The inability to feel or notice injuries can lead to infection or structural damage. Changes include poor healing, loss of tissue mass, tissue erosions, scarring, and deformity. Other complications include:

• partial or complete loss of movement (or control of movement)
• partial or complete loss of sensation
• difficulty breathing
• difficulty swallowing
• cardiac arrhythmias (uncommon)
• decreased self esteem
• relationship problems related to impotence
• recurrent or unnoticed injury to any part of the body

Call your health care provider if symptoms of peripheral neuropathy are present. In all cases, early diagnosis and treatment increases the possibility that symptoms can be controlled.

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Nerve pain, such as that caused by peripheral neuropathy, can be difficult to control; if pain is severe, see a pain specialist to ensure that you get the best and most up-to-date pain treatment.

Emergency symptoms include irregular or rapid heartbeats, difficulty breathing, difficulty swallowing and fainting.

Delalande S, de Seze J, Fauchais AL, et al. Neurologic manifestations in primary Sjogren syndrome: a study of 82 patients. Medicine (Baltimore). 2004 Sep;83(5):280-91.

Mori K, Iijima M, Sugiura M. Sjogren's syndrome associated painful sensory neuropathy without sensory ataxia. J Neurol Neurosurg Psychiatry. 2003 Sep;74(9):1320-2.