Neuropathy of the lower extremities

Neuropathy of the lower limbs often occurs when there are various diseases of the internal organs. The main signs of it are bursting or burning pains, a sensation of crawling crawling, puffiness and numbness of the subcutaneous tissue and skin, difficulties in attempting to move the affected leg.

The most common reason to date, according to which the neuropathy of the lower extremities arises, is diabetes, and, it should be noted, in a very neglected stage. It is because of this, with the gradual manifestation of symptoms and the occurrence of complaints, accompanied by a decrease in weight and a thirst, it is necessary, first of all, to study the level of glucose and, if possible, its profile in the blood and sugar in the urine. As practice shows, the neuropathy of the lower extremities is accompanied by complaints about the lesion of the nerves nervously symmetrically on both legs simultaneously.

In addition to the diabetic character of the development of the disease, traumatic character is observed. Neuropathy of the lower extremities in this form is characterized by sudden development, against the background of absolute well-being. However, the patient is able to remember exactly the cause of all the symptoms. Traumatic neuropathy develops as a result of gradual compression of the nerve trunk with the emerging and developing edema of the tissues surrounding it. The cause of the disease can also be trauma to the areas of the nerve fiber located directly under the skin near the bones. In this case, neuropathy (neuropathy) occurs in a very short period after traumatic effects. This type of disease affects, as a rule, only one limb.

The third, very likely cause of the lesion is benign (malignant) neoplasms. They spread throughout the entire nerve trunk, from the exit site of the rootlets constituting the pillar, to the lower part of the leg from the spinal cord. The disease also develops against the background of the patient's absolute well-being. In this case, in the absence of probable signs and manifestations of diabetes mellitus and possible trauma, it is necessary to carry out a survey aimed at detecting tumor diseases in the pelvic organs.

Peripheral neuropathy (neuropathy) is characterized by several states having one common feature, which is expressed in the defeat in the distal processes of the nerve endings. This condition does not have a separate diagnosis (the exception is the condition considered as a complication in diabetes mellitus). When the appearance and development of signs of defeat, specialists diagnose the cause that caused it.

The causes of the onset and development of peripheral lesions include diabetes mellitus, other metabolic and endocrine disorders that have arisen, various infectious lesions (herpes, diphtheria, malaria, scarlet fever, tuberculosis, HIV, influenza, etc.). Great importance in the diagnosis is given to intoxication with alcohol and drugs, injuries, tumors, vascular diseases, connective tissue damage.

In lesions of various types, there can be both incomplete death of the axon, accompanied by the destruction of the myelin sheath, or a deterioration in the conductivity of signals due to processes of a degenerative-dystrophic nature in the nerve processes.

The defeat of nerve endings can be observed not only in the lower, but also in the upper limbs. For such conditions is characterized by the presence of pain and paresthesia (numbness, crawl) in the fourth and fifth fingers. Neuropathy of the ulnar nerve can be caused by trauma or compression in the area of the wrist or elbow joint. At palpation and percussion the patient complains of painful sensations in a place of compression.