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Re: Peripheral Neuropathy with no pain?

Posted By CCF Neurology MD - AY on September 30, 1998 at 21:37:14:

In Reply to: Peripheral Neuropathy with no pain? posted by Don Whitehead on September 30, 1998 at 21:05:42:

Is it possible to have peripheral neuropathy with no pain?  Syptoms include numbness in feet and legs (both sides, numbness covers more of left leg than right,  began in shins and has spread from toes to knees); some loss of muscle control; jerking of feet and legs while asleep;  occasional falls.  Have had many MRIs.  Testing points to problem somewhere between tailbone and neck.  
If this is peripheral neuropathy where do I go from here?

Thanks for your question.  Peripheral neuropathy can present without actual
pain.  In fact, some patients can actually lose the sensation of pain in
advanced stages of certain peripheral neuropathies, such as diabetic neuropathy.
You mentioned several negative MRI studies in your message, but you did not
comment on any other tests performed by your physicians.  Amongst the
different possibilities to be checked in your situation, one should consider
systemic diseases (such as diabetes mellitus), nutritional deficiencies
(such as Vitamin B12 or Folate deficiency), connective tissue diseases
(such as systemic lupus erithematous), metabolic disorders (disfunctions
of the thyroid gland).  An objective, electrophysiological test such as an
Electromyography (EMG) might also help in the characterization of the
sensory and/or motor impairment.  If you are seeking a second opinion, you
should consider a neurologist specialized in peripheral nervous system or
neuromuscular diseases.
I hope this information is helpful.  Best of luck.
This information is provided for general medical education purposes only.
Please consult your doctor regarding diagnostic and treatment options.

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