Idiopathic Polyneuropathy: Do you have fatigue?

Posted by Suz @db72, 4 days ago

Hello, I’m curious about the fatigue levels with those of us who have idiopathic Polyneuropathy . My PN is axonal and large fiber and the fatigue is over the moon and disabling. But, I also have ME/CFS (which I’ve had for almost 40 years). So, it’s kind of impossible to know how much of my fatigue is due to neuropathy or ME/CFS.

I’m mostly housebound and because walking has become increasingly difficult the last two years due to balance, muscle weakness, and fatigue, I have recently started using a motorized wheelchair to go out and even just to go across the house.

I’m seeing a new neurologist in July and will ask about fatigue levels with neuropathy, Any thoughts are appreciated.
Thank you!

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@dlydailyhope

@db72
Do you know the cause of your neuropathy? Have you been tested for small fiber neuropathy with a skin punch biopsy? If not, ask your neurologist when you see them next.

Did you have extensive neuropathy bloodwork to see if anything is abnormal like vitamin deficiency or toxicity? Have you had your thyroid bloodwork panel done and had your iron levels checked? This can cause fatigue.

Do you get physical therapy to help you with circulation or do some seated stretches and exercises to improve circulation? You could even do some while lying in bed.

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Mine is classified as idiopathic because they did every test in the book including nerve conduction studies, autoimmune studies. Monoclonal antibodies, brain scans, vitamin/iron, the whole nine yards. I’ve had Hashimoto’s for decades but it’s well managed. I have severe large fiber axonal damage. I believe my nerve damage began 40 years ago when I was struck a severe case of Epstein Bar Virus. I never recovered and it turned into ME/CFS (Chronic Fatigue Syndrome). I’ve been disabled my whole adult life. The nerve damage began literally overnight when I first got sick. But the numbness and progression started about 20 yrs ago. I’m not well enough to go out for physical therapy but there are balance exercises online I do when I’m up to it.

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@jchet

I too have fatigue with my SFPN. My feet swell and feel like I’m walking on marbles. Legs feel heavy and don’t pick up my feet as I should due to muscle weakness, I believe. As a result, I have tripped and fallen a few times which has been scary. I also have shortness of breath which I attribute to CFS due to having Covid for the first time in Dec. 2023. I’m 81 and will start doing feet/leg exercises faithfully to hopefully prevent falls.

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I’m so sorry. I’ve fallen 5 times in the last 2 years and it is indeed frightening. I ended up in the ER with a head injury -2 black eyes, and 2 sprained ankles. Very traumatic . We installed grab bars throughout the house after that. I’m 73. I hope your CFS improves . I’ve had it for 40 years but have personally known a number of people who fully recovered after 2-3 years. Best wishes!

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@sunnyme

I am diagnosed I am diagnosed with polyneuropathy also And I get very very tired but I like you have many other ailments including cancer So it's very hard to tell I do wear NERUO socks which really help my ' and I put on lidocaine patches all the time and that also helps the So it's very hard to tell I do wear NERUO socks which really help my ' and I put on lidocaine patches all the time and that also helps the So it's very hard to tell I do wear NERUO socks which really help my ' and I put on lidocaine patches all the time and that also helps the discomfort Wish you luck keep keep in touch

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I’m so sorry to hear that you’re battling cancer on top of this. Wishing you all the best.

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@db72

Mine is classified as idiopathic because they did every test in the book including nerve conduction studies, autoimmune studies. Monoclonal antibodies, brain scans, vitamin/iron, the whole nine yards. I’ve had Hashimoto’s for decades but it’s well managed. I have severe large fiber axonal damage. I believe my nerve damage began 40 years ago when I was struck a severe case of Epstein Bar Virus. I never recovered and it turned into ME/CFS (Chronic Fatigue Syndrome). I’ve been disabled my whole adult life. The nerve damage began literally overnight when I first got sick. But the numbness and progression started about 20 yrs ago. I’m not well enough to go out for physical therapy but there are balance exercises online I do when I’m up to it.

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@db72
I had mono as a teen and wonder if EBV is behind my idiopathic small fiber neuropathy.
1. https://www.ajnr.org/content/early/2023/07/27/ajnr.A7945
2. https://www.acibademhealthpoint.com/epstein-barr-virus-and-nerve-damage-risks/

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@dlydailyhope

Great articles! Thanks for sharing. I wouldn’t be surprised if there’s a connection. EBV is starting to be implicated in all sorts of diseases including MS. I’ve also tested positive in the past for HHV6. I think viruses will turn out to be responsible for many different afflictions.

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@sunnyme

I am diagnosed I am diagnosed with polyneuropathy also And I get very very tired but I like you have many other ailments including cancer So it's very hard to tell I do wear NERUO socks which really help my ' and I put on lidocaine patches all the time and that also helps the So it's very hard to tell I do wear NERUO socks which really help my ' and I put on lidocaine patches all the time and that also helps the So it's very hard to tell I do wear NERUO socks which really help my ' and I put on lidocaine patches all the time and that also helps the discomfort Wish you luck keep keep in touch

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Nervive Liquid Roll-On really nice in addition to lidocaine patch.

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@mrmacabre

I may be occasionally more tired than I was before my diagnosis of IPN, but my biggest complaint is my lack of physical stamina. I'd always worked a very physical job, along with working around our home and my parent's home as well, so I was used to working 12-14 hour days, including some Saturdays. I did this for decades without thinking anything of it, but now I can't help my wife out in the yard for more than 5-10 minutes without having to sit and rest. It's 'frickn pathetic.

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To help fight my fatigue my doctor said to drink an enormous amount of water like three liters a day and avoid other drinks like coffee and soda. It works!

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@holdrege

To help fight my fatigue my doctor said to drink an enormous amount of water like three liters a day and avoid other drinks like coffee and soda. It works!

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Water is recommended in many of the videos I saw that deal with neuropathy. For my size I am to drink seven glasses of water per day. Anyone who wants good health must avoid soda. I also saw that rosemary tea is supposed to be beneficial. One needs to boil up several sprigs of rosemary and drink the liquid. I guess, at a minimum, its healthful.

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