Peripheral Neuropathy

Peripheral Neuropathy Treatment in Maryland
An ordinary touch can become painfully difficult to ignore when damaged nerves send your body the wrong message. If you need relief from the discomfort nerve damage can create, Greater Maryland Pain Management offers peripheral neuropathy treatment to patients across our great state of Maryland. Our physicians will evaluate how the condition has affected your sensation and movement, then develop personalized care to manage your pain and help you move through each day more comfortably.
What Is Peripheral Neuropathy?
Understanding Peripheral Nerve Damage
How Peripheral Neuropathy Affects the Body
Peripheral Neuropathy Symptoms
Numbness and Tingling
Your toes or fingertips may seem permanently asleep, even when nothing is pressing against them. Reduced sensation can also prevent you from noticing temperature changes or a small injury in the affected area.
Burning or Shooting Nerve Pain
Damaged sensory nerves may produce burning, stabbing, or electric pain without an external injury. Touch can also become painful enough that your clothing or the weight of a bedsheet causes discomfort.
Muscle Weakness and Balance Problems
If your motor nerves have been affected, weakened muscles may interfere with your grip or make lifting the front of your foot more difficult. Numbness in your feet can further disrupt your balance because you can’t fully sense where they meet the floor.
What Causes Peripheral Neuropathy?
Diabetes and Blood Sugar Disorders
Prolonged high blood sugar can damage the small blood vessels that supply your nerves with oxygen and nutrients. Diabetic neuropathy commonly affects the feet and legs before symptoms reach other areas.
Injuries and Nerve Compression
An injury may damage a nerve directly or create swelling that presses against it. Herniated discs and other nearby structures can also maintain enough pressure to interrupt how the nerve carries signals.
Medical Conditions and Infections
Autoimmune disorders may cause the immune system to attack peripheral nerves. Kidney or liver disease can allow harmful substances to collect in the body, and certain infections may damage nerve tissue.
Other Contributing Factors
Nerve damage may also come from certain medications, vitamin deficiencies, inherited conditions, or exposure to toxic substances. In some cases, a thorough evaluation doesn't uncover a specific cause.
Is Peripheral Neuropathy Reversible?
How Peripheral Neuropathy Is Diagnosed
Medical History and Physical Examination
Your physician will ask when your symptoms first appeared and how they’ve changed. The examination may test your reflexes, muscle strength, balance, and ability to sense touch or temperature.
Diagnostic Testing and Imaging
Blood tests can reveal diabetes, vitamin deficiencies, or another medical cause. Electromyography and nerve conduction studies show how your muscles and nerves respond to electrical signals. Your physician may request imaging if an injury or nearby structure could be placing pressure on a nerve.
Peripheral Neuropathy Treatment Options
Addressing the Underlying Cause
Cause-specific care may require better blood sugar control, treatment for an infection, correction of a nutritional deficiency, or relief from nerve compression. Addressing that source can limit additional damage, even when the nerve has already lost some function.
Conservative Management Strategies
Physician-guided medication can reduce burning or shooting pain. Physical therapy may help rebuild strength, improve balance, and make movement safer. You may also need to check areas with reduced sensation for wounds you cannot easily feel.
Interventional Pain Management Treatments
Persistent nerve pain may require targeted care beyond medication or therapy. Neuromodulation can alter how painful nerve signals reach the brain in patients who qualify for the treatment. Our physicians will evaluate your condition and previous care before recommending an interventional procedure.
How to Sleep With Peripheral Neuropathy
Managing Nighttime Symptoms
Take any medication according to your physician’s instructions and pay attention to when nighttime pain interrupts your rest. Sharing those details can help your physician adjust how your symptoms are managed.
Improving Sleep Comfort
Try a position that places less pressure against the painful area, and consider lighter bedding if contact bothers your feet or legs. Tell your physician if nerve pain continues to keep you awake or repeatedly wakes you during the night.