Some nerve-related problems do not interfere with daily life. Others get worse quickly and may lead to long-term, severe symptoms and problems. When a medical condition can be found and treated, your outlook may be excellent. But sometimes, nerve damage can be permanent, even if the cause is treated.
When to see a doctor. If you experience weakness, tingling, numbness or a total loss of feeling in a limb, see your health care provider to determine the cause. It's important to treat peripheral nerve injuries early.
Symptoms can range from mild to disabling, but are rarely life-threatening. The symptoms depend on the type of nerve fibers affected and the type and severity of damage. Symptoms may develop over days, weeks, or years. In some cases, symptoms improve on their own and may not require advanced care.
Damaged nerves can sometimes be repaired, especially if they are treated quickly after an injury. For that reason, it's important to call us after a serious injury or when you first notice the signs of nerve damage.
Nerves recover slowly, and maximal recovery may take many months or several years. You'll need regular checkups to make sure your recovery stays on track. If your injury is caused by a medical condition, your doctor will treat the underlying condition.
An MRI may be able help identify structural lesions that may be pressing against the nerve so the problem can be corrected before permanent nerve damage occurs. Nerve damage can usually be diagnosed based on a neurological examination and can be correlated by MRI scan findings.
Nerve pain often feels like a shooting, stabbing or burning sensation. Sometimes it can feel as sharp and sudden as an electric shock. You may be very sensitive to touch or cold. You may also experience pain as a result of touch that would not normally be painful, such as something lightly brushing your skin.
Left untreated, nerve damage may worsen over time. It can sometimes start in the nerves farthest from the brain and spinal cord -- like those in the feet and hands.
As a specialist in peripheral nerve surgery, Dr. Seruya wants his patients to know that after a period of 12-18 months nerve damage can become permanent.
Nerve damage can become permanent
At first, neuropathy may cause occasional numbness and pain, but as it progresses, your symptoms may become more persistent. The pain may reach a high point before reaching a state of constant numbness. Once your nerves become too damaged, they can't send signals to your brain.
Stage Four: Constant Numbness
It indicates that the nerves are dying. While the relief may be nice, it also shows that much of the small nerve fibers have disintegrated. The larger fibers are now beginning to become permanently damaged, too.
To achieve full recovery, the nerve must undergo three main processes: Wallerian degeneration (the clearing process of the distal stump), axonal regeneration, and end-organ reinnervation.
The good news for those living with neuropathy is that it is sometimes reversible. Peripheral nerves do regenerate. Simply by addressing contributing causes such as underlying infections, exposure to toxins, or vitamin and hormonal deficiencies, neuropathy symptoms frequently resolve themselves.
Nerve conduction studies, including an Electromyogram (EMG) may be performed on individuals suffering with nerve pain symptoms. These studies use electrical impulses to determine the level of damage. A final diagnosis will be made by your physician through the help of one or all of these tests.
For these mild nerve injuries, nonsurgical treatment options include medication, physical therapy or massage therapy. Peripheral nerve surgery can reconstruct or repair damaged nerves. You may need surgery to repair severely compressed nerves, cut nerves or nerves that are not healing on their own.
If the motor endplate receives no nerve impulse for more than 18-24 months, it dies away and there is no longer any way that the muscle can be activated by the nerve. The muscle then whithers away. Thus surgical repair of motor nerves needs to happen within 12-18 months of the injury.
PN was strongly associated with earlier mortality. Mean survival time for those with PN was 10.8 years, compared with 13.9 years for subjects without PN. PN was also indirectly associated through impaired balance.
Foods that are high in sugar – Sugar can aggravate nerve pain and discomfort, so it is best to avoid foods that are high in sugar. This includes sugary snacks, desserts, and processed foods. Fried foods – Fried foods are unhealthy and can worsen neuropathy symptoms.
Neurologists are specialists who treat diseases of the brain and spinal cord, peripheral nerves and muscles. Neurological conditions include epilepsy, stroke, multiple sclerosis (MS) and Parkinson's disease.
Overview. Peripheral neuropathy, a result of damage to the nerves located outside of the brain and spinal cord (peripheral nerves), often causes weakness, numbness and pain, usually in the hands and feet. It can also affect other areas and body functions including digestion, urination and circulation.
Tingling or burning in the arms and legs may be an early sign of nerve damage. These feelings often start in your toes and feet. You may have deep pain. This often happens in the feet and legs.
Nerve conditions can be hard to diagnose, and many patients live for years without an explanation or effective treatment for their muscle weakness or pain. Our specialists understand that the cause of a nerve condition is not always obvious and often requires a bit of detective work to uncover.
The SSA considers neuropathy a disability if the condition is severe enough to cause extreme limitations in the motor function of two extremities. Alternatively, it qualifies as a disability if it results in marked limitations in mental and behavioral work-related skills.