My lessons learned about idopathic non-diabetic peripheral neuropathy

Posted by snagydude @snagydude, Jul 26 12:30pm

I wish to thank the mentors. They do such a great job given the limitations of their interactions. I am a Ph.D. trained individual in public health who has struggled with PN for about 10 years. It is progressive and is now nearing my knees. Pain, balance loss, etc are my symptoms (like many of you this really sucks!) I'm not a snob, grew up with no indoor bathroom until I was 12. Worked hard my entire life, since my parents immigrated from Europe due to WW2. My mom was pregnant with me in an English immigration camp so I have multiple problems due to her poor nutrition. Here are my lessons learned.

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Sending you a private message.

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Profile picture for snagydude @snagydude

I have over 40 years of experience working with doctors educating them and have held 3 appointments in medical schools as adjunct faculty. My comments often are generalizations from those experiences.
1. There seems to be a moral gap/humanistic lacking component in a subset of those who I have helped to train. Our health care system is the most expensive in the world and yet clearly far from good to all. Physicians are like the fox guarding the chicken coup. Listening to physicians will not change this questionable system. I am part of a lucky group that can access quality care, but I deeply care for those who can't access care.
2. The American system seems to exclude what is learned in the rest of the world. Cilastizol for example is used by neurologists in Canada and Europe. It seems to help individuals with arteriole problems that are associated with PN. Essential oils are used in the Middle East with some success. But essential oils are relatively cheap and Big Pharma has not adopted their use in any meaningful way. Why has the government not sponsored research in this area? How can we as a country come up with cost effective treatments? What is done in other parts of the world?
3. I search daily in the medical publications primarily PubMed looking for good news on PN. It is generally fruitless with work on diabetes and chemotherapy induced PN being the focus. If you are not in that unfortunate group you are more than likely to be treated as though you are.
4. I continue to look for research on the usefulness of CBD and THC but there is very little. But we know that these substances are effective for many. Lessons learned are my personal experiences and it is good for others to share their insights and experiences.
5. As a physician you have had good experiences and it would be beneficial for individuals such as yourself to speak out and encourage others to benefit from your positive results in a way that others may also benefit from. And I agree with you that mindfulness (a change of attitude) is probably the only thing that one can control.
6. Physicians primary focus is on A)avoiding lawsuits and B) getting paid for service. Only after A & B can you schedule an appointment. Things are often rushed; patients can often feel uneasy about their interactions within this environment. We need to see improvements. Things cost too much and there is poor access with often many months before one can access a neurologist.
7. We can continue to seek alternatives that can work. I strongly suggest that there be some biochemistry basis for what is tried.
8. Change will only occur if enough people speak out and demand better solutions.

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As we all know, PN is a poorly understood, complicated disease with many causes, often unknown. Diabetes is probably the most common known cause, and is therefore the most commonly researched. Diagnosis and treatment is often unsatisfactory, for both patient and physician, which can cause negative perceptions, and then anger, which is unhealthy.
As I said, this forum is not the place to argue, particularly about systemic problems with the health care system in this country, of which I am all too aware.
I'm sorry you are feeling particularly poorly. I know the drill. Be well.
I'll send you a private letter to continue our discussion about some of the issues you brought up in your post.

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@jeffrapp - Just wanted to comment on the frustration that a neurologist expressed to me at Mayo Clinic in Rochester, MN in Feb of 2020. After all the tests were completed, my wife and I had a meeting with the neurologist to review the results. She said to me unfortunately, with your peripheral neuropathy, there is no cure, you will have this for life but not die from it. At that point, she had tears in her eyes. She mentioned how frustrating it is for both patient and physician not having the ability to help me. She gave me the best advice ever, she said to remain as active as you can. I took it to heart and have remained active and will continue to do so.

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My feet to knees sounds similar with tightness and numb feeling. Affects balance but when walking my lower legs are heavy and feel filled with fluid but do not look swollen

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Profile picture for NJ Ed @njed

@jeffrapp - Just wanted to comment on the frustration that a neurologist expressed to me at Mayo Clinic in Rochester, MN in Feb of 2020. After all the tests were completed, my wife and I had a meeting with the neurologist to review the results. She said to me unfortunately, with your peripheral neuropathy, there is no cure, you will have this for life but not die from it. At that point, she had tears in her eyes. She mentioned how frustrating it is for both patient and physician not having the ability to help me. She gave me the best advice ever, she said to remain as active as you can. I took it to heart and have remained active and will continue to do so.

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But don't give up on searching for solutions. There are all kinds of alternative treatments but perhaps no cures yet. Try different topicals. Try castrol, how about lidocaine mixed with essential oils like frankincense (used carefully since lidocaine can be toxic). Try concentrated oils like magnesium oil, coQ10 concentrate. Different strokes for different folks. Do your homework and find out what is on PubMed for you type of PN. You can always read the abstract and learn. As you learn more you take more control. Being active is great. But don't just rely on one thing...learn more.

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Profile picture for NJ Ed @njed

@jeffrapp - Just wanted to comment on the frustration that a neurologist expressed to me at Mayo Clinic in Rochester, MN in Feb of 2020. After all the tests were completed, my wife and I had a meeting with the neurologist to review the results. She said to me unfortunately, with your peripheral neuropathy, there is no cure, you will have this for life but not die from it. At that point, she had tears in her eyes. She mentioned how frustrating it is for both patient and physician not having the ability to help me. She gave me the best advice ever, she said to remain as active as you can. I took it to heart and have remained active and will continue to do so.

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Hi Jeff,
Every once in a while we read a post that says it all. Really to the point good post! This sneaky no cure PN is so so debilitating, & life changing for so many., we need to keep searching for relief. This post of yours is a very good summation! Of course we do not wish this on anyone, but then, we are relieved that we are not alone! Sounds bad when I say it like that, but we all need answers, so this is a wonderful site to share ideas & remedies! Still never enough info , but we all hope LOTS of folks keep looking for remedies! I just hope everyone keeps sharing them too! It really is so helpful when we share a new idea for relief or information about a pill, patch or anything that fights the pain from PN. Lots of different kinds of pain, so all these different remedies need to be shared!! (all the time) And, yes, remain as active as you can. I am 90, so it is hitting me hard! I need to feel good since I am not winning any contests.
Thanks to John for this site!!

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Profile picture for NJ Ed @njed

@jeffrapp - Just wanted to comment on the frustration that a neurologist expressed to me at Mayo Clinic in Rochester, MN in Feb of 2020. After all the tests were completed, my wife and I had a meeting with the neurologist to review the results. She said to me unfortunately, with your peripheral neuropathy, there is no cure, you will have this for life but not die from it. At that point, she had tears in her eyes. She mentioned how frustrating it is for both patient and physician not having the ability to help me. She gave me the best advice ever, she said to remain as active as you can. I took it to heart and have remained active and will continue to do so.

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Yes a very complicated disease. I am going on 20+ years and as I age (75) it has worsen. I eat healthy, cocktails very very limited, and exercise/stretch. Keep walking and moving. I love heat and Vicks rub at night. And have a bedtime routine- it’s a must for me. Prayers for you!

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I belive there is a cure but the process to get it approved by US FDA is hindering its availabity. It may get approved in year or 2 in European or ASIA countries. You can watch this youtube video on western neuropathy website by clicking on yellow writing. https://www.pnhelp.org/winsantor-webinar-updates-stanley-kim-ceo-and-co-founder

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