Senior Health Guide Facebook ad: “Neuropathy Can Triple Your Risk Of Falling”

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Severe peripheral neuropathy can increase your risk of falling by three times. ⠀ I should have known better as a neurologist. I learned that lesson when one of my patients, Paula, caught her foot on the floor on her way out of my exam room, right in front of me. ⠀ The part that still bothers me is that I'd just told her the test looked fine. ⠀ I've treated peripheral neuropathy for 24 years. Paula has been my patient for six of them. ⠀ She'd been on the same gabapentin dose since her diagnosis, and her last three nerve conduction studies showed no significant progression. By almost every measure I tracked in her chart, she was one of my better outcomes. ⠀ She also couldn't make it to her own mailbox anymore without her left foot dragging by the time she got there. ⠀ She'd mentioned the dragging at two appointments in a row. I'll be honest about what I did both times. I looked at her chart before I looked at her. Conduction study unchanged. No new findings. I told her, gently, that without something showing up on the test, there wasn't much more to adjust yet. ⠀ At her third visit, she finally told me what she'd been sitting with since that first conversation. ⠀ “Isn't the whole point of the medication supposed to be keeping this from getting worse? If it's still happening anyway, and nobody will act on it because the test doesn't show it, what exactly are we all waiting for it to become?” ⠀ I didn't have a good answer for her that day. ⠀ I want to be honest about that too. ⠀ A few weeks later, Paula told me she'd found an online support group for people with peripheral neuropathy. She'd been searching her symptoms late one night instead of reading another medical article, and she'd lurked for weeks before finally posting. ⠀ That's where she met Renata. ⠀ Renata had written almost exactly what Paula had been sitting with in my exam room. Her doctor hadn't quite believed her either, because her studies hadn't changed and there wasn't anything left to escalate to yet. ⠀ But Renata told Paula something that stopped me when Paula repeated it to me. ⠀ What changed things for her wasn't a new medication. ⠀ It was understanding what her medication was never built to do in the first place. ⠀ That distinction made me go back and look at neuropathy differently. ⠀ Most neuropathy treatment is focused on the nerve signal itself. Something to calm the burning. Something to help with the pain when it flares. And those treatments have an important role. ⠀ But gabapentin, even when it's working exactly as intended, isn't designed to address everything happening in the tissue surrounding the nerve. ⠀ That isn't a flaw in gabapentin. It's simply not the job it was built to do. ⠀ Once Paula understood that distinction, the dragging and burning stopped looking like something that needed a worse test result before I'd take it seriously. It started looking like there could be another piece worth supporting, something a nerve conduction study wasn't designed to measure in the first place. ⠀ I want to explain what I confirmed for myself afterward, because it's the part of this I hadn't fully connected before Paula brought it to me. ⠀ The nerves in your feet are surrounded by protective tissue, including a fatty layer called the myelin sheath. Think of it like the insulation around an electrical wire. It helps signals travel properly. ⠀ When tissue around a nerve stays irritated or inflamed, and circulation to that area isn't ideal, the nerve can become more vulnerable to abnormal signaling. That's part of what can contribute to the sensations people with neuropathy know so well: burning, tingling, numbness, and, in Paula's case, that dragging feeling. ⠀ But then I had another question. ⠀ If you want to support the tissue around the nerve, how do you get something there from the outside? ⠀ That turned my attention to topical formulas. ⠀ Most topical nerve products are water-based. They can feel soothing on the surface, but I started wondering whether an oil-based carrier would make more sense for delivering oil-soluble botanical ingredients toward the tissue I was interested in supporting. ⠀ Oil and water behave differently on the skin. ⠀ So I started looking for a formula built around an oil-based carrier instead. ⠀ That's what led me to the formula Renata had told Paula about. ⠀ It uses sesame oil as its carrier rather than water, with beeswax helping keep the balm where you apply it. ⠀ And then I looked at what was actually being carried in that oil. ⠀ Frankincense was one of the first ingredients that caught my attention. Its boswellic acids have been studied for their role in the body's inflammatory pathways, which made sense given what I'd been learning about irritated tissue around the nerve. ⠀ Then there was comfrey, which contains compounds such as allantoin that are commonly associated with soothing and supporting the skin. ⠀ Angelica Sinensis also stood out because of research into its potential role in supporting peripheral circulation. ⠀ And peppermint oil provides that familiar cooling sensation when the balm is massaged into the skin. ⠀ What interested me wasn't simply that the formula contained several botanicals. ⠀ It was the combination of those ingredients with an oil-based delivery system. ⠀ The formula was Senzio Miracle Balm. ⠀ Paula started using it the week after she told me about it. I asked her to keep me updated, mostly out of my own curiosity at that point. ⠀ By week two, she told me something had changed that she hadn't expected. The burning in her feet wasn't gone, but it wasn't staying with her as long at night. Instead of lying awake waiting for it to settle, she was starting to get stretches of the night where she barely noticed her feet. ⠀ By week four, the tingling had started to fade too. She described it as going from something she was constantly aware of to something that came and went. That was also when she told me she'd walked to her mailbox and back without the dragging. ⠀ She said she stood at the end of her driveway afterward for a second, just checking, waiting for her foot to catch up with her the way it always did. ⠀ It didn't. ⠀ By week seven, she told me she'd made it through a full grocery trip without leaning on the cart toward the end. The burning hadn't disappeared completely, but it was no longer the thing she was thinking about every few minutes. She hadn't even realized how much she'd been relying on the cart until she noticed she'd stopped. ⠀ By week twelve, she came in for her regular follow-up. The numbness in her toes was still there, but she said it felt less pronounced, and the burning episodes were happening less often. More importantly, she was walking with less of that dragging motion she'd been dealing with for years. ⠀ On paper, the conversation looked almost exactly the same as it had for years. Her conduction study was unchanged. There were no significant new findings. ⠀ But for the first time in six years, “unchanged” didn't feel like the whole story to either of us. ⠀ It felt like confirmation of something. ⠀ Not an explanation for why nothing more could be done. ⠀ And Paula never stopped her gabapentin. She's still on the same prescription she's had for six years. ⠀ But she told me something else had changed. Her pain, which used to climb to 10 out of 10 on bad nights, was now usually around 3 or 4. ⠀ She wasn't needing additional relief as often because the burning simply wasn't as intense anymore. ⠀ This was never about replacing anything. It was about adding the piece neither of us had thought to address in six years of appointments. ⠀ It was the piece neither of us had thought to address in six years of appointments. ⠀ What Paula uses is Senzio Miracle Balm, applied in small circular motions, morning and night, right where the burning and discomfort are worst. ⠀ Right now, it's 50% off with a 60-day money-back guarantee, so you can try it alongside your existing routine. ⠀ I tell my patients the same thing Renata told Paula. ⠀ Be your own advocate. ⠀ Don't take Paula's story, or mine, as a guarantee. Every case of neuropathy runs its own course, and what changed things for her isn't a promise for you. ⠀ But it is a reason to ask better questions than the ones an unchanged test result usually gets to end with. ⠀ Paula still has the handout from her diagnosis appointment somewhere, the one with all the standard advice on it. ⠀ She told me she doesn't read it as the whole plan anymore. ⠀ Neither do I. ⠀ — Dr. Emily Hartman, MD Board-Certified Neurologist Peripheral Neuropathy Subspecialty

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Neuropathy Can Triple Your Risk Of Falling

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