Peripheral Nerve Injuries & Neuropathies
Comprehensive treatment for nerve damage and dysfunction
Understanding Peripheral Nerve Injuries & Neuropathies
Peripheral nerve injuries and neuropathies encompass a wide range of conditions affecting the peripheral nervous system—the network of nerves outside the brain and spinal cord. These conditions can result from acute trauma or develop gradually due to metabolic, toxic, infectious, or inflammatory processes. Damage to these nerves can cause various symptoms depending on which nerve fibers are affected.
Peripheral neuropathy is particularly common in diabetes, affecting up to 50% of diabetic patients. The prognosis varies widely depending on the cause and severity, with some conditions being reversible if the underlying cause is addressed. Chronic neuropathic pain from these conditions can be particularly challenging to treat.
Common Causes
Diabetes Mellitus
Chronic hyperglycemia causing metabolic damage to nerve fibers, most common cause
Traumatic Injuries
Lacerations, fractures, dislocations, or crush injuries directly damaging nerves
Chemotherapy
Neurotoxic effects of certain cancer treatments
Vitamin Deficiencies
Particularly B12, B6, and thiamine deficiency causing nerve dysfunction
Autoimmune Conditions
Guillain-Barré syndrome, CIDP, or vasculitis affecting nerves
Compression Syndromes
Carpal tunnel syndrome, cubital tunnel syndrome, or other entrapment neuropathies
Symptoms
Numbness, tingling, or pins and needles sensations
Burning, shooting, or electric shock-like pain
Extreme sensitivity to touch (allodynia)
Muscle weakness or paralysis in severe cases
Loss of coordination and balance
Loss of reflexes
Muscle atrophy with chronic denervation
Autonomic symptoms including abnormal sweating
Advanced Treatment Options
Nerve Blocks
Targeted injections to interrupt pain signals and reduce inflammation
Spinal Cord Stimulation
Implanted neurostimulation particularly effective for diabetic neuropathy
Peripheral Nerve Stimulation
Direct stimulation of affected peripheral nerves for localized pain
Nerve Decompression Surgery
Surgical release of compressed nerves in entrapment syndromes
Nerve Repair or Grafting
Microsurgical techniques to reconnect severed nerves
Scrambler Therapy
Non-invasive cutaneous electrical stimulation to retrain pain pathways
Dorsal Root Ganglion Stimulation
Targeted neuromodulation for focal neuropathic pain
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