Columnists

Dealing With Peripheral Neuropathy

Issue 2.13

Neuropathy describes a disturbance of nerve function or structure.   It is commonly described as burning, tingling, and even a numbness-type pain.  Some other descriptions of a neuropathy could be shooting or lancinating pain which occurs without a known cause or trigger.  Another way that a neuropathy is sensed is when even a light touch is perceived as burning or an otherwise unpleasant sensation.  Any way you describe it, neuropathy can slow you down and diminish your quality of life.

There are many causes of painful peripheral neuropathy, but the most common is due to diabetes.  Other causes include chemotherapy, alcoholism, and low thyroid function.  When a patient suspects that they may have neuropathy, the most valuable information for the doctor is the history of how the pain began, what it feels like, and the pattern of where the patient is affected.   A physical exam with special attention to the sensory examination will help to further evaluate, and if there is still question as to the cause of the neuropathy, a special test called an EMG/NCV (electromyography/nerve conduction velocity) may be ordered.

If you suffer from neuropathic pain, there are options for you.  The treatment of neuropathic pain typically involves the use of a variety of non-opiod medications including antidepressants and anticonvulsants.  Another alternative for treatment of painful peripheral neuropathy is spinal cord stimulation.  Along with the different types of oral medications, a pain specialist can evaluate you to see if you are a candidate for Spinal Cord Stimulator therapy – a minimally invasive option which replaces the painful sensation of peripheral neuropathy with a pleasant sensation.

If you suspect that you are suffering from neuropathy, feel free to call our office, Desert Pain Specialists at 435-216-7000 for a consultation.

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