Ways to evaluate Neuropathy
Evaluation peripheral neuropathy, diabetes mellitus neuropathy, peripheral
nerve neuropathy
Get a clinical exam about neuropathy,
it is diagnosed on basis of symptoms and signs here and even the neurologist
will evaluate the proper functioning of your body and your reflexes.
Blood test or Urine test are very good options of getting a complete body
check up. You can get detailed reports about the blood counts, electrolytes,
liver functions, etc. Based on this you can be diagnosed about Diabetic
neuropathy. Based on your medical history and the current test reports some
other exams are also possible.
Electro diagnostic Test, There are 2 sub categories here. Nerve conduction
studies are the tests which evaluate how the nerves are working and if
the electric impulses are being transmitted properly or not. Electromyography
sees the electrical activity of the muscles. Here these techniques are
general but they can not detect small fiber neuropathy as they measure
only large fibers.
Skin biopsy is also an option. Neuropathy
for smaller regions can not be measured by the general techniques and
require much more accurate procedure, this procedure can detect the loss
of epidermal nerve fibers faster than the other test.
Autonomic tests are one of the last resort tests, and can be done only
when required. The full name of this test is Quantitative Sudomotor Axon
Reflex Test or QSART in short. It measures the nerve fibers that are responsible
for sweating and blood pressure. It can detect the changes in your blood
pressure when you are standing or lying down, all these processes are
automatically controlled in the body and this test can check these processes.
Nerve Biopsy is the one of the time consuming test to detect and tell
about the Diabetic neuropathy. A full nerve biopsy provides tissue samples
for pathological examination. It can show any abnormalities that were
not detected by the previous tests such as inflammation of blood vessels.
This is done when all the other tests fail and if the neuropathy
is a progressive one.
