Axonal peripheral neuropathy: Finally, a diagnosis!

Posted by Ray Kemble @ray666, Aug 6, 2022

Hello!

I know I've been here before, but probably not for many months For the past few years, I have seen specialist after specialist hoping to finally receive a diagnosis. Only last Monday I was told by the most recent of several neurologists that I have axonal (loss) peripheral neuropathy. Now that I have a name to attach to my problem, I would love to talk with others who have received similar diagnoses. I have such basic questions: What to do now? What should I expect? Where do I go from here?

Ray (@ray666)
Denver

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

Profile picture for trollsgate @trollsgate

Hello...Yesterday I had the nerve study done on my legs. results are 1. Bilateral lower extremity peripheral neuropathy that effects the sensory and motor NCS. It is demyelinating and axonal in nature.
2.. Bilateral L5 -S1 chronic lumbar nerve root irritation/ chronic radiculopathy with expected changes on the EMG study of the lumbar paraspinal region after previous posterior spinal surgeries (5 to be exact).

So, in laymen's terms.... all the nerves in both legs are damaged. Next step is to get me in to see a Neurologist, as this is not within the scope of my Orthopedic Surgeon. I am waiting on a call to set up an appointment.
So, I had to come home and mentally unpacked everything I was told. You can imagine all the things whirling around in my brain, while trying to not over think this. The key words I tuned in on at the doctor's office was, Serious, its urgent you get in to Neurologist immediately (knowing the word immediately these days mean anything from two weeks to 3 months.) Now I know why I can't turn over in bed without screaming at night, why I can't lift my legs, why I feel as if I have lost muscle tone in my legs, and why I can no longer do my 4 mile walk every day. Eight months ago, I was able to do all these things and never skip a beat...then BOOM I can't do any of those things now. The most encouraging word I hear yesterday was my Ortho doctor saying to me "This will not be forever". Those words were worth gold to my ears. I sleep in the guest room just so my husband won't hear me screaming out so bad during the night....and yet there he is trying do anything to give relief that just does not come. It's every single night for the past 8 months. I'm so tired, worn out, but I am not depressed. I just keep seeing Jesus suffering unmercifully on the cross and compared to that I know I can deal with this.
I know this could be as simple as a vitamin B12 deficiency. U know there is a MR Neurography that can be done to actually get a closer look at the nerves and in the nerves.
I have always been the type of person that everything has an explanation. Not always an answer, but an explanation, a depth that can be looked deeply into. I also believe that part of a diagnosis and treatment is attitude and asking all the right questions and forcing a sit-down eye to eye conversation between doctor and patient. Never walk out the door wishing you had asked this question or that question. Walk out knowing all your questions were addressed. My Primary doctor is thrilled that I advocate well for myself. But if I don't, then who will.
In closing I will say that I just happened on this site, and was surprised at the number of people who are dealing with the same thing I am. It's great to have groups like this, sharing stories and what worked for them and what didn't. Nothing like a chat room where empathy is found and appreciated.

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Good morning, @trollsgate

And welcome to Connect! You mention two things among many meaningful things that I believe warrant highlighting …

You mention, "You can imagine all the things whirling around in my brain, while trying to not over think this." I can remember only too clearly my first few months post-diagnosis. I overthought and overthought everything until I'd worked myself into a panic. It took a few wise souls here on Connect to tell me, "Come on now, Ray, Go slow. Go slow!" I took their words to heart and it made all the diference. My PN symptoms didn't go away, but at long last I had a handle on my disease; my PN no longer panicked me.

The other thing you said that I feel is too important simply to bypass is: " … and was surprised at the number of people who are dealing with the same thing I am. It's great to have groups like this, sharing stories … " ––to which all I can add is: "Ain't that the truth!" 🙂

Cheers! And again: Welcome!
Ray (@ray666)

REPLY
Profile picture for trollsgate @trollsgate

Hello...Yesterday I had the nerve study done on my legs. results are 1. Bilateral lower extremity peripheral neuropathy that effects the sensory and motor NCS. It is demyelinating and axonal in nature.
2.. Bilateral L5 -S1 chronic lumbar nerve root irritation/ chronic radiculopathy with expected changes on the EMG study of the lumbar paraspinal region after previous posterior spinal surgeries (5 to be exact).

So, in laymen's terms.... all the nerves in both legs are damaged. Next step is to get me in to see a Neurologist, as this is not within the scope of my Orthopedic Surgeon. I am waiting on a call to set up an appointment.
So, I had to come home and mentally unpacked everything I was told. You can imagine all the things whirling around in my brain, while trying to not over think this. The key words I tuned in on at the doctor's office was, Serious, its urgent you get in to Neurologist immediately (knowing the word immediately these days mean anything from two weeks to 3 months.) Now I know why I can't turn over in bed without screaming at night, why I can't lift my legs, why I feel as if I have lost muscle tone in my legs, and why I can no longer do my 4 mile walk every day. Eight months ago, I was able to do all these things and never skip a beat...then BOOM I can't do any of those things now. The most encouraging word I hear yesterday was my Ortho doctor saying to me "This will not be forever". Those words were worth gold to my ears. I sleep in the guest room just so my husband won't hear me screaming out so bad during the night....and yet there he is trying do anything to give relief that just does not come. It's every single night for the past 8 months. I'm so tired, worn out, but I am not depressed. I just keep seeing Jesus suffering unmercifully on the cross and compared to that I know I can deal with this.
I know this could be as simple as a vitamin B12 deficiency. U know there is a MR Neurography that can be done to actually get a closer look at the nerves and in the nerves.
I have always been the type of person that everything has an explanation. Not always an answer, but an explanation, a depth that can be looked deeply into. I also believe that part of a diagnosis and treatment is attitude and asking all the right questions and forcing a sit-down eye to eye conversation between doctor and patient. Never walk out the door wishing you had asked this question or that question. Walk out knowing all your questions were addressed. My Primary doctor is thrilled that I advocate well for myself. But if I don't, then who will.
In closing I will say that I just happened on this site, and was surprised at the number of people who are dealing with the same thing I am. It's great to have groups like this, sharing stories and what worked for them and what didn't. Nothing like a chat room where empathy is found and appreciated.

Jump to this post

@trollsgate
So glad you have a diagnosis. Now the doctors know what they are dealing with and can treat you accordingly rather than doing the hit or miss thing.
Also so glad that you can find comfort in Christ, knowing that he sees it all and is with you, and has been with you, as you travel a difficult road. Ps 23.

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I too would like a name. A diagnosis other than idiopathic. Like you I found calmness here. And encouragement.
The question I still have for you.
Did the gaining of knowledge change any way a physician was treating you? Was the protocol any different after diagnosis?
You have been a encouraging and interesting read on these boards.
Thank you for the time you have given. I feel it was a personal gift of - you.
Treasure shared .
Regards
debbieo

REPLY
Profile picture for debbieod @debbieod

I too would like a name. A diagnosis other than idiopathic. Like you I found calmness here. And encouragement.
The question I still have for you.
Did the gaining of knowledge change any way a physician was treating you? Was the protocol any different after diagnosis?
You have been a encouraging and interesting read on these boards.
Thank you for the time you have given. I feel it was a personal gift of - you.
Treasure shared .
Regards
debbieo

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That's a good question, debbieod (@debbieod).No, I don't think so, I don't think any of my doctors treated me differently when I was able to say in specific terms the nature of my PN. But I'm a lucky guy: I've got a good team of doctors. What I can't say is whether any one of my doctors (my PCP and a half dozen specialists) privately thought any differently before suggesting some new medication or mode of therapy. What can say is that none ever said, "Now that I know the kind of neurology you've got, Ray, I suggest that you consider … " That never happened.

Cheers!
Ray (@ray666)

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Thanks Ray! From all my research, I thought that would be the answer. But in life, I have learned not to assume- usually the hard way.
This group inspires me in many ways. From calm- to trying another way to cope. Emotionally and physically. I do know, it brings my troubles into perspective resulting in thankfulness and a little more iron in my soul.
You’re a good communicator and mentor. Straight talker. I can value those words.
Best to you!
debbieo

REPLY
Profile picture for debbieod @debbieod

Thanks Ray! From all my research, I thought that would be the answer. But in life, I have learned not to assume- usually the hard way.
This group inspires me in many ways. From calm- to trying another way to cope. Emotionally and physically. I do know, it brings my troubles into perspective resulting in thankfulness and a little more iron in my soul.
You’re a good communicator and mentor. Straight talker. I can value those words.
Best to you!
debbieo

Jump to this post

Good morning, @debbieod

You named it: straight talk. Straight talk is one of the three things I can't live without: straight talk, a sense of humor, and a good cup of Sumatran coffee. 🙂 This group inspires me, too. It has inspired me since finding it way, way back in '23 when I was first diagnosed. I remember driving away from the neurologist's office––it was early evening, rush hour, the Interstate was bumper-to-bumper––doing my damnedest to re-define certain words so they might not sound so wicked. "Incurable." Sure, okay, Doc, as in "not easy to cure;" in other words, Doc, not easy to cure––at least until you give "fix" me. "Idiopathic." Unknown? What do mean "unknown," Doc? You just told me, Doc, it's called peripheral neuropathy; so, what else is there to know? Such was my crazy thinking on the drive home. I'm so glad I thought to pull up a couple of trusted sites on my laptop, sites like Johns Hopkins and Cleveland Clinic––and Mayo, which led me Mayo Clinic Connect. And boy, oh boy, am glad! 🙂

Uh-oh. It's time for another cup of Sumatran coffee …

Cheers, @debbieod !
Ray (@ray666)

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Hello Ray,

Last week I too was diagnosed with axonal sensory motor neuropathy. At least for now , I am only experiencing the numbness and tingling in both feet. So I am in the early research stages of how to prevent progression as best I can. It seems pretty clear that this kind of operate cannot be reversed. Still waiting for blood test to complete as well as genetic testing soon. Can you share how your current progress is going?

Mark

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