Autonomic Nervous System Disorders: Symptoms and Solutions - Neurology

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Suspected autonomic nervous system dysfunction?


Hello, I have been experiencing neuropathic pain throughout my body, and after seeing a psychiatrist, I was diagnosed with anxiety disorder.
Does this count as autonomic nervous system dysfunction? If so, how should I address it?

Li, 10~19 year old female. Ask Date: 2016/02/23

Dr. Jiang Junyi reply Neurology


Hello, based on your description, the autonomic nervous system is generally regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake.
The sympathetic nervous system is responsible for stimulating the "gas pedal," driving the body into action, while the parasympathetic nervous system is responsible for applying the "brake," allowing the body to rest.
For example, during exercise, the sympathetic nervous system is activated, leading to an increased heart rate, faster breathing, and increased sweating.
Once the exercise stops, the parasympathetic nervous system begins to take effect, slowing the heart rate, reducing breathing rate, and decreasing sweating.
Your symptoms of widespread nerve pain may warrant consideration of peripheral neuropathy or myofascial pain syndrome.
It is advisable to consult a neurologist for discussion regarding examination and treatment.
Wishing you good health and peace.

Reply Date: 2016/02/23

More Info


Hello! Based on your description, it seems you are experiencing a range of symptoms, including widespread nerve pain and anxiety, which may indeed suggest a disorder of the autonomic nervous system (ANS). The ANS is responsible for regulating involuntary bodily functions, including heart rate, blood pressure, respiration, and digestion. It consists of two main branches: the sympathetic nervous system (which prepares the body for 'fight or flight' responses) and the parasympathetic nervous system (which promotes 'rest and digest' functions).

Your symptoms of nerve pain, coupled with anxiety, could be indicative of autonomic dysregulation. Anxiety can trigger a heightened sympathetic response, leading to physical symptoms such as increased heart rate, muscle tension, and pain. This can create a feedback loop where anxiety exacerbates physical symptoms, which in turn increases anxiety.

To address your concerns, it is essential to take a multi-faceted approach:
1. Medical Evaluation: First and foremost, consult with a healthcare professional, preferably a neurologist or a specialist in autonomic disorders. They can conduct a thorough evaluation, including neurological examinations and possibly autonomic function tests, to rule out other underlying conditions.

2. Psychological Support: Since anxiety is a significant component of your symptoms, working with a mental health professional can be beneficial. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders and can help you develop coping strategies to manage your anxiety and its physical manifestations.

3. Lifestyle Modifications: Incorporating stress-reduction techniques into your daily routine can significantly impact your symptoms. Practices such as mindfulness meditation, yoga, and deep-breathing exercises can help activate the parasympathetic nervous system, promoting relaxation and reducing anxiety.

4. Physical Activity: Regular physical activity can improve overall well-being and help regulate the autonomic nervous system. Aim for moderate exercise, such as walking, swimming, or cycling, which can help alleviate symptoms of anxiety and improve nerve function.

5. Diet and Nutrition: A balanced diet rich in omega-3 fatty acids, antioxidants, and vitamins can support nerve health. Staying hydrated and avoiding excessive caffeine and alcohol can also help stabilize your nervous system.

6. Medication: If your symptoms are severe, your healthcare provider may consider pharmacological options. Medications such as selective serotonin reuptake inhibitors (SSRIs) or other anxiolytics can help manage anxiety, while certain medications may be prescribed for nerve pain.

7. Alternative Therapies: Some individuals find relief through alternative therapies such as acupuncture, chiropractic care, or massage therapy. These modalities can help alleviate muscle tension and improve circulation, potentially reducing pain.

8. Education and Support Groups: Learning more about your condition and connecting with others who have similar experiences can provide emotional support and practical advice. Support groups, whether in-person or online, can be a valuable resource.

In conclusion, while your symptoms may suggest autonomic nervous system dysregulation, a comprehensive evaluation by healthcare professionals is crucial for an accurate diagnosis and effective treatment plan. By addressing both the physical and psychological components of your symptoms, you can work towards achieving better health and well-being. Remember, you are not alone in this journey, and there are effective strategies available to help you manage your symptoms.

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