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.

Profile picture for piross1528 @piross1528

Hey Everyone, my name is Steve. I’m a 35 year old dad that works full time. I am hoping to get some advice as I am very confused given my test results. So here is the scoop. Three months ago I developed what appeared to be a small fiber neuropathy from what I think was a viral illness. It started as itching in my legs and morphed into painful paresthesias in hands and feet, shooting electrical pains in arms and legs, needle like pains legs and hands, and eventually burning feet. All the symptoms clinically point to SFN. It has been brutal-I took the pain without meds for about 2 months-then my feet felt like someone hit the with a sledge hammer. I started sobbing in the bed because the pain wouldn’t stop. It’s been the worst 3 months of my life. That being said-all my tests have come back negative and they have been extensive. Everything glucose related normal-vitamins normal-ANA normal-gluten normal, EMG normal, and whole bunch of other stuff. The only one that was indicative and neuropathy tilt table test-showing autonomic neuropathy. I finally pushed to have a skin biopsy done to confirm SFN. I was 95% sure it would show SFN-it was normal! Not sure how I feel about all of it given I still have the symptoms and they are tough to live with. Anyone have any advice for this situation? One neurologist is ready to peg me with the “idiopathic” label which sucks. The other believes it may be autoimmune. Anyone had their skin biopsy come back negative even though they have all the symptoms? Thoughts? Thank you!

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Hi there Steve.....I only have one request for your skin biopsy test. What was the percentage of nerve cells in the test sample? Mine was .09 which indicated severe SFN. There are several places they can do the skin biopsy? Were yours only done at the ankle?

Good luck......it just might be worthwhile to double check.
Chris

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Profile picture for John, Volunteer Mentor @johnbishop

Maybe there's an underlying condition? I always pooh poohed my prediabetes label because my A1C was close to normal but I was overweight most of my adult life and didn't get enough exercise. It's only been the past few years that I've made some changes to eat and live a healthier lifestyle. I've been reading up on metabolic syndrome which can cause lead to a lot of different diagnoses and recently read an article from 2016 that may be what's going on with my idiopathic small fiber PN diagnosis.

"Is small fiber neuropathy fatal? — When those deposits build up, peripheral nerves start to malfunction, and the patient experiences peripheral neuropathy. The disease eventually involves sensory, motor and autonomic nerves, and it is fatal.” — The Fire Within – Johns Hopkins Medicine: https://www.hopkinsmedicine.org/news/publications/hopkins_medicine_magazine/features/fall-2016/the-fire-within

Metabolic Syndrome | NHLBI, NIH: https://www.nhlbi.nih.gov/health-topics/metabolic-syndrome

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Hi John, I read the 2016 article and saw myself in that prediabetes scenario. I wonder if there has been any followup to that research? Certainly, it would have gotten a lot of attention by now if it had any merit?

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No-pain neuropathy with lightheadedness. Numb feet to ankles. Has anyone experienced this, discovered causes for the lightheadedness, and found treatment for the same? My spouse suffers from this. He has been to a primary care doctor, neurologist, cardiologist, physical therapist, ENT doctor, and podiatrist with no explanations. They ruled out inner ear problems and vertigo. He does not have diabetes, and his blood pressure is stable. The physical therapist suggested that the lightheadedness could be due to imbalance caused by neuropathy. However, he has experienced lightheadedness when sitting in his recliner. He was waking up with cramps but taking calcium and magnesium and an extra magnesium tablet before bedtime, alleviates the cramps. He exercises at the YMCA and walks at the Mall, using a cane for balance. This condition has caused anxiety and depression. He has stopped driving on the freeway because he doesn't want to put anyone at risk.

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Profile picture for sam31 @sam31

Hi John, I read the 2016 article and saw myself in that prediabetes scenario. I wonder if there has been any followup to that research? Certainly, it would have gotten a lot of attention by now if it had any merit?

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Hi Sam @sam31, I see myself in the same prediabetes scenario also was recently reading more about the metabolic syndrome. I normally have my checkup in the spring and the doctor orders a lipids panel and fasting glucose but I think what's missing is the fasting insulin test to check the insulin resistance which could be the reason for higher A1C and the prediabetes label. I'm planning to have the fasting insulin test along with the fasting glucose test so that they can be compared and it will give a better picture of what's going on. I don't totally understand everything so I'm just trying to learn more about it. The good news is if you can catch it before you get to stage 2 diabetes I think you can fix it with diet and exercise. There is a discussion with some good info for nutrition and healthy eating -- Low-carb healthy fat living. Intermittent fasting. What’s your why?: https://connect.mayoclinic.org/discussion/low-carb-healthy-fat-living-intermittent-fasting-whats-your-why/

-- Insulin Resistance & Prediabetes: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance
-- Neuropathies Associated With Diabetes and the Metabolic Syndrome: https://neuropathycommons.org/neuropathy/causes-neuropathy/neuropathies-associated-diabetes-and-metabolic-syndrome

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Profile picture for alexandraeugenia @alexandraeugenia

No-pain neuropathy with lightheadedness. Numb feet to ankles. Has anyone experienced this, discovered causes for the lightheadedness, and found treatment for the same? My spouse suffers from this. He has been to a primary care doctor, neurologist, cardiologist, physical therapist, ENT doctor, and podiatrist with no explanations. They ruled out inner ear problems and vertigo. He does not have diabetes, and his blood pressure is stable. The physical therapist suggested that the lightheadedness could be due to imbalance caused by neuropathy. However, he has experienced lightheadedness when sitting in his recliner. He was waking up with cramps but taking calcium and magnesium and an extra magnesium tablet before bedtime, alleviates the cramps. He exercises at the YMCA and walks at the Mall, using a cane for balance. This condition has caused anxiety and depression. He has stopped driving on the freeway because he doesn't want to put anyone at risk.

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Hello @alexandraeugenia, Welcome to Connect. I know it must be frustrating for your husband and you not being able to get a diagnosis and treatment after seeing so many different doctors and specialists. I'm wondering if this post by @jenniferhunter in this Lightheadedness discussion may be similar to what is going on with your husband - https://connect.mayoclinic.org/comment/244223/.

I know your husband has seen a lot of different doctors but have you thought about seeking help at a major teaching hospital or health facility like Mayo Clinic that uses a multidisciplinary teamwork approach to diagnosis difficult conditions? If you would like get a second opinion from Mayo Clinic, you can find the contact information for
the Minnesota, Arizona and Florida campuses here http://mayocl.in/1mtmR63.

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I suggested a teaching hospital to my husband, and he was not open to it because he has seen so many doctors. I am referring your response to him with hopes he will give it some consideration. Thank you for responding quickly.

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Profile picture for alexandraeugenia @alexandraeugenia

I suggested a teaching hospital to my husband, and he was not open to it because he has seen so many doctors. I am referring your response to him with hopes he will give it some consideration. Thank you for responding quickly.

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I did not mention in my original post is that my husband had a CT scan of his brain and an MRI of his spine. Neither showed any irregularities. His upper back has been slightly curved (hunched) since youth.

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Profile picture for alexandraeugenia @alexandraeugenia

I suggested a teaching hospital to my husband, and he was not open to it because he has seen so many doctors. I am referring your response to him with hopes he will give it some consideration. Thank you for responding quickly.

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@alexandraeugenia - You might want to show him what multidisciplinary teamwork is and how it can help with better outcomes for the patient. Here's more information here - https://www.td.org/insights/multidisciplinary-teamwork-ensures-better-healthcare-outcomes

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Profile picture for alexandraeugenia @alexandraeugenia

No-pain neuropathy with lightheadedness. Numb feet to ankles. Has anyone experienced this, discovered causes for the lightheadedness, and found treatment for the same? My spouse suffers from this. He has been to a primary care doctor, neurologist, cardiologist, physical therapist, ENT doctor, and podiatrist with no explanations. They ruled out inner ear problems and vertigo. He does not have diabetes, and his blood pressure is stable. The physical therapist suggested that the lightheadedness could be due to imbalance caused by neuropathy. However, he has experienced lightheadedness when sitting in his recliner. He was waking up with cramps but taking calcium and magnesium and an extra magnesium tablet before bedtime, alleviates the cramps. He exercises at the YMCA and walks at the Mall, using a cane for balance. This condition has caused anxiety and depression. He has stopped driving on the freeway because he doesn't want to put anyone at risk.

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Vertigo seems to be a common plight among former military.

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Profile picture for kenc @kenc

Vertigo seems to be a common plight among former military.

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Thank you for your comment. My husband was tested for vertigo, and the results were negative.

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