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.

I have idiopathic small fiber neuropathy. I tried PRP a couple of years ago and no blue/purple toes or tingling or electric sensations since then. Symptoms are just starting to return, but they didn’t say it would be a “forever“ fix. It’s spendy, but they think it’s great that I got a couple of years of relief. I also might have Raynaud’s and Hashimoto. I’ve been pre-diabetic for 10+ years.

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@jwr - You asked me what I feel is helpful. The short answer is I go to PT and I exercise when I can....even walking. Back in 2015, when I first entered this journey, a neurologist told me to keep moving. Back then, I didn't realize the importance of what he said but that has been the best advise so far. I go to PT for balance exercises 1 - 2 days a week. According to my neuro doc, my PN seems to be holding about 5 -6 inches below knees for past 12 months. I have both small and large fiber neuropathy. I do not experience pain but all numbness and poor balance. My goal is to slow down the progression and retain balance. I know I'm not going to get rid of this but if I can slow it down, for me that is helpful, and I'll do what is necessary to accomplish that. Ed

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@earlt

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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Try anti-embolism stockings to decrease swelling.

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@earlt

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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Conrad, you might find compression socks helpful for this. They come in different “strengths”. The 20-30mm are pretty snug. I don’t have swelling, but have heard others refer to them.

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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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@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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I have got really flat feet also and they started turning (right outward) left, who knows?? plus I have neuropathy really bad from knees down. Don't you think you inherited the flat feet? Me playing tennis for years in Tretorn's sure didn't help either!! My question is, who do you have make your orthotics? Ive paid for several expensive ones to be made and none of them have actually worked that well and I kept having them remade; but, have given up on the ones to date.

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I also have cervical stenosis and myofascial pain when weather is bad. Stenosis can cause balance problems. My question is would operation on neck make things any better or are problems brain mediated. There is woman on here who had her neuropathy improve with neck surgery.

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@hankinbc

I have idiopathic small fiber neuropathy. I tried PRP a couple of years ago and no blue/purple toes or tingling or electric sensations since then. Symptoms are just starting to return, but they didn’t say it would be a “forever“ fix. It’s spendy, but they think it’s great that I got a couple of years of relief. I also might have Raynaud’s and Hashimoto. I’ve been pre-diabetic for 10+ years.

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I’m not familiar with PRP. Please explain what it is?

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@rosaliemarie

I’m not familiar with PRP. Please explain what it is?

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What is it?

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@lewin

I also have cervical stenosis and myofascial pain when weather is bad. Stenosis can cause balance problems. My question is would operation on neck make things any better or are problems brain mediated. There is woman on here who had her neuropathy improve with neck surgery.

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Hi, Lewin
A year ago I was referred to a neurosurgeon for an opinion on whether surgery might help my balance. After pouring over my cervical and thoracic MRIs, he thought no, surgery was not called for. He went so far as to say if I were to insist and he were to operate, I might find that my balance had not improved one iota. He suggested a one-year follow-up, which just happens to be later this month.
Ray (@ray666)

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