Neuropathy

What is neuropathy?

Neuropathy,  or peripheral neuropathy, encompasses several diseases that damage the peripheral nerves (the nerves outside your brain and spinal cord). Without treatment, the damage worsens, causing pain, increased sensitivity, and mobility issues.

Neuropathy affects people of all ages and backgrounds, but it’s most common in folks with diabetes and peripheral artery disease (PAD). Both conditions can damage the nerves, increasing the risk of complications.

What are the symptoms of peripheral neuropathy?

Peripheral neuropathy symptoms include:

• Muscle weakness
• Muscle atrophy 
• Uncontrolled muscle movements (spasms)
• Tingling
• Numbness
• Pain
• Balance problems
• Blood pressure changes

As neuropathy worsens, it can affect bowel and bladder control and increase the risk of sexual problems like erectile dysfunction.

How does a podiatrist diagnose neuropathy?

Dr. McCall reviews your medical records and asks about your symptoms, including when they started, what they feel like, and if certain activities (like walking and standing) make them worse. Tell Dr. McCall if you have diabetes or other chronic conditions that increase your risk of nerve damage.

Next, he completes a physical exam. Dr. McCall examines your lower legs, ankles, and feet, checking for skin discoloration and hair loss. He also checks your ability to feel sensations and tests your muscle strength and reflexes. 

Sometimes, a visual exam is enough to diagnose neuropathy, but Dr. McCall might also order other tests, like blood work, a nerve ultrasound, or an MRI.

How is neuropathy treated?

At Alpine Foot and Ankle, Dr. McCall treats neuropathy using a conservative, minimally invasive approach. He might suggest:

• Prescription medication to slow nerve damage
• Physical therapy to improve mobility and relieve pain
• Durable medical equipment (DME), like braces, a cane, or prescription footwear
• Transcutaneous electrical nerve stimulation (TENS)
• Corticosteroid injections
• Wound care (for diabetic ulcers or other slow-healing wounds)

If your symptoms persist or worsen after these treatments, Dr. McCall might recommend surgery. Foot and ankle surgery can repair damaged nerves, relieve pain caused by trapped nerves, and improve nerve function.

Can neuropathy be prevented?

You can’t prevent neuropathy, but you can reduce your risk. Dr. McCall recommends eating a balanced diet, exercising regularly, maintaining a healthy weight, and avoiding excess alcohol consumption. Likewise, if you have a chronic condition like diabetes, managing it is crucial. 

Call the nearest Alpine Foot and Ankle office today to schedule neuropathy treatment, or book your visit online.