Understanding the Causes and Risk Factors of Peripheral Neuropathy
- Jordan Stenzel, D.C, CVSMT

- Apr 20
- 3 min read
Peripheral neuropathy affects millions of people worldwide, causing symptoms like numbness, tingling, and pain, especially in the hands and feet. Understanding what causes this condition can help those affected take steps to manage or even prevent it. This article breaks down the main causes and risk factors behind peripheral neuropathy, offering clear insights for anyone experiencing or concerned about this condition.

1. Causes of Peripheral Neuropathy - Diabetes
One of the most common causes of peripheral neuropathy is diabetes. High blood sugar levels over time damage nerves, especially in the feet and legs. This type of nerve damage is called diabetic neuropathy. It often starts with tingling or numbness in the toes and can progress to severe pain or loss of sensation.
People with poorly controlled diabetes have a higher risk of developing this condition. For example, studies show that nearly 50% of people with diabetes experience some form of neuropathy during their lifetime. Managing blood sugar levels carefully can reduce the risk or slow the progression of diabetic neuropathy.
2. Chemotherapy and Chemo Induced Neuropathy
Certain chemotherapy drugs used to treat cancer can cause nerve damage, known as chemo induced neuropathy. This side effect can affect sensory nerves, leading to symptoms like burning, numbness, or weakness in the hands and feet.
The risk depends on the type of chemotherapy, dosage, and individual patient factors. For instance, drugs like paclitaxel and cisplatin are known to cause this type of neuropathy more frequently. Patients undergoing chemotherapy should report any nerve symptoms early to their healthcare provider, as adjustments in treatment may help reduce nerve damage.
3. Physical Injury and Trauma
Nerve damage can also result from physical injuries. Accidents, falls, or repetitive motions can compress or sever peripheral nerves. For example, carpal tunnel syndrome is a form of neuropathy caused by pressure on the median nerve in the wrist.
Foot neuropathy can occur after injuries like fractures or severe sprains that affect nerves in the lower limbs. Protecting injured areas and seeking prompt medical care can help prevent lasting nerve damage.

4. Infections and Autoimmune Diseases
Certain infections can cause peripheral neuropathy by directly damaging nerves or triggering immune responses that attack nerve tissue. Examples include:
Lyme disease
HIV/AIDS
Herpes zoster (shingles)
Autoimmune diseases like rheumatoid arthritis and lupus can also cause nerve inflammation, leading to neuropathy symptoms. These conditions often require specialized treatment to control the immune system and reduce nerve damage.
5. Nutritional Deficiencies
Lack of essential vitamins can cause nerve problems. Deficiencies in vitamin B12, B6, and E are particularly linked to neuropathy. Vitamin B12 deficiency, for example, can cause numbness and weakness, especially in the legs and feet.
People with poor diets, digestive disorders, or those who consume excessive alcohol are at higher risk of these deficiencies. Supplementing vitamins under medical supervision can improve symptoms and prevent further nerve damage.
6. Exposure to Toxins and Medications
Certain chemicals and medications can harm peripheral nerves. Exposure to heavy metals like lead, mercury, or arsenic can cause neuropathy. Some antibiotics, antiviral drugs, and medications for heart conditions also carry a risk of nerve damage.
People working in industries with chemical exposure or those on long-term medication should discuss neuropathy risks with their healthcare provider and monitor symptoms closely.

7. Other Medical Conditions
Several other health issues can lead to peripheral neuropathy, including:
Chronic kidney disease
Hypothyroidism
Liver disease
Certain cancers
These conditions affect nerve health either through toxin buildup, hormonal imbalances, or direct nerve invasion by cancer cells. Managing the underlying disease often helps reduce neuropathy symptoms.
Peripheral neuropathy has many causes, ranging from diabetes and chemotherapy to infections and nutritional problems. Understanding these factors helps those affected recognize symptoms early and seek appropriate care. If you experience persistent numbness, tingling, or pain in your hands or feet, consult a healthcare professional for evaluation and treatment options.
If you are living with diabetes or have unexplained nerve symptoms, schedule a free neuropathy consultation at our clinic. We’ll evaluate your blood‑sugar control, run NAD⁺ testing and design a personalized treatment plan that tackles the root cause of your neuropathy.
Call 507-524-4000 or 507-387-1222 or book online today and start your journey toward a neuropathy‑free future.
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This article should be used as an educational resource to help you explore lifestyle habits, self‐management techniques, and wellness






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