Cannot find the cause of neuropathy after multiple tests

Posted by suepooh53114 @suepooh53114, 4 days ago

My husband has very bad neuropathy that seems to be getting worse. We've put out a few thousand in drs, tests, specialist. We have no known cause and he is fairly young at only 53 years old. Hes not overweight, hes not underweight either. Any suggestions? Bloodwork is all good. We currently have a lapse in medical coverage because he had to retire from his job. Where do we go from here? As his wife and only caregiver I can see his frustration growing, He's angry, frustrated, cranky and in horrible pain both legs, knees, calves, feet and toes. He's starting to feel it in his left arm, wrist, hand, fingers. I don't know how else to help him. We've tried different creams, sprays, roll on's, supplements, and even got a vibration exercise board, hot tub and a treadmill. Nothing is working. Please help!

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Profile picture for grrranny @grrranny

@nancysav In what way did Gabapentin make you feel horrible? I'm suspecting it may be causing me my night-time pain and sleeping problems.

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@grrranny
I felt very twitchy and jittery all over. It was weird and so uncomfortable, I never took it again. Very restless. It works for some, but not for me. I just started R-ALA. (R-alpha lipoic acid supplement). I'm praying it'll help with the burning🙏
Nancy

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Could be he is not absorbing B12. It makes our nerves insulation . Myelin.
, without which much pain. Alcohol stops absorbtion of B12. Could be an overall poor diet i.e. iplenty of carbs but no animal protein . Best B12 sources are liver and mussels. Try chicken liver pattie.

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Profile picture for lindamaegirl @lindamaegirl

I am also sorry to hear about your issues with neuropathy. I have ideopathic neuropathy and they keep saying that means they do not know the cause...My response is "are you really looking for it"? The answer in my case after 3 neurologists is NO. I am 76 years old take no meds, no comorbidities, excellent blood tests. My only issues are osteoporosis osteoarthritis and neuropathy. Of all of the issues the WORST is this neuropathy. It started in 2024 and I have NOT found any neurologist who is digging for the answers. I am in BOSTON not in the middle of nowhere! I am going to MGH and Newton Wellesley not some tiny hometown hospital. It started in my toes and is now up to my knees. I am so discouraged.

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@lindamaegirl 50% neuropathy is diagnosed as idiopathic after all possible causes and testing are negative. If a cause can’t be proven it is called idiopathic. Usually the end result or ensuing treatment(s) is the same regardless of cause.

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Profile picture for jamessaxo @jamessaxo

Could be he is not absorbing B12. It makes our nerves insulation . Myelin.
, without which much pain. Alcohol stops absorbtion of B12. Could be an overall poor diet i.e. iplenty of carbs but no animal protein . Best B12 sources are liver and mussels. Try chicken liver pattie.

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@jamessaxo B12 deficiency is possible, I would imagine a dr. would have tested for it, also, too much vit. B6 and gluten can cause neuropathy.

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Profile picture for lindamaegirl @lindamaegirl

I am also sorry to hear about your issues with neuropathy. I have ideopathic neuropathy and they keep saying that means they do not know the cause...My response is "are you really looking for it"? The answer in my case after 3 neurologists is NO. I am 76 years old take no meds, no comorbidities, excellent blood tests. My only issues are osteoporosis osteoarthritis and neuropathy. Of all of the issues the WORST is this neuropathy. It started in 2024 and I have NOT found any neurologist who is digging for the answers. I am in BOSTON not in the middle of nowhere! I am going to MGH and Newton Wellesley not some tiny hometown hospital. It started in my toes and is now up to my knees. I am so discouraged.

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@lindamaegirl same here since 2023. All tests negative still unbearable pain in feet,shins and calves. Now extending to the knees too. PCP calls it idiopathic neuropathy and keeps prescribing Pregabalin which doesn’t help one bit…very very frustrating…

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Has he been prescribed Pregabalin or Nortriptaline ? A combination of the two worked for me sometimes. But due to side effects I try to avoid. If he is in so much pain I think he should give that a try at low dosages

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suepooh53114- Since 2021 I have suffered from chronically painful, potentially loosing the ability to walk lumbar issues, almost unheard prostate enlargement size and all the awful results of that syndrome, cancer, and the surgical removal of a long term implanted morphine pump and the associated withdrawal. Those issues have caused me to endure two major lumbar operations, a 4 hour prostate enucleation surgery, a complete thyroidectomy and associated radiation, plus the pump removal surgery. This has all provided me much experience in navigating the medical maze. I have been fortunate enough to afford a complete and comprehensive medical insurance which has opened many medical "doors" for experts and procedures denied others. Although not admitted, hospitals do give priority to those who can pay and that reputation has a positive impact on timing, lessening frustration and creating other efficiencies. Unfortunately you have a lapse in your medical insurance which can hinder that advantage. Also you need a diagnosis from your primary to start the process. Hopefully you will eventually get the right "team" which is vital to any success,. I was very fortunate to achieve that initially-many have had to "wade" through to find the experts that work for them which can take some time. It is an imperfect system and "bumps in the road" always occur. I am now on the other side of that road, with the diagnosis and surgeries and treatments on going or behind me for those problems (I am sure new ones will come up-just give me another test). I don't want this to sound cavalier- I do realize the confusion and difficulties and have some of those even now for some remedies have been successful and for some others I am still waiting. I do wish you well.

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I too have neuropathy. Restless legs are a small problem but loss of balance has made me very dependent. I walk slowly with a stick in hand but get tired/short of breath very quickly. I experience electric shocks in my legs and feet. I take Vitamins Bs first thing in the morning, which gives me some relief. Loss of balance has deprived me of independance. If only I could use public transport, I will be visiting friends, places and events, a free man riding buses and trains all day (I have a freedom Pass).

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Profile picture for lindamaegirl @lindamaegirl

I am also sorry to hear about your issues with neuropathy. I have ideopathic neuropathy and they keep saying that means they do not know the cause...My response is "are you really looking for it"? The answer in my case after 3 neurologists is NO. I am 76 years old take no meds, no comorbidities, excellent blood tests. My only issues are osteoporosis osteoarthritis and neuropathy. Of all of the issues the WORST is this neuropathy. It started in 2024 and I have NOT found any neurologist who is digging for the answers. I am in BOSTON not in the middle of nowhere! I am going to MGH and Newton Wellesley not some tiny hometown hospital. It started in my toes and is now up to my knees. I am so discouraged.

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@lindamaegirl I agree there appears to be little research that is looking into the root cause of neuropathy.

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Profile picture for helennicola @helennicola

@jamessaxo B12 deficiency is possible, I would imagine a dr. would have tested for it, also, too much vit. B6 and gluten can cause neuropathy.

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Helena. I take 100 micrograms B12 daily.

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