Peripheral Neuropathy And It's Diagnosis

Peripheral Neuropathy has many types and are classified based on their root causes

. Among them include those caused by diabetes, heavy metal toxins, alcoholism, nerve injuries, and medication intake. Other causes are hereditary while others are idiopathic in nature, or those causes that are unknown.

Although peripheral neuropathies vary from one patient to another, symptoms are remarkable similar. Among the common symptoms experienced by patients include loss of sensation, tingling, numberness and sleep disturbance.

Doctors perform thorough evaluation in order to determine the components of a patient's peripheral neuropathy. This will include things such as checking your vital signs, body mass index, the mobility and range of motion of your lower back and hips, and the overall health of your feet, skin, nails and hair, blood vessels and circulation. This could include a simple painless test to check for blood flow or blockages called Doppler ultrasound.

As the doctor performs clinical examination, neurological examination including reflexes, muscle-testing, and sensation to touch using a device as simple as a pin, a brush or perhaps even a pinwheel, will also be conducted. Your vibration sensation which is often disturbed in peripheral neuropathy will also be checked by your doctor. This is a painless and easy test done using a simple tuning forks. Your balance will be assessed.

Laboratory tests such as kidney and liver function tests, chemistry panel, blood sugar level and a hemoglobin A1c will also be conducted. This particular test is very good in determining if a patient is a borderline diabetic. It has been found that several patients with peripheral neuropathy have yet to be diagnosed with diabetes but are already suffering from metabolic syndrome.

Application of things like NCV, or nerve conduction velocities are also done as additional considerations in diagnosing peripheral neuropathy. These are oftentimes performed in the offices of neurologists and other healthcare providers who are trained and certified in their application.

To help your doctor better diagnose your peripheral neuropathy, bring along with you copies of past laboratory tests especially those that were done within a couple of years prior to your visit. This is to avoid having to take a test twice. Make sure to also informed them about your medical and family history. The more they know, the better they'll be able to diagnose your condition.

Remember that peripheral neuropathy is a diagnosis of exclusion. Your doctor will be able to exclude causes that are not associated with your peripheral neuropathy if they know more about you and your medical history.

by: John Hayes Jr

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