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Peripheral Neuropathy

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Damage can occur to the ‘peripheral’ nerves of the body – found in the extremities for example the hands, feet and arms. Peripheral nerves are in the network of nerves that lie outside the central nervous system (brain and spinal cord).


Peripheral nerves can be:

  • Sensory – transmit sensations such as pain, temperature and touch.
  • Motor – responsible for controlling muscles.
  • Autonomic – work to regulate automatic functions such as blood pressure, breathing and bladder function.

Signs & Symptoms

If these nerves become damaged they can result in symptoms including:


  • Pain, tingling or loss of sensation in the extremities
  • Loss of balance/coordination or weakness.
  • Wounds that do not heal well (especially in the feet).


The main cause of Peripheral Neuropathy is diabetes where high levels of sugar in the blood damage the tiny blood vessels that supply the peripheral nerves. Other causes include excessive alcohol consumption over years, Vitamin B12 insufficiency and physical damage to the nerves following trauma or surgery to name several.


Information on the various other causes can be found by clicking here.

Assessment & Diagnosis

At Pure, your Physiotherapist will take a full history of your symptoms and the challenges you are presented with so they can understand how it is affecting you. They will then perform a clinical examination to assess your range of motion, strength and function helping to form an accurate diagnosis whilst also gathering information on how they can help you. Upon discussing your diagnosis and educating you on the condition, you can help you make an informed decision about your treatment.


Treatments will depend on the cause of the symptoms and GP’s will be able to assist with this. For example, stabilising your diabetes and painkillers to treat neuropathic pain can be prescribed. Your Physio can provide you with advice and education regarding lifestyle adaptations and changes required, as well as walking aid recommendations and advice on orthotics – if appropriate. They will work with you to form personalised goals to aim for and will regularly re-assess you to measure progress and make any necessary adjustments to your treatment and management.


Physiotherapists can assist with the symptoms of Peripheral Neuropathy by providing exercises to maximise muscle strength of weakened muscles. They will create a personalised home exercise plan for you and as you make progress, this can be updated and modified to continue to challenge you and help you towards achieving your goals. You will be given ongoing support and advice so that you feel confident to manage independently.

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