Depending on your conditions, we may order a skin biopsy, a nerve biopsy, MRI, electromyography/nerve conduction study (EMG/NCS) to measure the electrical activity of your muscles, and autonomic testing to check your autonomic nervous system. To diagnose a specific neuropathy, we start with a comprehensive history, along with a standard panel of tests. Symptoms and physical findings associated with peripheral neuropathies vary from person to person, and often can be extremely complex. The peripheral nervous system consists of all the motor and sensory nerves that connect the brain and spinal cord to the rest of the body.

Vasculitic neuropathies such as those associated with rheumatoid arthritis, non-systemic vasculitic neuropathy.

Autoimmune neuropathies such as chronic inflammatory demyelinating polyneuropathy (CIDP) and Guillain-Barre Syndrome (GBS).

Paraproteinemic neuropathies associated with such conditions as amyloid and IgM neuropathy.Nutritional neuropathy: B12, thiamine, and post-bariatric surgery neuropathy.Neuropathy associated with diabetes, prediabetes, and metabolic syndrome.Neuropathic Conditions We Treatīetween the two clinics, we treat the full spectrum of peripheral nerve disorders and neuropathy, including: Our physicians are all board-certified subspecialists who are often called in for second opinions. The clinic has also been named a Center of Excellence by the GBS|CDIP Foundation International.įor patients with inherited neuropathy, or Charcot- Marie-Tooth Disease (CMT), our CMT multidisciplinary clinic, a part of the international Inherited Neuropathy Consortium, offers the access to a neurologist, physical medicine and rehabilitation specialist, PT, OT, orthotics and genetic counseling, all in one visit. For patients with acquired neuropathy, our referral-only Peripheral Neuropathy Clinic is a designated center of the Neuropathy Association - one of a select few in the country.

The specialists of the Department of Neurology at Michigan Medicine have the experience, the newest treatments, and a multidisciplinary team to provide comprehensive, coordinated care. Peripheral Neuropathy Clinic and CMT Clinicįor the best outcome, experience is key. Peripheral Neuropathy - a disorder of the peripheral nerves that affects the hands and feet - can be helped, and in some cases cured. More than 20 million Americans have peripheral neuropathy, which can cause chronic pain, weakness, tingling, numbness and balance issues.

Autonomic emg test for pain