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Proximal Neuropathy

Also called: Lumbosacral Plexus Neuropathy, Diabetic Amyotrophy, Bruns Garland Syndrome, Amyotrophy

- Summary
- About proximal neuropathy
- Potential causes
- Signs and symptoms
- Diagnosis methods
- Treatment and prevention
- Questions for your doctor

Reviewed By:
Andrew Biondo, D.O.
Nikheel Kolatkar, M.D.

Summary

Diabetic neuropathy is nerve damage that can affect sensation, muscle strength or both.Proximal neuropathy is a type of nerve damage that causes pain and weakness in the hips, thighs and buttocks. The symptoms may grow more severe as the condition worsens. For many people, proximal neuropathy interferes with the ability to stand from a sitting position.

Proximal neuropathy is usually asymmetrical, causing problems on only one side of the body. The pain and weakness associated with this condition is often accompanied by unexplained weight loss. The type, severity and duration of the symptoms from proximal neuropathy vary according to the specific nerve damage.

Most cases of proximal neuropathy occur as a complication of diabetes. It is less common than other forms of diabetic neuropathy, including peripheral neuropathy and autonomic neuropathy. It is most commonly found with type 2 diabetes but can also result from type 1 and other forms of diabetes.

The exact cause of proximal neuropathy is unknown. As with other diabetic nerve damage, it is believed to be linked to uncontrolled glucose (blood sugar). The longer the glucose is unstable, the greater the chance for developing neuropathy. The condition is diagnosed after a physical examination by a physician and several diagnostic tests.

There is no cure for the nerve damage of proximal neuropathy. Treatment focuses on controlling glucose to alleviate or eliminate the symptoms. Physicians frequently prescribe medications for pain relief and physical therapy for muscle strengthening. The best way to delay or prevent the onset of this condition is to control glucose and maintain a healthy lifestyle with proper diet, exercise and quitting smoking.

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Review Date: 02-14-2008
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