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Peripheral Neuropathy

“A growing source of pain that can be treated in certain conditions”

Peripheral neuropathy indicates damage to the peripheral nerves or the nerves that connect to our arms and legs. Symptoms generally include weakness, numbness, burning pain and loss of reflexes. It is increasingly common as we age but can also be associated with diabetes mellitus or exposure to toxins such as alcohol or certain chemicals such as chemotherapy.

Why your nerves hurt.

With injury to the nerves and their blood supply, the nerves begin to short circuit resulting in abnormal sensations that can be mildly irritating to excruciating. In severe cases there is complete numbness.


The initial presentation usually includes pain, weakness and altered sensation. In more advanced cases symptoms can develop into:
• muscle wasting and weakness resulting in the inability to walk
• progressive numbness
• loss of temperature and position sense

If you are experiencing pain or weakness in your arms or legs you could be suffering from a peripheral neuropathy. Our expert doctors at Spine & Sports Medicine of New York use expertise in innovative assessments to accurately diagnose the cause of your peripheral neuropathy.

Other diseases that can mimic a peripheral neuropathy include:

Cervical- spondylotic myelopathy
Chemicals- solvents, acrylamide and arsenic
Pharmaceuticals- amiodarone, statins, phenytoin, chemotherapy and
Recreational drugs include tobacco, alcohol and cocaine
Spinal cord injury
Spinocerebellar syndromes
Transverse myelitis
Vitamin B12 deficiency

Our Board-Certified Physicians Can Accurately Diagnose the Source of Your Pain

We conduct a thorough clinical evaluation to determine if the pain is generated from peripheral neuropathy as well as other conditions that share similar symptoms. We begin our evaluation of your problem with a complete medical history using detailed information gathering tools followed by a focused physical examination. We then confirm our diagnosis with specialized tests which may include blood tests, x-ray, CT, electrodiagnostic (EMG) studies, ultrasonography, or MRI.

“No surgery is needed to relieve your peripheral neuropathy”


Identifying the underlying cause of your peripheral neuropathy is the most important factor in treating the underlying problem. These include removing the offending chemical or drug, diabetes management, or B vitamin replacement. For neuropathic pain- gabapentin, anticonvulsants, tricyclic antidepressants, and tramadol have been found to be helpful. Generalized strengthening and stretching can also be helpful.

Here’s what you can expect if one of our pain specialists treats your pain:

• Relief of pain to get you back to living.
• Several treatment options available to target the root of the problem
• May be accompanied by physical therapy to improve your strength and flexibility
• Many patients gain considerable to complete relief with one of our innovative procedures such as nerve hydrodissection
• No general anesthesia, surgery or prolonged recovery periods to slow you down from your busy schedule
• Thousands of patients have been helped by our innovative approach to nerve injuries.


Richardson JK. The clinical identification of peripheral neuropathy among older persons. Arch Phys Med Rehabil. 2002 Nov;83(11):1553-8.

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Super great doc! Took time to listen and get to the bottom of my pain. I’m lucky to have found such a thorough doc.

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