Trinity Medical Center I Dr. Marin Guentchev, MD, PhD

Polyneuropathy

DESCRIPTION

Polyneuropathy is a disease of the peripheral nerves. Unlike mononeuropathy, it affects many nerves. Each peripheral nerve has a specific function, so the symptoms depend on the type of nerves affected. The peripheral nerves are:

Sensory - transmitting sensory signals (temperature, pain, vibration, or touch) from the skin to the brain
Motor - controlling the movement of muscles
Autonomous - controlling functions such as blood pressure, heart rate, digestion, and bladder
polyneuropathy
Polyneuropathy

CAUSE OF SYMPTOMS

Polyneuropathy is a nerve injury that can be caused by a number of conditions. Polyneuropathy can be caused by trauma, infection, metabolic diseases, genetic mutations, and toxins such as:

Diseases:
Autoimmune diseases - Sjogren's syndrome, lupus, rheumatoid arthritis, Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, and vasculitis.
Diabetes - More than half of people with diabetes develop some form of neuropathy.
Infections - viral or bacterial infections, including Lyme disease, shingles, Epstein-Barr virus, hepatitis B and C, prognosis, diphtheria, and HIV.
Hereditary diseases - Charcot-Marie-Tooth disease
Tumors - malignant and benign tumors
Bone marrow disorders. It includes abnormal protein in the blood (monoclonal gammopathy), a form of bone cancer (myeloma), lymphoma, and the rare disease amyloidosis.

Poisons
Alcoholism - can lead to vitamin deficiency.
Exposure to poisons - industrial chemicals and heavy metals such as lead and mercury.
Medications - (eg chemotherapy) can cause polyneuropathy.

SYMPTOMS AND SIGNS

Slowly worsening tingling, tingling and numbness in the legs and arms, starting in the toes and spreading upwards (receiving the hands and feet wrapped in cotton)
Acute, throbbing, and burning pain
Painful hypersensitivity to touch
Lack of coordination and unstable gait
Muscle weakness and paralysis Used as if you were wearing gloves or socks when you weren't
If the autonomic nerves are affected, recognized, and may be involved:
Fuel intolerance
Excessive sweating or inability to sweat
Problems with the intestines, bladder, or digestion
Changes in blood pressure

THE DIAGNOSIS IS BASED ON

Medical history Clinical exam Magnetic resonance imaging (MRI) Computer tomography Radiographs Functional (dynamic) radiographs
Diagnostic nerve root block
Facet joints block
Electromyography

TREATMENT

Non-surgical treatment may include
Anticonvulsants (eg carbamazepine, pregabalin, etc.)
Antidepressants Nonsteroidal anti-inflammatory drugs Corticosteroids Physiotherapy Physical exercise

WHICH OTHER DISEASES SHOULD BE EXCLUDED (DIFFERENTIAL DIAGNOSIS)?

Peripheral arterial occlusive disease (PAOD) Lumbar spinal canal stenosis Radiculitis Tumor of the spine Peripheral nerve compression syndromes Vertebral fractures
Diseases of the hip or knee
Disc herniation Lumbar epidural spinal canal lipomatosis

The condition is treated by medical spetialists in the field of:

Key words: polyneuropathy, polyneuropathy treatment, polyneuropathy ICD, polyneuropathy drugs, polyneuropathy treatment and massage, polyneuropathy of the lower extremities, polyneuropathy forum, polyneuropathy after chemotherapy
Adress
Trinity Medical Center
117 Zaichar St /Ground floor/
/Konstantin Velichkov Metro Station/
BG-1309 Sofia, Bulgaria
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