Neuropathy or peripheral neuropathy is a condition that arises from damage to a single or multiple peripheral nerves. A variety of disease conditions cause neuropathy which can range from common conditions such as diabetes mellitus, infections like leprosy, immune disorders like Guillain Barre syndrome and repetitive stress injury to uncommon disorders like connective tissue disorders, hereditary neuropathies, amyloidosis and tumours.
A patient with neuropathy may complain of uncomfortable sensations like tingling, burning, pins-and-needles, stabbing or shooting pain. There may be reduced or loss of sensation in affected regions which lead to painless injuries, burns, and non-healing ulcers. In addition, a patient may experience loss of strength in hands and feet leading to difficulty in holding objects such as pen with hand, opening bottles, turning key in a lock, gripping footwear, and foot drop. Loss of coordination and sensation of imbalance may also occur on closing the eyes. Uncommonly, a patient may experience giddiness on standing suddenly, visceral dysfunctions like constipation, urinary disturbances, and erectile dysfunction collectively termed dysautonomia or autonomic neuropathy.
SERVICES WE OFFER
- To provide comprehensive services for clinical assessment, objective documentation, electrodiagnostic testing and laboratory evaluation of underlying cause and treatment of patients with neuropathy.
- To evaluate patients with dysautonomia with pan autonomic function tests assessing cardiovascular, sudomotor, GI functions & its management.
- To provide a focussed neuro-rehabilitation programme for patients with neuropathy.
- To spread information regarding the prevention of neuropathy in metabolic conditions like diabetes and prevention of complications arising from neuropathy eg: leprosy.
- Genetic evaluation and counselling for patients with suspected or established hereditary neuropathies.
- Neuroimmunology evaluation & management of immune-mediated neuropathies.
- To create a database of patients with various neuropathic disorders.
Peripheral Neuropathy Clinic
Patients with clinically suspected or referral diagnoses of peripheral neuropathy will be seen on a first-come-first-serve basis. Patients referred from other centres for the evaluation of neuropathy will also be seen. Patients who have been seen in the ‘Neuropathy Clinic’ will continue to be followed up at regular intervals at the clinic as mandated by the diagnosis. Patients who are detected to have a neurological or systemic disorder without peripheral neuropathy during the course of evaluation will be transferred/referred back to the general Neurology OPD.