21. Simple FactSheet: Peripheral Neuropathy What is peripheral neuropathy? logo , peripheral neuropathy a Simple FactSheetfrom the AIDS Treatment Data Network. peripheral neuropathy is http://www.aegis.com/factshts/network/simple/neurop.html

Peripheral Neuropathy a Simple FactSheet from the A IDS T reatment D ata N etwork Peripheral neuropathy is: A condition caused by damage to the nerves in the peripheral nervous system. The peripheral nervous system includes nerves that run from the brain and spinal cord to the rest of the body. Many of these nerves are involved with sensation and feeling things such as pain, temperature and touch. Up to one-third of people with HIV may get some symptoms of peripheral neuropathy. Peripheral neuropathy is usually felt at first as tingling and numbness in the hands and feet. Symptoms can be described as burning, shooting pain, throbbing, aching, and "feels like frostbite" or "walking on a bed of coals." Peripheral neuropathy can sometimes be caused by HIV but is most commonly a side effect of drugs. Sometimes neuropathy can be caused by vitamin deficiencies or diabetes. Diagnosis of peripheral neuropathy is done by a physical exam. Tests of vitamin B12 levels, thyroid function and glucose levels are also used to check for vitamin deficiencies or diabetes. If peripheral neuropathy is caused by a drug, the symptoms usually get better once the drug is stopped, although it can take 6-8 weeks and the pain can actually get worse for a while. Some other conditions can have the same symptoms and be confused with peripheral neuropathy. A symptom of CMV myelitis is a general weakening of the legs and is treated with anti-CMV drugs. Vacular myelopathy can cause numbness in the limbs and weakening of the spinal cord. New treatments are being studied for myelopathy. Herpes infections that cause symptoms of peripheral neuropathy are treated with

22. Home Page Provide services to patients with paralysis associated with prior strokes, cerebral palsy and multiple sclerosis. Also patients with diabetic foot ulcers, poor healing wounds, diabetic peripheral neuropathy and recent skin grafts or plastic surgery. http://doctor.medscape.com/allanspiegelmd

Home Directions to Office Credentials Preparing for a Visit Allan Spiegel M.D. National Hyperbaric Oxygen Therapy National Hyperbaric Oxygen Therapy 34918 U.S. 19 PALM HARBOR ,FL 34684 aspiege1@tampabay.rr.com OFFICE HOURS Sun Mon Tue Wed Thu Fri Sat 8 am-4 pm 8 am-4 pm 8 am-4 pm 8 am- 4 pm 8 am-4 pm WHO WE ARE Hyperbaric oxygen therapy is a medical treatment that saturates the body with 100% oxygen under pressure. In this way, the cells of the body become saturated with oxygen at 10-15 times greater than they would under ambient pressure. Hyperbaric oxygen therapy promotes the growth of new capillaries,reduces swelling,and enhances the bodies ability to fight off infection. Hyperbaric oxygen therapy is beneficial in treating non healing wounds,severe burns,and many neurologic and orthopedic conditions. Patients with paralysis from strokes,closed head trauma, cerebral palsy and multiple sclerosis have had remarkable improvement in strength and function with hyperbarics. There has been an acceleration in the healing of crush injuries, sports injuries as well as skin grafts. SPECIALTIES We specialize in dealing with patients with paralysis associated with prior strokes,cerebral palsy,and multiple sclerosis. We have a special interest in treating patients with diabetic foot ulcers,poor healing wounds,diabetic peripheral neuropathy and recent skin grafts or plastic surgery

23. Peripheral Neuropathy - Information From EPodiatry Complete information on peripheral neuropathy from ePodiatry, a comprehensiveresource on podiatry and podiatric medicine. peripheral neuropathy. http://www.epodiatry.com/neuropathy.htm

Sign up for our newsletter Your email address will only be used for distribution of the ePodiatry newsletter and no other purpose Web site designers WebGenius Peripheral Neuropathy Information for health professionals on peripheral neuropathy Peripheral neuropathy is the general term that refers to disorders of peripheral nerves. The peripheral nervous system is made up of the nerves that branch out of the spinal cord to different parts of the body. Peripheral neuropathy is a relatively common neurological disorder that results from damage to the peripheral nerves. It can be caused by a number of diseases of the nerves or be the result of systemic illnesses. Many of the peripheral neuropathy's have a well established cause such as diabetes, alcoholism, uremia, AIDs, or nutritional deficiencies. Diabetes is, by far, one of the most common causes of peripheral neuropathy. Other less common causes include exposure to cold or radiation, a few medicines, toxic substances, vascular or collagen disorders, systemic lupus erythematosus, scleroderma and rheumatoid arthritis. Symptoms of peripheral neuropathy: The peripheral nervous system consists of motor (to help move) nerves and sensory (to help feel) nerves. Either or both sets of nerves can be affected in neuropathy.

24. EPodiatry peripheral neuropathy. Comments peripheral neuropathy. Comments Evaluation ofperipheral neuropathy. URL http//www.aafp.org/afp/980215ap/poncelet.html. http://www.epodiatry.com/education_sub3.asp?topic=Neurology&sub1=Learning resour

25. THE MERCK MANUAL, Sec. 14, Ch. 183, Disorders Of The Peripheral Thoracic Outlet Compression Syndromes. peripheral neuropathy. Disorders Of NeuromuscularTransmission. click here for navigation help. peripheral neuropathy. http://www.merck.com/mrkshared/mmanual/section14/chapter183/183f.jsp

26. PN Friends A place where sufferers of the neurological disease peripheral neuropathy can move beyond the technical information online and find a true support group PNers helping one another. http://communities.msn.com/PNFRIENDS&naventryid=100

27. CommunityZero - "CANADIAN NEUROPATHY SUPPORT GROUP_________ " Support Is The Bes Purpose is to link Canadians who suffer from any type of peripheral neuropathy or those with an interest. Includes a preview and joining instructions. http://www.communityzero.com/neuropathy

Click here Click here

28. Peripheral Neuropathy - Diabetes Mellitus, Type 2, Type 1, And Metabolic Disorde What is a peripheral neuropathy? The term peripheral neuropathy describes aproblem with the functioning of the nerves outside of the spinal cord. http://www.medicinenet.com/Peripheral_Neuropathy/article.htm

MedicineNet Home Diabetes Home > Peripheral Neuropathy Advanced Search Printer-Friendly Format Add to Favorites Email to a Friend ... Next page Peripheral Neuropathy What is a peripheral neuropathy? What causes a peripheral neuropathy? Is there any treatment for peripheral neuropathy? Peripheral Neuropathy At A Glance What is a peripheral neuropathy? The term peripheral neuropathy describes a problem with the functioning of the nerves outside of the spinal cord. The symptoms of a neuropathy may include numbness, weakness, burning pain (especially at night), and loss of reflexes. The pain may be severe and disabling. What causes a peripheral neuropathy? There are many possible causes of peripheral neuropathy, including: Some of the most common causes include repetitive activities such as typing or working on an assembly line. In this case, the neuropathy may be isolated to the upper extremities, such as with carpal tunnel syndrome. Pressure on a nerve can cause a peripheral neuropathy. For example, pressure on a nerve that comes out from the groin to the skin in front of the upper thigh (the lateral femoral cutaneous nerve) can cause burning and tingling in this location. This particular problem is called meralgia paresthetica and can be caused by wearing a tight belt or other restrictive clothing. Additionally, it can result from being overweight or pregnant.

29. Peripheral Neuropathy Others say that it s like a thousand hot needles poking the feet and hands.Most know it as HIV/AIDS peripheral neuropathy. peripheral neuropathy. http://aids.about.com/cs/conditions/a/neuropathy.htm

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About AIDS / HIV Home Essentials ... State and Local Resources zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); HIV 101 Safer Sex Living with HIV HIV / AIDS Fact Sheets ... Help zau(256,138,125,'el','http://z.about.com/0/ip/417/0.htm','');w(xb+xb); Stay Current Subscribe to the About AIDS / HIV newsletter. zau(256,152,100,'hs','http://z.about.com/5/ad/hs.htm?zIhsid=00',''); Search AIDS / HIV Email to a friend Print this page Stay Current Subscribe to the About AIDS / HIV newsletter. Related Features Associated Conditions Signs, Symptoms, and Solutions Suggested Reading HIV Drug Sheets Ten Commonly Prescribed Meds HIV/AIDS Prevention Most Popular HIV Signs and Symptoms Sinus Infections HIV/AIDS Fact Sheet Lactic Acidosis...The Facts What's Hot Ways To Make Love Without "Doin' It" Side Effects and Solutions HIV/AIDS Fact Sheet HIV 101 ... How to Tell Someone You Have HIV Peripheral Neuropathy From Mark Cichocki Your Guide to AIDS / HIV Sign up for my Newsletter How to treat this annoying problem. Some people with HIV/AIDS describe it as a burning sensation. Others say that it's like a thousand hot needles poking the feet and hands. Most know it as HIV/AIDS peripheral neuropathy. Whatever you call it and however you describe it, peripheral neuropathy can be an uncomfortable, very annoying, and sometimes a crippling condition. What causes this problem and what can be done about it? This feature will answer those burning questions.

30. Peripheral Neuropathy peripheral neuropathy is a condition that is a result of nerve damage.This damage Dealing with peripheral neuropathy. Quick Tip. I am http://aids.about.com/blperin.htm

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About AIDS / HIV Home Essentials ... State and Local Resources zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); HIV 101 Safer Sex Living with HIV HIV / AIDS Fact Sheets ... Help zau(256,138,125,'el','http://z.about.com/0/ip/417/0.htm','');w(xb+xb); Stay Current Subscribe to the About AIDS / HIV newsletter. zau(256,152,100,'hs','http://z.about.com/5/ad/hs.htm?zIhsid=00',''); Search AIDS / HIV Email to a friend Print this page Stay Current Subscribe to the About AIDS / HIV newsletter. Suggested Reading Opportunistic Infection Guide Back to the Basics Staying Safe...A Women's Guide More from your Guide More About Peripheral Neuropathy Most Popular HIV Signs and Symptoms Sinus Infections HIV/AIDS Fact Sheet Lactic Acidosis...The Facts What's Hot Ways To Make Love Without "Doin' It" Side Effects and Solutions HIV/AIDS Fact Sheet HIV 101 ... How to Tell Someone You Have HIV Dealing with Peripheral Neuropathy Quick Tip From Mark Cichocki Your Guide to AIDS / HIV Sign up for my Newsletter Peripheral neuropathy is a condition that is a result of nerve damage. This damage can be cased by certain medications as well as from HIV. Symptoms of peripheral neuropathy include: numbness burning tingling of the feet and hands If left untreated neuropathy can become so severe that it interferes with the person's ability to walk. Treatment is usually requires stopping the medications that are causing the neuropathy. Left untreated, peripheral neuropathy can be permanent. Here are some quick tips to help deal with peripheral neuropathy.

31. Numb Toes And Aching Soles: Coping With Peripheral Neuropathy - Excerpts Books offering peripheral neuropathy information on symptoms, causes, and treatments,both conventional and alternative including vitamin and nutrient http://www.medpress.com/excerpts.html

From Our Books on Peripheral Neuropathy From Numb Toes and Aching Soles: Chapter 3, "Pain Medications" Introduction Although there is presently no true cure for PN, there are particular neuropathies that can be successfully treated by dealing with their underlying causes . Treatment as used here means attempting to restore the patient to some degree of normalcy, to bring the affected PNer back to where (or as close as possible to where) he or she was before the onset of the disorder. These neuropathies include: diabetic neuropathy, which as noted in Chapter 8 can be controlled most effectively by lowering blood sugar levels; neuropathies induced by vitamin deficiencies, toxins and certain drugs, corrected by supplementing the deficiency (covered in Chapter 6) or by removing the causative agent; autoimmune and inflammatory neuropathies treated by plasmapheresis, IVIg, or immunosuppressive medications, discussed in Chapter 4; certain motor neuropathies managed by physical and psychotherapies, covered in Chapter 5, or orthopedic interventions, mentioned in Chapter 9;

32. Peripheral Neuropathy . peripheral neuropathyis a widespread disorder, and there are many underlying causes....... peripheral neuropathy. Definition. http://www.healthatoz.com/healthatoz/Atoz/ency/peripheral_neuropathy.html

Encyclopedia Index P Home Encyclopedia Encyclopedia Index P Peripheral neuropathy Definition The term peripheral neuropathy encompasses a wide range of disorders in which the nerves outside of the brain and spinal cordperipheral nerveshave been damaged. Peripheral neuropathy may also be referred to as peripheral neuritis, or if many nerves are involved, the terms polyneuropathy or polyneuritis may be used. Description Peripheral neuropathy is a widespread disorder, and there are many underlying causes. Some of these causes are common, such as diabetes, and others are extremely rare, such as acrylamide poisoning and certain inherited disorders. The most common worldwide cause of peripheral neuropathy is leprosy . Leprosy is caused by the bacterium Mycobacterium leprae , which attacks the peripheral nerves of affected people. According to statistics gathered by the World Health Organization, an estimated 1.15 million peoplehave leprosy worldwide. Leprosy is extremely rare in the United States, where diabetes is the most commonly known cause of peripheral neuropathy. It has been estimated that more than 17 million people in the United States and Europe have diabetes-related polyneuropathy. Many neuropathies are idiopathic, meaning that no known cause can be found. The most common of the inherited peripheral neuropathies in the United States is Charcot-Marie-Tooth disease , which affects approximately 125,000 persons.

33. Peripheral Neuropathy Learn More!peripheral neuropathy. peripheral neuropathy (PN) affects two millionpeople in the US, 14 typically middleaged and elderly individuals. http://www.athenadiagnostics.com/site/content/diagnostic_ed/neuro_disorders/peri

Peripheral Neuropathy Peripheral neuropathy (PN) affects two million people in the U.S., typically middle-aged and elderly individuals. It is a neurological disorder that affects the sensory, motor and/or autonomic nerves, and is caused by abnormal function of these nerves due to various etiologies. These disorders can originate from numerous causes, such as diabetes, alcoholism, HIV, toxin exposure, metabolic abnormalities, vitamin deficiency, or adverse effects of certain drugs. However, after evaluations for the etiologies of these PNs are performed, 32-70% of all peripheral neuropathies remain idiopathic. With the development of autoimumme and genetic tests, these idiopathic peripheral neuropathies can often be diagnosed. Autoimmune Peripheral Neuropathy Symptoms of an autoimmune peripheral neuropathy may include weakness, cramping, decreased tendon reflexes, numbness, tingling, and pain affecting the arms and/or legs. Clinically, peripheral neuropathies are classified according to various characteristics: symmetric or asymmetric, proximal or distal, acute or chronic, slowly progressive or rapid onset, affecting one (mononeuropathy) or many nerves (polyneuropathy). Upon electrophysiological examination, assessment of a neuropathy can be further classified, depending on which part of the peripheral nervous system is affected, such as the axon or myelin sheath. Peripheral neuropathy can be demyelinating, axonal, or both, as determined by electromyography (EMG) and nerve conduction studies (NCS).

34. EMedicine Physical Medicine And Rehabilitation : PERIPHERAL NEUROPATHY - Online Back to Physical Medicine and Rehabilitation peripheral neuropathy.Physical Medicine and Rehabilitation peripheral neuropathy Articles. http://www.emedicine.com/pmr/PERIPHERAL_NEUROPATHY.htm

Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: Physical Medicine and Rehabilitation > Peripheral Neuropathy Physical Medicine and Rehabilitation - Peripheral Neuropathy Articles Alcoholic Neuropathy (CME available) Brachial Neuritis (CME available) ... Institutional Subscribers

35. National Peripheral Neuropathy Conference We are an online Support Group for those who have or deal with peripheral neuropathy.Our 3rd Conference will be June 24-27, 2004 in Orlando, Florida. http://groups.msn.com/NationalPeripheralNeuropathyConference

var nEditorialCatId = 102; MSN Home My MSN Hotmail Shopping ... Money Web Search: Groups Groups Home My Groups Language ... Help National Peripheral Neuropathy Conference NationalPeripheralNeuropathyConference@groups.msn.com What's New Join Now Welcome to NPNC Speaker List 2004 ... Tools W elcome to the N ational P eripheral N europathy C onference Site "While Science Finds The Cure, Friendship Will Ease The Pain" WE ARE MOVING TO OUR NEW WEBSITE..... Please join us at: http://www.npnc.bhs1989.com/ Click on the JOIN NOW link in the upper left corner of the page. Our new site looks great. I think you will like how it works. Anyone interested in PN is welcome to post questions, answers, and comments pertaining to PN and your everyday living experiences with P eripheral N europathy. If you would like to join our group, please click the Join Now button on the side menu and give us a valid email address. The N ational P eripheral N europathy C onference [ N PN C ] was created in 2001. It is for those who have P eripheral N europathy and those who prescribe and/or provide their care . One of our goals is to provide support where there is none

36. Peripheral Neuropathy-The Neurologic AIDS Research Consortium, Washington Univer Neurologic AIDS Research Consortium. peripheral neuropathy. peripheral neuropathyis a very common and disabling problem encountered in HIV infection. http://www.neuro.wustl.edu/narc/peri-neuropathy.html

Neurologic AIDS Research Consortium Peripheral Neuropathy Treatment of neuropathic pain such as is encountered in neuropathy is notoriously difficult. Minimizing neurotoxic drugs, optimizing diet, assuring that there are no contributing vitamin deficiencies (especially B and thiamine) are important first steps. Alcohol is often a neurotoxin, and continued heavy alcohol use may worsen symptoms. Routine analgesics such as aspirin and ibuprofen generally provide little relief. Even narcotics may not fully relieve this kind of pain. The most commonly helpful therapy is use of low doses of tricycle antidepressant drugs such as amitriptyline or imipramine, not because they can relieve depression, but because they change the pain processing in the brain, thus providing symptomatic relief for the patient. Newer antidepressants (Prozac and similar drugs) are generally less helpful than the older tricyclic compounds for this indication. Treatment of painful neuropathy is a major current focus for the Neurologic AIDS Research Consortium and of the AIDS Clinical Trial Group. The completed trial of nerve growth factor (ACTG 291) has been reported in Neurology NGF did provide significant relief to pain in patients with neuropathy based on Gracely Pain Scale scores. However, during the 18 week trial, quantitative sensory testing did not document return of function in the peripheral nerves.

37. PodiatryNetwork.com - Diabetic Neuropathy peripheral neuropathy is a nerve condition that affects the arms, hands, legs,and feet. The most common form of peripheral neuropathy is due to diabetes. http://www.podiatrynetwork.com/document_disorders2.cfm?ID=137

38. Peripheral Neuropathy Click here for our advertiser. DIABETES AND ENDOCRINE SYSTEM. DiabetesComplications. • peripheral neuropathy. • Diabetic retinopathy. http://www.cnn.com/HEALTH/library/DS/00131.html

International Edition MEMBER SERVICES The Web CNN.com Home Page World U.S. Weather ... Special Reports SERVICES Video E-mail Services CNNtoGO Contact Us SEARCH Web CNN.com In association with: DIABETES AND ENDOCRINE SYSTEM Diabetes Complications Peripheral neuropathy Diabetic retinopathy INFORMATION CENTERS: Pick a category Health Centers Family Health Men's Health Women's Health Children's Health Seniors' Health Working Life Pain Management Condition Centers Immune System Allergy Alzheimer's Arthritis Respiratory System Cancer Endocrine System Digestive System Heart and Blood Infectious Disease Mental Health Note: All links within content go to MayoClinic.com Diseases and Conditions Peripheral neuropathy From MayoClinic.com Special to CNN.com Overview Peripheral neuropathy Neuropathies may affect just one nerve (mononeuropathy) or several nerves (polyneuropathy). Your nerves provide communication between your brain and your muscles, skin, internal organs and blood vessels. When damaged, your nerves can't communicate properly, and that miscommunication causes symptoms such as pain or numbness. Peripheral neuropathy often affects people with diabetes and autoimmune diseases such as rheumatoid arthritis and lupus. Certain vitamin deficiencies, some medications and alcoholism can also damage peripheral nerves.

39. Bmj.com Hughes 324 (7335): 466 Clinical review. Regular review peripheral neuropathy. Richard A C Hughes, professor of neurology. Acute symmetrical peripheral neuropathy. http://bmj.com/cgi/content/full/324/7335/466

Home Help Search/Archive Feedback ... Respond to this article Read responses to this article See related This week in BMJ item PubMed citation Related articles in PubMed Download to Citation Manager This article has been cited by other articles Citation Map Search Medline for articles by: Hughes, R. A C Alert me when: New articles cite this article Collections under which this article appears: Neuropathology Other Neurology Neurological injury BMJ 2002;324:466-469 ( 23 February ) Clinical review Regular review Peripheral neuropathy Richard A C Hughes professor of neurology Department of Neuroimmunology, Guy's Campus, Guy's, King's, and St Thomas's School of Medicine, London SE1 1UL Peripheral neuropathy is common, often distressing, and sometimes disabling or even fatal. The population prevalence is about 2400 per 100 000 (2.4%), rising with age to 8000 per 100 000 (8%). In Europe the commonest cause is diabetes mellitus, which can produce painful neuropathy, disabling foot ulcers, and death from autonomic neuropathy. Leprosy is still prevalent in Africa, India, and South East Asia. This review explains how general practitioners

40. Lymphoma Information Network - Peripheral Neuropathy Site Navigation, peripheral neuropathy. peripheral neuropathy (PN) isdamage to the nerves in the extremities (nonbrain). In lymphoma http://www.lymphomainfo.net/conditions/pn.html

Site Navigation Peripheral Neuropathy Peripheral Neuropathy (PN) is damage to the nerves in the extremities (non-brain). In lymphoma patients this is usually in the hands and or feet. Neuropathy can be caused by radiation or chemotherapy. Chemotherapy is a common cause of PN in lymphoma patients and survivors. The drugs which tend to cause the most damage are vinblastine (the "V" in ABVD chemotherapy used for Hodgkin's Disease ) and vincristine (used in some regimes for Non-Hodgkin's Lymphoma like the "O" in CHOP ). Both these drugs are of the vinca alkaloid family (derived from the periwinkle plant Catharantus roseus Radiation therapy can also cause neuropathy. These can take the form of brachial plexopathy (arm/shoulder neuropathy), cervical plexopathy (neck), and lumbar-sacral plexopathy (lower back and legs). If diabetes is involved, then there is a condition called diabetic neuropathy. Often a fair percentage of chemotherapy and radiotherapy induced neuropathy is temporary - the nerves recover or regenerate in a matter of weeks. Some neuropathy may be permanent or increase after time ( Late Effects Reference Links: Info on Common Lymphoma Chemotherapy Drugs The Neuropathy Association is dedicated to help those with peripheral neuropathy (PN) in the US and the Neuropathy Trust helps those in the UK.

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