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.

@earlt

julbpat,
Thanks for the reply. I tried some socks from a local doctor's office. they were almost knee high. I couldn't handle it. I think I'll try some different ones that aren't that high on my legs. I watched a video of a doctor about valves in the veins in the legs. If they aren't working properly, fluid settles in the feet. I'm going to do more research on that.
Thanks'
Conrad

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I had ablation for "insufficient" veins & wish I had gotten a second opinion. I had NO visible vericose veins, but I had redness in my feet that I believed could be blood pooling. One year later, my feet are still red. Prior to the ablation, I had pain but NO numbness. I am now numb all the time. The procedure hit some nerves & made my neuropathy MUCH worse. Be sure to make it clear to the vascular doctor that you have neuropathy. Ask them for a copy of the multi-page, fine print "release" forms, PRIOR to getting the procedure. Proceed with caution. I am paying dearly for my mistake.

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@ray666 - On drop foot, mine never left. Without orthotics, I walk like my 2-year-old grandson, knees lift high and foot drops and I even walk like he does...holding furniture. Unable to walk normal because toes will get caught and down, I go. Have not fell forward since Dec 2019 so these things help me with improved walking and balance by 60 - 70% and no foot drop. I live at the beach and have lots of walking opportunities all flat and level. I take many short walks, my wife with me. I do not know of anyone where I live that has PN so this is indeed rare, and our year-round population is low. For me, that is the frustrating part because unless you have peripheral neuropathy, others don't know what this is like. My best explanation is ....ever have your foot fall asleep? Mine doesn't go away. Glad for Mayo Connect, we can share our experiences with many others and having knowledge about this disease without of a cure helps all along the way.

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In reply to @rosaliemarie "What is it?" + (show)
@rosaliemarie

What is it?

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I just googled it and it’s Platelet Rich Plasma.

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@cher27

I had ablation for "insufficient" veins & wish I had gotten a second opinion. I had NO visible vericose veins, but I had redness in my feet that I believed could be blood pooling. One year later, my feet are still red. Prior to the ablation, I had pain but NO numbness. I am now numb all the time. The procedure hit some nerves & made my neuropathy MUCH worse. Be sure to make it clear to the vascular doctor that you have neuropathy. Ask them for a copy of the multi-page, fine print "release" forms, PRIOR to getting the procedure. Proceed with caution. I am paying dearly for my mistake.

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I'm sorry to hear that you are going through so much. This is a very bad thing for anyone to go through. With all the modern advancements in medicine you would think they could figure this out.
I soak my feet in ice water every morning for about 15 minutes. I helps.
Take care. a lot of us are suffering.
Conrad Taylor

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@njed

@ray666 - On drop foot, mine never left. Without orthotics, I walk like my 2-year-old grandson, knees lift high and foot drops and I even walk like he does...holding furniture. Unable to walk normal because toes will get caught and down, I go. Have not fell forward since Dec 2019 so these things help me with improved walking and balance by 60 - 70% and no foot drop. I live at the beach and have lots of walking opportunities all flat and level. I take many short walks, my wife with me. I do not know of anyone where I live that has PN so this is indeed rare, and our year-round population is low. For me, that is the frustrating part because unless you have peripheral neuropathy, others don't know what this is like. My best explanation is ....ever have your foot fall asleep? Mine doesn't go away. Glad for Mayo Connect, we can share our experiences with many others and having knowledge about this disease without of a cure helps all along the way.

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Ed @njed – I should be grateful, then, that my drop foot went away, even if I still have a tinge. Frankly, I'd pay it little mind if it weren't a number of doctors who've asked me to get up and walk about, so they could watch how I walk, who've said to me, "I see you've got a problem with your right foot. Have you ever had drop foot?" I too am a "furniture walker." That's why I'm inclined to turn down invitations to social events in other peoples' homes, especially homes I've never been to. Nights at home, when I have to get up from bed and go to the toilet, I know the path, not by foot-touch but by hand-touch: first the bureau top, then the bedroom doorpost, then the hallway wall, then the bathroom doorpost, finally the bathroom light switch. Your foot falling asleep but staying asleep analogy is painfully accurate! I also have a devil of a time getting friends to truly understand what my neuropathy is like –– to be able to "feel" it, if only in their imagination. Often I use the shipboard analogy to get across what walking feels like to me: like walking a ship's deck in a lightly rolling sea. You say you live near the beach. May I ask where? If I'd not mentioned it before, I'm a longtime New Yorker, with many memories of New Jersey, especially of Northern New Jersey. My first assignment in the service was Sandy Hook, and my first job after discharge was with the Bergen County Record in Hackensack. –Ray (@ray666)

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@ray666

Ed @njed – I should be grateful, then, that my drop foot went away, even if I still have a tinge. Frankly, I'd pay it little mind if it weren't a number of doctors who've asked me to get up and walk about, so they could watch how I walk, who've said to me, "I see you've got a problem with your right foot. Have you ever had drop foot?" I too am a "furniture walker." That's why I'm inclined to turn down invitations to social events in other peoples' homes, especially homes I've never been to. Nights at home, when I have to get up from bed and go to the toilet, I know the path, not by foot-touch but by hand-touch: first the bureau top, then the bedroom doorpost, then the hallway wall, then the bathroom doorpost, finally the bathroom light switch. Your foot falling asleep but staying asleep analogy is painfully accurate! I also have a devil of a time getting friends to truly understand what my neuropathy is like –– to be able to "feel" it, if only in their imagination. Often I use the shipboard analogy to get across what walking feels like to me: like walking a ship's deck in a lightly rolling sea. You say you live near the beach. May I ask where? If I'd not mentioned it before, I'm a longtime New Yorker, with many memories of New Jersey, especially of Northern New Jersey. My first assignment in the service was Sandy Hook, and my first job after discharge was with the Bergen County Record in Hackensack. –Ray (@ray666)

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In many ways, we have to learn how to adjust the way in which we live our lives to the ever-changing issues of PN. You develop a tooth ache, go to the dentist and it's fixed, pain gone. This is different. You go to the doctor and in many cases, you walk away with more questions than what you walked in with. I also am very comfortable around my known surroundings. For now, we deal with the symptoms and keep fingers crossed for our future and keep moving.

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@ray666

Ed @njed – I should be grateful, then, that my drop foot went away, even if I still have a tinge. Frankly, I'd pay it little mind if it weren't a number of doctors who've asked me to get up and walk about, so they could watch how I walk, who've said to me, "I see you've got a problem with your right foot. Have you ever had drop foot?" I too am a "furniture walker." That's why I'm inclined to turn down invitations to social events in other peoples' homes, especially homes I've never been to. Nights at home, when I have to get up from bed and go to the toilet, I know the path, not by foot-touch but by hand-touch: first the bureau top, then the bedroom doorpost, then the hallway wall, then the bathroom doorpost, finally the bathroom light switch. Your foot falling asleep but staying asleep analogy is painfully accurate! I also have a devil of a time getting friends to truly understand what my neuropathy is like –– to be able to "feel" it, if only in their imagination. Often I use the shipboard analogy to get across what walking feels like to me: like walking a ship's deck in a lightly rolling sea. You say you live near the beach. May I ask where? If I'd not mentioned it before, I'm a longtime New Yorker, with many memories of New Jersey, especially of Northern New Jersey. My first assignment in the service was Sandy Hook, and my first job after discharge was with the Bergen County Record in Hackensack. –Ray (@ray666)

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Ray - I know Connect prefers that we keep personal info off the site so I did reply to you off the site. Ed

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@njed

In many ways, we have to learn how to adjust the way in which we live our lives to the ever-changing issues of PN. You develop a tooth ache, go to the dentist and it's fixed, pain gone. This is different. You go to the doctor and in many cases, you walk away with more questions than what you walked in with. I also am very comfortable around my known surroundings. For now, we deal with the symptoms and keep fingers crossed for our future and keep moving.

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I'm sitting here right now debating whether to meet a friend for coffee tomorrow afternoon. You can probably guess what's topmost on my mind, why I'm "debating" the matter with myself: the coffee shop is in a busy part of town with difficult parking. Do I really want to go –– even though I know I'd enjoy a talk with this friend –– if it means there's a chance I may have to hobble the length of a city block, maybe more? Crazy, this PN business!

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@ray666

Hello, Rob (@rob39)
I see how you too have been dealing with pain. It seems many others here too have been trying to cope with varying degrees of pain. That may explain the various medications that have been mentioned. Since I have yet to experience pain –– only numbness, and even that my numbness is far from 100% (it took the EMG test to even convince me I had numbness) –– that may be why my neurologist has this far only I advise that I take alpha lipoic acid (R-lipoic acid) and keep up on all of my B vitamins. I too now carry a walking stick around with me (it, or a pair of trekking poles), but I don't rely on it full-time, only if I find myself on 'tricky' ground. Me too: some days –– or some hours of the day –– my legs feel really weak, but other days or hours they feel fine. Puzzling. Nor have I confirmed that my leg weakness is connected to my PN. I attribute some, or maybe all, of the weakness to getting older. I use my stationary bicycle as much as possible trying to recover some leg strength. (Interesting: you're in Australia. The online balance program I have been following for the past several months is sent from Perth.)

Ray (@ray666)

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Hello Ray @ray666.
Sorry for the delay in responding but I have been busy the last couple of days. I feel that as far as my neuropathy goes I will have to just cope as it is. With no cure it all comes down to pain relief. My feet are numb to above the ankles, so some pain is ok. The reality is if that pain goes the problem becomes serious. As far as my spinal problems go, apart from the stenosis I have a syrinx in my spinal cord from T4 to T10 which is causing me more pain and discomfort at the moment. I have placed a post in the spinal section regarding support for Syringomyelia.
Regards rob39.

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@ray666

Ed @njed – I should be grateful, then, that my drop foot went away, even if I still have a tinge. Frankly, I'd pay it little mind if it weren't a number of doctors who've asked me to get up and walk about, so they could watch how I walk, who've said to me, "I see you've got a problem with your right foot. Have you ever had drop foot?" I too am a "furniture walker." That's why I'm inclined to turn down invitations to social events in other peoples' homes, especially homes I've never been to. Nights at home, when I have to get up from bed and go to the toilet, I know the path, not by foot-touch but by hand-touch: first the bureau top, then the bedroom doorpost, then the hallway wall, then the bathroom doorpost, finally the bathroom light switch. Your foot falling asleep but staying asleep analogy is painfully accurate! I also have a devil of a time getting friends to truly understand what my neuropathy is like –– to be able to "feel" it, if only in their imagination. Often I use the shipboard analogy to get across what walking feels like to me: like walking a ship's deck in a lightly rolling sea. You say you live near the beach. May I ask where? If I'd not mentioned it before, I'm a longtime New Yorker, with many memories of New Jersey, especially of Northern New Jersey. My first assignment in the service was Sandy Hook, and my first job after discharge was with the Bergen County Record in Hackensack. –Ray (@ray666)

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I can relate totally with how you get around inside the house. I have never had drop foot but my feet, lower legs and hands are totally numb.

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