takeaway
- by identifying and treating the underlying cause of a neuropathy, nerves can regenerate
- if sensory nerves are injured then the patients develop numbness, burning, and tingling.
- if motor nerves are injured, patients develop muscle weakness
- when nerves are damage the brain loses its connection and miscommunicates with the muscles, skin, and the other organs
- symptoms of neuropathy usually start in the feet and gradually work their way up the legs and into the arms into polyneuropathies.
- wide range of symptoms and disease intensity; some patients only have mild symptoms and a slowly progressing disease, others a very aggressive course.
- patients can develop severe weakness.
- other organs could become involved incl inability to adequately empty the bladder, nausea, vomiting, abdominal fullness or bloating, diarrhea or constipation, low blood [pressure] with dizziness
http://www.beverlyhillsneurology.com/peripheralneuropathy.html
Peripheral neuropathy treatment - Symptoms, Causes, Diagnosis (CA) Beverly HillsNeuropathy Clinic
Dr. Shaoulian, The Nerve MD
Neurology Muscular Dystrophy and Neuropathy Institute
Dr. Shaoulian, The Nerve MD
Neurology Muscular Dystrophy and Neuropathy Institute
- Neuropathy Can Lead to Muscle Weakness. Patients Can Lose the Ability to Walk
- Proper Diagnosis is Key to Successful Treatment. There are More Than 100 Different Causes of Neuropathy
- Neuropathy Could be Treatable. By finding and treating the underlying cause of a neuropathy, nerves can regenerate.
What is Neuropathy Symptoms, Treatments, Causes, and Diagnosis
Neuropathy is a disease in which the peripheral nerves of the body are injured. There are multiple diseases that could cause nerve injury and neuropathy. The peripheral nerves are a group of cells that transmit information from the brain and spinal cord to the muscles and the organs of the body. They also carry information back from the skin and the organs to the brain. These are the nerves that are injured. For example when the brain wants to tell the muscle to move it sends a command to the muscle through the peripheral nerve.
The nerves that are responsible for moving the muscles are called motor nerves. If they are injured, the patients develop muscle weakness. There is a second type of nerve that is called a sensory nerve, responsible for transmitting sensation of touch, vibration, and position to the brain. When these nerves are injured the patients develop numbness, tingling, pain, and burning. When the nerves are damage the brain loses its connection with the muscles, skin, and the other organs of the body which could develop into a neuropathy. All the symptoms that develop are as a result of the disruption of the link between the brain and the organs of the body.
There is a wide range of symptoms and disease intensity; some patients only have mild symptoms and a slowly progressing disease, others could have a very aggressive course. Patients could develop severe weakness with intense burning, tingling and numbness. However in the recent past we have made great advances and breakthroughs in the diagnosis and treatment of neuropathies. Today we have treatments that were not available a short time ago, even for the most aggressive types of neuropathy. Patients with severe burning or weakness could be helped. There are multiple different causes of neuropathies. The first step is to find out what is causing the neuropathy and then to design a treatment plan that not only helps to alleviate the symptoms, but treats the underlying cause.
Doctor Shaoulian is a neuropathy specialist and an expert in diagnosing and treating the most difficult cases. We will perform comprehensive testing to make the proper diagnosis and find out the underlying cause of the neuropathy. We then use the most advanced treatment options available. We have a high success rate in treating neuropathies.
4min video: https://youtu.be/1OjBiN3LDRE
CIDP & neuropathy help (Chronic inflammatory demyelinating polyneuropathy)
Natan Shaoulian
Published on Mar 30, 2012
Help for sufferers of pain, weakness and tingling in feet or hands which can be caused by CIDP/neuropathy. Doctors often misdiagnose or misunderstand the proper treatment. A specialist offers advice.
Neuropathy SymptomsNumbness, Tingling, Burning, Pain and Muscle Weakness
The symptoms of Neuropathy reflect the loss or miscommunication between the brain and other organs. If the nerves that control the muscles which are called motor nerves are damaged, then the patients develop weakness. If the nerves known as sensory nerves are injured then the patients develop numbness, burning, and tingling. The part of the body that becomes affected depends on which nerves are damaged. If there is a systemic disease that is affecting all of the nerves of the body then the symptoms of neuropathy usually start in the feet and gradually work their way up the legs and into the arms. In this type, which is called a polyneuropathy, the patients could first develop a foot drop and they notice that they are tripping over their feet, or their feet and toes become numb and tingling. The symptoms could gradually increase. Other disease processes could affect only one nerve so that the only part of the body that is affected is the region which that nerve controls. This type is called a mononeuropathy. For example, the patient could only develop weakness, numbness, tingling, and burning only in one hand. Other organs could also become involved including inability to adequately empty the bladder, nausea, vomiting, abdominal fullness or bloating, diarrhea, or constipation, low blood [pressure] with dizziness, or trouble maintaining an erection.
The symptoms of Neuropathy reflect the loss or miscommunication between the brain and other organs. If the nerves that control the muscles which are called motor nerves are damaged, then the patients develop weakness. If the nerves known as sensory nerves are injured then the patients develop numbness, burning, and tingling. The part of the body that becomes affected depends on which nerves are damaged. If there is a systemic disease that is affecting all of the nerves of the body then the symptoms of neuropathy usually start in the feet and gradually work their way up the legs and into the arms. In this type, which is called a polyneuropathy, the patients could first develop a foot drop and they notice that they are tripping over their feet, or their feet and toes become numb and tingling. The symptoms could gradually increase. Other disease processes could affect only one nerve so that the only part of the body that is affected is the region which that nerve controls. This type is called a mononeuropathy. For example, the patient could only develop weakness, numbness, tingling, and burning only in one hand. Other organs could also become involved including inability to adequately empty the bladder, nausea, vomiting, abdominal fullness or bloating, diarrhea, or constipation, low blood [pressure] with dizziness, or trouble maintaining an erection.
Treatments of Neuropathy
Polyneuropathy:
Since polyneuropathy is generally caused by a systemic illness, we need to find and treat the underlying disease process. The treatment of neuropathy and its success depends on the underlying illness that is causing it. Unfortunately there is not a single treatment that works for all neuropathies. Each type of neuropathy has its own unique treatment.
Diabetic NeuropathyDiabetic Neuropathy could be a complex problem but it is often a treatable neuropathy. One of the first steps in the treatment is to get good control of glucose levels, which could slow the progression of the neuropathy. However we find that this is often not enough. Patient could have good control of their glucose levels and yet their neuropathy could progress. We often find that diabetic patients generally have a second disease process that is affecting the nerves. It appears that the nerves in diabetic patients become more sensitive to injury. Disease processes that would cause minor injury to the nerves of non-diabetic patients could have more of an effect in diabetic patients. We often find that when we treat the secondary disease process that the patients could have significant relief.
One of the common processes that we see in diabetics is entrapment syndromes. The nerves in the body generally pass through tunnels that are made of muscles and tendons. If the tunnel becomes narrow or the nerve swells, then the nerve could become entrapped. Diabetic patients could have swelling of the nerves which causes entrapment. The most common one is carpal tunnel syndrome which is the entrapment of the nerves that pass through the tendons of the wrist. This causes hand pain, tingling, burning, and numbness (See carpal tunnel syndrome). We have been finding that the same kind of process could occur in the legs. The nerves in the legs could become entrapped in the tendons that they pass through. There are very simple surgical techniques available that are able to release the nerve from the tunnel. We find that once the entrapped nerve is released the patients get significant relief, even from severe pain and burning.
Another category of problems we see in patients that have diabetic neuropathy are vitamin deficiencies or excess levels of vitamins. We often see that once we correct the vitamin levels, the patient could find significant relief.
In some of our diabetic patients we find that they have an immune mediated neuropathy (see below for more details).
We have just mentioned some of the common problems we see as secondary problems in diabetic patients. There are multiple other disease processes that need to be looked at as well. We find that once we have the proper diagnosis, most diabetic neuropathies have treatment.
Vitamin deficiencies and vitamin excessAnother category of diseases that we see are vitamin deficiencies and vitamin excess. With more accurate testing we are finding that a significant portion of our patients have vitamin abnormalities. We not only measure the body's vitamin levels directly, but we use tests that indicate how the body is using the vitamins. These tests show that some patients might need a change in their levels of vitamins even though they could have near normal blood levels of the vitamin itself. This is because different bodies handle different vitamin levels differently. In one patient a certain vitamin level might be enough but in another a higher level of vitamins might be needed. The vitamins that are known to effect nerves include vitamin B6, B12, B1, and Folic acid (B9). Once the patient gets the proper amount of vitamins they could have significant improvement.
CIDP and Immune Mediate NeuropathiesCIDP is a disease process by which body's own immune system attacks its own nerves (see CIDP for more information). There are now very good treatments to stop the immune system from attacking its own nerves. Once the immune system stops attacking the nerves, this allows the nerves to regenerate. Even patients who have CIDP with severe weakness, numbness, tingling, or burning could have very good response to these treatments. In addition to treating the underlying disease, we use different techniques to control the symptoms including multiple different medications, physical therapy, braces, electrical stimulators, surgical methods, and injections.
We have just mentioned some of the common neuropathies we see and their treatments. There are multiple other disease processes that need to be looked at as well.
Mononeuropathy:
Generally when a single nerve of the body is not working properly there is a local cause for it. By finding that part of the nerve that is not working, an attempt is made to relieve the local cause. This could be done by wearing the proper brace, physical therapy, medications, being aware and using the correct posture, and at times surgical intervention is needed to prevent further damage of the nerve and even reverse the symptoms. If proper treatments are not provided and the problem is ignored, the disease could progress and the injury could become irreversible.
Polyneuropathy:
Since polyneuropathy is generally caused by a systemic illness, we need to find and treat the underlying disease process. The treatment of neuropathy and its success depends on the underlying illness that is causing it. Unfortunately there is not a single treatment that works for all neuropathies. Each type of neuropathy has its own unique treatment.
Diabetic NeuropathyDiabetic Neuropathy could be a complex problem but it is often a treatable neuropathy. One of the first steps in the treatment is to get good control of glucose levels, which could slow the progression of the neuropathy. However we find that this is often not enough. Patient could have good control of their glucose levels and yet their neuropathy could progress. We often find that diabetic patients generally have a second disease process that is affecting the nerves. It appears that the nerves in diabetic patients become more sensitive to injury. Disease processes that would cause minor injury to the nerves of non-diabetic patients could have more of an effect in diabetic patients. We often find that when we treat the secondary disease process that the patients could have significant relief.
One of the common processes that we see in diabetics is entrapment syndromes. The nerves in the body generally pass through tunnels that are made of muscles and tendons. If the tunnel becomes narrow or the nerve swells, then the nerve could become entrapped. Diabetic patients could have swelling of the nerves which causes entrapment. The most common one is carpal tunnel syndrome which is the entrapment of the nerves that pass through the tendons of the wrist. This causes hand pain, tingling, burning, and numbness (See carpal tunnel syndrome). We have been finding that the same kind of process could occur in the legs. The nerves in the legs could become entrapped in the tendons that they pass through. There are very simple surgical techniques available that are able to release the nerve from the tunnel. We find that once the entrapped nerve is released the patients get significant relief, even from severe pain and burning.
Another category of problems we see in patients that have diabetic neuropathy are vitamin deficiencies or excess levels of vitamins. We often see that once we correct the vitamin levels, the patient could find significant relief.
In some of our diabetic patients we find that they have an immune mediated neuropathy (see below for more details).
We have just mentioned some of the common problems we see as secondary problems in diabetic patients. There are multiple other disease processes that need to be looked at as well. We find that once we have the proper diagnosis, most diabetic neuropathies have treatment.
Vitamin deficiencies and vitamin excessAnother category of diseases that we see are vitamin deficiencies and vitamin excess. With more accurate testing we are finding that a significant portion of our patients have vitamin abnormalities. We not only measure the body's vitamin levels directly, but we use tests that indicate how the body is using the vitamins. These tests show that some patients might need a change in their levels of vitamins even though they could have near normal blood levels of the vitamin itself. This is because different bodies handle different vitamin levels differently. In one patient a certain vitamin level might be enough but in another a higher level of vitamins might be needed. The vitamins that are known to effect nerves include vitamin B6, B12, B1, and Folic acid (B9). Once the patient gets the proper amount of vitamins they could have significant improvement.
CIDP and Immune Mediate NeuropathiesCIDP is a disease process by which body's own immune system attacks its own nerves (see CIDP for more information). There are now very good treatments to stop the immune system from attacking its own nerves. Once the immune system stops attacking the nerves, this allows the nerves to regenerate. Even patients who have CIDP with severe weakness, numbness, tingling, or burning could have very good response to these treatments. In addition to treating the underlying disease, we use different techniques to control the symptoms including multiple different medications, physical therapy, braces, electrical stimulators, surgical methods, and injections.
We have just mentioned some of the common neuropathies we see and their treatments. There are multiple other disease processes that need to be looked at as well.
Mononeuropathy:
Generally when a single nerve of the body is not working properly there is a local cause for it. By finding that part of the nerve that is not working, an attempt is made to relieve the local cause. This could be done by wearing the proper brace, physical therapy, medications, being aware and using the correct posture, and at times surgical intervention is needed to prevent further damage of the nerve and even reverse the symptoms. If proper treatments are not provided and the problem is ignored, the disease could progress and the injury could become irreversible.
Dr. Nathan Shaoulian MD.
- Dr. Shaoulian is an Expert in Diseases of the Nerves
- Treating and Diagnosing the Most Difficult Cases of Neuropathy
- Using the Most Advanced Techniques
- High Rate of Success in Reversing Severe Neuropathies
- Neuromuscular Specialist
- Specializes in Nerve & Muscle Diseases
- EMG/Nerve Conductions Studies
- Muscle Biopsies
- Latest & Most Advanced Treatments
The Neurology Muscular Dystrophy and Neuropathy Institute, headed by Doctor Natan Shaoulian, is located in Beverly Hills in Los Angeles county. USC trained, Dr. Shaoulian is a board certified Neurologist subspecializing in neuromuscular disorders. Doctor Shaoulian is a muscular dystrophy and neuropathy specialist.
He is a diplomat of the American Board of Psychiatry and Neurology and a member of the American Board of Medical Specialties.Dr. Shaoulian is a staff member at Cedars Sinai Hospital and is featured on a weekly radio show addressing neurological issues.
Why Choose Dr. Natan Shaoulian, The Nerve MDHe is an expert in performing tests used in evaluating muscles and nerves, including Electroymyography (EMG), Nerve Conduction Studies, and muscle biopsies. At the Neurology Muscular Dystrophy and Neuropathy Institute, the patient is our primary concern. We make sure our patients get the special attention they need. Dr. Shaoulian makes every effort to make the proper diagnosis and provide the proper treatment. Dr. Shaoulian believes that the crucial factor in diagnosing and treating a patient is the time spent with the patient. We ask you thorough questions to fully understand your problems and perform a comprehensive neurological exam during your visit.
Based on our clinical findings, we use the latest technology to make the proper diagnosis. Our office has access to the most advanced imaging techniques and laboratory studies available. Once the diagnosis is made, we provide you with the latest and most advanced treatments available today. We ensure you are informed of every step taken during this process. We make sure you understand the cause of your problem, the meaning of the diagnosis, and the full explanation of your treatment.
Dr. Shaoulian is an expert in the diagnosis and treatment for diseases below:
He is a diplomat of the American Board of Psychiatry and Neurology and a member of the American Board of Medical Specialties.Dr. Shaoulian is a staff member at Cedars Sinai Hospital and is featured on a weekly radio show addressing neurological issues.
Why Choose Dr. Natan Shaoulian, The Nerve MDHe is an expert in performing tests used in evaluating muscles and nerves, including Electroymyography (EMG), Nerve Conduction Studies, and muscle biopsies. At the Neurology Muscular Dystrophy and Neuropathy Institute, the patient is our primary concern. We make sure our patients get the special attention they need. Dr. Shaoulian makes every effort to make the proper diagnosis and provide the proper treatment. Dr. Shaoulian believes that the crucial factor in diagnosing and treating a patient is the time spent with the patient. We ask you thorough questions to fully understand your problems and perform a comprehensive neurological exam during your visit.
Based on our clinical findings, we use the latest technology to make the proper diagnosis. Our office has access to the most advanced imaging techniques and laboratory studies available. Once the diagnosis is made, we provide you with the latest and most advanced treatments available today. We ensure you are informed of every step taken during this process. We make sure you understand the cause of your problem, the meaning of the diagnosis, and the full explanation of your treatment.
Dr. Shaoulian is an expert in the diagnosis and treatment for diseases below:
- Neuropathy
- Muscular dystrophy
- Fibromyalgia
- Polymyositis
- Myasthenia gravis
- ALS
- Multiple Sclerosis (MS)
- Back and neck pain
- Parkinson's Disease
- Tremors
- Headaches
- Strokes
- Alzheimer's Disease
- Memory problems
- Seizures
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hi doctor. i like what i'm reading, i'm 52 have mthfr/b12 deficiency and 3 acute sciatic episodes in 25 years - each left me with progressive neuropathies incl twitch/pain+weakness on left side limbs and pain ever more intense when sitting, worse when standing/working. dose cbd/ibu to no avail at work. dread being upright too long.
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