DEAR DR. GOTT: I’ve been diagnosed with neuropathy of the feet. The nerves are dying and it is a permanent loss.
Then I was told that a chiropractor could help. He said the nerves can be revived to some extent, but not fully. Question. Who is right, the neurologist or the chiropractor? Your answer will be greatly appreciated.
DEAR READER: Let’s review things before I attempt to answer your question.
Peripheral neuropathy is the result of nerve damage from a number of sources including infection, an exposure to toxins such as lead and mercury, excessive alcohol use, metabolic issues such as diabetes, a low B12 level, chronic kidney disease, rheumatoid arthritis, lupus, chronic kidney disease, an under-active thyroid, or a traumatic injury. The damage may be to a single nerve or a group of nerves, causing pain and numbness, a burning sensation and tingling of the extremity.
Treatment is often cause-related, meaning that if you suffer from diabetes, you may need to pay additional attention to your blood sugar levels. If you consume excessive alcohol, you should discontinue the practice. If you have a low B12 level, you should speak with your doctor about taking a supplement. Avoid pressure on your feet that could lead to cuts, splits and hard-to-heal ulcers. Don’t walk barefoot. If chronic pain is an issue, perhaps a pain clinic would be appropriate for relief.
I’d be surprised if either doctor could cure you 100% and you already know you are bound to hear differing opinions regarding which specialist to see. Your neurologist should be able to direct you regarding his views for care. My guess is he or she will prescribe Neurontin or another medication as a first step to help with your symptoms. The problem with this and virtually every other medication is the side effects that could occur. On the flip side, a chiropractor is sometimes a common line of defense because people in the profession can remove nerve pressure with chiropractic adjustment.
Both specialists have merit; however, I suggest a first approach might be to determine what caused the neuropathy in the first place. If you can take steps to correct your condition, do so. Then make an appointment with a local university’s medical staff specializing in peripheral neuropathy. Bring your records for review. Get another opinion that might shed appropriate light on the situation. Indicate you are torn between seeing a neurologist and a chiropractic specialist. Ask for input. If you feel comfortable with what you are told, put your confidence in that recommendation and follow through.
Readers who would like related information can order my Health Report “Managing Chronic Pain” by sending a self-addressed, stamped number 10 envelope and a $2 US check or money order payable to Dr. Peter Gott, PO Box 433, Lakeville, CT 06039 or print out an order form from my website www.AskDrGottMD.com.
