Lower limb polyneuropathy


Polyneuropathy is a disease caused by multiple damage to nerves located on the periphery outside the central nervous system. This refers to the nerves that go from the brain and spinal cord to the muscles, skin, and internal organs. Consider what manifestations of lower limb polyneuropathy, treatment and drugs for therapy.

Lower limb polyneuropathy

Lower limb polyneuropathy

For most people, the ability to walk without discomfort and difficulty lasts a lifetime. But if manifestations of lower extremity polyneuropathy are observed - one of the most common nervous disorders, then it becomes clear what difficulties regular walking can cause. The disease makes it difficult to feel the legs, which creates inconvenience and makes it impossible for a steady walk, and also increases the likelihood of loss of balance and a fall.

Although there are various causes of polyneuropathy, the symptoms remain almost constant and include:

  • pain;
  • numbness;
  • tingling or burning sensation;
  • hypersensitivity;
  • muscle weakness.

Even a light touch on the skin of the legs can cause soreness. At the same time, there is a feeling of socks put on legs, although in reality they are not. Symptoms of motor nerve damage may include weakness or paralysis in the muscles and the difficulty in walking. They often begin gradually, and their development takes time. However, it should be noted that in some cases the disease may come suddenly.

Neuropathies of all types, as a rule, are divided into three categories:

  • acquired;
  • hereditary;
  • idiopathic - arising for no apparent reason.

Polyneuropathy is by far more common than neuropathy, and may be due to such reasons:

  • exposure to toxic substances such as mercury and lead;
  • some drugs;
  • alcoholism;
  • poor nutrition, especially vitamin B12 deficiency;
  • bacterial or viral infections;
  • autoimmune disorders and complications from serious diseases;
  • hereditary diseases such as Charcot-Marie-Tut disease;
  • injuries;
  • diabetes;
  • unknown reasons.

Up to one third of the diagnosed neuropathies are idiopathic. As a rule, they occur in people over 60 years old.

Treatment with alcoholic polyneuropathy

Alcoholic polyneuropathy of the lower extremities: treatment, drugs

Alcoholic polyneuropathy has a toxic nature of occurrence and is quite common. Under the influence of alcohol, metabolic processes in the nervous tissue occur. The disease develops rather quickly.


  • manifestation of pain, aggravated by pressure;
  • weakness in the legs;
  • changes in gait: when walking wide apart;
  • feeling of wearing socks;
  • atrophic processes in the muscles;
  • Blue, swollen feet.

With timely treatment comes the stage of the reverse development of the disease. A favorable outcome depends on the complete elimination of alcohol use. Therapy:

  • vitamin C;
  • B vitamins;
  • means for improving exchange processes;
  • Amiridin;
  • Dibazol;
  • physiotherapy.

Features of treatment of diabetic polyneuropathy

Diabetic polyneuropathy develops as a result of the presence of the underlying disease - diabetes. Diabetes is responsible for about a third of all cases of peripheral neuropathy. The basis of the development of pathology is the acceleration of atherosclerotic processes in the vessels of the heart and lower extremities, as well as impaired fructose metabolism and atrophy of nerve fibers.

Although diabetic neuropathy is described as a specific condition, the consequences and possible complications associated with it are similar to other forms of the disease:

  • tingling sensation;
  • pain;
  • loss of sensation;
  • difficulty walking

Patients with diabetes should pay special attention to foot care. It should be noted that neuropathy problems in diabetics usually appear 10-15 years after the onset of the disease. Thus, attention to blood sugar levels, possible symptoms and qualified orthopedic help at an early stage are important to prevent the development of polyneuropathy.

Therapy is carried out in several stages:

  1. Achieve optimal blood sugar levels.
  2. The normalization of blood pressure, body weight, physical exercises are selected.
  3. Vitamins of group B are accepted.
  4. Preparations of alpha-lipoic acid are prescribed, their combined use with other medications is possible.

Distal sensory polyneuropathy

Distal sensory polyneuropathy of the lower extremities

This is one of the frequent neurological complications, which occurs due to high blood sugar and peripheral sensory nerve fibers. The term distal means that the most distant parts of the lower limbs, the feet, are susceptible to the pathological effect. Sensory talks about violations concerning sensitivity.

Basically, small diameter fibers are affected. The defeat of the sensory nerves is manifested by an understatement or lack of sensitivity to pain and temperature. This effect contributes to increased foot injury. Symptoms also manifest as tingling, burning, chilliness, sharp pains, and often numbness, the presence of a sensation of foreign inclusions in the foot.

The treatment is based on the following principles:

  • therapy of the underlying disease;
  • treatment aimed at correcting the mechanisms causing neuropathy, the normalization of energy metabolism;
  • symptomatic treatment;
  • taking drugs whose action is aimed at restoring damaged tissues of the nervous system.

In conclusion, it is necessary to say what exactly each person can do to solve the problems caused by neuropathy. First of all, it is the control over the main disease: control of the level of sugar in the blood, refusal to use alcohol, diligent care of the legs and implementation of the instructions and appointments of the doctor. Important factors are considered to be commitment to maintaining a healthy lifestyle, giving up bad habits, getting nutrition, rest, regular balanced physical exertion. Be healthy!