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What Type Of Neuropathy Prognosis And Causes Of It?
Question: Hello Doctor, what type of neuropathy is : Distal Motor Axonal Peroneal Neuropathy ? Could you please give me an insight on what is it exactly, prognosis and causes of it? Thanks..
Brief Answer:
I would explain as follows.
Detailed Answer:
Hello again.
I have read your new question.
Distal Motor Axonal Peroneal Neuropathy refers to the disfunction of the peroneal nerve such as the ability to lift the big toe of the leg.
Most of these lesions are traumatic in origin due to laceration, traction, and especially compression at the fibular head.
Less possible conditions include tumors of the nerve such as neuroma, etc.
If no significant symptoms such as paralysis of dorsiflexion of the foot, or steppage, there is no need to worry about it.
If there are symptoms, then the correct diagnosis is necessary.
Hope this helps.
Feel free to ask f you have further questions.
I would explain as follows.
Detailed Answer:
Hello again.
I have read your new question.
Distal Motor Axonal Peroneal Neuropathy refers to the disfunction of the peroneal nerve such as the ability to lift the big toe of the leg.
Most of these lesions are traumatic in origin due to laceration, traction, and especially compression at the fibular head.
Less possible conditions include tumors of the nerve such as neuroma, etc.
If no significant symptoms such as paralysis of dorsiflexion of the foot, or steppage, there is no need to worry about it.
If there are symptoms, then the correct diagnosis is necessary.
Hope this helps.
Feel free to ask f you have further questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks doctor, the purpose of my ncv studies was to ascertain constant tingling and XXXXXXX vibrating like sensations in my both feet lower portion, they usually used to get worse in night. Initially diagnosis was idiopathic RLS because of the clinical symptoms i described with no other health issue in particular. But after the NCV test, neurologist i consulted ,said you have peripheral neuropathy with RLS. This is why, i am just trying to ascertain what exactly i am suffering from? because i can't just keep taking medicines without knowing what i am suffering from exactly. The test result suggested this finding for right leg only, while i have symptoms of constant tingling in both left and right feet, throughout day and night. Sometimes i get random twitches, burning sensations as well muscle spasms in my both calve muscles, generally during night only. i have taken second opinion as well, but more i consult, more confusing it gets.
Brief Answer:
I would explain as follows.
Detailed Answer:
Welcome back.
In my opinion, this test result does not confirm fully peripheral neuropathy and doesn't justify your symptoms.
The isolated peroneal nerve finding in the NCV study is more a coincidence and most likely caused by compression or trauma on this nerve only.
Your symptoms in the other leg too are justified by RLS and anxiety.
Hope I've been clear in my explanation.
Take care.
I would explain as follows.
Detailed Answer:
Welcome back.
In my opinion, this test result does not confirm fully peripheral neuropathy and doesn't justify your symptoms.
The isolated peroneal nerve finding in the NCV study is more a coincidence and most likely caused by compression or trauma on this nerve only.
Your symptoms in the other leg too are justified by RLS and anxiety.
Hope I've been clear in my explanation.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks doctor for your proper explanation, it has definitely helped me in understanding and differentiating symptoms.
Just few more doubts, Do you recommend staying on pregabalin or should i switch to gabapentin, considering long term aspects ? because I have taken gabapentin for 1.5 years in very low of 100mg per day, it controlled my symptoms in night but always gave me internal shakiness as side effect. About 2 months back i switched to pregabalin without any issue, and i am on again low dose of 50 mg, by god grace it works efficiently for my symptoms in night but its giving me constipation as side effect but without any internal shakiness. What should i do ? doctor did suggested 75 mg as starting dose, but i feel fine enough on 50mg, so my point was if the medicine cannot cure it and lower dose is effectively working for me, so shouldn't i stay on low dose till it is working fine?
Just few more doubts, Do you recommend staying on pregabalin or should i switch to gabapentin, considering long term aspects ? because I have taken gabapentin for 1.5 years in very low of 100mg per day, it controlled my symptoms in night but always gave me internal shakiness as side effect. About 2 months back i switched to pregabalin without any issue, and i am on again low dose of 50 mg, by god grace it works efficiently for my symptoms in night but its giving me constipation as side effect but without any internal shakiness. What should i do ? doctor did suggested 75 mg as starting dose, but i feel fine enough on 50mg, so my point was if the medicine cannot cure it and lower dose is effectively working for me, so shouldn't i stay on low dose till it is working fine?
Also, to mention. Neurologist i consulted said in RLS, NCV study comes normal, they are just giving me diagnosis of peripheral neuropathy on basis of mild peroneal neuropathy in right limb. That's the reason, i am onto confirming as to what exactly is true.
Brief Answer:
I would explain as follows.
Detailed Answer:
Hello again.
I have read your new questions.
In my opinion, 50 mg of pregabalin is a very low dose, so, since it is effective, you should continue with this regimen.
Constipation may be addressed by diet and is considered an acceptable adverse effect in such cases.
Isolated peroneal neuropathy is unlikely to represent general peripheral neuropathy as a diagnosis, most likely for isolated neuropathies causes are trauma, compression, etc.
Hope this helps.
Take care.
I would explain as follows.
Detailed Answer:
Hello again.
I have read your new questions.
In my opinion, 50 mg of pregabalin is a very low dose, so, since it is effective, you should continue with this regimen.
Constipation may be addressed by diet and is considered an acceptable adverse effect in such cases.
Isolated peroneal neuropathy is unlikely to represent general peripheral neuropathy as a diagnosis, most likely for isolated neuropathies causes are trauma, compression, etc.
Hope this helps.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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