling or slight burning sensation in your hands or feet and you know it’s a symptom of your neuropathy. These areas, especially your feet, tend to be targeted first because the nerves leading down to those extremities are the longest and the easiest to damage. But at the moment, you know its not a sign for major concern, you just want relief from the discomfort or pain as soon as possible.

Supplements are one way to treat these symptoms, but you don’t really know when they’ll start working and if there will be side effects. By taking any oral medication, you are prone to drowsiness, dizziness or simply lethargy. So what could you do to relieve the pain without all the other baggage? Well, there’s topical creams. They can be applied right onto the pained area usually without fuss and are usually better accepted by patients because they are painless.

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Peripheral Neuropathy: Diagnosis and Treatment

There are several diagnosis and treatment options for peripheral neuropathy. Peripheral neuropathy means the nerve endings in the hands or feet are not working properly. Clinical presentations can include numbness, weakness and burning pain. If the nerve endings in the feet are more severely involved patients may complain of poor balance or get open sores. When the hands are involved difficulty performing normal tasks like holding objects, manipulating door keys, or being able to tell if tap water is hot can be a problem.

The most common form is peripheral neuropathy involves the small, sensory nerve fibers. The larger fibers are responsible for motor control. There are also very small nerve fibers, called the sympathetic nerves, which are responsible for burning pain and skin temperature regulation. Depending upon which nerve fibers are involved different symptoms occur. Hereditary diseases, hardening of the arteries, diabetes, and heavy metals may all be responsible for peripheral neuropathy. Most often however doctor just can’t figure out why someone has neuropathy. Doctors call that form “Idiopathic” (no known cause).

The most common forms of peripheral neuropathy are due to vascular disease or diabetes. In these instances the small, sensory nerve fibers usually are the first to become involved. In early cases people often don’t even know they have a problem. Possibly they went to the doctor with low back pain only to find out during electrical nerve testing (EMG and nerve conduction testing) that there was a problem discovered in the sensory nerves in the feet.

More advanced nerve testing for the sympathetic nerves includes the use of thermal imaging or sympathetic skin response testing. In this test nothing touches the skin; infrared imaging is used to measure abnormalities in skin temperature regulation. Depending upon the results of nerve testing follow up studies of the vasculature or laboratory looking for other reasons for the neuropathy may be done as well.

Treatment depends upon the kind of neuropathy found but most commonly is directed toward restoring function (when the motor fibers are involved) or reducing pain. If the sensory nerves are severely involved then it is also very important to educate patients about skin care so that they don’t get an ulcer. These can be very hard to heal.

There are several medications that address neuropathy pain, however they all come with their own set of side effects and are only marginally successful in providing relief. Nerve blocks can be particularly helpful, especially when treatment of the nerves closer to the trunk or in the spine have an impact on symptoms. More recently Platelet Rich Plasma (PRP) and Stem Cell injections have shown quite a bit of promise.

While we are not quite certain why these injections (or grafts) work we do know that when properly placed they can cause new blood vessel growth in the extremities. That of course can lead to both pain reduction and regeneration. This is an exciting and promising treatment option. If you have peripheral neuropathy it is a good idea to explore your options and find a doctor with specialized expertise in its diagnosis and treatment.

Neuropathy and PAD brochure (PDF)

Understanding the 4 Types of Diabetic Neuropathy

types of diabetic neuropathy

What is diabetic neuropathy? Diabetic neuropathy occurs when the effects of diabetes damages nerve fibres. The relationship between the two cannot be precisely mapped out or explained, but high blood glucose levels have shown to be a major factor in nerve damage. The location of pain is relative to what nerve is damaged, and can occur in all parts of the body. It affects an estimated 20 million people in the US alone, demonstrating to be a common issue amongst diabetics. It is often an underlying issue, and not commonly talked about; people are suffering from these 4 types of diabetic neuropathy without knowing why.

There are many facets to diabetic neuropathy, but there are 4 major types you should know about. Our bodies are complex, so breaking it down into categories helps us differentiate what part of the body is involved and which nerves are affected. Knowing these 4 types will help you understand neuropathy better, as well as what symptoms to look out for if you suspect you have neuropathy.

Read More

Peripheral Neuropathy: Diagnosis and Treatment

There are several diagnosis and treatment options for peripheral neuropathy. Peripheral neuropathy means the nerve endings in the hands or feet are not working properly. Clinical presentations can include numbness, weakness and burning pain. If the nerve endings in the feet are more severely involved patients may complain of poor balance or get open sores. When the hands are involved difficulty performing normal tasks like holding objects, manipulating door keys, or being able to tell if tap water is hot can be a problem.

The most common form is peripheral neuropathy involves the small, sensory nerve fibers. The larger fibers are responsible for motor control. There are also very small nerve fibers, called the sympathetic nerves, which are responsible for burning pain and skin temperature regulation. Depending upon which nerve fibers are involved different symptoms occur. Hereditary diseases, hardening of the arteries, diabetes, and heavy metals may all be responsible for peripheral neuropathy. Most often however doctor just can’t figure out why someone has neuropathy. Doctors call that form “Idiopathic” (no known cause).

The most common forms of peripheral neuropathy are due to vascular disease or diabetes. In these instances the small, sensory nerve fibers usually are the first to become involved. In early cases people often don’t even know they have a problem. Possibly they went to the doctor with low back pain only to find out during electrical nerve testing (EMG and nerve conduction testing) that there was a problem discovered in the sensory nerves in the feet.

More advanced nerve testing for the sympathetic nerves includes the use of thermal imaging or sympathetic skin response testing. In this test nothing touches the skin; infrared imaging is used to measure abnormalities in skin temperature regulation. Depending upon the results of nerve testing follow up studies of the vasculature or laboratory looking for other reasons for the neuropathy may be done as well.

Treatment depends upon the kind of neuropathy found but most commonly is directed toward restoring function (when the motor fibers are involved) or reducing pain. If the sensory nerves are severely involved then it is also very important to educate patients about skin care so that they don’t get an ulcer. These can be very hard to heal.

There are several medications that address neuropathy pain, however they all come with their own set of side effects and are only marginally successful in providing relief. Nerve blocks can be particularly helpful, especially when treatment of the nerves closer to the trunk or in the spine have an impact on symptoms. More recently Platelet Rich Plasma (PRP) and Stem Cell injections have shown quite a bit of promise.

While we are not quite certain why these injections (or grafts) work we do know that when properly placed they can cause new blood vessel growth in the extremities. That of course can lead to both pain reduction and regeneration. This is an exciting and promising treatment option. If you have peripheral neuropathy it is a good idea to explore your options and find a doctor with specialized expertise in its diagnosis and treatment.

Neuropathy and PAD brochure (PDF)

Sleep Without Restless Legs

Medication is only one treatment option to let you sleep without restless legs.  While medication can be effective in relieving the symptoms of restless legs it does nothing to reverse or resolve the disorder.   While restless legs are often attributed to problems in the brainstem there are many other causes that are quite responsive to treatment.   Examples include lumbar nerve root irritation, peripheral neuropathy, arterial and venous vascular disorders, and even ligamentous stain of the foot and ankle.  If you live in Greenville, Spartanburg, Anderson or surrounding areas learn more about treatment options that let you sleep without restless legs at piedmontpmr.com.

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