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Exercise to Help Ease Neuropathy Symptoms

As promised yesterday, today's post deals with exercise as a means of relieving neuropathic problems. In the past it was not advised to exercise too much (especially weight bearing exercise) because of the risk of exacerbating various neurological problems. However, more and more specialists now believe in the old adage that, 'if you don't use it, you lose it!' and therefore, advise that it's important to keep your muscles and joints in the best shape possible to avoid atrophy and further invalidity. All well and good for some but I can hear the groans of those for whom every movement is torture and the idea of subjecting your anaesthetised, or painful feet to exercise regimes seems to be just asking for falls and broken bones. It seems reasonable therefore to say, that you must tailor your exercises to your own ability at any given time - you can only do what you can do - but you should at least try the best you can. It's logical that the weaker your muscles and joints become through lack of action, the more restricted your life's going to be.
The article comes from the same source as yesterday; Grandtimes.com (see link below) and refers once again to the book, 'Numb Toes and Aching Soles' by John A.Senneff.

Numb Toes & Aching Soles

PERIPHERAL NEUROPATHY
by John A. Senneff

Coping with Peripheral Neuropathy

It may not be possible for us to feel like we once did before we got stuck with this atrocious ailment— at least not yet, not until some true cure comes along— but there is much we can do now to improve the quality of our lives.

Benefits of Exercise

Most clinicians think the benefits of exercise stem largely from the improvement in blood circulation it produces. This improvement permits oxygen to be carried to various parts of the body (including nerve tissue) where it's needed most. Also a good exercise program will almost inevitably lead to a loss of weight— a desirable goal in itself for most people and one which is believed especially important for people with neuropathy. In any event, as one PNer said plaintively : "At least one good thing about weight reduction is there is less of you to hurt."
Of course beyond any particular PN benefits, there are a number of general health boons from exercise. These include the reduction of low density lipids (LDLs) and triglycerides, the increase of favored high density lipids (HDLs), and the lowering of blood pressure. David C. Nieman, professor of health and exercise science at Appalachian State University in Boone, North Carolina, also points out that moderate daily exercise can boost the body's immune system.
I found one formal study on the value of exercise to PNers. As reported in the October 1997 issue of Physical Therapy, 28 subjects with peripheral neuropathy between the ages of 23 to 84 were followed through a six week period during which half completed a home exercise program. Dr. Richard K. Shields, a professor in the Physical Therapy Graduate Program at the College of Medicine, University of Iowa, was the principal investigator in the study.
Subjects were given stretching bands to exercise the upper body, gradually increasing resistance, with a goal of 10 daily repetitions. They also were instructed to exercise aerobically up to 20 minutes each day, either by walking or bicycling, with enough intensity to achieve a heart rate of 60 to 70% of their estimated maximum heart rate (220 minus their age).
Study conclusions were based on impairment measures which included average muscle scores, handgrip force, walking time and "forced vital capacity." A health survey was also used which dealt with quality of life perceptions.
At the end of the six week period those in the exercise group showed moderate improvements in their strength impairment measures, as could be expected. What was noteworthy were the significant improvements reported in the quality of life surveys. Exercise participants indicated on average a meaningful change in "physical and mental role limitations" (self perceptions of physical and mental disabilities) and "social function limitations" (self perceptions of interference with normal social activities). The study did not, however, demonstrate any overall pain reduction for those participants. From an analysis of the results Dr. Shields concluded that a home exercise program should be an important component of treating people with peripheral neuropathy.
I think the message from this study is that, apart from any direct physical benefits (which can be significant), exercise makes us feel better about ourselves, that perhaps we figure we are not quite as hobbled by our PN as we previously thought, that we look better, have more energy, are generally healthier and happier, etc.

Types of Exercise

Of the various forms of exercise, most PNers seem to agree water aerobics (such as running in deep water while wearing flotation devices) or simply swimming laps, or a combination of the two, is best since it takes the weight off of painful feet while you're exercising. Also it's easier to stretch and work muscles in the water. If you prefer to exercise in the shallower end of a pool you might consider buying a pair of water shoes to give your feet some protection and traction. (Occasionally people simply use old tennis shoes for this purpose.) To get the full benefit of any water workout it's suggested you spend at least 30 minutes in a pool, daily if possible but at least several times a week.
If our feet can handle walking— the faster the better— that also is an excellent form of exercise. Unfortunately running or jogging must remain a memory for most of us who used to enjoy those pursuits. A treadmill provides much the same walking experience but under controlled conditions. (I used to have one but my feet couldn't take it anymore.)
The Stair Master is a step removed (no pun intended) from walking. This machine eliminates the foot impact of walking— though it can still put stress on your feet as you push down. I personally prefer a machine called the Precor, where you slide your legs back and forth in a gliding motion while your feet are planted on "skis." With the Precor you can increase the resistance or raise or lower the height of the ski tips on the control panel. Another so-called elliptical machine is the Body Trek which involves the use of arms as well as legs.
Easier on the feet yet are exercise bikes. A type many favor, me included, are recumbent models where you plop yourself in a "chair" and pedal while sitting back with your legs pumping horizontally. You can read, watch TV or just listen to music, all while getting a great workout.
Many PNers also use strength-building routines such as weight lifting. Well equipped fitness centers offer all kinds of equipment for this purpose.
Physical therapy experts maintain that gradual stretching and strengthening exercises help relieve the stress of chronic pain. An organization called Stretching, Inc., has a web site (www.stretching.com) offering various helpful books on stretching and body building techniques. Incidentally it is always a good idea to have a trained physical therapist formulate your exercise program.
One other form of exercise some PNers use is the Chinese martial arts routine called tai chi. This is a training exercise involving slow, graceful movements such as seen performed in Chinese parks early in the morning. These movements are derived from the movements of animals and follow a natural, relaxed pattern. They increase the body's motion range and are said to exercise the internal organs. (Don't ask me how.) According to practitioners the slow meditative routine aids relaxation, stress reduction, balance and posture, and increases blood flow.
Diabetic PNers are again reminded to check with their physicians prior to engaging in exercise programs.

http://www.grandtimes.com/numbtoes.html

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Burning And Tingling Not The Only Symptoms Of Neuropathy

Today's post from dailyalternativehealthandwellness.com (see link below) is a correction of the common misconception that pain, numbness and tingling in the feet are the only symptoms of neuropathy and nerve damage. They're not and as the article points out, if motor nerves are damaged, then a whole raft of other symptoms can be the result. It is true that the commonest symptoms of neuropathy are to be found in the feet but there are over 100 forms of neuropathy with also more than 100 different possible causes. It's possible you may feel some symptoms but not others and/or a combination of all of them. It's a disease you can't fit neatly into fixed rules and regulations and this article is quite right in pointing that out.

Neuropathy And Loss Of Muscle Control Symptoms
March 5, 2016 by admin

Have you noticed your muscles acting a little strange since developing neuropathy? Perhaps they affect your ability to walk? Or maybe you find it difficult to use your fingers to pick something up? While we normally associated peripheral neuropathy with symptoms like pain, numbness and tingling – there are other symptoms as well.

It is a known fact that the peripheral nervous system is made up of three different kinds of nerves: motor, sensory and autonomic. In addition, each type of nerve controls different functions. Motor nerves send signals from the brain and spinal cord to your muscles – controlling motor functions like walking, dexterity and more. Sensory nerves do the opposite – relaying signals like temperature, pain, etc. from the muscles back to the brain and spinal cord. Finally, the autonomic nerves control involuntary or semi-voluntary functions like heart rate, digestion, blood pressure and more.

Peripheral neuropathy can affect some or all of these nerves. The symptoms you experience will depend entirely upon the type of nerve(s) that have been damaged as a result of your neuropathy. If your sensory nerves have been damaged you will experience symptoms such as pain, numbness, tingling or burning. Damage to the autonomic nerves can lead to problems with dizziness, sweating (either too much or too little), nausea, vomiting, diarrhea, constipation, difficulty urinating and more.

If your motor nerves fall victim to nerve damage – various motor functions can be affected. Let us take a look at five possible symptoms you might experience if your neuropathy has damaged your motor nerves:
Loss of balance and difficulty walking – Damage to the motor nerves can make walking difficulty.

Loss of Dexterity – A few common difficulties associated with loss of dexterity are inability to grip objects, loss of hand strength, difficulty writing or typing, difficulty performing tasks that require small movements, decreased reflexes and more.

Muscle Weakness & Deterioration – For many, decrease in physical activity results in muscle deterioration and weakness. As the muscles deteriorate, you lose muscle mass and tone.
Cramps & Spasms – Generally, the cramping strikes at night and can range in severity from mild to extremely painful.

Loss of Muscle Control – Generally, you will have loss of reflexes, inability to move hands or feet quickly, difficulty with fine motor tasks (i.e. buttoning a shirt, writing, etc) and more.

Just remember, while the most common symptoms associated with peripheral neuropathy are pain, numbness, burning or tingling in the hands or feet – they are not the only symptoms.

http://dailyalternativehealthandwellness.com/neuropathy-and-lost-of-muscle-control-symptoms/

Taking Neuropathy Symptoms To Your Doctor

Today's post from mayoclinic.com (see link below) is extremely useful for those people who are going to see a doctor about their neuropathy symptoms. Very often, you're not quite sure how to put your problems into words. Neuropathy provides symptoms that are almost unique in terms of how they feel and finding the right ways to explain how you're feeling to your doctor can be tricky. There are some very constructive tips in this article and they will help you get the best reaction out of your doctor in the limited amount of time you have for an appointment. Definitely worth a read.

Preparing for your appointment
By Mayo Clinic staff Nov 2nd 2011

You're likely to start by seeing your family doctor or a general practitioner. However, you may then be referred to a doctor who specializes in nervous stem disorders (neurologist).

To make the most of your appointment time, it's good to arrive prepared. Here's some information to help you get ready for your appointment, and to know what to expect from your doctor.

What you can do

• Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
• Make a list of all medications, vitamins and supplements you're taking.
• Ask a family member or friend to come with you, if possible. Sometimes it can be difficult to remember all of the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.

Write down questions to ask your doctor.

Preparing a list of questions can help you make the most of your time with your doctor. For peripheral neuropathy, some basic questions to ask your doctor include:

• What's the most likely cause of my symptoms?
• Are there other possible causes for my symptoms?
• What kinds of tests do I need? Do these tests require any special preparation?
• Is this condition temporary or long lasting?
• What treatments are available, and which do you recommend?
• What types of side effects can I expect from treatment?

• Are there alternatives to the primary approach that you're suggesting?
• I have other health conditions. How can I best manage them together?
• Do I need to restrict any activities?
• Is there a generic alternative to the medicine you're prescribing?
• Are there brochures or other printed material I can take home with me? 
• What websites do you recommend?

Don't hesitate to ask other questions that occur to you.

What to expect from your doctor

• Your doctor is likely to ask you a number of questions, such as:
• Do you have any underlying health conditions, such as diabetes or kidney disease?
• When did you begin experiencing symptoms?
• Have your symptoms been continuous or occasional?
• How severe are your symptoms?
• Does anything seem to improve your symptoms?
• What, if anything, appears to worsen your symptoms?

http://www.mayoclinic.com/health/peripheral-neuropathy/DS00131/DSECTION=preparing-for-your-appointment