What is Peripheral Neuropathy
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Types of Peripheral Neuropathy
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Types of Peripheral Neuropathy - Toxic/Secondary to Drugs

 
Alcoholic Neuropathy

Alcohol can have a toxic effect on nerve tissue, and alcohol abuse is a frequent cause of neuropathy. People suffering from alcoholic neuropathy may feel burning and tingling sensations in their feet, which may persist or may last from a few months to a few years. People with alcoholic neuropathy who stop drinking, may alleviate their current symptoms and prevent further nerve deterioration. Damage to nerves caused by alcoholic neuropathy, however, is usually permanent.

Chronic alcoholism is often associated with malnutrition and nutritional and vitamin deficiencies, including B12, B1 (thiamin), folate and other B vitamins. It may be hard to distinguish nutrition-related neuropathies from alcoholic neuropathy.

SYMPTOMS AND SIGNS

(Not all symptoms and signs may be present.)

  • Abnormal sensations
    • Pain
      • Feels like "pins and needles"
    • Numbness
    • Muscle weakness, cramps, or aches
    • Muscle spasms / contractions
    • Tingling
  • Constipation
  • Diarrhea
  • Incontinence (leaking urine) or difficulty with urination
  • Impotence in men
  • Nausea / vomiting

EVALUATION AND TESTS

(Not all evaluation and tests may be necessary.)

TREATMENT AND THERAPY

(Not all treatments and therapies may be indicated.)

  • Seek treatment for alcoholism
  • Stop drinking
  • Supplement diet with vitamins, including B1 (thiamin), B12, folate and Vitamin E. Too much vitamin B6, however, may worsen peripheral neuropathy.
  • Pain medication
  • Physical therapy
  • Use of orthopedic appliances, such as orthotic devices, which may be covered by Medicaid.
  • Take safety measures to compensate for loss of sensation.



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