Peripheral Neuropathy is said to have many types, mostly classified according to their root causes. Some of it's types 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. These symptoms include numbness, loss of sensation, tingling or prickling sensation and sleep disturbance.In order to determine the component of a patient's peripheral neuropathy, doctors conduct a very thorough evaluation. 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 might include Doppler ultrasound, a simple painless test to check for blood flow or blockages.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 done painlessly and very easily through the use of simple tuning forks. Your balance will be assessed.Laboratory tests will also be conducted such as chemistry panel, kidney and liver function test, blood-sugar level and a hemoglobin A1c. 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.Additional considerations in diagnosing peripheral neuropathy include the application of things like NCV, or nerve conduction velocities. These are oftentimes performed in the offices of neurologists and other healthcare providers who are trained and certified in their application.You can help your doctor properly diagnose your peripheral neuropathy by bringing with you a copy of laboratory tests that you're underwent 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.
