Neuropathy is a nerve disorder frequently brought on by diseases like diabetes, hypoglycemia, thyroid conditions or alcoholism. Symptoms include tingling, numbness, spasms, muscle weakness, limited range of motion and a burning sensation under the skin. Exercise can relieve symptoms and help in treatment but is not a cure. Patients commonly work with physical or occupational therapists to lessen the effect neuropathy has on their lives.
Types
Different types of neuropathy require different exercise plans, but all forms of the condition benefit from work-out programs like tai chi or yoga that stretch the muscles of the upper body, arms and hands. Patients with cardiac autonomic neuropathy should only attempt aerobic exercises or position-changing calisthenics when medical personnel are present because these exercises can bring on cardiac arrest. Those with peripheral neuropathy should avoid weight-bearing regimens because repetitive motion can produce ulcers, bone fractures and deformed joints.
Exercises
Basic hand exercises involve improving digital dexterity by forming a circle with the tips of each finger and thumb, followed by stretching the hand wide open. Also, touch the pad at the base of your thumb with your fingers in turn, repeating twice. Place the palm of your hand on your lap and raise each finger, bringing it back to touch tap your lap. Lock your fingers together and twiddle your thumbs. Many of these exercises can be done quietly while waiting, watching TV or participating in other passive activities.
Benefits
Exercising at least five times a week can improve dexterity in the fingers and strength in the hands and wrists. While some pain is likely, patients may find it easier to perform everyday activities, from holding a spoon to brushing their teeth. Isometric and stretching exercises also strengthen muscles and improve range of motion. Diabetics could also gain better control of their blood sugar, key to preventing further nerve damage.
Considerations
Patients might consider wearing a splint to support the damaged hand during exercises. If neuropathy is worse in one hand than the other, the good hand can be used to move damaged fingers. Many patients find exercising in a pool or tub beneficial because it offers buoyancy and resistance. The U.S. surgeon general recommends following a doctor-prescribed exercise program every day.
Warning
After exercising, patients should examine their hands for calluses, blisters, open sores and similar injuries that they might not feel due to nerve damage. Diabetics should test their blood glucose levels before any physical activity to prevent hypoglycemia, no matter how light the workout may seem. If blood sugar levels are above 240 mg/dl, do not exercise because physical stress can raise levels even higher, making neuropathy worse.
