Is loss of balance your primary complaint with neuropathy?

Posted by rollo8 @rollo8, Feb 9, 2025

Is the loss of balance your primary complaint with PN? And, fear of falling?
I have no pain in my feet. I do have numbness of primarily my toes and forefoot, and to a lesser degree of the whole foot and ankles. My feet have weird sensations of walking on mashed potatoes and sliding sideways; when I haven’t actually moved at all. Scary. I claw at the air thinking I am falling. My toes are curled and they feel stuck together. Carpeting really adds to the sliding sensation.
I am a 73y old woman and, up until the last year, I volunteered with an animal rescue and walked on uneven cement dog runs, cleaning enclosures and feeding and walking dogs. Eight years 2-3 hours, several times a week. Retired nurse and never had a sit down job. Could walk for hours in DC, just exploring.
Now I have to hold onto something when walking or I feel like I am falling. Not going out as often. Sliding sensation is mostly at home on LVP flooring and carpeting on stairs. I wear slipper socks at home. Referred to a neurologist and saw him after a 3 month wait. He has great reviews. At first he was encouraging, sure that I had an inherited condition, which I was sure I did not. 2nd visit, after lab work, he attributed it to SFN related to metabolic syndrome. He had just attended a conference. He then added ALA to the B12 prescribed by my primary. He didn’t even know if ALA was over the counter, so he sent an Rx to my pharmacy. Said he would see me in a year. I felt dismissed. Never even looked at my feet. I did research, and now take R-ALA 300 mg twice a day and B12 2000 mcg once a day. Not sure if I have been taking the supplements long enough to notice a difference. Research led me to toe spacers, toe exercises, Hoka Clifton shoes, floor based foot massager, open toe compression foot socks, and Bengay at night; Bengay for discomfort but not pain when going to bed. Actually, I bought the Hoka shoes before the numbness started, because my balance felt off. They are the only shoe I can wear now. Starting today, I am experimenting with a Zero Sunrise shoes as opposed to slipper socks in the house, to increase feeling in my feet. I have a purchased a Bob and Brad massage gun, but have not opened the box yet.
I am thinking of asking for a referral to a podiatrist to actually have my feet seen and suggestions for improving balance.
I welcome your experience and suggestions for what has worked for you.

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@bajjerfan
Unfortunately I can relate to closing my eyes in the shower. I have often fallen out of the shower and out of the shower chair whenever I close my eyes. I recently fell out and grabbed the towel rack and ripped it off the wall. I suppose it was a reflex action. The shower door hasn't shattered yet, but I suppose it's only a matter of time.
I don't usually fall while walking outside but I weave all over the place.
Take care in the shower @bajjerfan
Jake

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Profile picture for orangerainbow @orangerainbow

@sue4 hi, I have been looking for a light weight rollator, course you tell me the brand, style and where you purchased. Thank you.

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@orangerainbow
Hi, I purchased this 4 wheel walker on Amazon specifically for use for short trips that do not require a lot of walking. I love it! It does not have a seat like a rollator, is very light weight, folds up easily, and works perfect for me when running short errands, doctors appointments,etc..

At first it seems like it might be a little wobbly but it has actually proven quite sturdy.

I can't drive so I also find it is much easier for the people driving me as it only weighs 6 lbs. Also, if I am taking an Uber, I can just quickly fold it and put it by my feet by myself. Especially helpful if the Uber driver doesn't seem interested in assisting. Lol!

Vive Mobility Lightweight Walker for Seniors - Narrow, Folding Walker w/Wheels for Small & Tight Spaces - Light Weight for Balance, Compact Doorways, Foldable - Portable & Collapsible for Travel
https://a.co/d/03wJcWFD

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As a retired RN the podiatrist did nothing but an mri showing I had lost the muscle in my feet due to neuropathy. It causes muscle atrophy and bad muscle spasms. My rheumatologist was more help than the podiatrist. I use magnesium with hemp from Amazon to rub on my feet. It helps and I wear socks to bed it hurts my feet to walk on carpet and to go to the bathroom. The bathroom tile hurts.
First of all a biopsy is required for a positive diagnosis of SFN aka small fiber neuropathy. Second he should have done a emg/nerve conduction test on you. To check for peripheral neuropathy. The fallacy that neuropathy can be found in a blood test is not true unless you have autoimmune problems. I live in Texas and went to Boston to a research neurologist. She ran a ton of labs on me before I could see her. I got a lot of answers from her. Write down your questions because you get 45 minutes. Her mother and daughter research neurologist in neuropathy. Dr. Anne Oaklander she has some seminars on neuropathy. That are very interesting. In Israel the researchers have shown medical marijuana in nerve regeneration. Dr. Oaklander brings it up in one of her seminars. There is a lot of research out there if you know where to look. That’s the basic testing for neuropathy then find the etiology aka cause of the neuropathy. Mine is autoimmune lupus, Sjogrens, Hashimotos and mixed connective tissue disease. My neuropathy is small fiber, severe axonal sensorimotor peripheral polyneuropathy, cardiac autonomic neuropathy along with dysautonomia. Fun my blood pressure goes up and down, bradycardia/tachycardia and my body doesn’t regulate body temperature. It’s frustrating but I am on IVIG and I use Panzyga. During the infusion my feet start feeling again. It feels weird after not feeling my feet for so long. From my arms down no feeling bad about cutting myself while cooking. I don’t feel my legs from the knees down. I can finally write my name again. I had such bad tremors from the motor neuropathy I couldn’t sign my no longer write my name. I have a copy of the lab sheet she had me draw before seeing her to rule out other possibilities.

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Profile picture for cit10jetjockey @cit10jetjockey

I walk with a cane that has a wide bottom that gives me total security when walking. PN is here to stay and there is no cure. Get wide walking shoes and a stable cane. You’ll fell a lot more secure.

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@cit10jetjockey Or in my case, a walking stick is good enough to help me maintain my balance, and it gives me something to lean on when standing for any length of time.

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Your experience with symptoms is somewhat similar to mine. Onlyi saw the podiatrist before I got into the neurologist. The podiatrist did extensive testing and said I have little sensation in my toes, cannot tell if they move up or down, hence balance issues. He said my circulation was good, therefore ruling out poor circulation as a cause. My blood work eliminated diabetes. He urged me to go ahead and pursue the appointment with the neurologist. He also told me to take ALA and B-12.

The neurologist did electomyelogram but it only confirmed what the podiatrist had told me. He reinforced the suggestion to take ALA and B-12.

The podiatrist offered to work with me to create insoles that might help. I have found a model of Skechers that do better than anything so far. Barefoot is bad. Dress shoes are a nightmare.

I want to encourage you to pursue a podiatrist, if you can. Mine was so helpful.

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Profile picture for Jake @jakedduck1

@bajjerfan
Unfortunately I can relate to closing my eyes in the shower. I have often fallen out of the shower and out of the shower chair whenever I close my eyes. I recently fell out and grabbed the towel rack and ripped it off the wall. I suppose it was a reflex action. The shower door hasn't shattered yet, but I suppose it's only a matter of time.
I don't usually fall while walking outside but I weave all over the place.
Take care in the shower @bajjerfan
Jake

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@jakedduck1 On Amazon, I purchased several of these suction cup grab bars, about 10 inches long. Not sure if this has been mentioned before. They recently had a sale 2 for $20 and they work out well. I put several in the shower and each time, before I get in, I pull on them to make sure they did not become loose. I can't close my eyes in any safe fashion without losing my balance in or out of the shower. I have extras so when traveling, they go with me. Ed

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Profile picture for NJ Ed @njed

@jakedduck1 On Amazon, I purchased several of these suction cup grab bars, about 10 inches long. Not sure if this has been mentioned before. They recently had a sale 2 for $20 and they work out well. I put several in the shower and each time, before I get in, I pull on them to make sure they did not become loose. I can't close my eyes in any safe fashion without losing my balance in or out of the shower. I have extras so when traveling, they go with me. Ed

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@njed I'm glad you mentioned the suction grab bars. When I retiled our tub surround back in 2019, i was hesitant to try and install a grab bar into the studs and then put tile around them. I started looking online and found those suction grab bars. I ordered two. They go on easily and provide a good, stable bar to hold on to. I only had to reposition them once in three years

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I have Sjogren's Disease, lupus, and RA and have many nerve related symptoms. I'm getting IV Ig that really helps my burning and numbness but not sure how much it's helping with other problems like balance and memory.
I also take ALA, B1, and B12.
The Siogren's Foundation has just published the first Clinical Guidelines for the Peripheral Nervous System.
Lots of useful information to share with your rheumatologist, neurologist, and other specialists.
I hadn't realized before that my fluctuating blood pressure is neurological. That information will probably be of interest to my cardiologist.
I'm going to check our those grab bars too. Thanks

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Profile picture for rollo8 @rollo8

I was wearing Altra and Sketchers for the wider toe box, for comfort. When I first felt like I was losing some balance, I started reading. The Hoka Clifton 9 and the Bondi 9 were the ones that were recommended most often for a woman my age for stability and balance while walking. Also the Hoka Arahi 7. Dick’s Sporting Goods only had the Clifton and the Arahi in stock. I walked around their store in both shoes, switching back and forth and liked the Clifton 9. I actually have two pairs, because I wanted an all black shoe too. I did not need to break them in. Now, my balance has gotten worse in just the last 4 months or so, and I cannot walk at all in the Altras or the Sketchers. I still like the Hoka Clifton. I walk very slowly until I can get a shopping cart in my hands. A cane would probably help, but I am not ready yet.
Today I wore the Zero brand natural shoe, Sunrise style, in the house, instead of socks with nonslip treads. Experimenting with training my feet to ‘feel’ the surface I am walking on. I did not have any weird sensations in my feet today, but will have to evaluate further to determine if they improve my balance.
I have tried insoles for a high arch but I don’t even notice my arches now that I have this balance problem. Every day I scroll and look for answers, and I want to hear what has worked for others in this group. I need to research stimulating insoles for use in my Hokas. It is a journey. If you bought your shoes in a store, you could go back and possibly compare with other models. Up until I bought the Hokas, I bought shoes online and returned them if they didn’t work out. But, getting in the store is a better way to compare. Dick’s was close to me and had the two models. But, I don’t believe they had anyone who could answer questions.
I hope you find some relief.

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@rollo8
My neurologist has sent me to physical therapy to improve my balance. PT is helping me strengthen my legs, hips and knees in hopes it will improve my balance. I’ve been going for a few weeks and can’t say I see a real difference but I believe exercising and trying to maintain my muscle strength will be a part of my daily life going forward.

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Profile picture for kssharp @kssharp

@rollo8
My neurologist has sent me to physical therapy to improve my balance. PT is helping me strengthen my legs, hips and knees in hopes it will improve my balance. I’ve been going for a few weeks and can’t say I see a real difference but I believe exercising and trying to maintain my muscle strength will be a part of my daily life going forward.

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@kssharp For me, physical therapy was a game changer. I had to ask for it. And, after I had improvement in movement and a boost in my confidence, I let my neurologist know that PT should be recommended for all neuropathy patients. I do not have pain, but PT is necessary to learn to trust your ‘new numb feet’. I still wear my Hoka’s and walk regularly. Trust the process. Good luck.

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