Peripheral Neuropathy Testing Sydney | Nerve Damage Diagnosis | East Neurology

Peripheral Neuropathy Testing Sydney

Expert Nerve Conduction Studies for Diagnosing Nerve Damage & Neuropathy

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What is Peripheral Neuropathy?

Peripheral neuropathy is damage to the peripheral nerves, which are the nerves outside your brain and spinal cord. These nerves carry messages between your brain and the rest of your body. When damaged, they can cause pain, numbness, tingling, and burning sensations, typically affecting the feet and hands in a "glove and stocking" pattern.

Did you know? Over 20 million Americans have peripheral neuropathy, with diabetes being the leading cause. Early detection through nerve conduction testing can help slow progression and prevent complications like falls, foot ulcers, and disability.

Common Symptoms of Peripheral Neuropathy

Burning Feet

Intense burning sensation in the feet, often worse at night. Many describe it as walking on hot coals or feeling like their feet are on fire.

Numbness & Tingling

Loss of sensation or pins-and-needles feeling starting in the toes and gradually moving up the legs. Some patients can't feel the ground beneath their feet.

Sharp, Stabbing Pain

Electric shock-like pain shooting through the feet and legs, often triggered by light touch or occurring spontaneously.

Sensitivity to Touch

Extreme sensitivity where even bedsheets touching your feet feels painful (allodynia). Simple touch becomes unbearable.

Balance Problems

Difficulty walking, frequent tripping or stumbling, especially in the dark when you can't see where your feet are.

Muscle Weakness

Weakness in the feet, legs, or hands. Difficulty climbing stairs, standing from a chair, or gripping objects.

Loss of Reflexes

Reduced or absent ankle reflexes, discovered during physical examination.

Temperature Sensitivity

Inability to sense temperature changes, increasing risk of burns or frostbite without realizing it.

⚠️ Important: Peripheral neuropathy can lead to serious complications if left untreated, including foot ulcers (especially in diabetes), infections, falls and injuries, and progressive disability. Early diagnosis and treatment can prevent these complications.

Common Causes of Peripheral Neuropathy

Identifying the cause is crucial for effective treatment. Nerve conduction studies help determine the type and pattern of nerve damage, guiding your doctor to the underlying cause.

Metabolic & Endocrine

  • Diabetes (most common cause)
  • Pre-diabetes
  • Thyroid disorders
  • Vitamin B12 deficiency
  • Kidney disease
  • Liver disease

Autoimmune & Inflammatory

  • Guillain-Barré syndrome
  • Chronic inflammatory demyelinating polyneuropathy (CIDP)
  • Lupus
  • Rheumatoid arthritis
  • Sjögren's syndrome

Infections

  • Lyme disease
  • Shingles (post-herpetic neuralgia)
  • HIV/AIDS
  • Hepatitis C

Toxins & Medications

  • Chemotherapy agents
  • Excessive alcohol consumption
  • Certain antibiotics
  • Heavy metal exposure
  • Industrial chemicals

Hereditary

  • Charcot-Marie-Tooth disease
  • Other inherited neuropathies
  • Family history of nerve disorders

Other Causes

  • Idiopathic (unknown cause)
  • Physical trauma or nerve compression
  • Cancer-related
  • Vascular disorders

How Nerve Conduction Testing Diagnoses Neuropathy

Nerve conduction studies are essential for diagnosing peripheral neuropathy. The test measures how well and how fast electrical signals travel through your nerves, helping identify:

1

Type of Nerve Damage

Determines whether the damage is to the nerve fiber (axon) or the insulating sheath (myelin), which affects treatment approach.

2

Severity Assessment

Quantifies how much nerve damage has occurred, from mild to severe, helping predict prognosis and guide treatment intensity.

3

Distribution Pattern

Maps which nerves are affected and in what pattern, providing clues about the underlying cause.

4

Progression Monitoring

Provides baseline measurements to track whether neuropathy is stable, improving with treatment, or worsening over time.

What to Expect During Your Neuropathy Test

1

Clinical Assessment (10 minutes)

Our neurologist reviews your symptoms, medical history, medications, and performs a focused neurological examination of your affected areas.

2

Nerve Conduction Study (20-30 minutes)

Surface electrodes are placed on your skin over specific nerves in your legs and feet (and hands if needed). Small electrical pulses stimulate the nerves while we measure their response speed and strength. Most patients describe the sensation as tolerable tapping or twitching.

3

EMG Testing (If Indicated)

Some cases require electromyography (EMG) using fine needles to assess muscle health. This helps distinguish neuropathy from muscle diseases.

4

Results & Recommendations (10-15 minutes)

You receive immediate results and diagnosis. Our neurologist explains the findings, discusses the likely cause, and recommends next steps including further testing if needed, treatment options, and referrals to specialists.

5

Comprehensive Report

A detailed report with findings and recommendations is sent to your referring doctor the same day to coordinate your ongoing care.

Frequently Asked Questions

Can nerve conduction studies detect all types of peripheral neuropathy? +
Nerve conduction studies are excellent for detecting large fiber neuropathy, which affects motor and sensory nerves. However, small fiber neuropathy (affecting pain and temperature sensations) may require additional testing like skin biopsy. Your neurologist will determine which tests are needed based on your symptoms.
Is neuropathy testing painful for someone with already sensitive feet? +
We understand patients with neuropathy may have heightened sensitivity. The electrical pulses are brief and controlled. Most patients find it tolerable, and we work with you to ensure your comfort throughout the test. The information gained is crucial for your treatment.
Can diabetic neuropathy be reversed? +
Early diabetic neuropathy may improve with excellent blood sugar control. Once significant nerve damage has occurred, the goal is to prevent further progression and manage symptoms. This is why early detection through nerve conduction testing is so important.
How long does a neuropathy nerve conduction study take? +
A comprehensive neuropathy evaluation including nerve conduction studies typically takes 30-45 minutes. More extensive testing may take up to an hour. You'll receive results immediately after the test.
Will the test identify the cause of my neuropathy? +
Nerve conduction studies show the pattern and type of nerve damage, which provides important clues about the cause. Your neurologist will use these results along with your medical history and may recommend blood tests or other investigations to identify the underlying cause.
Should I stop taking pain medications before the test? +
No, continue taking all your regular medications including pain medications. They don't affect the nerve conduction study results. If you have specific concerns about medications, discuss with your doctor when booking.
What treatments are available for peripheral neuropathy? +
Treatment depends on the cause and may include managing the underlying condition (e.g., diabetes control), medications for nerve pain, physical therapy, lifestyle modifications, nutritional supplements, and in some cases, immunotherapy. Your nerve conduction study results guide the treatment approach.

Why Choose East Neurology for Neuropathy Testing?

Expert Neurologists

Specialist interpretation of nerve conduction studies with extensive experience in neuropathy diagnosis.

Same-Day Results

Immediate discussion of findings and treatment recommendations. No waiting weeks for answers.

Short Wait Times

Regular testing slots available Tuesday-Thursday. Most practices have 4-6 week waiting lists.

Comprehensive Care

From diagnosis to treatment coordination with your doctor and specialists as needed.

Get Your Neuropathy Diagnosis Today

Don't let burning feet and nerve pain go undiagnosed • Same-day results • Expert care

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