Psychological effects of living with neuropathy

Posted by domiha @domiha, Oct 17, 2023

This is more of a whine than a question. I get so tired, not just physically but psychologically, of living with the neuropathy and the limitations. All of us here are dealing with different combinations of symptoms and to differing degrees. Some know what caused the neuropathy, while others have no idea of the origin. But in the end, we are all in the same boat. My neuropathy appeared after a lumbar laminectomy a year ago. I had such pain in my legs for the year before my surgery that the neuropathy could have been there then and I wouldn't have been able to distinguish the difference. I was SO hoping the laminectomy would fix me... and it DID take away the leg pain that was limiting my walking. I can walk again.... though I'm a bit wobbly... and I do need to take breaks every so often. But I sometimes think the psychological toll is worse than the physical. I'm 72 and have always lived with anxiety and depression issues. How I would love to just find ACCEPTANCE of the fact that this is MY LIFE at this point.... and do what I can and the neuropathy be damned. And I do try to go and do as much as possible. But wherever I go, I take my feet with me.... and thus all the symptoms that remind me that I will never be "normal" again. As they say, "misery loves company," and I wonder how some of you deal with they psychological. Anyone else feeling like this? I see a therapist, but he can't fix my feet. I go to PT, but that seems to have reached it's peak for improvement. I know there are so many people with much worse infirmities out there.... but somehow knowing that doesn't make my situation any better. Thanks for allowing me to vent. Best to all!

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@domiha

Hi, @valec ..... I would love to have little wine 🍷 while we whine, but one of the things I kept reading for those of us with PN was to cut out ALL alcohol. I typically had a glass of red wine with a meal and an occasional cocktail. But it has been several months, now, and I honestly don't notice much of a difference. Perhaps in my case the wine really wasn't playing a part in my symptoms. I suppose I need to try going back to my old habit and see if it makes things appear any worse! 😂

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Hi @domiha I had exactly the same experience as you. BTW, in my humble opinion, I doubt that 1 or 2 drinks is the cause of your problem. Otherwise, almost everybody would have PN, and/or alcohol wouldn't have been invented.
I used to drink quite a bit; perhaps 3 drinks a day. When I was diagnosed with small fiber PN, I decided to quit entirely. I was "on the wagon" for 3 months, and the PN continued to get worse.
I decided that my experiment wasn't working, but I cut back to one glass of wine/day, when I resumed drinking because of the PN and other reasons.
My logic(?) was that if it wasn't working after 3 months, alcohol probably wasn't the cause, and anyway I enjoy my wine too much to wait years to find out, which I don't have many of left.
I haven't seen a study which adequately addresses this particular question, other than the standard remark that excess alcohol can be a cause of PN. I've also been given completely different answers by my doctors. My guess is that nobody knows for sure.
If you or anyone else has different information, please post.
Thanks and good luck.

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@njed

@domiha = Wow...what a topic! Early on when I first came on board to the Connect, mentor John @johnbishop said to learn as much as you can about your condition, and I have focused on that wise advice. I've purchased several publications relating to PN and various reliable websites not selling any products are helpful. I think what has helped me the most is hearing from others who also have PN. Our doctors don't deal with the psychological effects of PN, they deal with test results. Has a doctor ever asked how do you feel about having PN? Think about it. We deal with this each day, how it affects our lives, and it does. To what degree, that depends on each person. I appreciate Debbie's comments above and it's true, it's what you can do. And, as @valec said, don't give up and keep fighting. How true! Mike, thanks for this post, it got many thinking.

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You know what? You make a great point. Not once has a doctor asked how I feel about having and dealing with NP.
This is a profound and sad realization
Hugs 🤗 all around.
Group hug 🤗!!

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@domiha

@ray666 Thanks for your response. As I read it, I was reminded of that song from "The Showman" - "This is me!" I have been retired for 9 years now... and do not miss the paperwork. I was in helping professions all my life, and I do miss the interaction with people... but the paperwork had become too time consuming. I'm sorry that you had to give up your beloved acting career, as it obviously brought you a lot of enjoyment. I can't say, either, that I have a lot of "pain" with my PN. I do have pins and needles, tingling, and numbness in my feet and slightly into my ankles at times. On occasion, I may get the burning sensation in my toes. But for the most part, my feet feel numb and tingly, which is strange.... and I have some issues with gait and balance at times...but not a lot of actual pain. If I'm walking full speed in a pretty straight path, such as for exercise, I tend to wobble less. I have more problem maneuvering from room to room in my home.... or in stores with aisles and stands to travel around. I was diagnosed with spinal stenosis in Nov 2021. I saw several neurologists and several orthopedists before deciding on one. The spine specialist I chose sent me for PT, and when that didn't do the trick after several months, he sent me to a pain specialist for epidural injections in my spine and also in my sacrum. By Nov 2022, the pain in my hips and legs was so bad I could walk only about 30 yards before sitting. I had a four-level laminectomy in Nov 2022 and two months later resumed PT. After a few months of the PT, I seemed to still be having problems with balance, so the spine doc sent me for an MRI of my neck, and he found that I had a disc at C-4 that was pushing against my spinal cord. No pain, but it obviously didn't need to be left to get worse... so I underwent a cervical fusion in May. After 6 weeks, I resumed PT.... and I could tell immediately that the cervical surgery did help. But the balance was still off a bit, and the conclusion is that it was related to the year of compression of my spinal cord from the stenosis. Here I am almost 2 years later .... able to walk again, but needing a break more often than before... and also my calf muscles seem to tire more easily. Could it be from sitting on my keester too much during the lockdown? I'll never know. I try to walk everyday. During the summer I swam. And I do go to the gym on occasion. I've read and researched, and I had my PCP check my Vitamin B-12 and B6, both of which are fine. I've bought "recovery shoes" in several brands. Some help more than others. I've gone the Gabapentin and Lyrica routes.... neither one doing anything for me other than making me feel loopy. I now take a low dose of Amitriptyline, but I can't say it helps very much. I have taken Benfotiamine and R Alpha Lipoic Acid ever since not long after my surgery last November... and it's about time I chunked those, too, to see if I notice any change. I have a foot massager that I slip my feet into several times a week, and that helps a bit. But I'm gradually coming to the realization that, like you, this is something that is a part of me now and I will just have to live with it. You said "the psychological hurt was punishing," and I guess that's where I am now. At 72, I suppose I should be grateful to still be mobile. albeit with limitations. Bette Davis had it right when she said "old age is not for sissies." This old body is beginning to show signs of wear and tear... and most everyone goes through aches and pains with aging. But I refuse to mentally "grow old" any sooner than I absolutely have to. 🙂

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I am your shadow! I sympathize with you completely and totally agree with your thoughts.

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@jeffrapp

Hi @domiha I had exactly the same experience as you. BTW, in my humble opinion, I doubt that 1 or 2 drinks is the cause of your problem. Otherwise, almost everybody would have PN, and/or alcohol wouldn't have been invented.
I used to drink quite a bit; perhaps 3 drinks a day. When I was diagnosed with small fiber PN, I decided to quit entirely. I was "on the wagon" for 3 months, and the PN continued to get worse.
I decided that my experiment wasn't working, but I cut back to one glass of wine/day, when I resumed drinking because of the PN and other reasons.
My logic(?) was that if it wasn't working after 3 months, alcohol probably wasn't the cause, and anyway I enjoy my wine too much to wait years to find out, which I don't have many of left.
I haven't seen a study which adequately addresses this particular question, other than the standard remark that excess alcohol can be a cause of PN. I've also been given completely different answers by my doctors. My guess is that nobody knows for sure.
If you or anyone else has different information, please post.
Thanks and good luck.

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@jeffrapp I had one physical therapist tell me that alcohol was bad for PN because of the sugar, especially in wines or liqueurs. But, then, no doctor has told me to stop eating all sugar. I've not been drinking for the past two months... and I have honestly not noticed any huge difference. I had a glass of red wine with dinner tonight. Just like you, I'm on the downhill slide of my life and I figure I should still enjoy a glass of wine on occasion. I wonder? Are diabetics supposed to avoid alcoholic drinks because of sugar content?
Cheers! 🙂
Mike

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Pain, pain, pain. My steroids gotten taken away by a new rheumatologist, and none of my four doctors will prescribe them. Pain and it’s subsequent side effects are wearing me down. So I’m whining this month. But only to myself and this forum!
I read this again recently, and don’t even know who to credit it to, so feel free to borrow!
“I do things at pain levels that others wouldn’t even consider moving at, because if I don’t, I wouldn’t have a life. This doesn’t mean I’m having a ‘good day’. It only means I was able to be stronger than the pain for part of the day.”

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Well said- I feel the same as you.
Very hard to deal with,when you’re in pain everyday!
Sometimes I just wish I was pain free for just 1 day!

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@danamw73

I was just crying a little this afternoon. I’m one of those who has no idea why or how I got it (after many Dr and specialists appointments). Been dealing with it for around 4-5 yrs now. I get so depressed because I turned 50 this year and feel that I am still so young with hopefully, a lot of life left to live, especially for my 12yr old son. I try so hard to focus on other things. Mom always told me that your mind can only focus on one thing at a time. But, it’s just so hard at times. So, like others have said, feel free to whine. I’m new to the group and bet it’s completely understood and relatable to all.

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I feel your pain, I’ve been dealing for 12 yrs now, and I’ve had enough!

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@pcallier

TY Ray, I’m so delighted to get feedback. I tried attending the live support group with my local bell 🔔 ringers group, I was the only one in attendance. Still ! I go each month to see if anyone is in attendance..
NOW ! I know there has to be someone that has tried
cannabis for relief. Don’t be shy speak up.good or bad idea/ experience.

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I use it on a daily basis. But, doesn’t really help any with pain, only helps me to relax a bit better and lighten up my mood. Tried topical but, it didn’t help at all. Kind of made it more painful because it had a tingling affect.

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@johnbishop

Welcome @danamw73, I think we've all been there at one time or another and it's easy to get depressed when you have to deal with the condition every day. My neuropathy started sometime in my late 40s into my 50s but I didn't bother to get a diagnosis until I was in my early 70s. My best advice that I can offer is to learn as much as you can about your condition and treatment options available that may provide relief for your symptoms. Connect is a great place to learn what treatments others have shared has helped them.

If you haven't already seen the following site, it might be worth your time to read through some of the information on the available alternative and complementary treatments.
--- Foundation for Peripheral Neuropathy: https://www.foundationforpn.org/living-well/

I shared my neuropathy journey in another discussion here - https://connect.mayoclinic.org/comment/310341/. Do you you mind sharing a little more about your diagnosis and any treatments you have tried?

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Thank you for the info!

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@domiha

@jeffrapp I had one physical therapist tell me that alcohol was bad for PN because of the sugar, especially in wines or liqueurs. But, then, no doctor has told me to stop eating all sugar. I've not been drinking for the past two months... and I have honestly not noticed any huge difference. I had a glass of red wine with dinner tonight. Just like you, I'm on the downhill slide of my life and I figure I should still enjoy a glass of wine on occasion. I wonder? Are diabetics supposed to avoid alcoholic drinks because of sugar content?
Cheers! 🙂
Mike

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I think the answer to your question about DM and alcohol is the same as the question about alcohol and PN: nobody really knows, but the recommendation (most likely due to common sense rather than scientific study) is don't drink to excess. It doesn't seem to have a direct relationship to sugar levels. BTW, perhaps a lesson learned. If you want answers to medical questions, ask your doctor, PA or nurse, not your PT.
Here is a link that addresses the question:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761899/#:~:text=Heavy%20drinking%2C%20particularly%20in%20diabetics,nerve%20damage%2C%20and%20eye%20disease.

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