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Christine T.  avatar

Preliminary diagnosis of PN

Neuropathy | Last Active: Jun 16, 2025 | Replies (14)

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I'd like to think that I could receive good care from each specialty, but I fear that my Medicare Advantage plan might not justify both. I'll see my PA tomorrow and I will be looking for guidance. I have PN symptoms feet and calves and other strange things. I had a Neuro Consult two years ago. EMG and Nerve Conduction Studies were negative, but I never followed through for small fiber. With the guidance of my PCP I started Gabapentin and I've never been sure if it's effective. Fortunately I think of my level of "discomfort" as just that, not really painful. It is starting to cross the line at night though and after long periods on my feet.
I'm 73 and I've never seen a Podiatrist and think I could go without a referral for foot care which I'm inclined to do because I'm having trouble trimming my hard nails and I have a persistent callous and bunion. TMI but maybe if I get in the door, I might get a sense if they'd be able to help even it's just an assessment to suggest proper footwear. So far I can walk up to about 3 miles before I get really uncomfortable. I also work one day a week standing on my feet. After 6 hrs. I hurt.

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Replies to "I'd like to think that I could receive good care from each specialty, but I fear..."

Hi, Christine

When you say, "I might get a sense if [a podiatrist would] be able to help even it's just an assessment to suggest proper footwear," I'm inclined to agree. I've gotten lots of good advice over the years about footwear from the various podiatrists I've gone to see. For years the advice was about proper shoes and my pronation and falt feet, then my deteriorating knees, and these days with my current podiatrist about PN-induced balance issues.

If you can walk 3 miles before you feel uncomfortable, that's fantastic! I'm jealous. 🙂

Ray (@ray666)