The 5C model: Clinical approach to peripheral neuropathy

Area of Science:

• Neurology
• Primary Care Medicine

Background:

• Peripheral neuropathy is a prevalent neurological disorder frequently overlooked in primary care settings.
• A systematic approach is needed to improve the identification and management of this condition.

Purpose of the Study:

• To present the 5C model, a simplified framework for the clinical evaluation of peripheral neuropathy.
• To outline a structured method for history taking, physical examination, and investigations.

Main Methods:

• The 5C model involves eliciting patient concerns, classifying by timeline, identifying comorbid diseases, concomitant medications, and toxins.
• It includes exploring complications and prior treatments, followed by physical examination and investigations.
• The LEMON mnemonic guides comprehensive management post-diagnosis.

Main Results:

• The 5C model provides a clear, step-by-step clinical approach.
• This systematic method aids in the accurate diagnosis of peripheral neuropathy.
• The LEMON mnemonic facilitates comprehensive management planning.

Conclusions:

• The 5C model simplifies the clinical approach to peripheral neuropathy in primary care.
• Implementing this model can enhance the detection and management of peripheral neuropathy.
• Structured evaluation and management are crucial for addressing peripheral neuropathy effectively.