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Peripheral Neuropathy Physiotherapy



Peripheral neuropathy (PN) refers to a medical condition that affect the nerves of the body that results in a variety of symptoms including

  • pain
  • changes in sensation
  • and alterations in muscle activity

PN may be associated with other disease processes such as

  • diabetes
  • bodily injury
  • and overuse conditions

Sometimes peripheral neuropathy also can occur as a side effect of medications, such as chemotherapy.

Although the symptoms of some types of PN have been shown to improve over time, many do not.

Treatment by our senior physiotherapists can help reduce symptoms of PN in some cases, and reduce the effect the symptoms have on movements and activities to improve an individual's quality of life.

What is Peripheal Neuropathy?

Peripheral neuropathy (PN) is a condition that affects the nerves of your body. It is generally classified by

  • the number of nerves affected
  • the type of nerve cells affected
  • or the process affecting the nerves

Depending on these factors, the symptoms of PN vary widely, and can include

  • sensory (eg, touch)
  • motor (eg, movement)
  • and/or autonomic (ie, nervous system)

issues (see the “How Does It Feel” section below for more details).

Common classifications of PN include:

  • Mononeuropathy

    This is a condition only affecting 1 nerve. It is often a result of the compression of a nerve, which creates an onset of symptoms.

    Carpal tunnel syndrome is an example of a mononeuropathy, in which compression of the median nerve in the arm results in altered sensation, pain, and weakness of the hand.

  • Polyneuropathy

    This is a condition affecting 2 or more nerves and is generally a result of a disease process that affects the entire body. This type of PN can result in an individual experiencing symptoms in various body parts, on both sides of the body.

  • Neuritis

    This is a condition that results from inflammation of a nerve. There are many causes of this type of PN including infection, injury, or exposure to chemicals.

How Does it Feel?

To understand symptoms of PN, we must first understand that nerves have influence over 3 primary functions, all of which may be altered by PN:

  1. Sensation
  2. Motor function (movement)
  3. Autonomic (nervous system) function

Depending on the location and type of nerve(s) involved, people with PN may experience:

  • Numbness and tingling, most commonly starting in the feet and hands, and possibly spreading up the limbs
  • Loss or absence of sensation (the ability to sense contact with outside objects)
  • Pain, often described as burning, sharp, or "electric-like"
  • Increased sensitivity to light touch
  • Clumsiness or decreased coordination in the affected limb(s)
  • Weakness or paralysis in the muscles or parts of the body affected by the nerve or nerves
  • Bowel or bladder changes; nerves controlling these functions may be affected
  • Temperature intolerances
  • Decreased balance
  • Falls
  • Poor wound healing
  • Excessive sweating or skin dryness
  • Flushed or pale skin
  • Abnormal nail growth
  • Decreased ability to participate in normal functional activities

CAUTION: If you or a loved one are experiencing any of the above symptoms, consult a medical professional.

How Is It Diagnosed?

A thorough examination by a medical professional will help determine if you have symptoms of PN. There are several methods and tests a clinician may use to make a diagnosis, such as

  • testing your reflexes
  • sensation
  • and muscle strength

If you have suspected symptoms, your physician may also order

  • blood work
  • diagnostic imaging (such as an MRI)
  • or nerve-conduction testing

These tests are generally ordered based on the suspected origin of symptoms.

how our senior physiotherapists can help

Our senior physical therapists can play a vital role in helping individuals improve and maintain functions that may be limited by PN. We will work with you to develop a treatment plan to help address your specific needs and goals.

Because the cause, type, and symptoms of PN can all vary, the approach to care will also vary. We  may provide the following recommendations and care:

Nerve gliding activities

To function well, nerves require 3 things: movement, blood, and space. Exercises that move and “glide” your nerves are often effective at helping to manage symptoms of PN, as well as promote nourishment and healing of the nerve. We can show you effective exercises that move and glide your nerves.

Moderate-intensity exercise.

We may recommend moderate-intensity exercises to help improve your strength and physical function.

Balance and coordination activities.

We may work on strategies to improve your balance and coordination, both of which may be altered by PN. Improving balance and coordination can help decrease your risk of falling.

Bracing

We may prescribe bracing for your nerve injury. Braces can be used to protect injured nerves or to help you move safely.

Education

We will educate you on how to safely manage peripheral neuropathy.

Your education will vary based on your individual needs, and may focus on improving your safety, preventing further complications, and finding alternative ways to perform certain tasks.



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book your physio appointment or enquire now

Enquire and email your preferred physiotherapy appointment slot to louise@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here

Phoenix Rehab physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.



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Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes



CLINICAL PILATES & WELLNESS PILATES

Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility, and breathing. It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



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DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY

Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to accelerate recovery and shorten downtime. It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.



ALTERNATIVE THERAPIES

All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

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We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book your physio appointment or enquire now

Enquire and email your preferred physiotherapy appointment slot to louise@phoenixrehabgroup.com or

WhatsApp / SMS your name, preferred date, time and enquiries to +6588001830

Clinic Locations: See how to get to us here