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Neuropathy

Nerve Pain ยท Peripheral Neuropathy

Causes

Mononeuropathies are usually caused by pressure on a nerve just under the skin near the knee, elbow, shoulder, or wrist. Some nerves close to the surface of the body, such as the median nerve in the wrist, the ulnar nerve in the elbow, the radial nerve in the upper arm, and the peroneal nerve in the calf, are more easily injured than other nerves. The injuries result in the following mononeuropathies: carpal tunnel syndrome, ulnar nerve palsy, radial nerve palsy, and peroneal nerve palsy. For example, making the same wrist movement over and over can cause pressure on the median nerve in the wrist, causing carpal tunnel syndrome.

Polyneuropathy has many causes, including alcoholism, diseases such as diabetes, cancer, and end-stage kidney failure, and exposure to poisonous chemicals such as lead. Hypothyroidism, a hormonal condition in which the thyroid gland doesn't work normally, can also cause neuropathy. Some neuropathies are due to inherited medical conditions that get worse with time, and others can be caused by certain medications. Vitamin deficiencies can also cause polyneuropathy.

Guillain-Barré syndrome is a very serious form of polyneuropathy. Sometimes people with the disease become paralyzed. It is probably caused by an autoimmune reaction. The body's immune system attacks the nerve's myelin sheath, a coating that helps carry a signal along the nerve. Guillain-Barré syndrome can develop suddenly between five days and three weeks after a person has had an infection, a vaccine, or surgery.


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