Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Question Title: Can Silicone Gel Poisoning cause Peripheral Neuropathy?

Forum: Neurology Forum
Topic: Neuropathy


I am a 35 year old female. I had silicone gel breast implant (cosmetic)
surgery in 1987. Within the year, I developed pain and stiffness in my
leg muscles. Over time, it progressed to my arms and finger joints.
I had the implants removed in 1994.
No ruptures, but the sponge coating surrounding the implants was completely
gone (broken down and absorbed by my body). Within a couple of months,
most of my pain disappared, however, this muscle cramping developed in my
feet and has become steadily worse over the last couple of years. My feet
are always cold even in the 90 degree heat.
Just 3 weeks ago I developed the numbness and pain severe enough to limit
my ability to walk which forced me to the doctor. I'm now on muscle
relaxers around the clock to stop the muscle spasms and allow me to walk
more comfortably.
I have had a habit of drinking beer practically every day for the
last 10 years and my diet has not been good. I usually only eat 1 or 2
small meals per day. My doctor has suggested peripheral neuropathy (caused
by the alcohol consumption) but the tests are not complete yet. He has
directed me to stop drinking until tests are completed which I have done.
Could the silicone toxins in my system be part of the cause
and is it possible to recover from this condition by quitting the
alcohol and improving my diet? I'm also taking vitamin b-12 that my doctor
recommended. Thanks for your time.

Dear Stacey:

Sorry to hear about all your problems. As you know, there is controversy concerning the possible effects of silicon from breast implants. Most of the data from good laboratories suggest that there is not a strong correlation. That doesn't mean that absolutely there is no effect in you, but that it is unlikely. What I would suggest is that you see a neurologist and have a full work up for your problem. You will probably need a test called an EMG to test your nerves. Likely some blood work will be needed. Yes, there is a vitamin deficiency called vitamin B12 deficiency that can cause peripheral neuropathy. The blood test that your doctor will perform will detect if this is the case. Yes, your diet may be the problem, but so could alot of things. I hope that you find relief from your spasms soon. Please, do go and see a good neurologist. If we can be of help, let us know.

Sincerely,

CCF Neuro[P] MD,RPS


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