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Peripheral Neuropathy Specialist

Advanced Pain Management Center -  - Interventional Pain Management Physician

Advanced Pain Management Center

Interventional Pain Management Physician & Regenerative Orthopedics Specialists located in Portland, OR

Nerve damage and disease can be debilitating. Peripheral neuropathy most commonly affects people over 55, and up to 4% of people in this age group experience symptoms. If untreated, peripheral neuropathy can severely affect your quality of life, but it doesn’t have to be that way. Vladimir Fiks, MD, is a leading interventional pain management physician at Advanced Pain Management Center in Portland, Oregon also serving the surrounding areas of Aloha, Hillsboro, Beaverton, Tigard & Lake Oswego. With his team, he treats all peripheral neuropathies to provide ongoing pain relief. Book your appointment through this website or over the phone.

Peripheral Neuropathy Q&A



What is peripheral neuropathy?

Peripheral nerves are nerves outside of the central nervous system (the brain and spinal cord). They carry messages between the central nervous system and the rest of the body — tissues such as the internal organs, muscles, and skin.

Peripheral neuropathy is a term used to describe the problems that occur when the peripheral nerves become diseased or damaged. Dr. Fiks has advanced training in treating the varied symptoms that result from peripheral neuropathy.

How do doctors classify peripheral neuropathy?

Doctors classify peripheral neuropathy in two ways: by severity or by the type of nerve they affect.


There are specific terms to describe the severity of peripheral neuropathy. Mononeuropathy affects one type of nerve in one area, while multiple mononeuropathy affects one type of nerve but in two or more unique areas. Polyneuropathy affects many types of nerves at the same time.

Nerve type

Each nerve in the peripheral system has a unique function. Motor nerves control muscle movement. Autonomic nerves control internal organs and affect functions such as blood pressure, heart rate, and digestion. Sensory nerves determine sensations, like temperature, touch, and pain.

Through his thorough evaluation, Dr. Fiks identifies the nerves affected and the severity of your peripheral neuropathy to create a comprehensive treatment program.

What are the symptoms of peripheral neuropathy?

Because each nerve has a unique function, your symptoms will depend on which nerves are damaged. You might experience:

  • Stabbing, burning, or tingling pain
  • Extreme sensitivity
  • Lack of coordination
  • Frequent falls
  • Muscle weakness
  • Muscle paralysis
  • Weighted feeling in hands and feet, like wearing gloves or socks
  • Numbness, tingling, or prickling in hands and feet
  • Sweating abnormalities
  • Intolerance to heat
  • Digestive problems
  • Bowel or bladder issues
  • Lightheadedness caused by blood pressure changes

If you experience these symptoms, speak with Dr. Fiks. He treats pain and other symptoms to make life more comfortable for you.

Who is at risk of peripheral neuropathy?

Some people are more at risk of developing peripheral neuropathy than others. Common contributing factors include:

  • Alcohol abuse
  • Deficiency of certain B vitamins
  • Kidney or liver problems
  • Autoimmune diseases, like lupus and rheumatoid arthritis
  • Family history of neuropathy
  • Toxin exposure
  • Thyroid disorders
  • Diabetes
  • Repetitive strain injuries
  • Chronic infection, like Lyme disease or hepatitis B

Peripheral neuropathy can cause uncomfortable, often painful symptoms. Advanced Pain Management Center offers expert corrective measures to treat pain and target the root cause. Call the practice today or book through the online scheduling tool.