2023 Author: Josephine Shorter | [email protected]. Last modified: 2023-05-24 11:52
Motor-sensory and motor-multifocal neuropathy
Damage to the nerve trunks can lead to impaired motor function, loss of sensitivity. It is difficult to diagnose the degree of damage and establish the type of neuropathy, since clinical manifestations such as weakness, muscle atrophy and lack of reflexes are inherent in many diseases affecting, for example, muscles or tendons.
Motor neuropathy includes Guillain-Baré syndrome, diphtheria-induced neuropathy, demyelinating neuropathy, idiopathic brachial plexopathy, porphyric and multifocal neuropathy.
Multifocal motor neuropathy begins with problems found in the legs. Symptoms appear in the middle of the lower leg. But often the disease can also affect the upper limbs, in the area of the hands of one or two hands. Guillain-Barré syndrome and diphtheria neuropathy are a consequence of an acute infection, under the influence of which not only the nerves are affected, but also the roots.
In patients, weakness is noted, body temperature rises, pains in the arms and legs are tormented, parasthesia, numbness and tingling appear. Demyelinating neuropathy is similar in manifestation to Guillain-Barré syndrome. This is a chronic inflammatory disease that develops over a long period and does not require intensive treatment, sometimes the disease can recede without medical intervention.
Idiopathic brachial plexopathy occurs after a fall on an outstretched arm. Dislocation of the shoulder, clavicular fracture, rib fracture and many more damaging factors provoke the development of pathology. Rarely there is a hereditary form, accompanied by pain in the shoulder girdle and shoulder. With adequate treatment, a person recovers in 2–3 years.
Motor sensory neuropathy
Most often, with neuropathy, patients complain of muscle weakness, limitation of movements of the arms and legs, pain along the nerve, numbness, burning sensation, goose bumps, impaired sensitivity in the area of the affected nerve, and the sensations can be reduced or increased. Usually, experts conduct research on the results of tests, taking into account the initial symptomatic manifestations of the disease.
The final diagnosis is made on the basis of all carefully studied medical examinations, clarification of the causes of the disease and its severity. Neurological examination includes testing reflexes and detecting the activity of sensory and motor functions of the nerves.
Motor multifocal neuropathy
Multifocal motor neuropathy involves sensory fibers in the pathological process. The disease is based on an autoimmune factor that promotes demyelination of peripheral nerves. Differential diagnosis is often difficult due to muscle twitching (fasciculations), cramps in the calf muscles (cramps).
In later stages, muscle atrophy is observed. In case of untimely medical assistance, the patient may become disabled. Clinical and laboratory results are used to study this disease. Electromyographic and immunological data are used.
In addition to treatment with certain medications, physiotherapy, massage are used, therapeutic exercises show excellent results. In the course of treatment, its effectiveness can be judged by the positive dynamics of increasing the strength of the muscles of the lower and upper extremities. Neuropathy cannot be determined from a blood test.
But such a study is necessary in order to be able to determine the causes, to identify concomitant diseases that caused neuropathy, for example, diabetes mellitus or deficiency of vitamins of group B. Diagnostic methods such as radiography, computed tomography, magnetic resonance imaging can identify pathological changes in nerve fibers.
Neuropathy syndrome is a collection of symptoms with a common pathogenesis. When identifying the type of neuropathy, it is necessary to take into account all research results in order to determine effective methods of treating the disease. Only a specialist can understand these issues, as a rule, the disease cannot be eliminated on its own. To restore the working capacity of the affected parts of the body, a special course of therapy will be required. Treatment can be quick or lengthy, it all depends on the degree of nerve damage, patients are advised to be patient.
Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist
Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".