Peripheral Nerve Damage

Peripheral nerve damage or neuropathy is damage to the nerves outside of your brain and spinal cord. It can be caused by injury or a health condition, and leads to weakness, numbness, and pain in your hands and feet.

What is peripheral nerve damage?

Peripheral nerve damage is when 1 or more of your peripheral nerves, which are found outside of your brain and spinal cord, are damaged. It’s also sometimes called peripheral neuropathy, neuropathy, or neuropathic pain. 

It’s very common and affects around 1 in 10 UK adults aged 55 and over. 

When 1 nerve is damaged, it’s called mononeuropathy. If 2 or more nerves in the same area are affected, it’s called multiple mononeuropathy. It’s called polyneuropathy if it affects many nerves throughout your body.

The damage can lead to weakness, numbness, or pain in your hands or feet. It can sometimes affect other parts of your body and some bodily functions. 

At Welbeck, our neurologists diagnose and treat peripheral nerve damage in our state-of-the-art Neurology centre.

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Symptoms vary depending on which nerve or nerves are damaged. However, peripheral nerve damage symptoms often include:

  • numbness

  • tingling 

  • prickling 

  • throbbing or burning

  • sharp pain

  • extreme sensitivity when touched

While these symptoms will often be felt in your feet and hands, the sensations may also spread to your legs and arms.

You may also experience:

  • falls

  • decreased coordination

  • weaker muscles

  • excessive sweat or lack of sweat

  • dizziness

  • lightheadedness

  • bowel and digestive problems

  • bladder issues

Peripheral nerve damage can have several causes.

Injury

Your nerves can be injured if you experience a trauma, such as a fall, sports injury, or a car or bike accident.

Nerve compression

Nerves can become compressed when they’re subjected to pressure. This can happen if you have to wear a cast, use crutches, or make repetitive motions (such as swinging a heavy tool or typing).

Health conditions

Some medical and health conditions can cause peripheral nerve damage, the most common being diabetes. Others include autoimmune diseases, viral and bacterial infections, cancerous and noncancerous growths and tumours, bone marrow disorders, kidney and liver diseases, and thyroid problems.

Risk factors

You’re more at risk of experiencing peripheral nerve damage if you have:

  • diabetes

  • uncontrolled blood sugar levels

  • a lack of vitamin B12

  • a family history of peripheral nerve damage

  • a job that requires you to make repetitive motions

  • alcohol misuse

If you think you may have experienced peripheral nerve damage, you’ll see your consultant for an initial consultation. 

During the appointment, they’ll ask about your symptoms and medical history. They’re also likely to conduct a neurological examination to check your reflexes, balance, coordination, and whether you can feel certain sensations. 

To make an accurate diagnosis, your consultant will need to run some other tests. These may include: 

  • blood tests

  • a CT scan or an MRI scan

  • an electromyography (EMG)

  • a nerve biopsy

It’s possible to prevent peripheral nerve damage if you manage and treat the underlying health conditions that cause it. Avoiding repetitive movements will also decrease your risk.

There are other steps you can take to boost your nerve health and reduce your risk further. These include:

  • exercising regularly 

  • stopping smoking

  • limiting your alcohol intake

  • eating a healthy, balanced diet rich in vitamin B12

It’s important to investigate, diagnose, and treat peripheral nerve damage. If it’s left untreated, it can lead to a range of other medical issues based on the cause. These include infections, blood circulation problems, heart rhythm changes, further injuries, and more frequent falls.

Your consultant will recommend the best treatment for you based on your test results and the underlying cause. Your options may include:

  • oral pain relief

  • other oral medication

  • topical medication

  • physical therapy

  • surgery

At Welbeck, our neurologists are experts in their field and are dedicated to providing world-class care to every patient.

With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.  

All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.

Your health is important to us, so we strive to offer same-day appointments whenever possible.

Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.

Get in touch today to book an appointment.

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London

1 Welbeck Street
Marylebone
London
W1G 0AR

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Frequently asked questions

Wearing compression stockings alone will not treat your peripheral nerve damage. However, it may help reduce your symptoms in some cases, particularly if you have poor circulation or swelling.

Peripheral nerve damage, especially if it’s left untreated, can lead to a loss of sensation in your feet or legs. This can make it difficult to stand, keep your balance, and walk.

To relieve pain, your consultant may suggest capsaicin (the substance that gives chilli peppers their heat) in cream or patch form.

Steroids may be used to treat less common causes of peripheral nerve damage. They may also be appropriate if you have an underlying autoimmune condition or inflammation.

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