Newly diagnosed with Neuropathy - Advice?

Posted by Janet @duh1eye, Aug 22 12:24pm

I’ve been following this very informative Neuropathy Support Group since April, when I began experiencing numbness in my feet, and paresthesia of my (mostly lower) legs. I didn’t want to post until I had a diagnosis, which I’ve just received: mild sensorimotor length-dependent large fiber peripheral neuropathy. Fortunately, my condition is mild, and likely slow in progressing, but as I go forward, I want to know about, and do everything possible to stay healthy, and to prevent further symptoms (don’t we all!). I’ve read, and have learned from, many of your helpful comments, but as being newly diagnosed, I would like to reach out to ask you what you wish you had known or done differently as you began of your own journey with peripheral neuropathy. I know this is a very broad inquiry, and each one of you has a different story, but it would be great to get any pearls of wisdom you may want to share. Thank you for your support!

Interested in more discussions like this? Go to the Neuropathy Support Group.

I certainly wish I could do daily exercises. My pain is so bad that when I tried exercising gently for two days. I was put into even worse pain. Took a full day to recover. Even walking ramps up my pain to the point where my hands shake. So, I tried biking around out 55+ community: 1.3 miles one day, 1.0 miles day two. That took me almost two full days to recover. I am slowly losing my muscle mass and tone. Very discouraging.

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@njed

@duh1eye Hi Janet - Glad to see you are off to a good start. I've been a member of this forum for several years and I have rarely seen so many responses in a day or so which means you have hit on a subject of interest to many of us. Advice. And those of us with PN know best what we are going through. I was diagnosed with idiopathic sensorimotor axonal PN about 8 years ago and confirmed by Mayo in MN. I like the idea you are working with a trainer and for me, the more active I can be, the better I feel. There are good and bad days which no doubt, we all feel. My largest problem is numbness and increasingly poor balance. Doctors can tell you what you have but I have found that those living with PN are best to give clues on what works for them. Since you have been following this forum for a few months, you know what might work for one will not work for all. I'd like to make two suggestions. First, remain positive and second, remain active. I wish you the best!
Ed

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Good morning!

You're going to get so tired of hearing me quote choreographer Twyla Tharp, but so many things she has said over the years have helped me to live with my PN. Reading this morning's posts about the importance of having a positive attitude and moving about (safely!) as much as possible reminded me of something of hers that I'd scribbled in my commonplace only a few weeks ago:

"With the time you've got left, choose to make your life bigger. Opt for expression over observation, action over passivity …. Be deliberate, act with intention …. Make each day one where you emerge, unlock, excite, and discover. Find new, reconsider old, become limber, stretch, lean, move."

Like Ed, my biggest problem is poor balance. I still get around pretty well, but lately, I've noticed that my "getting around" is never quite as Oops-free today as it was yesterday. Nevertheless, I'm okay with that. And that okay-ness came with acceptance –– acceptance without a surrender. I'm determined to keep plugging away, every day, do as much as I can for as long as I can.

Keep moving! 🙂

Cheers!
Ray (@ray666)

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@ray666

Good morning!

You're going to get so tired of hearing me quote choreographer Twyla Tharp, but so many things she has said over the years have helped me to live with my PN. Reading this morning's posts about the importance of having a positive attitude and moving about (safely!) as much as possible reminded me of something of hers that I'd scribbled in my commonplace only a few weeks ago:

"With the time you've got left, choose to make your life bigger. Opt for expression over observation, action over passivity …. Be deliberate, act with intention …. Make each day one where you emerge, unlock, excite, and discover. Find new, reconsider old, become limber, stretch, lean, move."

Like Ed, my biggest problem is poor balance. I still get around pretty well, but lately, I've noticed that my "getting around" is never quite as Oops-free today as it was yesterday. Nevertheless, I'm okay with that. And that okay-ness came with acceptance –– acceptance without a surrender. I'm determined to keep plugging away, every day, do as much as I can for as long as I can.

Keep moving! 🙂

Cheers!
Ray (@ray666)

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Ray, You are such an inspiration my friend!

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@johnbishop

Ray, You are such an inspiration my friend!

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John,

As YOU are an inspiration to me, John. To ALL of us here. I mean that with forty tons of sincerity!

And thank you for "Keep a Pluggin' Away." That's a keeper! I'll be listening to it several times every day––as I get ready to stretch (and don't feel much like stretching), for sure!

Ray

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Hi Janet- you’ll notice many members have mentioned dealing with balance issues. These early days are a really good time to think about all you can do at home to prevent falls, which can lead to drastic consequences.
Big and little changes- up with the throw rugs, install grab bars in the shower/tub area, install higher toilets, rearrange furniture so there are no wide expanses to travel without something to lightly touch if needed. I switched sides of the bed I sleep on as the other is a straight route to the bathroom, I put anti-skid socks on before I get out of bed, I changed how I go up and down steps by moving to one side for touch balance and always use a rail if one is there. I don’t hurry anywhere or anytime- my neuropathy leg will cause the toes to “catch” and down I’ll go. When I walk, it’s always top-of-mind to keep good form- “exaggerated heel strike “.
I take my cell phone everywhere in or out of the house just in case. After a bad fall while walking, at my brother’s urging, I got a “smart watch”. It will register a fall, printing on the phone face will ask if you need help, you tap yes and it calls the number you have pre-entered (nearby relative or friend), if no connection, it calls 911 and gives your location coordinates.
I find the hardest thing about neuropathy is accepting that this is your new life, there is no going back to what you could physically do before, but with courage, resiliency, and determination, a good life is there to enjoy.

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@ray666

" I have a daily exercise routine at home, and schedule professional sessions when I need some tuning up."

Good morning, Debbie. I like the simplicity of your approach: a daily routine at home and professional coaching when you feel you need a "tune up." I'm a decision point right now. I've been enjoying the benefit of at home coaching, covered by my insurance, not because of my PN but my sepsis. That coverage ends on 9/3. Thanks to the coaching I've been getting, I've cobbled together a reasonably good at home routine, but that professional coaching has only a few days to go. I know that I'll need an occasional "tune up." It's time for me to have a couple of chats with my various doctors, chiefly with my primary, about either an extension to my coverage (which may not be possible) or some out-of-pocket coaching. I know how vital this is, especially (for me) maintaining leg strength.

I was reminded only last evening of the importance of maintaining leg strength: I did another one of my unplanned "sit-downs," turning too abruptly and plopping onto a nearby ottoman. I'd prefer not to call my unplanned "sit-downs" falls (although that's what they are). I got up (laughing a bit at how challenging it was to get up :-)), uninjured, but reminded once again of the absolute importance of maintaining good leg strength.

Cheers!
Ray (@ray666)

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Hi Ray- I’m a retired OT. The best gift a patient can give a Rehab staff person is to be ready to “graduate”- you know you’ve done your job and done it well as, in your professional judgement, the patient is ready to be released from care, to carry the program on and to put your instruction to use on their own.
It’s common for people to find it hard to let go of the rehab folks, especially in the home setting. We are a new friend, visiting and working with you one-on-one, bringing positivity and hope. There is also often a bit of “magical thinking” that somehow, some way, this person has the key that will make me better.
If your coach really felt there was more to do, they would be on the phone to your PCP and FAXing notes and making arguments to the insurance people to extend services. It’s hard for Rehab folks to say goodbye too and it can be a relief when the insurance says “no”, as it’s an exit everybody understands and won’t be mad at you.
Don’t worry, do your program, hug your partner, and enjoy a good cup of coffee on the porch or deck or treehouse (wouldn’t that be fun?!).

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@centre

Hi Ray- I’m a retired OT. The best gift a patient can give a Rehab staff person is to be ready to “graduate”- you know you’ve done your job and done it well as, in your professional judgement, the patient is ready to be released from care, to carry the program on and to put your instruction to use on their own.
It’s common for people to find it hard to let go of the rehab folks, especially in the home setting. We are a new friend, visiting and working with you one-on-one, bringing positivity and hope. There is also often a bit of “magical thinking” that somehow, some way, this person has the key that will make me better.
If your coach really felt there was more to do, they would be on the phone to your PCP and FAXing notes and making arguments to the insurance people to extend services. It’s hard for Rehab folks to say goodbye too and it can be a relief when the insurance says “no”, as it’s an exit everybody understands and won’t be mad at you.
Don’t worry, do your program, hug your partner, and enjoy a good cup of coffee on the porch or deck or treehouse (wouldn’t that be fun?!).

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Hi,@centre

As a retired OT, you probably had experiences similar to, if not a match for, those my OT has almost daily: clients having forgotten appointments, clients low-spirited or ill-prepared for a session, clients giving little if any thought to their progress and showing an eagerness to "graduate." I try my best to show an interest not only in my OT's excellent work but also in my progress: how soon might I "graduate" and what are my options, if any, after graduation?

"Magical thinking" can be powerfully alluring, particularly to a person who is feeling powerfully vulnerable. Medical conditions of various sorts––PN being only one––only began to play havoc with my life a few years ago. Not too long ago, a fellow who had only his annual PCP check-up and an every-so-often dental cleaning on his calendar, I awoke day to find my calendar had become a dense arrangement of medical appointments: two, three, sometimes four a week. I had to remind myself that I am a necessary participant in my health care, a partner holding a majority share of Ray's wellness stock; me, and and my doctors, all of us doing all we can to keep Ray in the best of health.

A cup of coffee in the treehouse? Now, that does sound like fun. 🙂

Cheers!
Ray (@ray666)

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@centre

Hi Janet- you’ll notice many members have mentioned dealing with balance issues. These early days are a really good time to think about all you can do at home to prevent falls, which can lead to drastic consequences.
Big and little changes- up with the throw rugs, install grab bars in the shower/tub area, install higher toilets, rearrange furniture so there are no wide expanses to travel without something to lightly touch if needed. I switched sides of the bed I sleep on as the other is a straight route to the bathroom, I put anti-skid socks on before I get out of bed, I changed how I go up and down steps by moving to one side for touch balance and always use a rail if one is there. I don’t hurry anywhere or anytime- my neuropathy leg will cause the toes to “catch” and down I’ll go. When I walk, it’s always top-of-mind to keep good form- “exaggerated heel strike “.
I take my cell phone everywhere in or out of the house just in case. After a bad fall while walking, at my brother’s urging, I got a “smart watch”. It will register a fall, printing on the phone face will ask if you need help, you tap yes and it calls the number you have pre-entered (nearby relative or friend), if no connection, it calls 911 and gives your location coordinates.
I find the hardest thing about neuropathy is accepting that this is your new life, there is no going back to what you could physically do before, but with courage, resiliency, and determination, a good life is there to enjoy.

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Thank you for your very detailed, and helpful information about how to prepare for balance issues. So many good suggestions, and there are definitely ones I hadn’t thought of. Hopefully that will be in the future for me, but as you say, it’s not too early to be thinking about safety and quality of life issues.

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Dear Janet @duh1eye

> LEGS, FEET, of PAIN or LITTLE FEELING if any<
Does’nt (sp?) many of us have the same type of legs, feet, & toes problems… some pain or no (or little) feeling. I was there from my both rear-ends to the bottom of my legs. It was pain - deep pain when I tried walking & helping. That took me 10-15 minutes.
Spinal Fusion

> AFTER MY SURGERY <
A few mths ago, I had a choice: (A) take new painless meds or B) get a surgery?
Well, my pain was killin’ me. Yes, I still have less balance from my right side., but gettin’ rid of pain instead.

That doctor took hours, according to my wife. On the bottom of my back to the top of my rear-end made a Spinal Fusion. The next day, I felt better to wake up & going to a bathroom. Well, I was there for the 5-day and after went home. I had a few stuff to help my back. But during that the pain was gone!

Still my unbalance is there so I…stretching, fixing my strength, lifting , and, now asking in out kitchen w’out holding the 2 hands/arms with that roller. TEs, going outside I need that 4roller.

The pains gone. That leaves me the other 50% to get back.

Thx,
Greg D. @greg1956

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@heisenberg34

I certainly wish I could do daily exercises. My pain is so bad that when I tried exercising gently for two days. I was put into even worse pain. Took a full day to recover. Even walking ramps up my pain to the point where my hands shake. So, I tried biking around out 55+ community: 1.3 miles one day, 1.0 miles day two. That took me almost two full days to recover. I am slowly losing my muscle mass and tone. Very discouraging.

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Hello…you might be responding to my post about making sure I do strengthening and balancing exercises every day. And I do DO them. I did not, however, say that I liked to do them, that they were easy to do, that they were painless, or that I did them with anyone else around to see me cry through the pain while I did what I need to do to keep me out of a nursing home or hospital. I want to do whatever I can…pain or no pain…to kick the can a little further down the road with my family. I just might make it to see the Green Bay Packers win another Super Bowl!!

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