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Dr. Andrew Rynne

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Exp 50 years

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What causes neuropathy with burning, and tingling sensation in the right foot?

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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3337 Questions

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Posted on Tue, 18 Sep 2018 in Brain and Spine
Question: Since December 2016, I developed neuropathy in my feet, primarily in my right foot, burning, tingling etc. symptoms went away in XXXXXXX last year, however, symptoms started in December. Early part of last year, I saw two neurologists, they performed some tests, including MRI Of spine, no cause found. I'm not diabetic. I took the XXXXXXX myself and tested negative for HIV, tested positive for hetpes 1 and 2, to my XXXXXXX because I never had an outbreak in my life, I'm 64 years old. I was put on gabapentin , lyrica last year, no relief. I'm taking now amitriptyline 50 mg, I took that last year, I had some refills. What can cause this?, I suffer also from high blood preassure and anxiety.
doctor
Answered by Dr. Erion Spaho 41 minutes later
Brief Answer:
Toxin exposure, autoimmune diseases, alcoholism (if any) and a few other to consider.

Detailed Answer:
Hello!

I have gone through your question and understand your concerns.

Conditions that may cause peripheral neuropathy besides diabetes, include viral infections, low vitamins B group deficiency, autoimmune diseases, alcoholism, side effects of drugs, exposure to poisons (heavy metal elements), bone marrow disorders, and several others.

Besides MRI, to evaluate compression on nerves, blood tests to evaluate above-mentioned conditions and nerve conduction study are necessary to find out the exact cause.

In some cases, even after extensive examinations, the underlying cause remains unknown.

Until now, herpes virus infection may be a possibility in your case (even if there's no outbreak till now). However, other causes should be evaluated further too.

Please discuss with your Doctor about getting tested further.

Hope you found the answer helpful. Let me know if I can assist you further.

Take care.
Dr. Erion Spaho, Neurologist, Surgical

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Erion Spaho 23 minutes later
I understand there is no cure for this condition, so just learn to adapt to it?

And Dr, neurologists performed blood tests, checking for vit deficiencies, heavy metal , I don't drink alcohol. All came back ok. This condition went away for 5 months last year, however, symptoms returned.

By the way, I saw an infectious decease Dr last year and recently, again, I have never had an outbreak from herpes, he would not give me any. medication for herpes since I did not have any manifestations, how do I fight this herpes if it the cause of my feet neuropathy, I take it there is no cure for the herpes and neuropathy, shall I rely on supplements?. I have been taking many of them, like alpha lipoid acid, acetyl l cartinine, vitamin B complex, vit C,D, E. PHOSPHATIDYL SERINE, calcium, magnesium. , omega 3. .I heard that oil of oregano and monolaurin.is good for herpes, but I don't have any skin erruptions. Shall I take those and see how well they do?.

doctor
Answered by Dr. Erion Spaho 19 hours later
Brief Answer:
Supplements may help.

Detailed Answer:
Hi,

Welcome back.

Best way to treat peripheral neuropathy is to treat the underlying cause.

In cases with no underlying cause discovered, there is still possible improvement after symptomatic treatment.

Supplements, especially those rich in Vitamins B group and antineuralgic drugs use provide satisfactory results in symptoms control.

Local use of Capsaicin cream also provides symptoms improvement.

You can use the Oregano oil and Monolaurin for herpes.

Discuss with your Doctor about these issues.

Hope this helps. Let me know if I can assist you further.

Take care.
Dr. Erion Spaho, Neurologist, Surgical
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Erion Spaho 36 minutes later
DR, take monolaurin and oregano oil, even though I have no skin manifestations?
doctor
Answered by Dr. Erion Spaho 2 hours later
Brief Answer:
Anti-infective remedies.

Detailed Answer:
Hello again.

Monolaurin and Oregano oil are considered as natural remedies to fight several infections including microbial, viral and fungal ones.

If there is actually herpes infection, these remedies may help, to some extent, in fighting against it, even in the absence of the skin eruptions.

Hope you found the answer helpful. Let me know if I can assist you further.

Take care.
Dr. Erion Spaho, Neurologist, Surgical

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Erion Spaho 35 minutes later
DR, I hear it is sometimes difficult to diagnose neuropathy? And how to tell, or test, if the herpes is causing this?

The reason for the supplements is because the specialist I saw did not want to give me anti viral medication because he saw no need for it. He said he did not think it would do anything for it, or maybe a placebo effect.
doctor
Answered by Dr. Erion Spaho 22 hours later
Brief Answer:
Diagnosis is often difficult.

Detailed Answer:
Hello again.

The cause of peripheral neuropathy is often difficult to be identified.

Whether the herpes virus is the cause, depends on the level of the infection. Too many people result positive for this virus but don't show any symptoms.

Treatment is another proof about the diagnosis, if other causes are excluded and treatment with antiviral drugs (Acyclovir) improves your condition, probably herpes virus infection was the culprit.

The placebo effect is not so strong in cases of peripheral neuropathy symptoms.

Supplements help in restoring a normal nerve functionality.

Hope you found the answer helpful. Let me know if I can assist you further.

Take care.
Dr. Erion Spaho, Neurologist, Surgical


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Erion Spaho 1 hour later
Thank you Dr. the infectious disease Dr I saw says antiviral men's are not prescribed unless there is a clinical manifestation of the desease. I guess I'll take mo olsurin and oregano oil, which is natural?
doctor
Answered by Dr. Erion Spaho 9 hours later
Brief Answer:
Yes, you can take those.

Detailed Answer:
Hi!

Welcome back.

Since Monolaurin and Oregano oil are considered as infection fighters, you can use them.

In the future, if no improvement, I think a trial of Acyclovir may be necessary.

Hope you found the answer helpful. Let me know if I can assist you further.

Take care.
Dr. Erion Spaho, Neurologist, Surgical
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Erion Spaho 11 hours later
Also. I take r lipoid acid, acetyl l carnitine, pqq, phosphatidyl serine, omega 3, vit b complex, . Will these help with nerve damage?
doctor
Answered by Dr. Erion Spaho 19 hours later
Brief Answer:
Yes, they help.

Detailed Answer:
Hi again.

Yes, these are supplements that are necessary to maintain a normal nerve function and help in nerve regeneration.

Hope you found the answer helpful.

Take care.
Dr. Erion Spaho, Neurologist, Surgical
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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