Neuropathy includes an array of conditions that cause pain, numbness, weakness and other symptoms in the arms, legs and other areas. At Spine Pain Be Gone Clinic in San Antonio, TX, Dr. Guy Fogel uses state-of-the-art methods to diagnose and treat neuropathy to help patients find relief from painful symptoms.
Neuropathy is a condition that causes nerve-related symptoms like pain, tingling, numbness, burning sensations and muscle weakness. Neuropathy can occur anywhere, and when it involves the hands or feet, it's referred to as peripheral neuropathy or peripheral neuritis. Neuropathy often occurs as a result of a traumatic injury or from a repetitive use injury. Carpal tunnel syndrome is an example of a neuropathy due to repetitive strain. Other neuropathies can be caused by underlying diseases like diabetes or multiple sclerosis or conditions like bone spurs. Herniated discs and other issues affecting the spine also can result in neuropathic pain, and some medications and toxic exposures can cause symptoms.
The first step in diagnosing the cause of neuropathic pain is a physical exam with passive and active exercises and gentle palpations to determine the genesis of painful symptoms. In some cases, nerve conduction studies may be ordered to determine which nerve pathways are involved. Diagnostic imaging test and lab tests also may be ordered depending on the symptoms that are present. Because neuropathies can have a variety of causes, having an accurate diagnosis is the key to ensuring patients receive the most effective treatment to provide long-term relief.
Nerve conduction studies use very small currents of electricity transmitted through the skin to cause muscles to contract and relax. By moving electrodes along the skin, different nerves can be stimulated to help identify the nerves involved in causing pain and other symptoms.
Treatment of neuropathy begins with conservative measures like physical therapy, oral pain medications and anti-inflammatory medications and injections near the site of nerve involvement to anesthetize pain and reduce inflammation that may be irritating nerves. When these conservative approaches aren't effective in achieving long-term relief of symptoms or when symptoms recur, surgery may be needed to address underlying issues and relieve nerve compression and impingement.
"He is warm, friendly, courteous and polite. He takes his time and answers all your questions. He did a lumbar fusion on me and I have had no problems."
"Dr. Fogel is the most caring Dr. I have ever met. He always takes the extra time to make sure I understand everything that is going on in my treatment."
"The best doctor I ever met and his staff go way beyond expectations to try to help. Seeing him was the best thing I ever did."
"Dr. Fogel's surgical procedure on my spine three years ago totally eliminated my back pain. I highly recommend Dr. Fogel to any one needing back pain relief."
"He is an awesome doc! I highly recommend Dr. Fogel. I can say that I have my life back and can do a lot of things that I couldn't do before my surgeries."
"They do their utmost best to get their patients back to living as well and as actively as possible. You will not find a better spinal team!"
"Dr. Fogel is awesome! He was very clear on my diagnosis and his recommendation of the procedure that I needed to fix the problem in my spine."