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Peripheral Neuropathy pain in elderly patient on foot, hand, fingers, sensory nerves with

NEUROPATHY

Neuropathy

Neuropathy, also known as peripheral neuropathy, is a condition that occurs when there is damage to the peripheral nerves, which are the nerves outside of the brain and spinal cord. These nerves are responsible for transmitting signals between the central nervous system and the rest of the body, including muscles, skin, and internal organs.

 

Neuropathy can manifest in various ways depending on the type of nerves affected and the severity of the damage. Common symptoms include:

 

  1. Tingling or numbness in the hands, feet, or other areas of the body

  2. Sharp, stabbing, or burning pain

  3. Sensitivity to touch or temperature changes

  4. Muscle weakness or paralysis

  5. Loss of coordination or balance

  6. Difficulty with fine motor skills

  7. Digestive issues, such as constipation or diarrhea

  8. Bladder or urinary problems

  9. Changes in blood pressure or heart rate

  10. Problems with sweating or temperature regulation

 

Neuropathy can be caused by a variety of factors, including diabetes, autoimmune diseases, infections, traumatic injuries, toxins or chemical exposure, genetic disorders, and certain medications. The underlying cause of neuropathy often determines the type of symptoms experienced and the best course of treatment.

 

Management of neuropathy typically involves addressing the underlying cause, if known, and providing symptomatic relief. This may include medications to control pain or manage underlying conditions, physical therapy to improve strength, flexibility, and balance, lifestyle modifications to reduce risk factors, and supportive devices or orthotics to aid in mobility and function.

 

Neuropathy can have a significant impact on daily life and quality of life, but with proper management and treatment, many individuals with neuropathy are able to effectively manage their symptoms and maintain function.

 

Pimpama Neurological physiotherapists can provide valuable support and interventions to individuals experiencing neuropathy, aiming to alleviate symptoms, improve function, and enhance overall well-being. Here are several ways they can help:

​​01. Comprehensive Assessment

Neurological physiotherapists conduct thorough assessments to understand the nature and severity of the neuropathy, as well as its impact on functional abilities, mobility, and quality of life. This assessment may include evaluating sensory and motor function, muscle strength, balance, gait, and coordination.​

​02. Pain Management

Neurological physiotherapists employ various techniques to manage neuropathic pain, including manual therapy, massage, heat therapy, cold therapy, transcutaneous electrical nerve stimulation (TENS), and acupuncture. These modalities can help reduce pain intensity, improve circulation, and promote relaxation.

​03. Sensory Re-Education

Individuals with neuropathy may experience altered sensation, such as tingling, numbness, or hypersensitivity. Neurological physiotherapists can provide sensory re-education techniques to help patients better interpret and manage sensory input, facilitating improved proprioception and body awareness.

​​04. Balance and Coordination Training

Neuropathy can affect balance and coordination, increasing the risk of falls and injury. Neurological physiotherapists design personalized exercise programs focusing on balance training, proprioceptive exercises, and coordination drills to improve stability and reduce fall risk.​

​​05. Strength and Conditioning

Neuropathy can lead to muscle weakness and atrophy due to decreased neural input to the muscles. Neurological physiotherapists prescribe targeted strengthening exercises to improve muscle function, enhance joint stability, and prevent secondary complications such as contractures and joint stiffness.​

​06. Gait Rehabilitation

Gait disturbances are common in individuals with neuropathy, affecting mobility and independence. Neurological physiotherapists assess gait patterns, identify abnormalities, and implement gait retraining strategies, including gait training exercises, assistive devices (e.g., canes, walkers), and orthotic interventions to optimize walking function.

​07. Education and Self-Management Strategies

Neurological physiotherapists educate patients about their condition, potential exacerbating factors, and strategies for self-management and symptom relief. This may include advice on proper footwear, skin care, energy conservation techniques, and home exercise programs to maintain function and prevent complications.

By addressing the physical and functional impairments associated with neuropathy, Pimpama Neurological physiotherapists aim to optimize patients' independence, mobility, and quality of life, empowering them to better manage their condition and achieve meaningful goals.

Image by Noah Silliman
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