advertisement
Reply
 
Thread Tools Display Modes
Old 01-08-2012, 02:12 PM #1
mrsD's Avatar
mrsD mrsD is offline
Wisest Elder Ever
 
Join Date: Aug 2006
Location: Great Lakes
Posts: 33,508
15 yr Member
mrsD mrsD is offline
Wisest Elder Ever
mrsD's Avatar
 
Join Date: Aug 2006
Location: Great Lakes
Posts: 33,508
15 yr Member
Lightbulb

Well, I would have to say, that since there are over 100 causes of neuropathy... some of them are indeed bilateral.

I had bilateral PN in both feet equally and my hands, when I was in my early 30's.... this was due to hypothyroidism.

People who get GBS... a fast progressive peripheral neuropathy have it bilateral too.
It starts in the legs and moves up. It may even paralyze the diaphram, putting the patient on artificial respiration equipment.

Some further information on bilateral neuropathy:
http://www.wisegeek.com/what-is-bila...neuropathy.htm

Quote:
The most common single cause of peripheral neuropathy is diabetes, accounting for about 30% of diagnosed cases in the United States. Other causes can include vitamin deficiencies, exposure to toxins, and systemic infection such as HIV. Excessive alcohol or drug use has also been found to cause neuropathy in some patients. Neuropathy can be a result from a direct injury, and it can also be caused by hereditary conditions such as Charcot-Marie-Tooth disease. In about 30% of diagnosed neuropathy, the cause is unknown.

Early diagnosis of bilateral neuropathy is important to slow the progression of nerve damage, and in some cases, reverse the existing damage before it becomes permanent. Diagnosis is often made by a neurologist after studying the patient's medical history, including any underlying conditions that may contribute to neuropathy. A physical exam in the office may reveal abnormalities in reflex reactions, muscle reactions and grip strength. More detailed testing is sometimes required and may include an electromyogram (EMG) which studies muscle contractions, as well as nerve conduction tests.
I have never seen a paper or comment on bilateral PN that said it had to be identical in each foot or hand/arm. All bilateral means is that symptoms occur on each side of the body.

When I had my EMG on my hands/arms when pregnant, the doctor did it on the worst side...the right hand, because I am right handed.
When the test showed 70-80% loss of function, I was offered steroid injections in both wrists. I opted for only the right, since I was afraid for my baby etc...so I had only one injection so I could at least use my hand.

I only saw good resolution of my feet and hands finally when my hypothyroid issues were medicated with hormone. I still have some residual issues in my feet which are more severe on the left than the right, but they are minor now compared to the past. I consider this residual neuropathy bilateral still.
__________________
All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei

************************************

.
Weezie looking at petunias 8.25.2017


****************************
These forums are for mutual support and information sharing only. The forums are not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. Always consult your doctor before trying anything you read here.
mrsD is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
hopeful (01-11-2012)
Old 01-08-2012, 03:16 PM #2
DanP's Avatar
DanP DanP is offline
Member
 
Join Date: Aug 2006
Location: Jackson, TN
Posts: 242
15 yr Member
DanP DanP is offline
Member
DanP's Avatar
 
Join Date: Aug 2006
Location: Jackson, TN
Posts: 242
15 yr Member
Default

MrsD - need advice please. Don't know your email address so apologize for using this method of contacting you. I belong to another PN site that is being clobbered with dozens and dozens of posts totally unrelated to the site. Our Owner doesn't seem to know what to do about it. Do you have any advice? Thanks.
Dan Pearce
__________________

.

Last edited by DanP; 01-08-2012 at 04:53 PM. Reason: deleted email address
DanP is offline   Reply With QuoteReply With Quote
Old 01-11-2012, 08:55 AM #3
nide44's Avatar
nide44 nide44 is offline
Senior Member
 
Join Date: Aug 2006
Location: Chesapeake Bay, Land O' Pleasant Livin'
Posts: 1,660
15 yr Member
nide44 nide44 is offline
Senior Member
nide44's Avatar
 
Join Date: Aug 2006
Location: Chesapeake Bay, Land O' Pleasant Livin'
Posts: 1,660
15 yr Member
Default

Quote:
Originally Posted by mrsD View Post
Well, I would have to say, that since there are over 100 causes of neuropathy... some of them are indeed bilateral.

I had bilateral PN in both feet equally and my hands, when I was in my early 30's.... this was due to hypothyroidism.

...........People who get GBS... a fast progressive peripheral neuropathy have it bilateral too.
It starts in the legs and moves up. It may even paralyze the diaphram, putting the patient on artificial respiration equipment.

........have never seen a paper or comment on bilateral PN that said it had to be identical in each foot or hand/arm. All bilateral means is that symptoms occur on each side of the body.......
My neuro at Hopkins calls it polyneuropathy as opposed to mononeuropathy. The poly.. form meets the bilateral interpretation and the mono form means only one side. I have polyneuropathy in my feet and legs that is approximately equal, but the CTS in my right wrist is much worse than the left.
__________________
Bob B
nide44 is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
hopeful (01-11-2012)
Old 01-11-2012, 09:15 AM #4
Dr. Smith's Avatar
Dr. Smith Dr. Smith is offline
Senior Member (**Dr Smith is named after a character from Lost in Space, not a medical doctor)
 
Join Date: Oct 2010
Location: Lost in Space
Posts: 3,515
10 yr Member
Dr. Smith Dr. Smith is offline
Senior Member (**Dr Smith is named after a character from Lost in Space, not a medical doctor)
Dr. Smith's Avatar
 
Join Date: Oct 2010
Location: Lost in Space
Posts: 3,515
10 yr Member
Default

Quote:
Originally Posted by nide44 View Post
My neuro at Hopkins calls it polyneuropathy as opposed to mononeuropathy. The poly.. form meets the bilateral interpretation and the mono form means only one side. I have polyneuropathy in my feet and legs that is approximately equal, but the CTS in my right wrist is much worse than the left.
I thought poly- meant involving more than one kind of nerves (e.g. sensory, motor) but purusing definitions, polyneuropathy occurs when many nerves throughout the body malfunction simultaneously, or a generalized disorder of peripheral nerves, both of which seem pretty broad definitions.

Doc
__________________
Dr. Zachary Smith
Oh, the pain... THE PAIN...

Dr. Smith is NOT a medical doctor. He was a character from LOST IN SPACE.
All opinions expressed are my own. For medical advice/opinion, consult your doctor.
Dr. Smith is offline   Reply With QuoteReply With Quote
Old 01-11-2012, 09:36 AM #5
mrsD's Avatar
mrsD mrsD is offline
Wisest Elder Ever
 
Join Date: Aug 2006
Location: Great Lakes
Posts: 33,508
15 yr Member
mrsD mrsD is offline
Wisest Elder Ever
mrsD's Avatar
 
Join Date: Aug 2006
Location: Great Lakes
Posts: 33,508
15 yr Member
Lightbulb

I believe that one can become very confused with some of the diagnostic
terms used to describe neuropathy! Once some people get a term for their problem, they often never let go of it. This can close doors for future improvements, rather than open them.

Some of them are quite old terms in fact going way back in time.

Then doctors say things to patients sometimes, that are very misleading. We see posters come on NT with some of the comments at times.

I used to hear patients turn in their RX and say: " Dr. told me I have to take this for the rest of my life--why only 3 refills?"
The accurate communication would be, "you may have to have medical management of this condition for life".

So if someone is told by their doctor, that their nerves are "dying" well imagine how slanted that can be taken! Suppose a person has TWO causes for their PN. A spinal injury AND impaired glucose tolerance or a vaccine injury, or toxic exposure?

This board exists primarily to open doors, and not close them.
The peripheral nervous system can heal itself. Even SEVERED nerves can heal up. This is not new information. It exists in textbooks over 30 yrs old. And recently the Brain has been found to also heal itself (which was previously thought to be irreversible to injury).

There are nutrients (some are vitamins/minerals) that enable nerves to heal. Some of us here are dedicated to finding information from medical studies to show benefits in HEALING.
(the exception to this is hereditary neuropathies which have some genetic error as yet not discovered, which prevents normal functions and/or repair of damaged tissue).
Relief of pain is important, but pain relief does not translate into healing for anyone. IVIG and some chemo treatments exist for the dramatic rapidly progressing neuropathies. Some immune suppressing drugs can reduce the inflammatory response that is attacking axons , and then healing can take place.
But the life style changes--control of impaired glucose, and fixing of mitochondria, and enabling myelin repair, can be done by the patient themselves.

Some of our new posters have come here and stated that their neurologist recommended, acetyl carnitine and lipoic acid. This is a start in the right direction, a small start, since there are not many, but it does show that some doctors ARE reading the research and offering this kind of help now.

Doctors remain however out there with the notion that a B12 level of 250 is "normal". And that is a shame. Also Vit D may be tested for but then treated with an RX version D2 which does NOT work. So we see with just these two common nutrients, that medical management fails still today.
__________________
All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei

************************************

.
Weezie looking at petunias 8.25.2017


****************************
These forums are for mutual support and information sharing only. The forums are not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. Always consult your doctor before trying anything you read here.

Last edited by mrsD; 01-11-2012 at 10:02 AM.
mrsD is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
Susanne C. (09-20-2012)
Old 01-11-2012, 09:54 AM #6
nide44's Avatar
nide44 nide44 is offline
Senior Member
 
Join Date: Aug 2006
Location: Chesapeake Bay, Land O' Pleasant Livin'
Posts: 1,660
15 yr Member
nide44 nide44 is offline
Senior Member
nide44's Avatar
 
Join Date: Aug 2006
Location: Chesapeake Bay, Land O' Pleasant Livin'
Posts: 1,660
15 yr Member
Default

Quote:
Originally Posted by Dr. Smith View Post
I thought poly- meant involving more than one kind of nerves (e.g. sensory, motor) but purusing definitions, polyneuropathy occurs when many nerves throughout the body malfunction simultaneously, or a generalized disorder of peripheral nerves, both of which seem pretty broad definitions.

Doc
I think I was told, at one time, that poly was both sides, and mono was single sided. My memory could be off (affected by over 12 years of neurontin & lyrica) but that's what I think I was told. That doesn't mean that the person who told me wasn't mis-informed on the subject.
__________________
Bob B
nide44 is offline   Reply With QuoteReply With Quote
Old 01-09-2012, 11:43 AM #7
RX Horatio RX Horatio is offline
Junior Member
 
Join Date: Jan 2012
Location: Brooklyn
Posts: 30
10 yr Member
RX Horatio RX Horatio is offline
Junior Member
 
Join Date: Jan 2012
Location: Brooklyn
Posts: 30
10 yr Member
Smile I hear you

Quote:
Originally Posted by groskilly View Post
My Doc switched me from Gabapentin to Lyrica about a month ago. The Gabapentin was no longer helping much with my burning feet. I was at 3600mg of Gabapentin. I continued to take the remaining Gabapentin (300mg caps) here and there along with the Lyrica when the burning was bad and it seemed to help. Eventually I ran out of the Gabapetin and the burning became more intense (worse). I told my Doc I was taking both and he said he never heard of anybody doing that and doesn't recommend it.
A couple of questions.
Does it make any sense at all that the 2 drugs would work better in combination ?
I am taking 375mg of Lyrica and would like to increase the dosage. Does Lyrica have a max dose where the effectiveness peaks out like Gabapentin (3600mg) ?

Gerald
I have the same exact situation as you. I am currently taking 3600 of Neurontin but did not get actual relief until I added Lyrica in high doses.
Good Luck
RX Horatio is offline   Reply With QuoteReply With Quote
Old 07-01-2013, 02:08 PM #8
Siddhi Siddhi is offline
New Member
 
Join Date: May 2013
Location: Connecticut
Posts: 2
10 yr Member
Siddhi Siddhi is offline
New Member
 
Join Date: May 2013
Location: Connecticut
Posts: 2
10 yr Member
Default

Quote:
Originally Posted by groskilly View Post
My Doc switched me from Gabapentin to Lyrica about a month ago. The Gabapentin was no longer helping much with my burning feet. I was at 3600mg of Gabapentin. I continued to take the remaining Gabapentin (300mg caps) here and there along with the Lyrica when the burning was bad and it seemed to help. Eventually I ran out of the Gabapetin and the burning became more intense (worse). I told my Doc I was taking both and he said he never heard of anybody doing that and doesn't recommend it.
A couple of questions.
Does it make any sense at all that the 2 drugs would work better in combination ?
I am taking 375mg of Lyrica and would like to increase the dosage. Does Lyrica have a max dose where the effectiveness peaks out like Gabapentin (3600mg) ?

Gerald
I have Peripheral Neuropathy. Tried Lyrica, Cymbalta, Gabapentin, ALL OF THE SERATONIN REUPTAKE INHIBITORS.

They all make me deathly sick. I'm bad with pills or they're bad with me!

Pain in arms and legs. Ride my recumbent bike every day. Do Yoga stretches that's I'm still able to do. Have to use a walker so I go outside and take a "walker" walk when the weather is okay.

Lots of Vitamin B and Alpha Lipoic Acid.

It's a real bummer!

Siddhi
Siddhi is offline   Reply With QuoteReply With Quote
Reply


Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Well I know someone here is taking a cruise, any one taking vacation real or imag? DiMarie Thoracic Outlet Syndrome 42 02-10-2014 01:39 AM
Topomax and Gabapentin JAMY Thoracic Outlet Syndrome 1 01-12-2008 02:18 PM
gabapentin anyone? wakegirl Reflex Sympathetic Dystrophy (RSD and CRPS) 23 09-02-2007 08:21 AM
Lyrica doses plus other meds with Lyrica? Sydney Reflex Sympathetic Dystrophy (RSD and CRPS) 2 05-31-2007 10:37 PM
Gabapentin hairdresser Thoracic Outlet Syndrome 3 05-17-2007 06:07 PM


All times are GMT -5. The time now is 10:02 PM.

Powered by vBulletin • Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.

vBulletin Optimisation provided by vB Optimise v2.7.1 (Lite) - vBulletin Mods & Addons Copyright © 2024 DragonByte Technologies Ltd.
 

NeuroTalk Forums

Helping support those with neurological and related conditions.

 

The material on this site is for informational purposes only,
and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider.


Always consult your doctor before trying anything you read here.