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-   -   Neurologist Questions (https://www.neurotalk.org/peripheral-neuropathy/257953-neurologist-questions.html)

agate 09-29-2022 12:41 PM

Hi JKPHOTO,

I've been taking Lipitor for many years and had no side effects. The dosage is only 10 mg/day though. The doctor felt that I should get by with as low a dose as possible, and that reduced dosage of 10mg instead of the usual 20 has been enough to keep the cholesterol under control.

JKPHOTO 09-29-2022 01:09 PM

He did and EMG a few years ago and he called it mild to moderate PN. It was really not mild then, and truly not mild now. My provider says Fibromyalgia is diagnosed by symptoms, and they don't have a test. But there is test:
FM/a Test, and I can get through a Naturopathic Doctor but they don't take insurance and my provider does not offer it.
The cost is $1080 and it won't change what I have.

My synopsis is: Initially a diabetic neuropathy possibly complicated by:

Statins?
Low B12 from Metformin?
Lack of testing of B12 and D and probably other things?
Perhaps some alcohol while young?
Being diabetic for a while, before treating, then treating it with drugs that are neurotoxic?

I never wanted to say I was not responsible, but when I ask questions, I want more accurate answers. If the doctor does not know these things, they should. It is how big business works. CYA. And it is pointless to try to inform them of things because they resent it and will not accept that I know things since it makes them uncomfortable.

If I had controlled by weight better when young, I probably not be diabetic and:

Not needed Statins
Not needed Metformin
Not drank alcohol
And did my research many years ago.

But it did not happen that way.

In addition, I have tried many alternative treatment and spent a great deal of money. My insurance does not cover any treatment outside of their system. So it will continue to get worse for the rest of my life, in my opinion.


I would be very skeptical about the diagnosis of peripheral neuropathy being in the feet and hands only and the rest is fibromyalgia. What testing did he do on the rest of your body that came to that conclusion? Did you have EMG/NCS to diagnose peripheral neuropathy in your feet and hands?

JKPHOTO 09-29-2022 03:47 PM

I have heard a little bit about anti-inflammatory diet but I am not an expert.
I have given up on actually getting better since it never has stopped getting worse and seems to spread rapidly. My diet is not perfect, but not terrible either. Fruits, berries and vegetables, 5x a week, and chicken and fish 2x a week. Low Carb for sugar issues. Some legumes and beans for soup. I really don't intend to seek outside second and third opinions since it just evaporates money quickly.
So the only think I would do, is to try that since it cost nothing except for the cost of food. Haven given up on getting better, my duty now is to inform people what happened and to try and prevent it for others.


Just curious so have added on here - It's great that you were able to get your Diabetes under control. Have you tried an anti-inflammatory diet at all over the years?[/QUOTE]

Lara 09-29-2022 03:54 PM

You mention whole body pain and numbness. I have no numbness with my muscle issues. I have numbness with my peripheral neuropathy.

I would find the results from when you had your last blood test.
I'd find my Vit D levels, my Serum Calcium levels and B12.
As always, please correct me if I'm wrong - In the USA Serum Calcium should be 8.5 to 10.9 mg/dl. (Au measure differently i.e. 2.1 and 2.5 millimoles per litre (mmol/L) )

Low Vitamin D can cause an enormous array of symptoms all over the body. It controls calcium levels in the blood and we need good levels for bones, muscles and general good health. BUT, it's a fine line. Too much is not good. Too little is not good. It is so under rated. Plus a lot of the symptoms of Fibromyalgia are similar to symptoms of low Vitamin D/low or high calcium. Then there's also Polymyalgia. I see a lot of literature around that says that Fibromyalgia does't cause inflammation whereas Polymyalgia does. That isn't how my doctors see it but maybe they're wrong I don't know. I'm on a treatment for melanoma that actually causes inflammation in doing its job so in my case it's the constant inflammation that's caused the fibro... long story.

Do you get low grade fever?

Fibromyalgia also shows up as an enormous array of symptoms all over the body. It doesn't just show up as muscle pain. It affects sleep. I always get asked if I feel less tired after I sleep. No never. It causes sleep disturbance and when we wake up we don't feel rested. So you're dealing with fatigue, sleep problems, muscle pain, cognitive dysfunction and a heap of other problems.

What is Fibromyalgia – Fibromyalgia Australia

There are so many health issues that affect our nerves and muscles. Sometimes we have several conditions at the same time. Sometimes it's more simple than that. My PN started as an overnight reaction - neuropathy in feet and lower legs - to a cancer treatment that I was on for only 10 days and ended up in a very bad way. I know exactly where my neuropathy starts and stops. For me it sounds more simple than for you and yet I have this overlap with cancer treatment being inflammatory, low vit D, slightly higher than normal calcium = parathyroid problem.

Don't blame yourself. Try to keep things simple, start with your last regular blood tests. Get a copy if you can.

Start by ruling things out yourself.

If your B12 is good, rule that out.
If your Vit D levels are acceptable, rule that out.
If your Serum Calcium is good, that's great you can rule that out too.

Think about getting another opinion. You need some answers and there's a lot going on. You can't resign yourself completely. There are treatments for some of the things mentioned above. If you find that there actually is no treatment for whatever is ailing you then at least you know and can move forward with adaptations to your lifestyle and try to get some aids for sleeping and pain relief and other things at the same time. I've had to adapt to using a wheelchair when I go out yet at home I use a ride-on mower to mow the grass on an acreage. I now have to use pain relief. It's a balance.

It's called quality of life.

[can't speak to statins as I have no personal experience except for the 20 plus years of reading from forum members here and another place].

JKPHOTO 09-29-2022 05:34 PM

I think you may have more endurance and courage than I, but these are very good suggestions. I think most are my labs are close to be inline. But I have had these low levels for a while since they were not being taken at all or not often enough. I can get extensive labs from the Naturopathic Doctor. Labs $200.00, Doctor $200.00, Blood Draw $60.00. Better labs won't bring back the nerves or stop the pain of a rapidly spreading full body Poly Neuropathy. So your suggestion of just adapting is real the only solution, and the anti-inflammatory diet. I think some of my doctors are saying that they know less than really do and thinking I know less than I really do.

Jomar 09-29-2022 09:45 PM

I feel lab numbers are only a base guideline.
There are such things as therapeutic doses of vitamin & supplements.
When you are unwell or in decline the theory is you need extra amounts to boost and get back to health..
I'm not saying just go crazy and take a bunch of stuff, but do your own research - maybe on alternative but reliable websites..
The ones just selling $$$ products are usually suspect so avoid them unless they really check out as legit.

Do you feel like you really have fibromyalgia after reading many places and the symptoms?
There are related and overlapping conditions..

I have some Fibromyalgia (FM symptoms but some don't fit for me..
There is also myofascial pain syndrome (MPS) they overlap a lot..
Some MPS symptoms fir for me too..
Getting the correct dx can be very helpful for best care & treatment..or self care..

You can list out your symptoms if you want and we can see how they fit compared to what we have.


I'll just list a few ideas... that have worked for me.. For RSI, Fibro, MPS...

If you have trigger points in your muscles those can be treated quite easily even on your own..
Trigger points are different form tender points, I have both.
Tender points are not the correct way to dx Fibro as many non fibro have them also..

Sore muscles - Epsom salt lotion , gels, bath soaks or magnesium or Cal /Mag supplements can help..
Interferential current (IFC) (much better than TENS) might help.. under 100.00 on Amazon.
Far infra red heating pad might help.. I had one since 2004 still works great. Goes deeper to the cells than plain heat pad..
MSM supplement - good for whole body
Methylsulfonylmethane: Applications and Safety of a Novel Dietary Supplement - PMC

If you have specific painful spots try to find a chiro or PT with a soft laser..
mine had one and it worked so fast 20-30 seconds pain gone..
Sometimes is confused with LED light therapy devices.. they work also but takes 30 minutes and more often..

JKPHOTO 09-29-2022 10:26 PM

20 year ago I went to a Neuropathy specialist in Virginia. Topamax he said regrows nerves. borage oil, Alpha Lipoic. Extensive testing. Nothing happened. I tried Sanexas and it did not work for me. I tried Hyperbaric Oxygen Therapy, and it did not work. GSE, ALA, Primrose Oil, Fish Oil, Benfotiamine. Chiropractic Neuropathy Specialist, Gentle Exercise, Gabapentin, Lyrica, Low Dose Naltrexone, Oxytocin (the love hormone) and acupuncture. The line I get whenever I don't get results is: You are just not responding to treatment. Some patients will say I am living with the condition, but I sort of feel like I am dying from the condition. It often feels like torture since it moves around and I never know where it will hit next, but it will, and it never stops getting worse.

My condition has just been a revenue source for many years with various practitioners. Now the symptoms are stabbing pains in much of my lower body into the abdomen, thighs, buttocks, back, hands and arms and groin. It started in my feet 20 years ago and about 3 years ago started spreading rapidly up the body. My blood sugar has been pretty good lately, but while younger, not so.

As mentioned before, it is my goal to educate people on all this. When I had my appointment with the Neurologist, he denied that any of my questions had any validity. To say now that it is Fibromyalgia and we don't know what causes it, is too simplistic and not realistic, in my opinion.

Now my PCP is saying I should go to therapy...

Lara 09-29-2022 11:01 PM

I'm glad you're talking about it with us all. It's so important. How on earth do you all pay so much for all your tests and doctors? I am always so shocked to hear how much it costs. It must be so soul destroying.

I tell you what though, if I didn't live where I live and get blood tests free, scans free etc.. if I'd had to pay for what's gone on with me in the past 5 years, I'd be long gone. I feel very fortunate in that regard but I did pay my taxes all my life and that's where it's helping me now I guess.

Many of us have tried so many things. I've read your posts and seen the suggestions that you've been given and what has helped a little and what has not helped at all. Sometimes I feel as if it's throwing money down the drain and because we're all so different nothing works for all of us.

We all don't have hundreds of dollars a week to keep trying different products for our neuropathy and what's being done to help? So many people have this condition now and need help. It's getting worse and worse.

Also, when I said about the blood test results that if they're ok then to rule them out. I didn't mean stop taking your Vit D or your B12 etc.. I meant that if for example your Vit D is fine these days and Calcium in the blood is fine, then at least you know that they're not actually causing some of your pain, because believe me, low VitD and Calcium/Phosphate issues in the Parathyroid loop can cause all sorts of terrible pain.

I get asked just about every month if I want to speak with "someone" hint hint. I laugh about it now, but they do mean a Psychologist and I understand their value totally but no amount of therapy is going to fix this mess.

Anyway, I'm really sorry you're in so much pain but am pleased you're talking about it more openly now. I know it helps me sometimes even if it feels hard to open up.

One thing I do is I keep moving. I obviously can't all the time, but on good days I push the limits. Always have and the endorphin boost I get from pushing the limits when I do is what keeps me going some times.

I go through a boxes of magnesium. Epsom salts and oral (I can't take calcium). I can't afford some things I'd like to try.

JKPHOTO 09-29-2022 11:47 PM

I did work for many years and have a disability income. I am also grateful for having healthcare, although not perfect, it is very helpful for many things. I have tried for so long and tried so many different things that it has become exhausting. Not even to mention the pain. I supposed I just mentioned it.

Lara 09-30-2022 12:17 AM

Have you used acupuncture for pain at all? Maybe it's too painful. I don't know.

I would have tried it if I knew it would help with pain relief although I don't have private health insurance anymore so would need to join up again for Extras.

Maybe Jomar or others have tried it at some time? I wonder if the soft laser uses the same meridians.


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