Perhaps the most frustrating, but real issue surrounding patients who suffer from peripheral neuropathy and many types of chronic pain is that more often than not, there are often multiple underlying causes.

As you know, life is an accumulation of experiences—sometimes, unfortunately, including trauma and illnesses.

All of these things have consequences, some of which will not show up for many years. You probably also know that things that are very easy to ignore at 25 now become impossible to ignore at 65 and beyond.

One of the issues that concerns me while treating many neuropathy patients is when clinicians and patients focus exclusively on trying to find the “one” cause of their pain, burning, tingling numbness or other neuropathy symptoms.

The reason for this is quite simple. Most commonly, patients develop peripheral neuropathy as the result of multiple underlying causes.

For example, a common scenario is an overweight smoker who had a history of back surgery. Perhaps they are overweight or pre-diabetic, or have used some medications (commonly statins) known to cause neuropathy. These are some of the many multiple underlying causes we find in patient histories every day.

The reality is, all these things are risk factors for the development of chronic pain, and often peripheral neuropathy.

So, unless all these multiple underlying causes are addressed, the patient is unlikely to significantly improve.

Worse yet is when doctors and other caregivers are not familiar with this all-too-common scenario.

We honestly believe this is the reason why so many patients receive symptomatic prescriptions, yet no constructive advice on how to manage, let alone possibly beat, their peripheral neuropathy.

So the best advice we can give you is to try and understand everything that may be contributing to your current situation.

Also understand how very important it is NOT to delay proper treatment. The longer the delay, the more difficult peripheral neuropathy and chronic pain becomes to manage.

We find this is also why the biggest neuropathy treatment successes come when implementation of EARLY effective pain & neuropathy treatment, including neurostimulation (NDGen), manual and massage therapy, laser (LLLT/LED) therapy, can have a profound impact on our patients’ outcomes, no matter what the multiple underlying cause(s) might turn out to be.

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