Living with Neuropathy - Welcome to the group

Welcome to the Neuropathy group.
This is a welcoming, safe place where you can meet other people who are dealing with neuropathy. Let’s learn from each other and share stories about living well with neuropathy, coping with the challenges and offering tips.

I’m Colleen, and I’m the moderator of this group, and Community Director of Connect. Chances are you’ll to be greeted by volunteer patient Mentor John (@johnbishop) and fellow members when you post to this group. Learn more about Moderators and Mentors on Connect.

We look forward to welcoming you and introducing you to other members. Feel free to browse the topics or start a new one.
Let’s chat. Why not start by introducing yourself? What concerns would you like to talk about?

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

@scain
I often fall to the side. One day when using an aluminum U-shaped type of walker I fell to my right. I was walking through my living room and all of a sudden I started to fall to my right. So instinctively, I put out my right foot sideways to regain my balance, but the walker prevented me from moving my right foot that way. I ended up falling hitting my head on a glass table and getting a bunch of staples in my head.
So you might want to be aware if any device would prevent you from regaining your balance.
If your looking for the least weight carbon fiber would probably be your best choice, but it is more expensive than aluminum.
I don't like any walking aids but after my experience I'd use a cane if I had to rely on something.
Be safe,
Jake

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@bjk3

Hello, @cariloo,
I've not seen anyone on Connect say that they are especially fearful of turning or changing direction (resulting in a fall), but this is exactly my greatest fear, also. It happened last month as I was putting away groceries and decided something belonged in a different place. Thanking God that it didn't result in a break or even a bruise but it sure alerted me to how readily this can happen and how serious the consequences can be.
I have experimented over the last 30 years with many remedies (hopeful) for my PN, from a menthol spray to
Class 4 red light therapy to PT, and currently am finding the most complete relief in a combination of Pregabalin, Tramadol, a recumbent bike, my wonderful chiropractor of 25 years, and an investment in a BEMER system, purchased through my physical therapist. It's too complicated to explain in a post, so better to just google it and get the facts from the manufacturer. Expensive? Yes. Works? Yes. Helps me to stay independent, living alone (with my dog!) and in control of pain, and more content than I deserve. I'm 77 and female and live in the midwest with all four seasons ~ and some in excessive ranges.
As for socks and footwear, what works best for me are the running shoes with lots of support and basically no flexibility. They keep my feet flat on the ground - you might say well grounded. I buy a full size larger than what they fit me for in the store. For me, the best socks are thin and not at all binding or tight. You didn't mention if your feet feel cold or if you live where it is cold part of the year. For indoor shoes, I love allbirds wool loungers and wool mules. No socks needed! Where I live they can only be purchased online.
I wish you all the best as you navigate the therapies that work best for you.
Barb

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I understand what you mean about the danger of turning. When I make a left turn, I find myself Teetering with no good way to correct it.

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I also have most of my balance issues while turning. We have a 6' island in the kitchen that leads to the backyard or the living room. I use this island as a literal touchstone (ha!). No need to grip it or even hold on to it. Simply placing one finger on it gives me all the balance needed. Has anyone with PN figures out why turning is a common problem for us. I did take your recommendations and just ordered a lightweight, portable walker.
Thanks everyone!

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@bjk3

Hello, @cariloo,
I've not seen anyone on Connect say that they are especially fearful of turning or changing direction (resulting in a fall), but this is exactly my greatest fear, also. It happened last month as I was putting away groceries and decided something belonged in a different place. Thanking God that it didn't result in a break or even a bruise but it sure alerted me to how readily this can happen and how serious the consequences can be.
I have experimented over the last 30 years with many remedies (hopeful) for my PN, from a menthol spray to
Class 4 red light therapy to PT, and currently am finding the most complete relief in a combination of Pregabalin, Tramadol, a recumbent bike, my wonderful chiropractor of 25 years, and an investment in a BEMER system, purchased through my physical therapist. It's too complicated to explain in a post, so better to just google it and get the facts from the manufacturer. Expensive? Yes. Works? Yes. Helps me to stay independent, living alone (with my dog!) and in control of pain, and more content than I deserve. I'm 77 and female and live in the midwest with all four seasons ~ and some in excessive ranges.
As for socks and footwear, what works best for me are the running shoes with lots of support and basically no flexibility. They keep my feet flat on the ground - you might say well grounded. I buy a full size larger than what they fit me for in the store. For me, the best socks are thin and not at all binding or tight. You didn't mention if your feet feel cold or if you live where it is cold part of the year. For indoor shoes, I love allbirds wool loungers and wool mules. No socks needed! Where I live they can only be purchased online.
I wish you all the best as you navigate the therapies that work best for you.
Barb

Jump to this post

Hi Barb, I also meant to add that if you have been living with PN for 30 yrs., you might be the resident person to run things by before investing or wasting time with different stuff to help with this problem. I have just been officially diagnosed with PN. I say that with a grain of salt as I began having mobility problems, I googled the symptoms and diagnosed myself. That is also how I found this site. Anyway, I also take into account that just because we all have PN, it doesn't mean that we all have the same symptoms or that any one thing will be helpful. That said, I also take pregabalin for a different problem, but when I finally met with the neurologist after a 6 month wait, she said that that drug is the most helpful for nerve damage pain, etc. However, I have noticed in the past week or so that the pins and needles are starting to really act up at night and they prevent me from getting a good night sleep. Is that why you are taking tramadol too? As I said, being new to this game, I am just trying to figure out what is helpful and not so helpful for the majority of PN sufferers. I too, am concerned about living independently as long as possible. My older sister (18 mos.) said that when we finally have to go to assisted living, as a group of baby boomers, we are not going to want to listen to the "canned music" that they play. Of course, she was joking. But with that in mind, I just put together my playlist on Spotify so that I can at least listen to music that is my choice. Trying to control the things in our power that we can control I guess. Thanks everyone for sharing. I think that that one thing might make us different from our depression era parents who seemed as a group to go to the grave with their problems. Susan

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@jakedduck1

@matk
I'm sorry to hear that you have neuropathy.
If I were you, I wouldn't fear what may or may not happen in the future. 99% of the things you worry about never happen and the other one percent is going to happen regardless so what's the point in worrying about it.
I developed neuropathy 40 years ago with all the horrible pain & balance issues. Many years later the pain went away replaced by numbness. The numbness went from my feet just past my waist causing ED, bladder & bowel complications. The numbness eventually regressed and is mild now and mostly affects my feet with some in my ankles and lower legs. I do have weakness in my legs. It's difficult to tell how much of my balance problems are related to neuropathy and how much is due to my seizures and seizure medications.
Take care,
Jake

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Jake, I have trigeminal neuralgia. i.e. pain across upper right teeth gums and sometimes in the jaw. Was prescribed cabamazepine. Felt drunk during the day ATAXIA. Have halved the does from 200 to 100 at night. In morning I take 1/4 teaspoon of cayenne pepper. All good now depending on whether I don't put plenty in my drinks and tea. Tried tenor sax a little while ago. Some pain in teeth with low noes. Otherwise all good. No ataxia.

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@jakedduck1

@scain
I often fall to the side. One day when using an aluminum U-shaped type of walker I fell to my right. I was walking through my living room and all of a sudden I started to fall to my right. So instinctively, I put out my right foot sideways to regain my balance, but the walker prevented me from moving my right foot that way. I ended up falling hitting my head on a glass table and getting a bunch of staples in my head.
So you might want to be aware if any device would prevent you from regaining your balance.
If your looking for the least weight carbon fiber would probably be your best choice, but it is more expensive than aluminum.
I don't like any walking aids but after my experience I'd use a cane if I had to rely on something.
Be safe,
Jake

Jump to this post

Good evening, Jake (@jakedduck1) -
Yes! This is exactly what concerns me most. My recent example with the groceries presented a scenario similar to your experience. I cannot walk without a cane (unless there are pieces of furniture along the path I'm on) and that cane has presented as much danger as it has help. I sometimes find I am leaning on the cane (in my left hand) and want/have to walk toward the left. If I'm not paying close enough attention, the momentum of my body turning left without thinking first and being able to move the cane I'm leaning on, leaves me no recourse but to spin and fall on my right side. I don't think a lighter or heavier cane would make any difference. And unfortunately I have no advice, even to myself, except to be aware not to take any step for granted as being completely safe.
Wouldn't it be grand if, like using the trains in Europe, there was a voice that said, "Mind the gap" before we ventured anywhere to walk?
Barb

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@ray666

Hi, Barb

It surprised me when I read what you said: "I've not seen anyone on Connect say that they are especially fearful of turning or changing direction (resulting in a fall) … " ––surprised me only because, as my balance has improved, turning or a distraction from either one side or the other has remained one of my greatest concerns. A daily example of this concern is going down the walk to fetch our morning newspaper. Most often I'll find the newspaper lying in rhe middle of the sidewalk. Before I dare bend to pick it up, I'll always look carefully left and right, concerned that a pedestrian may be approaching. With my unreliable balance, the last thing I need is to be unaware and suddenly hear an approaching neighbor call out "Good morning!" or or the patter, pat, pat of an onrushing jogger. Just another of PN's delights!

Cheers!
Ray (@ray666)

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Good evening, Ray (@ray666)!
I so agree with you. I don't have to go out to get a paper but it scares me half to death to find myself suddenly in the path of fast-moving young people or of folks whose ability to remain standing would not in the least be compromised by bumping into me or stopping suddenly in front of or next to me. Yep - another of PN's delights! Now that I think about it, heavy doors without the wonderful automatic opening function have almost bowled me over, too, especially in the wind.
I hope all is going well with your move, and that you're not letting fatigue get the better of you. Balance is even more precarious, then!
Cheers to you, Ray ~
Barb

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@scain

Hi Barb, I also meant to add that if you have been living with PN for 30 yrs., you might be the resident person to run things by before investing or wasting time with different stuff to help with this problem. I have just been officially diagnosed with PN. I say that with a grain of salt as I began having mobility problems, I googled the symptoms and diagnosed myself. That is also how I found this site. Anyway, I also take into account that just because we all have PN, it doesn't mean that we all have the same symptoms or that any one thing will be helpful. That said, I also take pregabalin for a different problem, but when I finally met with the neurologist after a 6 month wait, she said that that drug is the most helpful for nerve damage pain, etc. However, I have noticed in the past week or so that the pins and needles are starting to really act up at night and they prevent me from getting a good night sleep. Is that why you are taking tramadol too? As I said, being new to this game, I am just trying to figure out what is helpful and not so helpful for the majority of PN sufferers. I too, am concerned about living independently as long as possible. My older sister (18 mos.) said that when we finally have to go to assisted living, as a group of baby boomers, we are not going to want to listen to the "canned music" that they play. Of course, she was joking. But with that in mind, I just put together my playlist on Spotify so that I can at least listen to music that is my choice. Trying to control the things in our power that we can control I guess. Thanks everyone for sharing. I think that that one thing might make us different from our depression era parents who seemed as a group to go to the grave with their problems. Susan

Jump to this post

Hi, Susan (@scain),
I appreciate your trust in the length of time I've had PN, but that really has nothing to do with what will or won't work for you. Bummer, I know. Yes, the Tramadol is for pain, along with Pregabalin ~ but I'm not sure I can compartmentalize which does exactly what.
Actually, I was not medically diagnosed until an EMG in 2021. And I wouldn't have known to have that test had it not been ordered by the orthopedic surgeon who operated on my back a month later. Knowing what I do now, I am sure that the surgery was responsible for worsening the neuropathy that I'd had all those years but which had gone undiagnosed (and therefore untreated except for an over-the-counter eucaliptus/menthol spray for the burning), and that my surgeon was smart enough to have a record of the diagnosis before performing the procedure.
From what I have been able to discern from the comments here on Connect, the EMG would tell you, among other things, whether yours is Short Fiber or Long Fiber. It seems to make a difference as to which treatments prove more effective.
I have noticed that over the years, the symptoms that present themselves seem to cycle, or come and go. Many years ago one thing that drove me crazy was an itching so deep inside my heels that nothing could relieve it. Then for many years that seemed to go away and be replaced by terrible pain that kept me up almost all night. Now, with pain almost completely under control, the itching has reappeared occasionally, and mobility and balance are daily challenges. Go figure!
I wish you all good things as you seek information and answers! It's not always easy or straight-forward.
Barb

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@bjk3

Hi, Susan (@scain),
I appreciate your trust in the length of time I've had PN, but that really has nothing to do with what will or won't work for you. Bummer, I know. Yes, the Tramadol is for pain, along with Pregabalin ~ but I'm not sure I can compartmentalize which does exactly what.
Actually, I was not medically diagnosed until an EMG in 2021. And I wouldn't have known to have that test had it not been ordered by the orthopedic surgeon who operated on my back a month later. Knowing what I do now, I am sure that the surgery was responsible for worsening the neuropathy that I'd had all those years but which had gone undiagnosed (and therefore untreated except for an over-the-counter eucaliptus/menthol spray for the burning), and that my surgeon was smart enough to have a record of the diagnosis before performing the procedure.
From what I have been able to discern from the comments here on Connect, the EMG would tell you, among other things, whether yours is Short Fiber or Long Fiber. It seems to make a difference as to which treatments prove more effective.
I have noticed that over the years, the symptoms that present themselves seem to cycle, or come and go. Many years ago one thing that drove me crazy was an itching so deep inside my heels that nothing could relieve it. Then for many years that seemed to go away and be replaced by terrible pain that kept me up almost all night. Now, with pain almost completely under control, the itching has reappeared occasionally, and mobility and balance are daily challenges. Go figure!
I wish you all good things as you seek information and answers! It's not always easy or straight-forward.
Barb

Jump to this post

Thanks for the info. I do have an emg and NCS tests scheduled for next week. Also blood work to do. I think the only thing that worried me after my initial appointment with the neurologist is that she said when I was in my way out of the office to tell her asst. to make the follow up appt. for 6 mos! I felt that after these tests were completed we would have an appt. To talk about them. I mean how helpful can these tests be to her at that late date. I mean it is me who needs some relief. Is that she doesn't have any relief to give me or that the tests won't give her any new info. I find this whole diagnosis as confusing and frustrating as many if you do who write in. I did find the names of neurologists in Boston who specialize in neuropathy and wonder if enough people who write in here had better experiences with seeing them. If course as a lot of us have mobility issues including me it will involve me getting help with parking walking some distance etc. Is it worth it if no one has answers. It is sort of a mess at best. I guess u will get the tests done as asked and give her a chance to respond and if not I will probably see the specialist. Well I guess I am just thinking out loud at this point. It's late and I Am up with annoying pins and needles in my foot keeping me awake. Thanks again. Susan

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@scain

Thanks for the info. I do have an emg and NCS tests scheduled for next week. Also blood work to do. I think the only thing that worried me after my initial appointment with the neurologist is that she said when I was in my way out of the office to tell her asst. to make the follow up appt. for 6 mos! I felt that after these tests were completed we would have an appt. To talk about them. I mean how helpful can these tests be to her at that late date. I mean it is me who needs some relief. Is that she doesn't have any relief to give me or that the tests won't give her any new info. I find this whole diagnosis as confusing and frustrating as many if you do who write in. I did find the names of neurologists in Boston who specialize in neuropathy and wonder if enough people who write in here had better experiences with seeing them. If course as a lot of us have mobility issues including me it will involve me getting help with parking walking some distance etc. Is it worth it if no one has answers. It is sort of a mess at best. I guess u will get the tests done as asked and give her a chance to respond and if not I will probably see the specialist. Well I guess I am just thinking out loud at this point. It's late and I Am up with annoying pins and needles in my foot keeping me awake. Thanks again. Susan

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Hi Susan (@scain),
As I read your reply I really, really feel your frustration, and I don't blame you. That said, I don't believe you are necessarily being put off by your doctor. There just aren't enough neurologists to meet the demand, and they spend so much of their day writing Client Notes which, from what I can gather, must be expressed in detail ranging from the sublime to the ridiculous in order to justify reimbursement by insurance.
I also wonder (but haven't thought to ask) if they might be affording you time to see if over a few months your symptoms change or worsen or even improve. This condition acts like it has too many moving parts and they all seem to be well oiled!
Unless I am genuinely mistreated, I make it a point to be sure my interactions with the office staff are always kind and gentle and patient. They do want to help us as much as we want them to. I know it's hard when you're in pain basically 24/7/365.
By the way, I had a bad night last night with my feet, too! Grrr...
Barb
Barb

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