Back Clinic Neuropathy Treatment Team. Peripheral neuropathy is a result of damage to peripheral nerves. This often causes weakness, numbness, and pain, usually in the hands and feet. It can also affect other areas of your body. The peripheral nervous system sends information from the brain and spinal cord (central nervous system) to the body. It can result from traumatic injuries, infections, metabolic problems, inherited causes, and exposure to toxins. One of the most common causes is diabetes mellitus.
People generally describe the pain as stabbing, burning, or tingling. Symptoms can improve, especially if caused by a treatable condition. Medications can reduce the pain of peripheral neuropathy. It can affect one nerve (mononeuropathy), two or more nerves in different areas (multiple mononeuropathies), or many nerves (polyneuropathy). Carpal tunnel syndrome is an example of mononeuropathy. Most people with peripheral neuropathy have polyneuropathy. Seek medical attention right away if there is unusual tingling, weakness, or pain in your hands or feet. Early diagnosis and treatment offer the best chance for controlling your symptoms and preventing further damage to the peripheral nerves. Testimonies http://bit.ly/elpasoneuropathy
The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Individuals diagnosed with peripheral neuropathy, or with small fiber neuropathy, can understanding symptoms and causes help with potential treatments?
Small Fiber Neuropathy
Small fiber neuropathy is a specific classification of neuropathy, as there are different types, which are nerve injury, damage, disease, and/or dysfunction. Symptoms can result in pain, loss of sensation, and digestive and urinary symptoms. Most cases of neuropathy like peripheral neuropathy involve small and large fibers. Common causes include long-term diabetes, nutritional deficiencies, alcohol consumption, and chemotherapy.
Small fiber neuropathy is diagnosed after diagnostic testing showing it is clear that the small nerve fibers are involved.
The small nerve fibers detect sensation, temperature, and pain and help regulate involuntary functions.
Isolated small-fiber neuropathy is rare, but research is ongoing on the type of nerve damage and potential treatments. (Stephen A. Johnson, et al., 2021)
Small fiber neuropathy is not specifically dangerous but is a sign/symptom of an underlying cause/condition that is damaging the body’s nerves.
Pain – symptoms can range from mild or moderate discomfort to severe distress and can happen at any time.
Loss of sensation.
Because the small nerve fibers help with digestion, blood pressure, and bladder control – symptoms of autonomic dysfunction can vary and can include:
Constipation, diarrhea, incontinence, urinary retention – the inability to completely drain the bladder.
If there is progressing nerve damage, the intensity of the pain can decrease, but the loss of normal sensation and autonomic symptoms can worsen. (Josef Finsterer, Fulvio A. Scorza. 2022)
Hypersensitivity to touch and pain sensations can cause pain without a trigger.
The loss of sensation can make individuals unable to accurately detect sensations of touch, temperature, and pain in affected areas, which can lead to various types of injuries.
Although more research is needed, certain disorders that were not considered neuropathies may have small fiber neuropathy components involved.
A study suggested that neurogenic rosacea, a skin condition, could have some elements of small fiber neuropathy. (Min Li, et al., 2023)
These small nerve fibers are distributed throughout the body including the tops of the fingers and toes, trunk, and internal organs.
These fibers are usually located in the superficial areas of the body, such as close to the skin’s surface. (Mohammad A. Khoshnoodi, et al., 2016)
The small nerve fibers that get damaged are involved in transmitting pain and temperature sensations.
Most nerves have a special type of insulation called myelin that protects them and increases the speed of nerve impulses.
Small nerve fibers may have a thin sheath, making them more susceptible to injury and damage at earlier stages of conditions and diseases. (Heidrun H. Krämer, et al., 2023)
Individuals At Risk
Most types of peripheral neuropathy cause damage to the small and large peripheral nerve fibers. Because of this, most neuropathies are a mix of small-fiber and large-fiber neuropathy. Common risk factors for mixed fiber neuropathy include: (Stephen A. Johnson, et al., 2021)
Diabetes
Nutritional deficiencies
Overconsumption of alcohol
Autoimmune disorders
Medication toxicity
Isolated small-fiber neuropathy is rare, but there are conditions that are known to contribute to the cause and include: (Stephen A. Johnson, et al., 2021)
Sjogren Syndrome
This autoimmune disorder causes dry eyes and mouth, dental problems, and joint pain.
It can also cause nerve damage throughout the body.
Fabry Disease
This condition causes a buildup of certain fats/lipids in the body that can lead to neurological effects.
Amyloidosis
This is a rare disorder that causes a buildup of proteins in the body.
The proteins can damage tissues like the heart or nerves.
Lewy Body Disease
This is a neurological disorder that causes dementia and impaired movement and can lead to nerve damage.
Lupus
This is an autoimmune disease that affects joints, skin, and sometimes nerve tissue.
Viral Infection
These infections typically cause a cold or gastrointestinal/GI upsetness.
Less often they can cause other effects like small fiber neuropathy.
These conditions have been seen to cause isolated small-fiber neuropathy or begin as small-fiber neuropathy before progressing to the large nerve fibers. They can also begin as a mixed neuropathy, with small and large fibers.
Progression
Often the damage progresses at a relatively moderate rate, leading to added symptoms within months or years. The fiber nerves that are affected by the underlying condition usually progressively deteriorate, regardless of where they are located. (Mohammad A. Khoshnoodi, et al., 2016) Medications can help alleviate damage to the peripheral nerves. For individuals that are diagnosed in the early stage, it is possible to stop the progression, and potentially prevent involvement of the large fibers.
Treatments
Treatment toward preventing the progression requires controlling the underlying medical condition with treatment options depending on the cause. Treatments that can help prevent the progression include:
Blood sugar control for individuals with diabetes.
Immune suppression for control of autoimmune diseases.
Plasmapheresis – blood is taken and the plasma is treated and returned or exchanged for the treatment of autoimmune diseases.
Symptom Treatment
Individuals can get treatment for the symptoms that will not reverse or cure the condition but can help with temporary relief. Symptomatic treatment can include: (Josef Finsterer, Fulvio A. Scorza. 2022)
Pain management can include medications and/or topical analgesics.
Physical therapy – stretching, massage, decompression, and adjustments to keep the body relaxed and flexible.
Rehabilitation to help improve coordination, which can be impaired by loss of sensation.
Medications to relieve GI symptoms.
Wearing specialized clothes such as neuropathy socks to help with foot pain symptoms.
Treatment and medical management of neuropathies usually involve a neurologist. A neurologist may prescribe medication to help alleviate pain symptoms and provide medical interventions like immunotherapy if there is concern that an autoimmune process could be the cause. Additionally, treatment could include the care of a physical medicine and rehabilitation physician or a physical therapy team to provide stretches and exercises to help strengthen the body and maintain mobility and flexibility.
Peripheral Neuropathy Myths & Facts
References
Johnson, S. A., Shouman, K., Shelly, S., Sandroni, P., Berini, S. E., Dyck, P. J. B., Hoffman, E. M., Mandrekar, J., Niu, Z., Lamb, C. J., Low, P. A., Singer, W., Mauermann, M. L., Mills, J., Dubey, D., Staff, N. P., & Klein, C. J. (2021). Small Fiber Neuropathy Incidence, Prevalence, Longitudinal Impairments, and Disability. Neurology, 97(22), e2236–e2247. doi.org/10.1212/WNL.0000000000012894
Finsterer, J., & Scorza, F. A. (2022). Small fiber neuropathy. Acta neurologica Scandinavica, 145(5), 493–503. doi.org/10.1111/ane.13591
Krämer, H. H., Bücker, P., Jeibmann, A., Richter, H., Rosenbohm, A., Jeske, J., Baka, P., Geber, C., Wassenberg, M., Fangerau, T., Karst, U., Schänzer, A., & van Thriel, C. (2023). Gadolinium contrast agents: dermal deposits and potential effects on epidermal small nerve fibers. Journal of neurology, 270(8), 3981–3991. doi.org/10.1007/s00415-023-11740-z
Li, M., Tao, M., Zhang, Y., Pan, R., Gu, D., & Xu, Y. (2023). Neurogenic rosacea could be a small fiber neuropathy. Frontiers in pain research (Lausanne, Switzerland), 4, 1122134. doi.org/10.3389/fpain.2023.1122134
Khoshnoodi, M. A., Truelove, S., Burakgazi, A., Hoke, A., Mammen, A. L., & Polydefkis, M. (2016). Longitudinal Assessment of Small Fiber Neuropathy: Evidence of a Non-Length-Dependent Distal Axonopathy. JAMA neurology, 73(6), 684–690. doi.org/10.1001/jamaneurol.2016.0057
The central nervous system is responsible for sending neuron signals to all the organs and muscles in the body, allowing for mobility and proper functioning. These signals are constantly exchanged between the organs, muscles, and brain, informing of their activities. However, environmental factors and traumatic injuries can impact the nerve roots, disrupting the flow of signals and leading to musculoskeletal disorders. This can result in misalignments in the body and chronic pain if left untreated. Today’s article will inform us about peripheral neuropathy, a nerve injury correlated with back pain, and how spinal decompression can relieve this condition. We work with certified medical providers who use our patients’ valuable information to provide non-surgical treatments, including spinal decompression, to relieve pain-like symptoms associated with peripheral neuropathy. We encourage patients to ask essential questions and seek education about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer
What Is Peripheral Neuropathy?
Peripheral neuropathy refers to a range of conditions that affect the nerve roots and can cause chronic symptoms throughout the body, as research studies revealed. The nerve cells in our body transmit messages between the brain and other body parts. When these cells are damaged, it can disrupt communication between the central nervous system, leading to muscle and organ problems. Studies have linked peripheral neuropathy to pain and other symptoms, which can have a negative impact on daily activities, quality of life, and mental and physical well-being. Additionally, peripheral neuropathy may increase the risk of falls.
How Peripheral Neuropathy Correlates With Back Pain
Have you recently felt a tingling or sharp sensation when you stepped or experienced constant lower back pain? These symptoms could be related to peripheral neuropathy, which can cause back pain. “The Ultimate Spinal Decompression,” a book by Dr. Perry Bard, D.C. and Dr. Eric Kaplan, D.C., FIAMA, explains that peripheral neuropathy is nerve damage that affects the legs, causing numbness, pain, tingling, and oversensitivity to touch in the toes and feet. This can cause the muscles in the lower back to shift weight away from the painful areas, leading to low back pain. Research studies have revealed that chronic low back pain can involve both nociceptive and neuropathic pain mechanisms. Nociceptive pain is a response to tissue injury that activates the muscles. In contrast, neuropathic pain affects nerve roots branching from the spine and lower limbs, often resulting from damaged spinal discs. Fortunately, there are ways to manage peripheral neuropathy and its associated back pain.
Peripheral Neuropathy Relief & Treatment- Video
Peripheral neuropathy is a nerve injury that affects people differently and can cause sensory symptoms in the upper and lower body. Those with peripheral neuropathy may experience constant pain in their extremities, which can lead to compensation in other muscles and spinal misalignment. This can result in chronic musculoskeletal conditions. Studies show that peripheral neuropathy, especially in cases of low back pain, can cause a malfunction in the brain’s pain modulatory system, leading to overlapping risks and dysfunction. However, various treatments are available to restore the body and reduce neuropathic pain, including chiropractic care and spinal decompression. The video above explains more information on how these treatments can help alleviate neuropathic pain and release the body from subluxation.
Peripheral neuropathy can cause a lot of pain, and many people consider surgery to treat it. However, this can be expensive, so some people opt for non-surgical treatments like spinal decompression and chiropractic care. Studies have shown that spinal decompression can be very helpful in relieving nerve entrapment and improving low back pain symptoms. It’s a safe and gentle treatment that uses traction to help the spine return to its position and allow fluids and nutrients to flow back in. Combining spinal decompression with other therapies can also help reduce peripheral neuropathy symptoms, improving people’s quality of life and helping them become more mindful of their bodies.
Conclusion
Peripheral neuropathy is a condition that results from nerve injuries and can affect both the upper and lower parts of the body. This disorder can cause sensory symptoms that may lead to musculoskeletal conditions, spinal misalignment, and disability. Pain and discomfort are common experiences for those with this condition, which can negatively impact their daily lives. Fortunately, spinal decompression can help alleviate the effects of peripheral neuropathy by gently stretching the spine, releasing entrapped nerves, and correcting subluxation. These treatments are safe, non-invasive, and can be incorporated into an individual’s health and wellness plan.
As humans, there are a variety of stressors experienced daily. Stress collects in various body areas, most commonly the upper back, jaw, and neck muscles. Stress leads to tension in the muscles. The built-up tension can cause the spinal bones to shift out of alignment, irritating the nerves between the spinal bones. A cycle begins as increased nerve tension causes the muscles to continue to contract/tighten. The extra muscle tension continues to pull the spinal bones out of alignment, making the spine stiff and less flexible affecting posture, balance, coordination, and mobility, causing the spine to become further unstable. Chiropractic treatment at regular intervals is recommended to help realign and maintain proper position.
Why The Spine Goes Out of Alignment
The nerves in the body are intricately linked to the spinal cord, and small distortions in the alignment can cause nerves to misfire and malfunction. When the spine goes out of alignment, the nervous system/brain and nerves get stuck in a stressed or tense state. Even a minor misalignment can cause a series of discomfort symptoms to travel throughout the body.
Causes
Causes of misalignment that creates tension in the nerves and muscles include:
A chiropractor will feel/palpate the spine to see if the bones are in alignment, move well, or are out of alignment and not moving correctly or moving at all.
Posture Exam
If the head, shoulders, and hips are uneven or the shoulders and head are pulling forward, the spinal bones are out of alignment/subluxations.
Balance and Coordination
Unhealthy balance and coordination can indicate the brain, nerves, and muscles are malfunctioning by spinal misalignment.
Range of Motion
A loss of spinal movement flexibility can show tension in the nerves, muscles, and misalignments.
Muscle Test
Loss of strength in a muscle can indicate the nerve signals are weak.
Orthopedic Tests
Tests that put the body in stressful positions focus on what tissue/s may be injured and the causes.
X-rays
X-rays look for abnormalities, dislocations, bone density, fractures, hidden/invisible injuries, and infections.
Injury Medical Chiropractic and Functional Medicine Clinic provide personalized treatment plans. These specific therapies are made to generate long-term spine benefits. Spinal manipulation, deep tissue massage, MET, and other manual therapy techniques, combined with exercise, help get the bones moving properly, the muscles functioning correctly, and the spine back into proper form. Treatment relieves muscle spasms, tension, and joint dysfunction, increases circulation, and retrains the muscles to remain relaxed.
The Natural Way to Heal
References
Ando, Kei et al. “Poor spinal alignment in females with obesity: The Yakumo study.” Journal of Orthopaedics vol. 21 512-516. 16 Sep. 2020, doi:10.1016/j.jor.2020.09.006
Le Huec, J C et al. “Sagittal balance of the spine.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 28,9 (2019): 1889-1905. doi:10.1007/s00586-019-06083-1
Meeker, William C, and Scott Haldeman. “Chiropractic: a profession at the crossroads of mainstream and alternative medicine.” Annals of internal medicine vol. 136,3 (2002): 216-27. doi:10.7326/0003-4819-136-3-200202050-00010
Oakley, Paul A et al. “X-Ray Imaging is Essential for Contemporary Chiropractic and Manual Therapy Spinal Rehabilitation: Radiography Increases Benefits and Reduces Risks.” Dose-response: a publication of International Hormesis Society vol. 16,2 1559325818781437. 19 Jun. 2018, doi:10.1177/1559325818781437
Shah, Anoli A, et al. “Spinal Balance/Alignment – Clinical Relevance and Biomechanics.” Journal of biomechanical engineering, 10.1115/1.4043650. 2 May. 2019, doi:10.1115/1.4043650
Individuals dealing with aching knees is one of the most common health problems and affects people of all ages. The knee is the largest joint in the body, comprised of muscles, tendons, ligaments, cartilage, and bones. The knees support walking, standing, running, and even sitting. Constant use makes them highly susceptible to injuries and conditions. The knees are also surrounded by a complex network of nerves that transmit messages to and from the brain. Damage to the nerves from an injury or disease can create various symptoms of discomfort in and around the knee joint.
Knee Neuropathy
Causes
Knee discomfort symptoms can be brought on by injury, degenerative disorders, arthritis, infection, and other causes, including:
Rheumatoid arthritis
This is a chronic inflammatory disorder that causes the knees to swell and causes damage to the cartilage.
Osteoarthritis
This type of arthritis causes the cartilage to steadily wear away, causing damage to the joints and various symptoms.
Cartilage Issues
Overuse, muscle weakness, injury, and misalignments can cause compensating postures and movements that can wear down and soften the cartilage, generating symptoms.
Several factors can increase the risk of developing knee neuropathy, including:
Previous knee injury
Undiagnosed and untreated knee injury
Unhealthy Weight
Gout
Compromised leg muscle strength and/or flexibility
Symptoms
Symptoms associated with a knee injury or disorder can vary, depending on the severity and damage. Symptoms can include:
Joint stiffness
Swelling in the joint.
Reduced movement/flexibility in the joint.
Increased instability/feeling of weakness in the knee.
Changes in skin color around the knee joint, like increased redness or pale discoloration.
Numbness, coldness, or tingling in and/or around the joint.
Pain symptoms could be a dull ache or throbbing felt throughout the knee.
Sharp, stabbing discomfort in a specific area.
If left untreated, knee neuropathy could permanently affect the ability to walk and lead to partial or total loss of knee function and mobility. Doctors recommend taking note of the following:
What activity/s generates symptoms?
Where are the symptoms located?
What the pain feels like?
Treatments available for knee pain
Chiropractic treatment offers various approaches to addressing the pain caused by nerve damage. Standard treatment includes chiropractic adjustments, therapeutic massage, non-surgical decompression, stretching, posture and movement training, and nutritional anti-inflammatory plans. Our medical team specializes in non-surgical treatments that decrease symptoms and increase strength, flexibility, mobility, and restore function.
Knee Injuries Adjustment
References
Edmonds, Michael, et al. “The current burden of diabetic foot disease.” Journal of clinical orthopedics and trauma vol. 17 88-93. 8 Feb. 2021, doi:10.1016/j.jcot.2021.01.017
Hawk, Cheryl, et al. “Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline.” Journal of alternative and complementary medicine (New York, N.Y.) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181
Hunter, David J et al. “Effectiveness of a new model of primary care management on knee pain and function in patients with knee osteoarthritis: Protocol for THE PARTNER STUDY.” BMC musculoskeletal disorders vol. 19,1 132. 30 Apr. 2018, doi:10.1186/s12891-018-2048-0
Kidd, Vasco Deon, et al. “Genicular Nerve Radiofrequency Ablation for Painful Knee Arthritis: The Why and the How.” JBJS essential surgical techniques vol. 9,1 e10. 13 Mar. 2019, doi:10.2106/JBJS.ST.18.00016
Krishnan, Yamini, and Alan J Grodzinsky. “Cartilage diseases.” Matrix biology: journal of the International Society for Matrix Biology vol. 71-72 (2018): 51-69. doi:10.1016/j.matbio.2018.05.005
Speelziek, Scott J A, et al. “Clinical spectrum of neuropathy after primary total knee arthroplasty: A series of 54 cases.” Muscle & nerve vol. 59,6 (2019): 679-682. doi:10.1002/mus.26473
Neuropathy therapeutic massage is a system of structured palpations or movements of the body’s soft tissues. When the nerves don’t get enough oxygen and nutrients from blood circulation, symptoms like tenderness, tingling, numbness, and pain can present. The best way to move the blood is by massaging the circulation in and around the numb and sore areas and throughout the body. Many types of massage therapy are available for various health-related issues. This includes:
Pain alleviation and management
Injury rehabilitation and prevention
Stress alleviation
Anxiety and depression therapy
Immune system restoration
Increasing relaxation
Facilitating overall wellness
Neuropathy Therapeutic Massage
Neuropathy therapeutic massage: The objective is to stimulate blood flow throughout the body. This is because the more muscles move, the better they can maintain blood circulation to nourish the nerves and the body, which is why physical activity/exercise/movement is encouraged. Benefits include:
De-stressing the nerves that are causing tingling, numbness, and burning.
The discomfort eases as the muscles are lengthened and loosened, releasing the tightness and pressure.
Endorphins (natural painkillers) are released, minimizing the pain.
Increase in circulation
Reduced spasms and cramping
Increased joint flexibility
Mobility restoration
Symptom relief
Decreased anxiety
Improved sleep quality
Increased energy levels
Improved concentration
Reduced fatigue
Massage Techniques
Massaging techniques include:
Kneading
Stroking
Gliding
Percussion
Vibration
Friction
Compression
Passive stretching
Active stretching
Effleurage
This can be firm or light soothing, stroking movements without dragging the skin, using the fingertips or the palms.
Petrissage
Lifting or picking up muscles and rolling the skin.
Tapotement
Striking with the side of the hand, usually with slightly flexed fingers, rhythmic finger movements, or short rapid movements with the sides of the hand.
There are different types of massage, those that are for comfort and those for specific conditions or diseases. A few include:
Swedish Massage
Generally regarded as the most common form of massage, this technique involves a combination of five basic strokes and concentrates on the muscles and connective tissues.
Used to improve circulation, relaxation, pain relief, and overall maintenance and well-being.
Sports Massage
Sports massage therapies are used in preventative and therapeutic settings.
Athletes use the technique during warm-ups, training, and competition to treat and/or help in:
Injury prevention
Improved flexibility
Full range of motion
Improved performance
Helps to focus and mental clarity.
Reflexology
This technique uses a system of points on the hands, feet, and ears that correspond to or reflex other body areas.
Reflexologists apply appropriate pressure to these points to stimulate energy flow, to relieve pain or blockages throughout the body.
Reflexology is also used to ease stress and promote relaxation.
Aromatherapy
Various essential oils derived from plants, herbs, flowers, and roots have therapeutic qualities.
Aromatherapy involves essential oils to produce a certain effect; for example, lavender is used to induce calmness and relaxation.
When combined with body massage, aromatherapy can enrich the experience immensely.
A few drops can be added to massage cream or oil and applied to the skin.
Connective tissue massage is similar to myofascial release in that it involves working with the fascia, or soft tissue, to relieve pain, tightness, and discomfort.
The theory of connective tissue massage is that tight, restricted body areas negatively affect other body areas.
Practitioners/therapists hook their fingers into the connective tissue and use pulling strokes to lengthen the tissues.
This releases tension, improves mobility and reduces stress.
Deep-Tissue Massage
Deep-tissue massage utilizes slow strokes, direct pressure, and/or friction across the grain of the muscles with the fingers, thumbs, and/or elbows.
Its purpose is to reach the fascia beneath the muscles going deep into the muscles and connective tissue to release aches and pains.
Therapists thoroughly understand the human body and have been trained to administer deep-tissue massage.
The technique is used in treating chronic pain, inflammation, and injury.
Geriatric Massage
Geriatric massage involves treating the elderly and addressing specific needs related to age, conditions, and illness.
The sessions are usually shorter and involve gentle techniques to facilitate pain relief, relaxation, and overall wellness.
Lymph Drainage Therapy
This technique involves the application of light, rhythmic strokes to alleviate various conditions related to the body’s lymph system.
The lymph system supports the immune system and is responsible for flushing toxins and draining fluid.
When lymph circulation slows down or stops, fluid can build up and cause physical problems like inflammation, edema, and neuropathies.
Therapists restore lymph flow by using a mapping system to assess problem areas, then apply gentle pressure using the fingers and hands to reactivate circulation.
Neuromuscular Therapy
Neuromuscular therapy is massage applied to specific muscles, often used to increase blood circulation, release muscle tension knots/trigger points, and/or release pain/pressure on nerves.
This therapy is also known as trigger-point therapy in that concentrated finger pressure is applied to specific points to alleviate muscular pain.
HealthCare
Neuropathy therapeutic massage is used in combination to enhance regular medical care. Let a doctor know when trying massage therapies, and follow any standard treatment plans. Some forms of massage can cause soreness the next day but should be combined with a sense of improvement and being healthier. If any part of the massage doesn’t feel right or is painful, let the therapist know immediately. Most serious issues come from too much pressure during the massage or sensitivity or allergy to massage oils. Massage therapy caution includes the following:
Vigorous massage should be avoided by individuals with bleeding disorders or low blood platelet counts and taking blood-thinning medications.
Massage therapy should not be done in areas with blood clots, fractures, healing wounds, skin infections, weakened bones from osteoporosis or cancer, or after recent surgery.
Cancer patients should discuss any concerns about massage therapy with their oncologist.
Pregnant women should consult their healthcare provider before using massage therapy.
Peripheral Neuropathy Recovery
References
American Massage Therapy Association defines massage therapy and basic massage therapy terms. www.amtamassage.org
Complementary and alternative methods: types of bodywork. Available at www.cancer.org
Gok Metin, Zehra, et al. “Aromatherapy Massage for Neuropathic Pain and Quality of Life in Diabetic Patients.” Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing vol. 49,4 (2017): 379-388. doi:10.1111/jnu.12300
MassageTherapy.com. www.massagetherapy.com
National Institutes of Health, National Center for Complementary and Alternative Medicine
Samuels, Noah, and Eran Ben-Arye. “Integrative Approaches to Chemotherapy-Induced Peripheral Neuropathy.” Current oncology reports vol. 22,3 23. 11 Feb. 2020, doi:10.1007/s11912-020-0891-2
Sarısoy, Pınar, and Ozlem Ovayolu. “The Effect of Foot Massage on Peripheral Neuropathy-Related Pain and Sleep Quality in Patients With Non-Hodgkin’s Lymphoma.” Holistic nursing practice vol. 34,6 (2020): 345-355. doi:10.1097/HNP.0000000000000412
Thomas, Ewan, et al. “Peripheral Nerve Responses to Muscle Stretching: A Systematic Review.” Journal of sports science & medicine vol. 20,2 258-267. 8 Mar. 2021, doi:10.52082/jssm.2021.258
Zhang, Yong-Hui, et al. “Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus.” Frontiers in medicine vol. 8 756940. 24 Nov. 2021, doi:10.3389/fmed.2021.756940
Nerve damage is also known as peripheral neuropathy. Peripheral nerves transmit information to and from the brain through the spinal cord to the rest of the body. Nerve damage symptoms are common in the neck, arms, hands, low back, legs, and feet. Communication becomes weakened, interrupted, or no longer transmits sensation signals. Nerve damage can be a complication from conditions like diabetes or present after an injury. Injury Medical Chiropractic and Functional Medicine Clinic recognize the symptoms and can treat the injuries rehabilitating the nerves back to functional health.
Nerve Damage Symptoms
Nerve damage symptoms can happen to a single nerve or a group of nerves that can affect the rest of the body. Damage depends on the severity of the condition or injury.
Partially damaged nerves can heal on their own with minimal treatment to ensure they heal correctly.
The fibers are covered with tissues that are a type of insulation.
Sometimes only the fibers get damaged.
Sometimes a nerve gets stuck or jammed inside a tight space, causing irritation and, over time, scarring.
Severe nerve damage can involve the fibers and tissues and often require surgery.
Symptoms can range from mild to severe and depend on which nerve fibers are damaged. These could be the following:
Motor nerves
These nerves regulate all the muscles under conscious control.
These control motor functions like walking, talking, and grabbing and holding objects.
Damage to these nerves usually causes muscle weakness, cramps, and uncontrollable muscle twitching or spasms.
Sensory nerves
These nerves relay sensory information, including touch, taste, smell, vision, temperature, and pain.
Symptoms can include numbness or tingling.
There can also be difficulties:
Sensing pain
Sensing temperature changes.
Walking
Maintaining balance with your eyes closed.
Working with the hands.
Autonomic nerves
This group of nerves regulates unconscious actions, including breathing, heart and thyroid function, and digestion.
Symptoms include excessive sweating, blood pressure variations, inability to tolerate heat, and gastrointestinal issues.
Various symptoms can be experienced as many peripheral nerve injuries affect more than one type of nerve.
Signs
Improperly functioning nerves can cause uncomfortable or painful sensations because the nerves cannot carry the correct signals from the brain to the spinal cord. The signs of nerve damage include the following:
Feeling like you’re wearing an overly tight glove or sock constricting circulation and movement.
Numbness or tingling.
Pins and needles or what feels like mild electrical sensations.
Specific body/limb positions can cause or decrease numbness, tingling, or pins and needles.
Muscle weakness.
Dropping objects regularly.
Sharp pains in the hands, arms, low back, legs, or feet.
Restoring Function
Chiropractic treatments can help restore function and include:
Therapeutic Massage
Therapeutic massage will promote circulation to relieve numbness and tightness and help restore function and feeling.
Chiropractic
Chiropractic adjustments will realign the body and keep affected muscles and joints active.
Electrical Stimulation
Stimulators can activate injured nerves and muscles while the nerve regenerates and recovers.
Braces or Splints
These devices could be used to maintain the position of the affected limb, fingers, hand, or foot to improve muscle function and promote healing.
Exercise
Specifically, prescribed exercises will improve muscle strength, help to maintain range of motion, and reduce muscle cramps.
Diet
A nutritionist will develop a personalized anti-inflammatory diet to expedite healing.
Peripheral Therapy
References
Chen, Zhengrong. “Progress of peripheral nerve repair.” Chinese Journal of traumatology = Zhonghua Chuang Shang za Zhi vol. 5,6 (2002): 323-5.
Gordon, Tessa. “Electrical Stimulation to Enhance Axon Regeneration After Peripheral Nerve Injuries in Animal Models and Humans.” Neurotherapeutics: the journal of the American Society for Experimental NeuroTherapeutics vol. 13,2 (2016): 295-310. doi:10.1007/s13311-015-0415-1
WEBB, E M. “Peripheral nerve injuries; early surgical treatment.” California medicine vol. 80,3 (1954): 151-3.
Welch, J A. “Peripheral nerve injury.” Seminars in veterinary medicine and surgery (small animal) vol. 11,4 (1996): 273-84. doi:10.1016/s1096-2867(96)80020-x
The neuromusculoskeletal system refers to the nerves, muscles, and bones. Nerve messages flow through the nervous system to coordinate and control every bodily function. Nerve interference causes an imbalance in this system, compromising body function. Uncoordinated or reduced nerve function over time can result in an unhealthy state or disease development. Complex or puzzling symptoms can include:
The nerves in the body are linked to the spinal cord, and when the spinal joints shift out of position, they can compress or kink the nerves, causing malfunction. Even a minor misalignment can create nerve, joint, and muscle tightness that travels throughout the body. This causes imbalances in nearly every other bodily system, forcing it to change in negative ways and typically becomes worse with time. Injuries from slips and falls, playing sports, accidents, unhealthy ergonomics, and repetitive/overuse motions can cause nerve injuries. Nerve dysfunction or damage can irritate the nerves causing nerve irritation that leads to nerve interference. Nerve damage can cause numbness, tingling, discomfort, and pain.
Dizziness and Mental Fog
Nerve interference can cause brain fog, sluggishness, dizziness, and anxiety.
If the brain and nervous system’s communication is disrupted by damage or injury to the nerves, mental ability may become confused and muddled.
Negatively Affect Sleep
Nerve interference can produce discomfort all over the body, causing sleep problems.
During restorative sleep, nerve interference can interrupt memory and cognitive function.
Gastrointestinal symptoms like indigestion, acid reflux, constipation, diarrhea, GERD, and nausea can present suddenly.
Back Pain
Back discomfort and pain can be caused by nerve issues.
Nerve pain can be aching, pinching, throbbing, or stabbing in the upper, middle, and lower back areas.
Numbness
Nerve signals can get mixed up or sent to the wrong areas.
Nerve interference reduces nerve energy circulation, causing tingling and numbing sensations in different body regions.
Recovery Problems
Pain could result from a past injury making injuries more difficult to heal.
Nerve interference can cause the body to become stiff, immobile, and numb, depleting the body’s energy.
Nerve energy transmission is required so the body can react to its surroundings and function correctly.
Chiropractic
Nerve blockage can be cleared through functional chiropractic medicine.
The nerve/s that are blocked or restricted are worked on through therapeutic percussive massage, manual adjustments, decompression, and stretching exercises.
Therapeutic deep tissue stimulation with or without heat is applied directly to the nerve region to increase circulation.
Proper function of nerves is restored and allows for increased blood circulation that provides increased oxygenated nutrients expediting the healing process.
Discomfort and pain are relieved.
Range of motion increases.
Restoration of muscle function and joint stability.
Tissue repair improves through treatment and nutrition.
Spinal Decompression Therapy
References
Crawford, J P. “Chiropractic intervention in the treatment of joint and soft tissue disorders.” Canadian journal of applied physiology = Revue canadienne de physiologie appliquee vol. 24,3 (1999): 279-89. doi:10.1139/h99-023
Gu, Xiaosong, et al. “Neural tissue engineering options for peripheral nerve regeneration.” Biomaterials vol. 35,24 (2014): 6143-56. doi:10.1016/j.biomaterials.2014.04.064
Mackinnon, Susan E. “Pathophysiology of nerve compression.” Hand clinics vol. 18,2 (2002): 231-41. doi:10.1016/s0749-0712(01)00012-9
Norton, Charles E et al. “Role of perivascular nerve and sensory neurotransmitter dysfunction in inflammatory bowel disease.” American journal of physiology. Heart and circulatory physiology vol. 320,5 (2021): H1887-H1902. doi:10.1152/ajpheart.00037.2021
T Francio, Vinicius. “Chiropractic care for foot drop due to peroneal nerve neuropathy.” Journal of bodywork and movement therapies vol. 18,2 (2014): 200-3. doi:10.1016/j.jbmt.2013.08.004
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