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Peripheral Neuropathy

 graphics showing the circulatory system and nervesPeripheral neuropathy is a painful condition that is caused by damaged to one or more of the peripheral nerves. When these nerves are damaged, the messages that travel between the central and peripheral nervous system are disrupted.

The condition can be classified according to the number of nerves that have been affected.

  • Mononeuropathy: The term used when only one nerve has been damaged.
  • Polyneuropathy: The term used when multiple nerves have been damaged.

Additionally, there are two types of peripheral neuropathy:

  • Acute peripheral neuropathy: this condition has a sudden and rapid onset
  • Chronic peripheral neuropathy: this condition develops gradually over the course of many months.

Although anyone can develop peripheral neuropathy, the condition is more common in people who have risk factors. A proper diagnosis of the condition consists of a physical examination and blood tests. A doctor may also thoroughly review a patient’s medical history, symptoms, alcohol consumption, and current medications. When the peripheral neuropathy is detected early, the condition can usually be treated successfully.


The primary cause of peripheral neuropathy is type 2 diabetes. Additional underlying conditions that may result in peripheral neuropathy include:

  • B12 and folate vitamin deficiencies
  • Cancers
  • Chronic kidney disease
  • Lyme disease
  • HIV infection
  • Sarcoidosis

Alcohol, injuries, and certain medications can also contribute to peripheral neuropathy.


picture of the footsThe following is a list of the symptoms that are associated with the damaged sensory, motor, and autonomic nerve.

Sensory Nerves

  • Inability to experience pain
  • Difficulty detecting temperature changes
  • Loss of coordination
  • Tingling and numbness
  • Intense pain

Motor Nerves

  • Muscle twitching
  • Muscle weakness
  • Muscle cramps
  • Muscle paralysis

Autonomic Nerves

  • Bloating, constipation, or diarrhea
  • Impotence
  • Dizziness and fainting
  • Inability to produce sweat
  • Difficulty tolerating heat
  • Bladder function problems


Many of the symptoms of peripheral neuropathy can be relieved by treating the underlying conditions.

  • Physiotherapy: For those who are needing help completing daily activities, a physiotherapist may be able to help patients with aids such as a walking stick, walking frame, crutches, foot braces, and/or a wrist splint. Additionally, a physiotherapy program can assist patients with improving their muscle strength by participating in regular exercise.
  • Medication Management: There are many medications that can control symptoms of pain including gabapentin, amitriptyline, and carbamazepine. After a review of a patient’s symptoms and medical history, an experienced doctor will provide the proper medication plan.
  • Nutrition and Wellness: Consuming small and frequent meals and elevating the head of the bed while sleeping may reduce many of the symptoms that are associated with peripheral neuropathy. These nutrition and wellness treatment options may control fatigue, chronic pain, and bowel problems.

Contact Allied Pain & Spine Institute today to schedule an appointment with one of our specialists about peripheral neuropathy.

Our Patient Reviews

Allied Pain & Spine Institute

Michelle T.

I fly in to see Dr. Petros from Southern California.  I wouldn't do so if he wasn't the best there is.  He is compassionate and has always treated me kindly. I can tell he is sincere in the way he talks to me and is diligently looking for solutions that work best with me and my chronic pain needs.  Very out of the box approach, which I appreciate these days!  I would truly recommend Dr. Petros to anyone looking for a Dr. that not only cares about you as a patient but has the confidence and skill set to get results! His office staff is friendly and caring too.  Allied Pain and Spine Institute is the Gold Standard in pain care in my humble opinion!! When I find a doctor that understands the issue and always goes above and beyond to help me, I do what I can to continue seeing them. I am so glad I found this office!!

Louise W.

Dr Petros is amazing!  When he uses a needle his aim is "right on".  He is also very personable, an altogether great guy.  I always find my visits to him to be very informative. I have had both sides of my degenerated back injected (epidural shots) with complete success.  He allows me to have no sedative, which is cool because his jokes and stories in the operating room are really good.  He greatly enjoys his work, and enjoys the difficult challenges of getting a needle into the right place in my back.  My arthritic knee is perhaps more straight-forward, but other doctors have failed to give me pain relief.  Dr Petros studies the structure with ultrasound before injecting it.  The result - instant relief! On my recent visit for a broken back (ski accident) the doctor and staff were very accommodating to help me make a dinner engagement shortly after my appointment.  This is definitely a five-star operation!

Ellie O.

Wow, wonderful doctor!!! I avoid all the doctors like the plague...seriously it makes my blood pressure go up when I have to go but I chose Dr. Vaidya. My friend referred him to me, he's simply the best... TOP NOTCH!!! He turned out to be a breath of fresh air. Dr. Vaidya really stands out head and shoulders above everyone else. I usually don't write reviews but he's so outstanding that I really wanted to do it for him. He's the most honest and caring doctor I have met.  He listens and gives you full attention and committed to find the best individual solution for you. He always goes out of his way to get you the most appropriate treatment and he will make it happen. He's very knowledgeable in his field. He's very professional, friendly, personable and definitely easy to talk to. His integrity is very valuable. He's one of the sharpest and most driven individuals you will ever meet.

Keith M.

Simply the best doctors and staff in the area. I've fought back and neck pain for over 30 years, and Dr. Petros and his team have kept me from the operating table and able to enjoy my life. I've had injections, acupuncture, as well as back braces. He listens to my concerns, cares very deeply for my pain and discomfort, and has successfully treated everything from stenosis, pinched nerves, herniated disks, and even helped me with the symptoms from shingles and lung disease. I couldn't be happier with the care he has given me over the years.

Kaitlin Z.

Dr. Vaidya has changed my life. I am in my late 20s with chronic pain and nothing had worked until I came here. All services here are wonderful and the staff is absolutely amazing. I can't recommend enough!!

Tracy B.

I have been a patient of Dr. Vaidya for a few years after not getting what I needed from other spine and pain doctors. I was looking for a doctor who would think outside the box and come up with some other ways to treat my growing amount of pain. Between Dr. Petros and Dr. Vaidya, they have brought me to a place where my pain is better managed. And let's just talk about bedside manners! I have never met doctors in the past 23 years of this back journey of mine that has as amazing bedside manners as these guys. I have cried and laughed with the team at Allied Spine. The way that I am always greeted and promptly cared for is bar none! The front office staff, and especially Nas, has been a God sent. I would never go anywhere else.

Justin P.

I am a new patient of DR Petros and my experience was great for my first two visits so far. He really takes time to listen to your issues and provides thorough answers and treatment options. The front desk staff are all very nice and respond in a timely manner to requests. Highly recommended all around!

Lisa A.

I have seen Dr. Vaidya for about 2 years. He is an amazing doctor.the attention and care you receive is well over 5 stars. He knows who I am by my face, he knows my health history with out looking in my chart, he remembers conversations we have had at previous appointments. He truly cares for his patients. I will be moving our of state, and will travel back here each month to see doctor Vaidya. I lost my insurance over a year ago and pay out of pocket to see the doctor, it is worth every penny to be treated with respect, as a person and with care. I love all the staff and feel like I am visiting family when I come in for my appointments.

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