Peripheral neuropathy is a condition that occurs when there is damage to the nerves that run outside the brain and spinal cord, and it can cause a variety of symptoms, including pain, numbness, tingling, and muscle weakness. It is typically progressive starting at the most distal part of the nerve in the toes or fingers and works its way back centrally toward the spine.
Causes of peripheral neuropathy include but not limited to:
- Vitamin Deficiency
- Autoimmune Disease
- Injury to nerve(s)
- Viral Infection
- Herpetic neuralgia / Shingles
- Post Covid-19
- Spinal Disc Issue
Treatments for Peripheral neuropathy:
Common Medical Approach:
Most patients I have seen have already sought the help of their general practitioner who have likely sent them to the Neurologist for further testing. Most patients are given a pharmaceutical drug named Gabapentin which was initially released for treating epilepsy. In theory, the drug is meant to slow the transmission of signals in the nerves thus reducing the pain signals from the nerve to the brain. Other names for Gabapentin are: Neurotin, Gralise, Neuraptine, and Gabarone. It is listed in the drug class as an Anticonvulsant- GABA Analogs and as a Postherpetic Neuralgia Agent. The side effects listed of this drug include: drowsiness, nystagmus, dizziness, fatigue, ataxia, sedation, peripheral edema, mood changes, depression, hostility, hyperkinesis, diplopia, blurred vision, xerostomia, back pain, memory impairment, altered mental status, general weakness, malaise, and tremor.
High Intensity Laser Therapy:
High-intensity laser therapy (HILT) may be helpful for treating peripheral neuropathy by reducing pain and inflammation, improving blood flow, and promoting cellular function.
- Pain relief: HILT has been shown to be effective in reducing pain and inflammation, which can help to relieve the symptoms of peripheral neuropathy.
- Improved blood flow: HILT can help to improve blood flow, which can help to provide the damaged nerves with the nutrients they need to heal and reduce the risk of further nerve damage.
- Improved cellular function: HILT can help to improve cellular function by increasing the production of ATP (adenosine triphosphate), the molecule responsible for energy production in cells. This can help to promote tissue healing and reduce oxidative stress, which can help to reduce the risk of further nerve damage.
It's important to note that the effectiveness of HILT for treating peripheral neuropathy will depend on a number of factors, such as the severity of the nerve damage, the duration and frequency of the treatments, and the skill and experience of the chiropractor. Additionally, the type of laser used and the intensity of the laser light can also affect the effectiveness of HILT.
Pulsed Electro-Magnetic Field Therapy
Pulsed Electromagnetic Field (PEMF) therapy is a non-invasive treatment modality that involves the application of low-frequency electromagnetic fields to the body. PEMF therapy has been used for a variety of conditions, including peripheral neuropathy.
The potential benefits of using PEMF therapy for peripheral neuropathy include:
- Pain relief: PEMF therapy has been shown to be effective in reducing pain, which can help to relieve the symptoms of peripheral neuropathy.
- Improved blood flow: PEMF therapy can help to improve blood flow, which can help to provide the damaged nerves with the nutrients they need to heal and reduce the risk of further nerve damage.
- Reduced inflammation: PEMF therapy has anti-inflammatory effects and may be helpful in reducing inflammation, which can help to reduce the symptoms of peripheral neuropathy.
- Improved cellular function: PEMF therapy can help to improve cellular function by increasing the production of ATP (adenosine triphosphate), the molecule responsible for energy production in cells. This can help to promote tissue healing and reduce oxidative stress, which can help to reduce the risk of further nerve damage.
It's important to note that the effectiveness of PEMF therapy for peripheral neuropathy will depend on a number of factors, such as the severity of the nerve damage, the frequency and duration of the treatments, and the nutritional building blocks available for the body to heal.
Nutritional Supplementation / Diet
Based on individual conditions, specific nutrition can be recommended to help with peripheral neuropathy through either providing the building blocks for the cells to function more normally or by helping remove toxins / oxidative free radicals. Some peripheral neuropathies that result from diabetes or alcohol induced neuropathy may require dietary changes if they have not already been implemented.
Cox® Technic is evidence-based spinal manipulation with a rich history of clinical and biomechanical research efforts performed in laboratories with federal grants and in private practices with practitioner excitement and desire to show what is possible with non-surgical, chiropractic spine care for many spine conditions. In some peripheral neuropathy cases, lumbar disc inflammation causes stimulation of the Sympathetic Nerve endings that line the periphery of the disc. This causes the Sympathetic Chain in the lumbar region to cause vasoconstriction into the legs resulting in decreased blood flow, oxygenation, and nutrition reaching the nerves. Early signs of this may simply feel like stiff sore muscles in the low back after sitting for long periods which can progress to an achy restless leg type symptom.