What is Peripheral Neuropathy?

Peripheral neuropathy is a condition resulting from damage to the peripheral nerves, often in the feet. This damage disrupts nerve communication, leading to changes in sensation and motor function. Diabetic neuropathy is the most common form, requiring diligent care available at all Foot Centers of Maryland locations.

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Symptoms of Nerve Damage

Symptoms typically begin subtly in the toes and gradually spread up the foot and leg:

  • Numbness: Loss of feeling or a sense of “deadness” in the feet, which increases the risk of undetected injuries.
  • Pain: Burning, shooting, or electric-like pain, often worse at night.
  • Tingling/Pins and Needles: A buzzing or prickling sensation.
  • Extreme Sensitivity: Feet that are highly sensitive to touch.
  • Motor Impairment: Muscle weakness, difficulty walking, or loss of balance.

Causes and Diagnostic Testing

Identifying the cause is vital for effective management at the Reisterstown Office:

  • Causes: Diabetes (uncontrolled blood sugar), systemic diseases, nerve compression (e.g., Tarsal Tunnel Syndrome), and nutritional deficiencies.
  • Diagnosis: Involves a detailed patient history, physical examination, nerve function tests (monofilament, vibration), and sometimes specialized nerve conduction studies (NCS/EMG).

Comprehensive Treatment and Risk Management

Treatment focuses on managing symptoms, slowing progression, and crucially, preventing complications.

  • Pain Relief: Prescription topical creams and oral medications to alleviate nerve pain.
  • Protective Care: Strict adherence to diabetic foot care protocols and daily inspection.
  • Custom Footwear: Therapeutic shoes and custom orthotics to prevent abnormal pressure that leads to ulceration.
  • Advanced Therapies: Utilizing modalities like Shockwave Therapy (EPAT) to manage chronic, debilitating pain.