21. An Algorithm For The Evaluation Of Peripheral Neuropathy - February 15, 1998 - A The evaluation of a peripheral neuropathy can be timeconsuming and costly. Algorithm for evaluation of a patient with a peripheral neuropathy. http://www.aafp.org/afp/980215ap/poncelet.html

Advanced Search AAFP Home Page Journals Vol. 57/No. 4 (February 15, 1998) ... Patient Information An Algorithm for the Evaluation of Peripheral Neuropathy ANN NOELLE PONCELET, M.D., University of California, San Francisco, San Francisco, California The diagnosis of peripheral neuropathies can be frustrating, time consuming and costly. Careful clinical and electrodiagnostic assessment, with attention to the pattern of involvement and the types of nerve fibers most affected, narrows the differential diagnosis and helps to focus the laboratory evaluation. An algorithmic approach to the evaluation and differential diagnosis of a patient with peripheral neuropathy is presented, based on important elements of the clinical history and physical examination, the use of electromyography and nerve conduction studies, autonomic testing, cerebrospinal fluid analysis and nerve biopsy findings. The underlying cause of axonal neuropathies can frequently be treated; demyelinating neuropathies are generally managed with the assistance of a neurologist. T he incidence of peripheral neuropathy is not known, but it is a common feature of many systemic diseases. Diabetes and alcoholism are the most common etiologies of peripheral neuropathy in adults living in developed countries. The primary worldwide cause of treatable neuropathy is leprosy.

22. A Treatment Lesson On Peripheral Neuropathy LESSONS DRUGS FORUMS BLOGS NEWS SEARCH COOL TOOLS READING LIST ABOUT US HOME peripheral neuropathy en espa ol What Is It? http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

23. Peripheral Neuropathy – Explanation Regarding This Problem With The Functioning Medical information about Diabetes Mellitus, Type 2, Type 1, and Metabolic Disorders treatment and medications. http://www.medicinenet.com/peripheral_neuropathy/article.htm

document.writeln(''); MedicineNet Home Diabetes Home Page > Peripheral Neuropathy Search Tips Printer-Friendly Format FREE Newsletters Email to a Friend ... Next Peripheral Neuropathy What is a peripheral neuropathy? What causes a peripheral neuropathy? Is there any treatment for peripheral neuropathy? Peripheral Neuropathy At A Glance What is a peripheral neuropathy? The term peripheral neuropathy describes a problem with the functioning of the nerves outside of the spinal cord. The symptoms of a neuropathy may include numbness, weakness, burning pain (especially at night), and loss of reflexes. The pain may be severe and disabling. What causes a peripheral neuropathy? There are many possible causes of peripheral neuropathy, including: Some of the most common causes include repetitive activities such as typing or working on an assembly line. In this case, the neuropathy may be isolated to the upper extremities, such as with carpal tunnel syndrome. Pressure on a nerve can cause a peripheral neuropathy. For example, pressure on a nerve that comes out from the groin to the skin in front of the upper thigh (the lateral femoral cutaneous nerve) can cause burning and tingling in this location. This particular problem is called meralgia paresthetica and can be caused by wearing a tight belt or other restrictive clothing. Additionally, it can result from being overweight or pregnant.

24. Peripheral Neuropathy And Neuropathic Pain: The Facts Registered charity providing information to patients with peripheral neuropathy and neuropathic pain. http://www.neuropathy-trust.org/

Home Biography Join Today Support ... External Resources Peripheral Neuropathy and Neuropathic Pain Peripheral Neuropathy (pronounced new-rop-athy) is common, often distressing, and sometimes disabling. The population prevalence is about 2,400 per 100,000 (2.4%), rising with age to 8,000 per 100,000 (8%). The Neuropathy Trust is committed to a better future for all sufferers of peripheral neuropathy and neuropathic pain. Through education and communication to patients and healthcare professionals, the aim of the Trust is to raise awareness of these neuropathic disorders and provide a lifeline to all sufferers. Please select an option from the 'main menu'. Home Bio Join Support Education ... Resources Site Update: www.neurocentre.com privacy security Preferred Screen Resolution Flash Status: Enabled News Update Which Treatment for Postherpetic Neuralgia? more... Sir Norman Wisdom supports the Neuropathy Trust more...

25. Symptoms Of Peripheral Neuropathy - WrongDiagnosis.com Symptoms of peripheral neuropathy including signs, symptoms, incubation period, duration, and correct diagnosis. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

26. Introduction: Peripheral Neuropathy - WrongDiagnosis.com Introduction to peripheral neuropathy as a medical condition including symptoms, diagnosis, misdiagnosis, treatment, prevention, and prognosis. http://www.wrongdiagnosis.com/p/peripheral_neuropathy/intro.htm

Home Symptoms Diseases Risks ... Diseases Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Peripheral neuropathy Next sections Basic Summary for Peripheral neuropathy Prognosis of Peripheral neuropathy Types of Peripheral neuropathy Causes of Peripheral neuropathy ... Risk Factors for Peripheral neuropathy Next chapters: Hand neuropathy Autonomic neuropathy Sexual neuropathy Eye neuropathy ... Feedback Introduction: Peripheral neuropathy Peripheral neuropathy: Nerve damage causing sensory changes to toes, feet, legs or hands. Peripheral neuropathy: Peripheral neuropathy is a common neurological disorder resulting from damage to the peripheral nerves. It may be caused by diseases of the nerves or as the result of systemic illnesses. Researching symptoms of Peripheral neuropathy: Further information about the symptoms of Peripheral neuropathy is available including a list of symptoms of Peripheral neuropathy , other diseases that might have similar symptoms in differential diagnosis of Peripheral neuropathy , or alternatively return to research other symptoms in the symptom center Misdiagnosis and Peripheral neuropathy: Research more detailed information about misdiagnosis of Peripheral neuropathy failure to diagnose Peripheral neuropathy underlying causes of Peripheral neuropathy (possibly misdiagnosed), or research

27. Diabetic Foot Ulcers Describes peripheral neuropathy, charcot foot, microvascular disease, and treatment. Contains a case study with photos. http://medicaledu.com/diabetic.htm

Wound Care Information Network No javascript support Diabetic Foot Ulcers Diabetics are prone to foot ulcerations due to both neurologic and vascular complications. Peripheral neuropathy can cause altered or complete loss of sensation in the foot and /or leg. Similar to the feeling of a "fat lip" after a dentist's anesthetic injection, the diabetic with advanced neuropathy looses all sharp-dull discrimination. Any cuts or trauma to the foot can go completely unnoticed for days or weeks in a patient with neuropathy. It's not uncommon to have a patient with neuropathy tell you that the ulcer "just appeared" when, in fact, the ulcer has been present for quite some time. There is no known cure for neuropathy, but strict glucose control has been shown to slow the progression of the neuropathy. Charcot foot deformity occurs as a result of decreased sensation. People with "normal" feeling in their feet automatically determine when too much pressure is being placed on an area of the foot. Once identified, our bodies instinctively shift position to relieve this stress. A patient with advanced neuropathy looses this important mechanism. As a result, tissue ischemia and necrosis may occur leading to plantar ulcerations. Microfractures in the bones of the foot go unnoticed and untreated, resulting in disfigurement, chronic swelling and additional bony prominences.

28. Peripheral Neuropathy peripheral neuropathy Menu. This is a webforum to discuss and comment on peripheral neuropathy. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

29. Introduction: Diabetic Peripheral Neuropathy - WrongDiagnosis.com Introduction to Diabetic peripheral neuropathy as a medical condition including symptoms, diagnosis, misdiagnosis, treatment, prevention, and prognosis. http://www.wrongdiagnosis.com/d/diabetic_peripheral_neuropathy/intro.htm

Home Symptoms Diseases Risks ... Diseases Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Diabetic Peripheral Neuropathy Next sections Basic Summary for Diabetic Peripheral Neuropathy Causes of Diabetic Peripheral Neuropathy Symptoms of Diabetic Peripheral Neuropathy Complications of Diabetic Peripheral Neuropathy ... Misdiagnosis of Diabetic Peripheral Neuropathy Next chapters: Autoimmune diseases Possibly Autoimmune Diseases Rheumatoid arthritis Autoimmune thyroid diseases ... Feedback Introduction: Diabetic Peripheral Neuropathy Diabetic Peripheral Neuropathy: Diabetic nerve damage affecting toes, feet, and sometimes hands. Researching symptoms of Diabetic Peripheral Neuropathy: Further information about the symptoms of Diabetic Peripheral Neuropathy is available including a list of symptoms of Diabetic Peripheral Neuropathy , other diseases that might have similar symptoms in differential diagnosis of Diabetic Peripheral Neuropathy , or alternatively return to research other symptoms in the symptom center Misdiagnosis and Diabetic Peripheral Neuropathy: Research more detailed information about misdiagnosis of Diabetic Peripheral Neuropathy underlying causes of Diabetic Peripheral Neuropathy (possibly misdiagnosed), or research

30. Archives Of Peripheral Neuropathy From The The Neurology And Neurosurgery Forum Collection of patient medical questions and answers about peripheral neuropathy, which are replied to by online doctors from leading medical institutions. http://www.medhelp.org/forums/neuro/archive/Peripheral_Neuropathy1.html

The Archive of Peripheral Neuropathy Questions from The Neurology and Neurosurgery Forum at Med Help International Listed below are our archive of questions and answers from the forum for the medical topic: Peripheral Neuropathy. Please feel free to browse our peripheral neuropathy archive below, search our site for additional information about peripheral neuropathy, or browse the full archives for this forum. tinnitus and burning sensation on skin of arms, legs and face Herpes and Peripheral Neuropathy Peripheral neuropathy, head pressure,, feeling hot Doctors ... Med Help International Revised 9/7/2005

31. National Peripheral Neuropathy Community A support group using message boards to share information and support on PN. http://www.npnc.org/

N ational P eripheral N europathy C ommunity "While Science Finds The Cure, Friendship Will Ease The Pain" A gift from the heart would be deeply appreciated. Join Now Message Board Donations Toxic Drugs for ... Photos Anyone interested in PN is welcome to post questions, answers, and comments pertaining to PN and your everyday living experiences with P eripheral N europathy. If you would like to join our group, please click the Join Now button on the side menu and fill out the on-line registration form. The N ational P eripheral N europathy C onference [ N PN C ] was created in 2001. In Sept. 2004 the name was changed to C ommunity from C onference. This site is for those who have P eripheral N europathy and those who prescribe and/or provide their care. One of our goals is to provide support where there is none , and help people understand they are not alone and there is help for them . Sharing and being aware of developments within PN healthcare is essential. We hope to have people from all over the United States, Canada as well as other countries join our online message board. We want everyone that comes to our site to learn, "I'm not alone and with each other we can face this illness" The N PN C is a volunteer organization that offers website-based information and sharing of current practices between interested members of this site on their own healthcare.

32. Peripheral Neuropathy Symptoms of an autoimmune peripheral neuropathy may include weakness, cramping, Assessment of the peripheral neuropathy using EMG/NCS can direct a http://www.athenadiagnostics.com/site/content/diagnostic_ed/neuro_disorders/peri

Peripheral Neuropathy Peripheral neuropathy (PN) affects two million people in the U.S., typically middle-aged and elderly individuals. It is a neurological disorder that affects the sensory, motor and/or autonomic nerves, and is caused by abnormal function of these nerves due to various etiologies. These disorders can originate from numerous causes, such as diabetes, alcoholism, HIV, toxin exposure, metabolic abnormalities, vitamin deficiency, or adverse effects of certain drugs. However, after evaluations for the etiologies of these PNs are performed, 32-70% of all peripheral neuropathies remain idiopathic. With the development of autoimumme and genetic tests, these idiopathic peripheral neuropathies can often be diagnosed. Autoimmune Peripheral Neuropathy Symptoms of an autoimmune peripheral neuropathy may include weakness, cramping, decreased tendon reflexes, numbness, tingling, and pain affecting the arms and/or legs. Clinically, peripheral neuropathies are classified according to various characteristics: symmetric or asymmetric, proximal or distal, acute or chronic, slowly progressive or rapid onset, affecting one (mononeuropathy) or many nerves (polyneuropathy). Upon electrophysiological examination, assessment of a neuropathy can be further classified, depending on which part of the peripheral nervous system is affected, such as the axon or myelin sheath. Peripheral neuropathy can be demyelinating, axonal, or both, as determined by electromyography (EMG) and nerve conduction studies (NCS).

33. AIDS Fact Sheet: Peripheral Neuropathy A description of peripheral neuropathy in people with HIV, its causes and treatment. http://www.aids.org/factSheets/555-Peripheral-Neuropathy.html

Information FactSheets Peripheral Neuropathy WHAT IS PERIPHERAL NEUROPATHY? WHAT CAUSES NEUROPATHY? HOW IS NEUROPATHY TREATED? OTHER RESOURCES ... THE BOTTOM LINE WHAT IS PERIPHERAL NEUROPATHY? Peripheral neuropathy (PN) is a disease of the nerves. The peripheral nerves are all the nerves except for the brain and spinal cord. About 30% of people with HIV develop PN. Some PN is a breakdown of the nerve endings (axons.) They send sensations to the brain. Sometimes, PN is damage to the coating of nerve fibers (myelin). This affects the transmission of pain signals to the brain. PN can be a minor nuisance or a disabling weakness. It usually shows up as a feeling of pins and needles, burning, stiffness, or numbness in the feet and toes. It can also be tickling sensations, pain when there's no reason for it, or sensations that seem more intense than normal. PN symptoms can come and go. Serious PN can cause difficulty walking or standing. WHAT CAUSES NEUROPATHY? PN can be caused by HIV infection of nerve cells, by cytomegalovirus (CMV) infection , and as a side effect of drugs taken to fight HIV or opportunistic infections . Higher viral load is associated with more PN. It also occurs in people with diabetes. No laboratory testing is needed to diagnose PN: the signs and symptoms are enough. Special tests may be needed to find the cause of PN. These tests measure tiny electrical currents in nerves and muscles. The amount or speed of these electric signals drops with different types of PN. However, many patients with PN are not diagnosed correctly.

34. ESupportGroups Neuropathy Forums Message board for sufferers of peripheral neuropathy. Find the current topics and further resources. http://www.esupportgroups.com/Neuropathy.html

35. Learn About PN - Jack Miller Center For Peripheral Neuropathy What is peripheral neuropathy peripheral neuropathy Symptoms Types of peripheral neuropathy Learn About peripheral neuropathy Welcome http://millercenter.uchicago.edu/learnaboutpn/index.shtml

What is Peripheral Neuropathy Peripheral Neuropathy Symptoms Types of Peripheral Neuropathy Evaluation and Tests ... Frequently Asked Questions Learn About Peripheral Neuropathy - Welcome If you’re suffering from peripheral neuropathy, you’re not alone. More than 20 million people in the United States, many over the age of 60, suffer from peripheral neuropathy. It affects men and women equally. Unfortunately, many cases are misdiagnosed and treatment is generally suboptimal. However, with proper treatment, the symptoms of peripheral neuropathy can often be managed and sometimes eliminated. The goal of this site is to be the central information resource to give patients up-to-date information on the diagnosis, treatment options, tests, and tools for living with peripheral neuropathy. Home Site Map Search Privacy ... U of C Hospitals This page was last modified on 09.22.04 at 16:24 PM

36. CommunityZero Purpose is to link Canadians who suffer from any type of peripheral neuropathy or those with an interest. Includes a preview and joining instructions. http://www.communityzero.com/neuropathy

Home Jump to a Community Oops! Seems like the community alias you've entered does not exist or is misspelled. Please try again: Enter community alias You can also search for the community or browse available communities IF the founder chose to have it listed. If you are already a member of the community, it will be listed in your My Communities area. Ramius

37. Neurologic AIDS Research Consortium|Peripheral Neuropathy peripheral neuropathy is a very common and disabling problem encountered in HIV A recently completed trial of lamotrigene for peripheral neuropathy was http://www.neuro.wustl.edu/narc/peri-neuropathy.html

Peripheral Neuropathy Treatment of neuropathic pain such as is encountered in neuropathy is notoriously difficult. Minimizing neurotoxic drugs, optimizing diet, assuring that there are no contributing vitamin deficiencies (especially B and thiamine) are important first steps. Alcohol is often a neurotoxin, and continued heavy alcohol use may worsen symptoms. Routine analgesics such as aspirin and ibuprofen generally provide little relief. Even narcotics may not fully relieve this kind of pain. The most commonly helpful therapy is use of low doses of tricycle antidepressant drugs such as amitriptyline or imipramine, not because they can relieve depression, but because they change the pain processing in the brain, thus providing symptomatic relief for the patient. Newer antidepressants (Prozac and similar drugs) are generally less helpful than the older tricyclic compounds for this indication. Treatment of painful neuropathy is a major current focus for the Neurologic AIDS Research Consortium and of the AIDS Clinical Trial Group. The completed trial of nerve growth factor (ACTG 291) has been reported in

38. Neuro-Reflex Therapy Institute Information about NeuroReflex Therapy Bentley Method� which has been found to help most forms of peripheral neuropathy, including Diabetic Neuropathy. http://www.neuro-reflextherapy.com

TINGLING? NUMBNESS? SHOOTING PAINS? Have you had doctors tell you they could not relieve the ravages of peripheral neuropathy? That once nerves are damaged, these symptoms will only get worse? WE HAVE WONDERFUL NEWS FOR YOU! Neuro-Reflex Therapy, Bentley Method™ will greatly reduce or eliminate these neuropathic complaints without medications or invasive procedures. WE TREAT PATIENTS. WE PREPARE THERAPISTS FOR CERTIFICATION. ENTER

39. Peripheral Neuropathy Acute peripheral neuropathy in Adults. Neurologic Clinics 15, no. 3 (Aug. Neuropathy Association. 60 E. 42nd St., Suite 942, New York, NY 10165. http://www.healthatoz.com/healthatoz/Atoz/ency/peripheral_neuropathy.jsp

40. Peripheral Neuropathy: More than 2 million Americans have peripheral neuropathy. Some cases of peripheral neuropathy are due to pressure on a nerve, http://cybersarges.tripod.com/PN.html

Peripheral Neuropathy More than 2 million Americans have peripheral neuropathy. This painful condition results from damage to the nerves that carry signals from the hands and feet. These nerves are long and fragile and therefore easily damaged. It is one of the Accepted Symptoms of Agent Orange , however the VA has managed to make it Very Difficult to approve a claim. It has to be reported within one year of leaving Vietnam. For those of us who were young and didn’t mention any numbness or loss of feeling, We loose, which is not an uncommon loss for the Vietnam Veteran! What causes Peripheral Neuropathy The most common causes of peripheral neuropathy are: diabetes, alcoholism, autoimmune disease, exposure to toxic substances, such as Agent Orange infections, cancer, medications, and vitamin deficiencies. Some cases of peripheral neuropathy are due to pressure on a nerve, such as occurs with carpal tunnel syndrome. Often, however, no cause for neuropathy can be found. What are the symptoms of Peripheral Neuropathy? The symptoms of peripheral neuropathy include: numbness and tingling, especially involving the toes and slowly spreading up the leg

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