Category Archives: diabetes

Measuring your Neuropathy in Feet

For some time now you’ve dealt with having neuropathy in feet, that feeling of sharp discomfort or pins and needles in your feet that doesn’t go away. You’ve been to your medical professional and you recognize why you have it; possibly it’s adult onset diabetes, chemotherapy, or the consequence of a medication interaction. Maybe it’s something else. Now that you’ve figured out what you have, you’ve got one simple query: what’s my “number for Peripheral Neuropathy (PN)?” How much of it do I have? Can I use my score as a means to track how ill I am? How do you quantify neuropathy in feet or PN anyhow?

Figuring out the best way to measure their neuropathy is something that hardly ever crops up in most people’s chat with their healthcare professional, but there are several options to choose from. Each has it’s benefits and each has its drawbacks.

An old standby in the medical community, the Semmes Weinstein Monofilament Examination (SWME) is typically employed for diabetic peripheral neuropathy (PN), although, like the others here, it works for the other types of neuropathy too. It consists of applying monofilaments to the patient in interesting ways. Basically, they poke you in the feet with sticks while your eyes are closed. Then they ask you if you feel anything. Based upon whether you are able to sense the pokes or not, they can tell just how much feeling you have.

Researchers have found that as a reproducible metric — something to track advancement over time — the SWME is not perfect. But used as a instrument for screening, to determine whether or not you most likely are struggling with PN, it’s great. It is not able to quantify or stage a degree of neuropathy, and also will not reveal to you anything about the muscle or reflexes part of the neuropathy that you’ve got.

Reproducible, trustworthy, objective measurements continue to be a serious problem in the world of neuropathy. Things that have to do with pain and numbness are by nature subjective and difficult to measure. The Michigan Neuropathy Screening Instrument (MNSI) attempts to address this by crafting an assessment that covers items like medical background and has the patient self-assess their symptoms. It possesses a really good history as a screening tool for identifying whether or not to refer diabetic neuropathy clients to a neurologist along with other things, but it’s not perfect.

And let’s not forget the clanging fork test (CFT). It also measures how well you can feel in the feet. It’s had good results on all sorts of Peripheral Neuropathy patients, and many doctors say it works much better than the SWME.

As you can see, there are no easy answers, so a combination of the above tests might be best for you. Of course, this information is based on both personal experience and sources on the world wide web. Be sure to visit a medical expert about these ailments and work with them to pick out which measurements to use. Don’t have confidence in stuff you peruse on the net as reliable health advice. Alternative tests are constantly being released and evaluated. It’s tough to track how your neuropathy in feet (PN) is coming along, but knowledge concerning the various tests available can provide you with a starting place to begin charting your journey.

Neuropathy In Feet isn’t much fun, and if you’d like to read more about it, check out more information on the author’s website Neuropathy In Feet Sucks