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Suggest Treatment For Neuropathy In Feet And Loss Of Balance

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Posted on Thu, 15 Oct 2015
Question: Do you know of any trials/studies/...for a person who collapses with no notice --preferably in the St XXXXXXX area, but I would probably go anywhere? Balance issue started ?9? yrs ago. Diagnosed as neuropathy in my feet. Had to learn to walk using my eyes. Slowed me down a lot, but minimal impact to quality of life--fell 2 or 3 three times a month when I tried to multi-task (ie, think about something besides balance while walking) with little damage. Dec 28, 2012 I had my first collapse. Since then, because I am so careful, I have only lost my balance 4 or 5 times, but I have literally collapsed at least 35 times. I have had intensive tests and evaluations of my ears, eyes, heart, lungs, nerves, back, hips-to-toes, and I'm sure I've left some out. I have several mild to moderate issues, but I think the only serious problems are nerves and arthritis. The only diagnosis I've received came from a pain management specialist who said the lower part of my spine says to my brain, "I'm either going to quit or break." The brain responds, "OK, quit." Several doctors laughed at that. One back surgeon gave me a polite, political response saying she disagreed, but she was so wishy-washy it sounded like she agreed. Another back surgeon said it was definitely possible, and if I was willing to accept the risk, he would work on it for me. Dec 30, 2014, I had extensive surgery on my lower back and my neck. My status is still about the same--no better, no worse. I've always considered myself to be a positive person, and I'm still positive, but it seems very negative to be positive I'll fall the next step I take. Even though I have had some damaging results, I believe I have been able to avoid a few major disasters by taking advantage of the split second between the time I start down and when I land. Thank you for taking the time to consider my situation. Anything you come up with will be appreciated. XXXXXXX Barton
doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
It could be due to a problem in the balance apparatus of inner ear

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have carefully gone through the entire problem mentioned. Your problem could be in one of the two areas:
* Your balance centres. This is more likely to be due to some problem in the vestibulo cochlear appraratus or the balance apparatus of the inner ear. The other possibilities could be due to imbalance of neurotransmitters (less likely) in either the basal ganglia or cerebellum. About exclusion of the issue with vestibulocochlear appraratus, the first step would be an audiogram and ABR (auditory brainstem evoked potential) test preferably in the diagnostic mode. Based on the results further tests might ensue and an ENT doctor will be able to follow up on the same.
* Postural hypotension due to peripheral pooling of the blood occurring when the calf muscles are unable to send the blood back to the heart. A tilt table test can be done to confirm about the same.

As such a thorough clinical evaluation is required to be able to comment upon the exact possibilities but that is beyond the scope of this online discussion.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Suggest Treatment For Neuropathy In Feet And Loss Of Balance

Brief Answer: It could be due to a problem in the balance apparatus of inner ear Detailed Answer: Thanks for asking on HealthcareMagic. I have carefully gone through the entire problem mentioned. Your problem could be in one of the two areas: * Your balance centres. This is more likely to be due to some problem in the vestibulo cochlear appraratus or the balance apparatus of the inner ear. The other possibilities could be due to imbalance of neurotransmitters (less likely) in either the basal ganglia or cerebellum. About exclusion of the issue with vestibulocochlear appraratus, the first step would be an audiogram and ABR (auditory brainstem evoked potential) test preferably in the diagnostic mode. Based on the results further tests might ensue and an ENT doctor will be able to follow up on the same. * Postural hypotension due to peripheral pooling of the blood occurring when the calf muscles are unable to send the blood back to the heart. A tilt table test can be done to confirm about the same. As such a thorough clinical evaluation is required to be able to comment upon the exact possibilities but that is beyond the scope of this online discussion. Regards