Which doctor do I consult about tingling?
Polyneuropathy - it starts with tingling and ends with pain
Polyneuropathy is a disease of the peripheral nerves. The transmission of stimuli works only to a limited extent or not at all. At the beginning, those affected complain of tingling or numbness. Symptoms appear on the feet, less often on the hands, but can affect other parts of the body as well. In later stages there is pain and a decrease in the sensation of touch, even intense cold and heat are no longer felt.
The cause of the polyneuropathy in Austria is mostly diabetes mellitus. The severity of nerve damage depends on age, duration of illness and blood sugar control.
At the Pirawarth Clinic, polyneuropathy is discovered both as a leading diagnosis, but often also as an additional finding in another underlying disease.
Exact cause research
If polyneuropathy is suspected, a clinical examination with detailed anamnesis carried out. Previous illnesses, type of sensory disturbances, motor failures and pain are recorded. In addition to the medication and alcohol history, a careful inspection of the feet is also carried out. A first laboratory should provide information on fasting and long-term blood sugar levels, electrolytes, blood counts, inflammation parameters and kidney and liver function values.
In the detailed neurological examination The main focus is on the precise examination of muscle strength ratios, reflexes and surface and depth sensitivity. As further investigations are available NLG (Nerve conduction velocity) and EMG (Electromyography) available.
Mechanism-oriented pain therapy
Therapy for polyneuropathy is not easy. After the cause of the disease has been clarified, attempts are made to eliminate or reduce it.
If the polyneuropathy is due to an untreatable disease or if the cause is not clear, only the symptoms can be treated.
"The drugs for neuropathic pain are not beneficial for kidney function, so the exact pain therapy setting is important," explains Dr. Kulisev. “A big advantage of the Pirawarth Clinic is the time we have for this medication coordination. Four weeks are an optimal period of time for the team of doctors to make individual adjustments under constant laboratory control.
Develop more sensitivity
In neurological rehabilitation there is an accompanying Physiotherapy and sports therapy tries to compensate for motor failures and to increase muscle strength.
In the case of pronounced, sensitive failures, there is also a Occupational therapy indexed. Sensitivity training is useful for disorders of fine motor skills in the hands. This is also suitable for eliminating sensitivity disorders Cell bath. They have a similar mode of action Mesh glove applications. Somatosensory areas of the brain can be electrically stimulated with the contralesional hand using a glove.
In diabetes and neuropathy, for example, a stable sugar control is important. Own Dietitians The time guests spend in the house is used to illustrate the connections between illness and diet.
Dr. Kulisev to the referring doctors: “It is important to motivate the patient, but one shouldn't promise too much! We cannot work miracles either! ”Nevertheless, there is a positive case study that Dr. Susanne Schützenberger-Sitta likes to remember: “A Russian patient was referred to the Pirawarth Clinic by the Kaiser-Franz-Josef-Spital in Vienna - with a special form of polyneuropathy and in a wheelchair. She received good initial care in the acute hospital and was lucky because she had a treatable form. It was moving for all of us when she went away in her ballerina shoes at the end. "
Dear Colleagues! The entire assessment team at Klinik Pirawarth is always open to questions and suggestions or to an exchange of information. If you would like to discuss a special matter with us regarding your patients, we are at your disposal.
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