Neuropathy Treatments

Neuropathy
Symptoms, Treatments, Causes, and Diagnosis

Radio Interview Dr. Shaoulian

Introduction

Symptoms

Different causes

Diagnosis

Treatments

Testimonials and Reviews

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.  They are 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 neuropathyand 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.

References

  1. Huang CR, Chang WN, Tsai NW, Lu CH. Serial nerve conduction studies in vitamin B12 deficiency-associated polyneuropathy. Neurol Sci. 2011 Feb;32(1):183-6. Epub 2010 Oct 2.
  2. Ahmed A, Kothari MJ. Recovery of neurologic dysfunction with early intervention of vitamin B12. J Clin Neuromuscul Dis. 2010 Jun;11(4):198-202.
  3. Nardin RA, Amick AN, Raynor EM. Vitamin B(12) and methylmalonic acid levels in patients presenting with polyneuropathy. Muscle Nerve. 2007 Oct;36(4):532-5.
  4. Tackenberg B, Nimmerjahn F, Lünemann JD.Mechanisms of IVIG efficacy in chronic inflammatory demyelinating polyneuropathy.J Clin Immunol. 2010 May;30 Suppl 1:S65-9.
  5. England JD, Gronseth GS, et al. Practice parameter: the evaluation of distal symmetric polyneuropathy: the role of autonomic testing, nerve biopsy, and skin biopsy (an evidence-based review). Report of the American Academy of Neurology, the American Association of Neuromuscular and Electrod. PM R. 2009 Jan;1(1):14-22.
  6. Greet Hermans, Bernard De Jonghe, et al. Clinical review: Critical illness polyneuropathy and myopathy. Crit Care. 2008; 12(6): 238.
  7. Hermans G, De Jonghe B, Bruyninckx F, Van den Berghe G. Interventions for preventing critical illness polyneuropathy and critical illness myopathy. Cochrane Database Syst Rev. 2009 Jan 21;(1):CD006832.
  8. Wolfgang Zink, Rainer Kollmar & Stefan Schwab. Critical illness polyneuropathy and myopathy in the intensive care unit. Nature Reviews Neurology 5, 372-379 (July 2009) | doi:10.1038/nrneurol.2009.75
  9. Jian-bo L, Cheng-ya W, Jia-wei C, Xiao-lu L, Zhen-qing F, Hong-tai M. The preventive efficacy of methylcobalamin on rat peripheral neuropathy influenced by diabetes via neural IGF-1 levels. Nutr Neurosci. 2010 Apr;13(2):79-86.
  10. Bell, David S.H. MD. Metformin-Induced Vitamin B12 Deficiency Presenting as a Peripheral Neuropathy. Southern Medical Journal:March 2010 - Volume 103 - Issue 3 - pp 265-267
  11. Daryl J. Wile, MD, and Cory Toth, MD. Association of metformin, elevated homocysteine and methylmalonic acid levels, and clinically worsened diabetic peripheral neuropathy. Diabetes Care. 2010 Jan;33(1):156-61. Epub 2009 Oct 21.
  12. S Jann, M A Bramerio, D Facchetti, R Sterzi. Intravenous immunoglobulin is effective in patients with diabetes and with chronic inflammatory demyelinating polyneuropathy: long term follow-up. J Neurol Neurosurg Psychiatry 2009;80:70-73 doi:10.1136/jnnp.2008.149013.
  13. D. Ram Ayyar and Khema R. Sharma. Chronic inflammatory demyelinating polyradiculoneuropathy in diabetes mellitus. Current Diabetes ReportsVolume 4, Number 6, 409-412, DOI: 10.1007/s11892-004-0048-y
Neurology Muscular Dystrophy and Neuropathy Specialist
9301 Wilshire Blvd. Suite 600, Beverly Hills (Los Angeles County), CA 90210
(310) 278-2525