Peripheral Neuropathy

Traditional Chinese Medicine Approach:

Peripheral Neuropathy According to traditional Chinese medicine, peripheral neuropathy, polyneuropathy, diabetic neuropathy, distal polyneuropathy, neuralgia, and fibromyalgia have various etiologies. However, they all share one common factor – pain due to blood stagnation.

Treatment of pain is a sophisticated balance of art and science. Proper treatment of pain requires a careful evaluation of the type of disharmony (excess or deficiency, cold or heat, exterior or interior), characteristics (qi and/or blood stagnations), and locations (upper body, lower body, extremities, or internal organs).

Proper treatment requires integrative use western pharmaceuticals, acupuncture and Tui-Na (Chinese targeted massage) or massage, moxibustion or heat therapy, & exercise like Tai Qi, Yoga, and strength training.

TCM acupuncture treatment works to tonify the underlying deficiencies, break the stagnations of qi and blood, strengthen the immune system, and facilitate recovery from chronic or acute pain. TCM pain management targets both the symptom (the patterns) and the cause of pain (etiology), and often achieves immediate and long-term success. For treatment of mild to severe pain due to neuropathic causes, TCM pain management offers similar treatment effects to those of pharmaceuticals, with significantly fewer side effects. [1]

What is peripheral neuropathy?

Peripheral neuropathy describes damage to the peripheral nervous system, the vast communications network that transmits information from the brain and spinal cord (the central nervous system) to every other part of the body.

Peripheral nerves also send sensory information back to the brain and spinal cord, such as a message that the feet are cold or a finger is burned.

Damage to the peripheral nervous system interferes with these vital connections. Like static on a telephone line, peripheral neuropathy distorts and sometimes interrupts messages between the brain and the rest of the body.

Because every peripheral nerve has a highly specialized function in a specific part of the body, a wide array of symptoms can occur when nerves are damaged.

Some people may experience temporary numbness, tingling, and pricking sensations (paresthesia), sensitivity to touch, or muscle weakness. Others may suffer more extreme symptoms, including burning pain (especially at night), muscle wasting, paralysis, or organ or gland dysfunction.

People may become unable to digest food easily, maintain safe levels of blood pressure, sweat normally, or experience normal sexual function. In the most extreme cases, breathing may become difficult or organ failure may occur.

Some forms of neuropathy involve damage to only one nerve and are called mononeuropathies or more often though; multiple nerves involvement affecting all limbs are called polyneuropathy. Occasionally, two or more isolated nerves in separate areas of the body are affected called mononeuritis multiplex.

In acute neuropathies, such as Guillain-Barré syndrome is a disorder in which the body’s immune system attacks part of the peripheral nervous system, symptoms appear suddenly, progress rapidly, and resolve slowly as damaged nerves heal. In chronic forms, symptoms begin subtly and progress slowly.

Some people may have periods of relief followed by relapse. Others may reach a plateau stage where symptoms stay the same for many months or years.

Some chronic neuropathies worsen over time, but very few forms prove fatal unless complicated by other diseases. Occasionally the neuropathy is a symptom of another disorder.

The most common forms of polyneuropathy nerve fibers that are most distant from the brain and the spinal cord malfunction first.

Pain and other symptoms often appear symmetrically, for example, in both feet followed by a gradual progression up both legs. Next, the fingers, hands, and arms may become affected, and symptoms can progress into the central part of the body. Many people with diabetic neuropathy experience this pattern of ascending nerve damage. [2]

Reference:

[1] Clinical Manual of Oriental Medicine. 2nd Edition by Dr. John Chen PharmD

[2] National Institute of Neurological Disorders and Stroke

[3] Prevent diabetes problems: Keep your nervous system healthy

Guillain-Barré Syndrome Fact Sheet