Neuropathy

Hoag’s team consists of physicians, physician assistants, and nurse practitioners who have specialized training in the management of neuropathy. They treat various types of neuropathy including the following types and may consider further diagnostic tests and will discuss comprehensive treatment options.

Diseases and conditions:

  1. Diabetic peripheral neuropathy
  2. Chemotherapy induced peripheral neuropathy
  3. Nutritional polyneuropathy, including alcoholic neuropathy
  4. Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
  5. HIV neuropathy
  6. Autoimmune neuropathy
  7. Amyloid neuropathy
  8. Vasculitic neuropathy
  9. Toxic neuropathy (Arsenic, lead, other metals)
  10. Idiopathic peripheral neuropathy
  11. Paraneoplastic polyneuropathy

Diagnostic tests:

  1. Detailed history and physical examination
  2. Lab tests evaluating possible causes of peripheral neuropathy
  3. NCS/EMG (nerve conduction studies and electromyography)
  4. Nerve biopsy
  5. Lumbar puncture (LP)

Treatment options:

  1. Medication management (neuropathic medications), including topical creams and patches
  2. Qutenza (Capsaicin 8%) patch
  3. Management of underlying condition
  4. Spinal Cord Stimulation (SCS)
  5. Peripheral Nerve Stimulation (PNS)
  6. Intravenous Immunoglobulin (IVIG)
  7. Referrals to psychology for mindfulness and coping strategies
  8. Referrals to physical therapy for balance training
  9. Referrals to other specialists (endocrinology, hematology/oncology, etc)