Sep 26, 2007
I have had sever painful PN for over 16 years. I have a spinal implant to block the pain from reaching my brain. Over the past 6 months my PN has progressed to the point that the implant can no longer provide the relief it initially did. It still hepls, however, the PN has now moved into my arms. I now have no feeling in my legs from the knees down and in my arms fromthe elbows down. Along wiht increasing pain and numbness of all extremities.
Is there ay hope of my condition getting better? I have had the PN long before I startedd meds adn I am now living wiht AIDS for over 25 years.
Response from Dr. Henry
Peripheral neuropathy remains one of the most upsetting and difficult to manage complications seen in HIV-infected patients. You likely have the help of an HIV specialist, pain specialist, neurologist who can offer some assistance for some patients. Research progress in understanding the basic biology of neuropathy has been slow and hasn't yet resulted in any breakthrough technologies though there had been hopes for some (such as nerve groth factor). L-carnitine no N-acetyl carnitine has helped some patients in some small studies but they generally didn't have as advanced a case as you describe. Stopping any potentially offending drugs is important to not further aggravate the problem. I have several patients who are stuck with severe neuropathy who are very frustrated and have been unable to get any relief other than with high doses of narcotics that cause their own problems. I don't have any easy answers for your most difficult situation. KH
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