Polyneuropathy – Characteristics, Symptoms and Treatment
Dr. Levke Steiner is a board-certified neurologist specializing in the treatment of polyneuropathy.
Dr. med. Levke Steiner Specialist in Neurology
Polyneuropathy refers to a group of conditions in which multiple peripheral nerves are affected simultaneously. In most cases, symptoms begin in the feet and spread symmetrically to the legs and later to the hands.
Possible causes
The causes of polyneuropathy are diverse and include, among others:
Diabetes mellitus
Alcohol-related nerve damage
Vitamin deficiencies (e.g., vitamin B12)
Inflammatory or autoimmune diseases
Infections
Genetic causes
Side effects of certain medications or toxic substances
Common symptoms
Common symptoms include tingling, burning sensations, numbness, or pain,often described as 'pins and needles' or an 'electric shock' sensation. The so-called impaired temperature and pain sensation is a characteristic feature. Additionally, an unsteady gait, muscle weakness, or impaired temperature and pain sensation may occur.
Diagnosis and Treatment
A neurological assessment includes a detailed medical history, a clinical neurological examination, electrophysiological testing(nerve conduction studies and EMG), and, if necessary, nerve ultrasound (neurosonography). Additional laboratory tests may also be required. The aim of treatment is to identify and specifically address the underlying cause, alleviate symptoms, and slow the progression of the condition.
Frequently Asked Questions about Polyneuropathy
Polyneuropathy is a condition in which multiple peripheral nerves are affected simultaneously. In most cases, symptoms begin in the feet and slowly spread.
Common causes include diabetes mellitus, alcohol abuse, vitamin deficiencies (e.g., vitamin B12), inflammatory or autoimmune diseases, as well as the side effects of certain medications. In some cases, the underlying cause remains unknown.
Typical symptoms include tingling, burning sensations, numbness, or pain, often in a so-called stocking-glove distribution. Additionally, an unsteady gait or muscle weakness may occur.
The diagnostic assessment includes a detailed medical consultation, a neurological examination, and electrophysiological testing. Additionally, blood tests may be necessary.
Treatment depends on the underlying cause. In many cases, symptoms can be alleviated and the progression of the condition slowed. An early medical assessment is therefore particularly important.