What are the most common symptoms of neuropathy?

May 9, 2025


Neuropathy No More By JODI KNAPP Neuropathy No More is an eBook which is a compilation of all the essential information and details about the nervous system and how to keep it active and healthy. With the help of this program, one can get a relief from the symptoms of neuropathy. This eBook not only tells you about the nervous system, but also helps to provide essential information to get relief from the condition of neuropathy. It also provides information about how you can prevent this condition from coming back in the near future.


What are the most common symptoms of neuropathy?

Symptoms of neuropathy vary depending on the type of nerves affected (sensory, motor, or autonomic) and the etiology. However, some of the most common symptoms of peripheral neuropathy include:

1. Sensory Symptoms:
Numbness: Loss of sensation, typically in the hands or feet, that makes it difficult to sense pain, temperature, or touch.

Tingling or “Pins and Needles” Sensation: A “crawling” or prickling sensation in the affected parts, typically felt in the extremities.

Burning Pain: A burning or searing pain sensation, typically in the hands and feet.

Sharp or Stabbing Pain: Sudden, shooting pain that may be excruciating, especially on walking or touching the affected part.

Hypersensitivity: A heightened sensitivity to touch, so that even a very slight touch or pressure becomes painful.

Loss of Coordination: Due to disturbed sensation, especially in the feet, that can affect balance and walking.

2. Motor Symptoms:
Muscle Weakness: Inability to move the muscles of the affected area, causing weakness, especially of the hands, arms, or legs.

Muscle Cramps or Spasms: Uncontrolled contractions or stiffness of the muscles.

Loss of Reflexes: Reduced or absent reflexes, which are typically observed on physical exam by a doctor.

Difficulty with Fine Motor Skills: Tasks that require dexterity, such as buttoning a shirt or holding a pen, can become increasingly challenging.

3. Autonomic Symptoms (if autonomic nerves are affected):
Dizziness or Lightheadedness: Lightheadedness or dizziness upon standing, due to the nerves that regulate blood pressure and heart rate.

Digestive Issues: Nausea, bloating, diarrhea, or constipation, as autonomic nerves also control the digestive system.

Excessive Sweating or Lack of Sweating: Excessive production or lack of sweating, especially in localized areas.

Abnormal Heart Rate: Heart palpitations, fluctuations in heart rate, or inability to maintain normal blood pressure.

4. Pain and Discomfort:
Persistent Pain: Neuropathic pain can be constant, and some patients have described it as burning, aching, or stabbing.

Increasing Pain at Night: The majority of people suffering from neuropathy experience increasing pain, tingling, or discomfort at nighttime, making it difficult to sleep.

5. Loss of Balance:
Difficulty walking, especially on uneven surfaces, due to loss of sensation and muscle weakness in the lower legs.

6. Skin, Hair, and Nail Changes:
Dry skin, changes in skin texture, or abnormal nail or hair growth, because autonomic nerves influence sweat gland activity and other skin-related functions.

7. Increased Sensitivity to Touch:
Even slight contact or pressure on the skin can become very painful, as is usual in neuropathies like small fiber neuropathy.

Symptom severity may be mild or debilitating, depending on the extent of the nerve damage and the kind of neuropathy. It is essential to detect it early and treat it to control the condition and avert additional damage.

Would you like to hear about some treatment options available for controlling the symptoms of neuropathy?

The treatment of neuropathy depends on the underlying condition, neuropathy type, and symptom severity. While there is no single cure for neuropathy, several methods effectively manage symptoms, prevent further nerve damage, and improve quality of life. What follows is a discussion of these common treatments:

1. Treating Underlying Conditions
If neuropathy is secondary to some other condition, e.g., diabetes or an autoimmune condition, treatment of the underlying condition may control or even reverse the neuropathy. For example:

Diabetes: Good blood sugar control (through diet, exercise, and medications) can stop further nerve damage.

Vitamin Deficiency: Replacement of the deficient vitamins (e.g., B12) can improve symptoms.

Autoimmune Conditions: Treatment of the underlying autoimmune condition (with immunosuppressive medications, for example) can decrease neuropathy symptoms.

2. Medications
There are several classes of medications that may be utilized to alleviate neuropathic pain and manage symptoms:

Pain Relievers:

Over-the-counter (OTC) pain medications (e.g., acetaminophen, NSAIDs) for mild pain.

Prescription pain medications may be utilized for more severe pain (though they should be used cautiously due to the risk of dependency).

Antidepressants: Certain antidepressants, specifically tricyclic antidepressants (amitriptyline) and serotonin-norepinephrine reuptake inhibitors (SNRIs) (e.g., duloxetine), have been shown to be effective in treating neuropathic pain.

Anticonvulsants: Medications like gabapentin or pregabalin are commonly prescribed for neuropathic pain and nerve symptoms.

Topical Treatments:

Capsaicin cream can be put on the skin to reduce pain.

Lidocaine patches can be used to numb painful areas temporarily.

Opioids: For extreme neuropathy pain, opioids (tramadol) may be an option but are usually a last resort due to the potential for addiction.

3. Physical Therapy
Physical therapy can potentially improve strength, coordination, and mobility, especially if muscle weakness has resulted from the neuropathy. Some of the physical therapy methods utilized are:

Stretching exercises to improve flexibility and reduce muscle stiffness.

Strengthening exercises to maintain or redevelop muscle mass.

Balance training to reduce the risk of falling, which is especially important in patients with sensory neuropathy.

4. Lifestyle Modifications
Dietary Modifications: Eating a well-balanced diet rich in vitamins and minerals (B vitamins especially) can help support the health of nerves.

Exercise: Regular exercise can improve circulation and help manage diseases like diabetes, which can prevent or alleviate neuropathy symptoms.

Weight Control: Maintaining a healthy weight can reduce pressure on nerves, such as in the instance of carpal tunnel syndrome or sciatica.

5. Surgical Procedures
If neuropathy is caused by compression of a nerve or structural issues (e.g., carpal tunnel syndrome or herniated disk), surgery may be necessary. Surgeries include:

Carpal tunnel release surgery (for carpal tunnel syndrome).

Spinal surgery (to relieve pressure on spinal nerves).

6. Alternative Therapies
Some individuals with neuropathy find relief in complementary or alternative therapies, although these are often used along with standard treatments:

Acupuncture: Acupuncture can be found helpful by some people in reducing pain and improving circulation.

Massage Therapy: Massage therapy can reduce muscle tension as well as circulation in the affected area.

Aromatherapy: Certain essential oils, such as peppermint or lavender, can provide relief from the symptoms, especially if used with relaxation techniques.

7. Transcutaneous Electrical Nerve Stimulation (TENS)
TENS involves the use of low-voltage electrical currents to stimulate nerves and can be used to alleviate pain. It can be especially helpful in peripheral neuropathy.

8. Nerve Stimulation or Spinal Cord Stimulation
For severe neuropathy that is unresponsive to other measures, spinal cord stimulation (SCS) or peripheral nerve stimulation (PNS) may be recommended. These procedures involve the implantation of a device that delivers electrical stimulation to the spinal cord or peripheral nerves to inhibit pain signals.

9. Psychological Support
Chronic neuropathic pain can be stressful to live with. Psychological counseling, cognitive behavioral therapy (CBT), and support groups can help people deal with the emotional and mental effects of chronic pain.

10. Autonomic Neuropathy Treatment
If autonomic neuropathy is present, treatment may target:

Medications to manage symptoms like low blood pressure (e.g., fludrocortisone or midodrine).

Dietary adjustments for gastrointestinal symptoms (e.g., smaller, more frequent meals).

11. Alternative and Experimental Treatments
Some experimental treatments, like gene therapy or stem cell therapy, are being looked into for their potential to treat neuropathy, particularly if the underlying cause is idiopathic or genetic.

Would you like more information on a specific treatment approach, or are you researching treatment options for a particular type of neuropathy?


Neuropathy No More By JODI KNAPP Neuropathy No More is an eBook which is a compilation of all the essential information and details about the nervous system and how to keep it active and healthy. With the help of this program, one can get a relief from the symptoms of neuropathy. This eBook not only tells you about the nervous system, but also helps to provide essential information to get relief from the condition of neuropathy. It also provides information about how you can prevent this condition from coming back in the near future.