Idiopathic Polyneuropathy: My endless journey to a near-diagnosis …

Posted by Ray Kemble @ray666, Mar 29, 2023

Hello!

I have been here before. Several times each time posting under what seemed to be the correct topic at the time, such has been my maze-like journey to a diagnosis. I'm not there yet (that 100% positive diagnosis), but I'm closer. Only yesterday, I met with my neurologist, and he came as close as he dared come at the moment, calling my ongoing balance problem idiopathic polyneuropathy. Since I also have some cervical stenosis and am already scheduled for an MRI in two weeks, my neurologist suggested we plan to talk next after he has had a chance to look over the results of the MRI. This journey to a diagnosis has been a long one. I'm curious to know if others have had a similar experience. And what was the outcome? I'm doing PT for balance and taking B-12 and alpha lipoic acid (the neurologist's recommendation). But are there other things I might try at this point, something I might ask my neurologist about? I believe others' experiences with this condition would be of immense help.

Ray (@ray666)

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

@dbeshears1

Hi Ray - The only prescription medicine I take for PN is Gabapentin. It helps minimize nerve pain discomfort and the heat/cold intolerance I can get in my hands and feet. Doctors like to advise depression/anxiety meds, but I can’t afford the dopiness side affects and the increased risk of more imbalance & falling, so I try to do positive mind exercises instead. I’ve held back on ALA because I get low blood sugar and my last Neurologist didn’t know if it was safe. I have a new Neurologist appt in my new state next week & will ask her knowledge; I’ll also ask about an MRI that I’ve never had in my 6+ yrs with PN, so congrats to you for getting one scheduled! I take B12 and when I stopped it once, felt bad after a few days and restarted it. I take Magnesium too. I liked having 5 Accupuncture treatments I had- it’s hard to describe the relaxation my nerves and mind seem to get from it, but my big help is the PT; continue as much as you can unless you think you’re disciplined enough to keep the exercises up on your own. Even if you do, I’d get a PT follow up once in awhile. This forum has given me a lot of help on lotions, supports, shoes etc. keep reading, stay positive, and best of luck!!!

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Good morning, Debbie (@dbeshears1)
Thank you for your message! And thank you for reminding me of Gabapentin. I've heard of it, but know nothing about it. Nor has my neurologist mentioned it. He and I talk openly about my PN, so I wouldn't be shy about asking about Gabapentin.
I've not done any positive mind exercises as a deliberate practice, but I see myself as a naturally positive person anyway. That's why this neuropathy has put me somewhat off-balance (bad pun!). As a naturally positive person who, when challenged, immediately thinks: What can I do? my neuropathy has got me puzzled, having to learn as much as I can about my ailment before I can reasonably expect to answer the question: What can I do?
I do my own PT here at home. I've attended many PT workshops over the years and my home is now filled with PT handouts and all sorts of PT "props." I find it easier to do PT these days here at home. For several months now I have been following an online PT program, Better Balance for Life. I attribute what improvement I've made to that program.
Thank you again for your message. Let's both stay positive!
Cheers!
Ray (@ray666)

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@ray666

Good morning, @seanmacbeth
Thank you both for your message and your suggestion that I look into Protocol 525. Moments ago I found a website devoted to Protocol 525 and I will look it over carefully when I have got a bit more time later today. Also for your suggestion that I up my daily water intake to 80 oz. I started that this morning. I will let you know how things progress. Again, thank you for your advice!
Ray (@ray666)

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Hello Ray, in my first week of new treatment andwill let you know of any improovements.. The hardest part is the 80 oz water, quite a lot for take in each day but I will try. Notice slight imrovement already in balance. It is a rigorous protocol but willing to try anything at this point. Idiopathic polyneuropathy is the most complex, I believe, because diabetes is easier to treat than not knowing the origin of the disorder. Mine started after subdural hematoma in 2016. Exercise is key to managing the progression of the weakness in the legs and feet. Check ingredients in 525 and try to concentrate on those . Therapeutic dosing seems to be the key. RDAs are set too low, in my opinion, only to prevent certain diseases, so perhaps the Protocol is the answer, vitamins in therapeutic doses. We shall see......

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@judithfraser000

I too am taking alpha lipoic tablets along with b vitamins. It's been several years of trying to get relief for my hands, legs and feet. I've tried leeches, a back stretching machine, acupuncture with electrical wires, and deep tissue massage. I am still doing acupuncture once a week and getting the massage once a week (he is amazing). The neuropathy also affects my gut so I have difficulty eating at times. I started taking cbd a few months ago, I'm not sure if anything is working but I'm not giving up. I don't have pain, but I am off balance and find it hard to walk. Good luck, maybe you'll find something new that works for you. JF

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Good morning, Judith (@judithfraser000)
Thank you for your message. I have been taking alpha lipoic tablets, 600 mg, 2 x daily, along with a variety of B vitamins. So far my neuropathy is affecting only my feet, giving me my unreliable balance (some days worse than others). I don't have any pain, which sometimes puzzles my doctors. To a certain degree I attribute my unreliable walking to my severely flat feet (I've been wearing orthotics since the '80s), a prosthetic right knee, and a left knee that's got lots of arthritis (which my orthopedic doc says is not yet operable). So, neuropathy, compounded by other aches and pains.
Here's wishing you and me both some solutions in the coming months and years!
Cheers!
Ray (@ray666)

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@ray666

Good morning, Judith (@judithfraser000)
Thank you for your message. I have been taking alpha lipoic tablets, 600 mg, 2 x daily, along with a variety of B vitamins. So far my neuropathy is affecting only my feet, giving me my unreliable balance (some days worse than others). I don't have any pain, which sometimes puzzles my doctors. To a certain degree I attribute my unreliable walking to my severely flat feet (I've been wearing orthotics since the '80s), a prosthetic right knee, and a left knee that's got lots of arthritis (which my orthopedic doc says is not yet operable). So, neuropathy, compounded by other aches and pains.
Here's wishing you and me both some solutions in the coming months and years!
Cheers!
Ray (@ray666)

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It looks like you've been doing the right things. There must be an answer somewhere out there. Keep looking. J

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@njed

@ray666 - Hi Ray - One thing that I've realized in the past 7 years is that PN absolutely impacts us in different ways. As we've posted before, we do share similar symptoms but not exact. And that could likely be some clue. As I read various comments under different topics, I say to myself....wow, I had that at one time and now I don't (pain in toes), yes I have that balance issue as well and in my opinion, getting worse each year. Cause? Opinions vary from genetic to toxins. I have an odd symptom that left 5 neurologists scratching their head. It is what I call the blank look. This heading is right, endless journey which many of us share. Meanwhile, I focus on what I can do to slow down the progression. Are my efforts working? I think so. IF I bump into a cause, great. Even if I can get the cause, what do you do with that information. Because mine is axonal related, Mayo told me no cure. But as we are impacted by this, we sure would like to know the cause, wouldn't we. Idiopathic is not an answer, it's only a label. Those who have a cause are very fortunate. Meanwhile be well all and keep moving.
Ed

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Good morning, Ed (@njed)

I have to chuckle when I read how you've left 5 neurologists scratching their heads. I feel I've done much the same thing too. And I too am determined to do all I can to slow down the progression. I'm not happy with how things are now, but if I can manage to keep things "how they are now," I'll call that success. My at-home PT routine appears to be helping (helping = maintaining the status quo), so I'll certainly continue with that. I too would love to know the cause, even if knowing the cause didn't mean I and my doctors were now on the threshold of a cure. I've long since stopped dreaming of a cure.
I recall the afternoon one of my neurologists told me the best label he could attach to my malady was "idiopathic." Although I knew what the word meant, when I got home (because I love the etymology) I looked in my dictionary, and learned that "idio," from the Greek, means "peculiar," and "pathic," also from the Greek, means "suffering." I had to laugh. I thought I might be able to make use of that the next time I'm on a long supermarket checkout line: simply announce, "I should caution you all, I'm the victim of a peculiar suffering. You may want to let me get to the head of the line."

Enjoy the weekend, Ed.
Cheers!
Ray (@ray666)

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@ray666

Good morning, @asergio714
Thank you for yesterday's message. From what you say, it sounds like you and I have almost identical problems. My neuropathy chiefly affects my feet, giving me balance problems. I too have scoliosis, along with some degenerative cervical and thoracic discs. Years ago I was told that I was pre-diabetic but not to worry. Lab tests since show me still pre-diabetic. Is that involved in my neuropathy? I wonder.
Ray (@ray666)

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I doubt it. I have adrenal insufficiency and have to take hydrocortisone twice a day which increases blood sugar

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@ray666

Good morning, @rob39
Thank you again for yesterday's message. I'm curious: when you say your PN was advancing rapidly, how rapidly was that? I had gone for years (maybe as much as ten years) with only minor balance difficulties. It has only been in the past one or two years that I've had to make some lifestyle changes, and, as I explained the other day to my neurologist, even now I find myself unable to say if my PN has gotten (or is getting) worse; a more accurate report is to say that it appears to have plateaued at a more troublesome level, with an occasional "bad" day. Will my PN eventually slip from that plateau and descend rapidly? That's my most pressing question.
Ray (@ray666)

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Hello ray666, I will explain the rapidly, but first my background with PN. It started about 15 years ago starting in my toes, within 12 years it reached to below my knees. ie. Prickling and itching. It was stable there for the last three years and I could cope without medication although my feet felt numb and nerve pain. In about July last year the nerve pain in my feet started to increase, to the stage that I sought help from my Neurologis, he prescribed neurontin 200mg every 8 hours. This helped with the sharp nerve pain. From the end of August the prickling and itching moved up my legs and by December had reached to the top of my thighs. My knees and legs felt weaker and I was using a walking stick.(cane?) Some days my legs are weak and some days a little better. I refer back to my original reply concerning my spinal problems, I have yet to have it confirmed, but I feel that the leg problem is not connected with the worsening of the PN and it is coincidental that they happened at the same time. Regards rob39
(I live in Australia.)

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The best to you. After 15 years of this, trying every mainstream treatment and a handful of non-traditional, I’m worse than ever and I don’t think I can keep doing this.

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@ray666

Good morning, Ed (@njed)

I have to chuckle when I read how you've left 5 neurologists scratching their heads. I feel I've done much the same thing too. And I too am determined to do all I can to slow down the progression. I'm not happy with how things are now, but if I can manage to keep things "how they are now," I'll call that success. My at-home PT routine appears to be helping (helping = maintaining the status quo), so I'll certainly continue with that. I too would love to know the cause, even if knowing the cause didn't mean I and my doctors were now on the threshold of a cure. I've long since stopped dreaming of a cure.
I recall the afternoon one of my neurologists told me the best label he could attach to my malady was "idiopathic." Although I knew what the word meant, when I got home (because I love the etymology) I looked in my dictionary, and learned that "idio," from the Greek, means "peculiar," and "pathic," also from the Greek, means "suffering." I had to laugh. I thought I might be able to make use of that the next time I'm on a long supermarket checkout line: simply announce, "I should caution you all, I'm the victim of a peculiar suffering. You may want to let me get to the head of the line."

Enjoy the weekend, Ed.
Cheers!
Ray (@ray666)

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Hi, Ray
I went to a neurologist. They did blood test, sonogram on both legs and an EMG. I went back for a follow up. He looked at results and said everything look good. as I was getting ready to leave, he looked at me and said I have no idea what is wrong with your feet. My feet swell but swell really bad when I sit on the bar stool at home or when I'm driving.
Thanks,
Conrad Taylor

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@ray666

Good morning, Debbie (@dbeshears1)
Thank you for your message! And thank you for reminding me of Gabapentin. I've heard of it, but know nothing about it. Nor has my neurologist mentioned it. He and I talk openly about my PN, so I wouldn't be shy about asking about Gabapentin.
I've not done any positive mind exercises as a deliberate practice, but I see myself as a naturally positive person anyway. That's why this neuropathy has put me somewhat off-balance (bad pun!). As a naturally positive person who, when challenged, immediately thinks: What can I do? my neuropathy has got me puzzled, having to learn as much as I can about my ailment before I can reasonably expect to answer the question: What can I do?
I do my own PT here at home. I've attended many PT workshops over the years and my home is now filled with PT handouts and all sorts of PT "props." I find it easier to do PT these days here at home. For several months now I have been following an online PT program, Better Balance for Life. I attribute what improvement I've made to that program.
Thank you again for your message. Let's both stay positive!
Cheers!
Ray (@ray666)

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Gabapentin has been a very effective medication until just recently. I still take 3200mg daily because, without it, I would be in terrible pain. But my pain had increased substantially in the last few months. Some folks report bad side effects but I've never had them so I'll keep taking it unless my doc says stop.

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