Peripheral Neuropathy

Peripheral neuropathy is a very common condition that has been estimated to affect 1 in 4 Americans. It occurs when there is injury to the nerves in the body, usually the ones furthest from the brain, which includes to toes, feet, and fingers. Peripheral neuropathy has a very wide variety of causes, such as diabetes, vitamin B12 deficiency, folic acid deficiency, hypothyroidism, and autoimmune disorders. It is important for patients to seek evaluation for peripheral neuropathy because if a cause is identified, it may be amenable to treatment. In addition, there are many treatment options available to reduce the symptoms of peripheral neuropathy and improve a patient’s quality of life.

Common Symptoms

• Numbness and tingling in the fingers and toes
• Weakness in the fingers and toes
• Burning pain
• Imbalance and falling

Diagnostics

• Bedside examination
• Electromyography and nerve conduction studies (“EMG”)
• Skin biopsy
• Laboratory studies to evaluate for an underlying cause

Treatment

• Neuropathic pain medications to reduce tingling and burning related to neuropathy
• Various treatments targeting the underlying cause
• Physical therapy to help with balance
• Occupational therapy to help with finger dexterity
• Mechanical aids such as canes and walkers