If You Feel Numb With Your Hands And Feet You Should Suspect peripheral Neuropathy

If You Feel Numb With Your Hands And Feet You Should Suspect peripheral Neuropathy

Peripheral neuropathy refers to a disorder in which the peripheral nervous system, except the central nervous system, such as the brain and spinal cord, occurs. The main symptoms are numbness of hands and feet, poor sensation, and persistent pain. In this case, it is easy to think of it as a problem of blood circulation, but in reality, blood circulation disorders are very rare and most are peripheral neuropathy. With Professor Kim Sang-beom, Department of Neurology, Kangdong Kyunghee University Hospital, we will learn more about the causes and treatments of peripheral neuropathy.

The abnormal

Nervous system that occurs in the'peripheral nervous system' that connects the central nervous system to the hands, feet, arms and legs refers to the rest of the nervous system except the central nervous system, such as the brain and spinal cord, and can be largely divided into the brain and spinal nerves. Normally, it transmits the sensations felt by the body to the spinal cord and the cerebrum, and transmits exercise commands directed by the cerebrum to the muscles. Peripheral neuropathy is a phenomenon in which peripheral nerves are damaged by various causes and abnormalities occur. Symptoms vary according to the type of nerve that is damaged, such as motor nerve, sensory nerve, and autonomic nerve. It affects 77 people per 100,000 people per year, and the frequency increases with age.

Single

Neuropathy Wrist Tunnel Syndrome · Calf Neuropathy Depending on the site of nerve involvement, it varies from single neuropathy caused by a local cause to multiple neuropathy that causes a wide range of relatively symmetrical abnormalities. In the case of single neuropathy, wrist tunnel syndrome is the most common in the arm, and calf neuropathy is common in the legs. Professor Kim Sang-beom of the Department of Neurology, Kangdong Kyunghee University Hospital said, “Multiple neuropathy is most common due to diabetes, followed by drugs such as anticancer drugs, immune system abnormalities, and systemic diseases such as hypothyroidism.” It is also caused by alcoholism and malnutrition.”

Causative diseases are very diverse and accurate diagnosis Important

Peripheral neuropathy has many different causes besides the above-mentioned diseases. To date, only 100 causative diseases are known, and the symptoms are different depending on the causative disease, and even in the same disease, different symptoms may appear in each patient, making diagnosis very difficult. Professor Kim Sang-beom of the Department of Neurology emphasized, “Even at a hospital specialized in peripheral neuropathy, 25% of patients with peripheral neuropathy cannot find the cause.” Neuromuscular examination, autonomic nerve examination, and neurosound examination are used to identify damaged nerve areas and characteristics, and basic blood tests and urine tests are conducted to find the cause of the disease, and various special tests are conducted as needed.

Unlike blood circulation disorders, various symptoms such as pain, numbness, and sensational abnormalities are

typical symptoms. People often complain of pain in the hands and feet, feeling dull, and stinging with a needle. Professor Kim Sang-beom of the Department of Neurology said, “Usually, I am confused with blood circulation disorder, but the blood circulation disorder is mainly painful. It has various symptoms such as tingling, throbbing, numbness, tingling, tingling, and a dull and dull feeling.”

Most of the complaints, such as starting from tingling symptoms, weakening muscles, and lowering the sense of balance,

are common in multiple neuropathy, where the tingling symptoms often start at the toes and rise upwards. When the motor nerves are violated, the muscles become weak, which makes it difficult to pick up objects, or make it difficult to put buttons on clothes. When the thick sensory nerve is damaged, it becomes difficult to balance. When you wake up from an autonomic nervous system abnormality, you may feel dizzy or sweat your hands and feet, and there may be changes in your stool and sexual function.

The treatment appropriate for the cause disease improves

The treatment method depending on the cause of the improvement of symptoms . Most common diabetes polyneuropathy regulates arteriosclerosis risk factors such as strict blood sugar control and hyperlipidemia. If there are other medical metabolic diseases, active treatment for the disease is necessary. In the case of vitamin deficiency neuropathy, vitamins are supplemented, and immune disorders such as Guillain-Barre syndrome or chronic inflammatory demyelinating polyneuropathy can significantly improve motor sensation abnormalities using immunoglobulins or steroids. Professor Kim Sang-beom of the Department of Neurology said, “If there is a palpitation or neuropathy due to peripheral neuropathy, it may become chronic and the drug treatment effect may be deteriorated.” It is important to prevent the quality of the product from deteriorating.”

Smoking cessation and drinking

Alcohol Basics, prevention of peripheral neuropathy in daily life To prevent peripheral neuropathy, alcohol and tobacco that poison the peripheral nerve must be stopped. For diabetics, thorough blood sugar management is the most important. Carpal tunnel syndrome can occur in people who frequently use their wrists for computer work or hand-washing. As a precaution, it is recommended to stretch the tendon that passes through the wrist by repeatedly stretching the wrist or clenching and unfolding the fist. Calf neuropathy can be caused by squeezing the legs, kneeling, or squatting for a long time, as this can be caused by the calf nerve passing over the calf bone head. Once the peripheral nerve is damaged, it takes a long time to prevent it, since recovery takes longer.