OpenHealth Q&A

Get answered by medical professionals

Understanding Proprioception Challenges in Peripheral Neuropathy

6/17/2025, 1:50:23 AMMale25-34

Hello everyone. My partner, who is 65 years old, has been living with peripheral neuropathy for approximately 15 years. Recently, he has faced significant difficulties with proprioception, leading to frequent spills and a decreased sense of spatial awareness. This has been heavily affecting his overall quality of life. In fact, we are even considering rehoming one of our pets because he is finding it hard to coordinate his movements, which sometimes results in him stepping on her or inadvertently leaving her outside. We're in a tough spot right now, and I sincerely ask for your understanding as we've been doing everything in our power to manage this challenge. Could anyone share advice on enhancing his proprioceptive abilities (even in the context of a deteriorating condition) or strategies to ensure both his safety and that of our furry family member? He has been quite distressed about this situation, and any support or tips would be greatly appreciated. Thank you very much for your help!

LupusCrohn's DiseaseRheumatology

Answers (1)

Cony

6/17/2025, 1:50:41 AM

OpenHealth AI

It sounds like your partner is facing considerable challenges with proprioception due to his peripheral neuropathy, and it’s understandable that this could impact both his daily life and the safety of your pet. Let's focus on a few key strategies that can help enhance his proprioceptive abilities and ensure safety at home.

Main Points:

  1. Enhance proprioception through specific exercises and activities.
  2. Create a safe environment to minimize accidents.
  3. Consider assistive tools that can aid mobility.

Explanation:

Proprioception is your body’s ability to sense its position in space. In people with peripheral neuropathy, this sense can be diminished, leading to difficulties with balance and coordination. While it may be challenging to significantly improve proprioception in a deteriorating condition, certain exercises and modifications can help maintain and even enhance these abilities, as well as support safer movement patterns.

Next Steps:

  1. Proprioceptive Exercises:

    • Balance Training: Simple exercises like standing on one leg (with support if needed) or using a balance board can strengthen proprioception. Start with short durations and gradually increase as comfort allows.
    • Foot Awareness Exercises: Have him practice moving his toes or tapping his feet while seated, as this can increase sensory feedback.
  2. Adjust the Home Environment:

    • Clear Pathways: Ensure that walkways are free from obstructions to prevent falls. Consider keeping your pet’s area well-defined and safe.
    • Use Non-Slip Mats: Place mats in areas where slips are more likely, particularly in the kitchen or bathroom.
  3. Assistive Tools:

    • Cane or Walker: If he hasn’t already considered it, a mobility aid like a cane or walker can provide extra support and stability.
    • Sensory Feedback Tools: Wearing textured shoes or using a foot massager can enhance awareness of foot placement.
  4. Routine Safety Checks:

    • Develop a habit of checking the pet’s location before moving to reduce the risk of stepping on her.
  5. Open Communication:

    • Encourage him to express his feelings about these changes, and consider involving a physical therapist who specializes in neuropathy, as they can provide tailored exercise plans and safety tips.

These strategies could help improve his confidence and spatial awareness while maintaining safety for both him and your pet. It's commendable that you’re looking for ways to support him during this time; creating a safe and structured routine can make a significant difference. If you need further details on any specific exercises or tools, feel free to ask!

Related Questions

Seeking Clarity on Persistent Symptoms and Possible Conditions

Greetings, medical professionals, I am a 19-year-old female struggling with ongoing physical discomfort and emotional challenges, and I am in need of your insights. Back in December last year, I underwent a thyroid ultrasound which detected five TI-RADS 5 nodules, each under 1 cm in size. Two of these nodules were located in the right lobe (measuring 0.2 × 0.1 cm and 0.9 × 0.1 cm) while the left lobe housed three smaller ones, the largest being 0.2 × 0.2 cm. Due to their diminutive dimensions, a repeat ultrasound was suggested for six months later instead of a biopsy. My thyroid hormone levels came back normal during this assessment. The imaging also indicated the presence of a submental lymph node, which has persisted for close to three years and initially prompted me to seek out imaging. It is both visible and can be felt. The report characterized it as unchanged, with a fatty hilum and an irregular shape, measuring 1.1 × 0.6 cm, and indicated that it seemed to be reactive in nature. Prior to discovering the nodules, I started experiencing back issues in May 2025. Initially, the discomfort was mild and localized to the left side, considered to be mechanical. However, the pain progressively worsened, spreading to both sides with the upper back predominantly affected on the left side, occasionally radiating to my neck. I also suffer from constant shoulder discomfort and my arms become sore easily, even from light activities. In subsequent months, I began to develop rashes, which I have documented in previous posts. The skin issues were initially misdiagnosed as scabies, but they worsened post-treatment. Although vasculitis was contemplated, my laboratory tests yielded normal results. A biopsy of the skin revealed psoriasiform spongiotic dermatitis and psoriasiform/nummular dermatitis. While the initial rashes responded to topical steroids, new ones are appearing on my legs, which I perceive as resembling petechiae—flat, tiny red spots that do not fade when pressed. In December of last year, I also became aware of swollen lymph nodes and widespread pain. The lymph nodes in question include: - Two nodes near the left lower back by the hip — these are painful and remain palpable after several weeks. - A node in the right groin/lower abdomen — initially painful, it has shrunk but still causes discomfort in the area. - A painless node in the left parotid area (cheek). - A painless node in the left axilla (armpit), which was first identified approximately eight months ago through a breast ultrasound, measuring 1.3 × 0.7 cm as a solid nodule, though the breast ultrasound returned negative results, and the lymph node size has remained stable. Additional symptoms include: - Radiating shoulder pain into the collarbone, - Intermittent pain in the calves and upper legs, - Unpredictable soreness and pain throughout my limbs (similar to post-exercise discomfort), - Random aches in my forearms, - Tingling sensations in my fingers, - An area in my left thigh that feels firmer than surrounding muscle, slightly elevated and noticeable to the touch. Pressing on it yields normal muscle sensation. My right thigh does not have this issue, leaving me uncertain if this is typical or concerning. My growing concerns revolve around potential serious conditions such as lymphoma or thyroid cancer due to the nodules observed. This situation has been incredibly taxing—I am lost on what symptoms should take priority or which specialists to approach. Additionally, I often feel brushed off by medical practitioners; whenever my symptoms are brought up, it appears they deem them insignificant and seem rushed. I am worried that there could be a significant underlying issue developing, especially as I've been experiencing increasing symptoms and a decline in my overall well-being in recent months. I understand that no diagnosis can be rendered over the internet, but I would greatly value your advice regarding: - The seriousness of my symptoms, - Potential tests or evaluations I should pursue, - The appropriateness of waiting six months for follow-up imaging. I appreciate your consideration and look forward to your guidance.

LupusThyroid DisordersRheumatology
Male25-34
10 minutes ago

Experiencing Unexplained Skin Sensitivity in Social Situations

At 17 years old and standing at 182 centimeters, I've been facing an unusual and troubling condition. My skin feels an intense stinging sensation all over whenever I'm in close proximity to my parents or other people. The discomfort is so overwhelming that it's almost impossible for me to remain seated. Interestingly, there’s no physical manifestation—my skin appears entirely normal without any signs of dryness, rashes, or itchiness. Yet, I endure this sharp, burning pain that seems to be beyond my control. This issue has been intensifying, leading me to isolate myself more, which, in turn, exacerbates my feelings of loneliness. I'm curious if anyone else has encountered a similar experience. Could this potentially relate to a nerve or nervous system issue? I would also like to know what type of healthcare professional or specialist I should consult for further evaluation.

Multiple SclerosisLupusFibromyalgia
Male25-34
40 minutes ago

Inability to Sneeze: Potential Neural Communication Issues

Hello. I’m seeking assistance to comprehend my situation and explore possible remedies. I’m a 25-year-old male working as a software engineer and currently not taking any medications. For the last two years, I have experienced an inability to sneeze. This issue first arose following two significant incidents involving exposure to neurotoxic substances, which led to a variety of neurological symptoms. 1) **Vitamin B6 Toxicity**: Over a span of 4-6 weeks, I received seven intramuscular injections of a B-complex vitamin, each containing 100mg of Vitamin B6 in the pyridoxine form. Shortly after beginning these injections, my health rapidly declined, and numerous symptoms emerged. Research has identified pyridoxine as potentially neurotoxic, with recent documentaries and studies — particularly from the Australian community — raising awareness about this condition. In response, Australia’s Therapeutic Goods Administration (TGA) has taken steps to restrict the sale of B6 supplements and to lower their permissible amounts. For more insight into the seriousness of this issue, you can find several informative short documentaries on the ABC News YouTube channel. 2) **Insecticide Exposure**: While undergoing the B6 treatment, I also encountered a concerning situation where I inhaled toxic insecticide fumes. Not realizing the danger due to nasal congestion from a minor illness, I sprayed a considerable amount of insecticide in my room. It was only after I started coughing that I realized I had been breathing in these harmful fumes. It occurred late at night when I was already feeling unwell, and I opted to go to sleep shortly afterward. Both incidents occurred in September to October of 2021, after which I began to experience an alarming array of around twenty symptoms affecting my sensory, motor, and autonomic nervous systems. I developed severe numbness and tingling in various parts of my body, involuntary muscle movements, ataxia, facial numbness accompanied by a loss of muscle volume in my face due to nerve damage, and symptoms that resembled diabetes such as excessive thirst and fatigue post-meals. Other issues included rapid heart rate, skin lesions, an inability to sweat, extreme muscle weakness, and significant psychological symptoms, including emotional numbness and anhedonia. Virtually every area involving nerves seemed to be impacted. Now, 18 months later, I’ve made considerable progress, with most of the symptoms easing, but I still struggle with the inability to sneeze. Recently, after experiencing a flu, I noticed that my body failed to sneeze about 90% of the time. I feel the urge to sneeze starting deep in my lungs, traveling to the tip of my nose, yet it rarely culminates in an actual sneeze. Instead, I feel pressure released in alternative ways, sometimes sensed as pressure in my head, and occasionally, I experience tears running from my eyes and nose when the sneezing sensation arises, yet no sneeze follows. Despite waiting a year and a half for recovery and seeing improvements in my larger nerves, these specific bodily functions remain unresolved. A recent electromyography (EMG) and nerve conduction study (NCS) conducted two weeks ago returned normal results, which aligned with my awareness of the recovery in my larger nerves and muscles during this period. Through my research, I’ve discovered that the trigeminal and cranial nerves play a crucial role in initiating a sneeze, suggesting the presence of a signaling issue. I would greatly appreciate guidance on this matter.

Multiple SclerosisLupusThyroid Disorders
Male25-34
1 hour ago

Persistent Vomiting and Confounding Endoscopy Findings

I'm struggling to articulate my situation adequately, but I'll share everything and hope not to overlook any details. I'm 16 years old, standing at 5 feet 7 inches tall, and weighing 140 pounds. My blood tests have returned normal results, although I do have slightly low vitamin D levels, and my stool samples have come back clear. My current medication regimen includes 30 mg of Vyvanse, 20 mg of propranolol taken twice daily, 300 mg of gabapentin at night and 150 mg in the morning, and I recently began taking 25 mg of amitriptyline a week ago. Since I was about four or five, I’ve experienced unusual digestive issues, such as diarrhea, stomach cramps, constipation, and acid reflux, with the most alarming symptom being unexplained vomiting. Daily abdominal cramps and constipation are common for me, and surprisingly, these symptoms don’t seem to be influenced by my diet or activities. Around the age of five, I started to vomit inexplicably, particularly during times of excitement like the Super Bowl, birthday celebrations, or, most notably, vacations. When I turned 12, my condition worsened significantly after contracting COVID-19. I started experiencing dry heaves or vomiting almost every morning, which led to frequent school absences, severe migraines concentrated mostly on the left side of my forehead, and worsening stomach troubles. Living in Washington, I consulted numerous specialists at Swedish, including both an allergist and a gastroenterologist. The allergist suspected mast cell disease and prescribed Cromolyn, which unfortunately did not provide any relief. The gastroenterologist suggested that I had an issue related to my "lizard brain" and advised me to “find a hobby.” I also visited a cardiologist due to low blood pressure, where I was diagnosed with neurocardiogenic syncope. Recently, I convinced my general practitioner to refer me to a children’s hospital, where I underwent an endoscopy. To my surprise, the procedure revealed food remnants in my stomach despite having fasted for over 11 hours beforehand. Both the anesthesiologist and gastroenterologist expressed some skepticism regarding my fasting claim. I'm reaching out in search of any recommendations or insights. This ongoing illness has reached a point of frustration for me, and I desperately want to uncover its cause. The gastroenterologist who performed the endoscopy mentioned a possible gut-brain disorder, but this diagnosis is still quite vague. I am preparing for my next consultation and would appreciate any feedback. We have suspect cyclic vomiting syndrome for a while, but now I’m starting to wonder about gastroparesis as well. Honestly, I feel like this situation may have turned me into somewhat of a hypochondriac.

ArthritisCrohn's DiseaseThyroid Disorders
Male25-34
1 hour ago

Understanding a Nodular Finding on My Appendix: Seeking Clarity

I'm a 22-year-old female, standing 4'9", with a background of EDS and anxiety. Recently, on January 30, 2026, I visited the emergency department due to kidney discomfort, which turned out to be a kidney stone. While reviewing my CT scan report to recall the size and location of the stone—still lodged and proving quite troublesome—I stumbled upon a mention of a nodular area on my appendix. This detail was not brought up by my doctor during my visit. Although I suspect it may not signal a serious issue, I'm curious if this is something I should discuss further with my primary care physician. Can anyone clarify what a nodular finding on the appendix means? I came across some information suggesting it could indicate a tumor, but I’m aware that online medical searches can often lead to misunderstandings. Any insights would be appreciated!

Crohn's DiseaseInternal Medicine
Male25-34
3 hours ago