Glove And Stocking Numbness. My emg was normal and they have ruled out ms. Muscle weakness, especially in the feet.
The most common treatable causes include diabetes mellitus, hypothyroidism, and nutritional deficiencies. At the beginning of neuropathy cases, patients will often present with progressive sensory loss, pain, burning, or numbness in the distal extremities, and often will be in a “stocking and glove” distribution. Peripheral neuropathy symptoms and signs depend upon the cause.
Neurophysiology, using nerve conduction studies and electromyography, may be required, especially for the patient who proves to be a very poor historian or in whom confirmation of a diagnosis may dictate altered therapy.
This pattern of sensory loss is unlike that of individual nerve or nerve root disease. Peripheral neuropathy symptoms and signs depend upon the cause. As time progresses the numbness and pain progress proximally and may lead to weakness or muscle atrophy. This pattern occurs because nerve fibers are affected according to length of axon, without regard to root or nerve trunk distribution.
