The Link Between Peripheral Neuropathy and Balance Difficulties

June 12, 2023


Have you heard of peripheral neuropathy? It’s a condition that can affect your balance. This article will explain why peripheral neuropathy makes it challenging to stay steady on your feet, exploring how it affects your nerves, muscles, and overall coordination.

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Nerve Damage and Sensory Feedback

Peripheral neuropathy happens when the nerves in your body get damaged. These nerves send messages between your brain and the rest of your body. When they’re affected, you may have trouble feeling things properly, especially in your feet and legs. This lack of sensation can make it difficult to know where your body is in space. It becomes harder to detect changes in position, uneven surfaces, or shifts in weight distribution, resulting in instability and an increased risk of falling.

Muscle Weakness and Coordination

Peripheral neuropathy can also weaken your muscles and impact your coordination. The damaged nerves disrupt the signals that control muscle movements, causing weakness and coordination difficulties. When your muscles are weak, they may struggle to provide the support needed for balance. This can make it harder to perform precise movements or change directions smoothly. Weak muscles and coordination challenges create additional obstacles in maintaining balance and increase the likelihood of falls, particularly during activities that require careful control of movements.

Autonomic Nervous System Dysfunction

Peripheral neuropathy can affect the autonomic nervous system, which regulates important functions like blood pressure and heart rate. When this system doesn’t work correctly, it can lead to dizziness, lightheadedness, and a condition called orthostatic hypotension. Orthostatic hypotension happens when your blood pressure suddenly drops when you stand up. Feeling lightheaded and experiencing dizziness can further disrupt your balance, especially among older individuals who may already face age-related balance challenges.


Peripheral neuropathy affects balance through various mechanisms, including sensory impairment, muscle weakness, coordination difficulties, and disruption of the autonomic nervous system. Understanding these connections helps healthcare professionals develop comprehensive strategies for managing peripheral neuropathy, such as targeted exercises, assistive devices, and lifestyle adjustments. By addressing the underlying causes and implementing appropriate interventions, it’s possible to improve balance and reduce the risk of falls. Remember, if you have peripheral neuropathy, healthcare experts can guide you with helpful exercises, tools, and advice to stay steady on your feet and prevent accidents.