Réhabital
Peripheral Neuropathy Treatment in Côte Saint-Luc
Peripheral neuropathy refers to a range of conditions affecting nerves located outside the brain and spinal cord, most often causing numbness, tingling, burning sensations or weakness in the hands and feet. Unlike diabetic neuropathy, which specifically results from prolonged blood sugar imbalance, peripheral neuropathy can have much more varied origins, ranging from localized nerve compression to nutritional deficiencies, medical treatment side effects, or excessive alcohol consumption. These often progressive symptoms can affect balance, hand dexterity and overall quality of life. At Réhabital in Côte Saint-Luc, our team assesses the mechanical and postural factors that may contribute to nerve compression or irritation, and offers a manual approach aimed at supporting circulation, reducing surrounding muscle tension and promoting better peripheral nerve function, alongside the medical follow-up required to identify the underlying cause.
Book an AppointmentUnderstanding This Condition
Peripheral neuropathy results from dysfunction of the peripheral nerves, the fibers that transmit sensory and motor information between the central nervous system and the rest of the body, particularly the extremities such as the hands and feet. Depending on the fibers affected, symptoms can be sensory (numbness, tingling, burning, loss of sensation), motor (weakness, cramps, muscle atrophy) or autonomic (changes in sweating, skin changes). Possible causes are numerous and distinct from those of diabetic neuropathy: localized nerve compression, such as in carpal tunnel syndrome or a herniated disc compressing a nerve root; the neurotoxic effects of certain chemotherapy treatments; a deficiency in vitamin B12 or other nutrients essential to proper nerve function; prolonged excessive alcohol consumption; or so-called idiopathic cases, where no precise cause is identified despite thorough medical investigation. Precise diagnosis is the responsibility of a physician, often using nerve conduction studies or targeted blood tests, to guide treatment of the underlying cause when identifiable. From a rehabilitation standpoint, our role is to assess muscle tension, joint restrictions and areas of potential compression that may worsen nerve symptoms, then intervene with gentle manual techniques designed to improve local circulation, release surrounding tissue and support residual nerve function. This complementary approach never replaces the medical follow-up needed to address the underlying cause of neuropathy, but it can help reduce daily discomfort and preserve mobility and function in the hands and feet.
Common Symptoms
Common Causes
Localized nerve compression
A nerve compressed at the wrist, elbow, or spine, such as in carpal tunnel syndrome or a herniated disc, can produce neuropathy symptoms in a specific area.
Chemotherapy effects
Certain chemotherapy agents have a known neurotoxic effect that can damage peripheral nerves, often causing symmetrical symptoms in the hands and feet.
Vitamin B12 deficiency
A lack of vitamin B12, essential to nerve sheath integrity, can lead to progressive numbness and tingling, particularly in people with restrictive diets.
Excessive alcohol consumption
Prolonged, excessive alcohol use can have a direct toxic effect on peripheral nerves and contribute to aggravating nutritional deficiencies.
Idiopathic causes
In some cases, no precise cause is identified despite thorough medical investigation, which does not preclude symptomatic management of the surrounding musculoskeletal function.
Our Treatment Approach
Osteopathic assessment with Shahram Ghasemi is a key intervention for peripheral neuropathy, using gentle manual techniques to reduce areas of potential nerve compression, improve local circulation and release tissue surrounding nerve pathways in the upper and lower limbs. Massage therapy with Irina Kushnir, Jeanne Andrea Rahantamalala, Cedik Elaiba, Elena Caliniuc or Liliana Ciocoi can support this approach by releasing muscle tension that contributes to nerve compression and stimulating blood flow to the hands and feet, often affected by reduced sensitivity. Physiotherapy with Colin Teghen Tamuton can be integrated to offer strengthening exercises adapted to weakened muscles, strategies to improve balance and prevent falls, and guidance on protecting areas of reduced sensitivity. Acupuncture, coming soon at Réhabital, may eventually offer a complementary option for certain peripheral neuropathy profiles. It is important to note that the underlying cause of neuropathy, whether related to a deficiency, compression, medical treatment, or another origin, must be identified and followed by a physician, our approach aiming to support function and comfort alongside that follow-up.
What to Expect at Your First Visit
The first visit lasts about 60 minutes: a detailed discussion of the distribution, progression and characteristics of symptoms, examination of potential nerve compression areas and assessment of posture and mobility, followed by an initial tailored manual treatment. A referral to a physician may be suggested if no investigation has yet been done.
At-Home Self-Care Tips
- Regularly inspect hands and feet for unnoticed injuries or lesions.
- Wear well-fitted, protective footwear.
- Avoid prolonged positions that compress a nerve, such as sitting cross-legged.
- Maintain a balanced diet rich in B vitamins.
- Limit alcohol consumption.
- Engage in gentle, regular physical activity to support circulation.
Prognosis & Recovery Timeline
Progression largely depends on the underlying cause: neuropathy related to localized compression may improve significantly once the compression is reduced, while neuropathy related to a deficiency may improve with appropriate nutritional correction under medical follow-up. The manual approaches offered at Réhabital contribute to comfort and daily function, generally within 6 to 8 sessions for noticeable improvement in surrounding muscle tension, but do not replace treatment of the underlying cause.
When to See Us at Réhabital
Come in if you experience numbness, tingling, or progressive weakness in the hands or feet, particularly if symptoms worsen or affect your balance. Prompt medical evaluation is essential if symptoms appear suddenly, are accompanied by significant loss of strength, or if no cause has yet been established.
Why Réhabital Clinic
Our team in Côte Saint-Luc carefully assesses the mechanical and muscular factors that may contribute to peripheral neuropathy symptoms, alongside the medical follow-up needed to address the underlying cause, to support your daily comfort and function.
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Address
D4-5800 Cavendish Blvd
Côte Saint-Luc, QC H4W 2T5
Phone
(438) 842-3550Hours
Mon–Fri: 10AM–8PM
Sun: 10AM–4PM
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