Anecdotally I hear it very commonly that people feel their neuropathy (or nerve/neurological pain) is worse when seasons change but I have no idea why it happens. I'll look it up!

I've looked into this and couldn't find one definitive answer but did find a few theories: 1. Temperature sensitivity It could just be that the damage to your neurology means you experience even slight changes in temperature as pain. 2. Barometric pressure and humidity Changes in barometric pressure (the pressure of the air around us) can subtly affect tissues and fluid dynamics, particularly around nerves. - When pressure drops (as before a storm), tissues may swell slightly, which can worsen compression in areas like the spine or feet. - People with neuropathy, arthritis, or previous nerve injury often notice this as increased pain or burning. 3. Vitamin D and sunlight As seasons change — especially moving into autumn/winter — vitamin D levels drop, which has been linked to: - Worsening nerve pain in some studies. - Increased inflammation and reduced mood (which can amplify pain perception). 4. Circadian and mood changes Shorter daylight hours can mess with your sleep. Being tired can in turn make your brain less resilient and your neuropathy worse. 5. Circulation and swelling In cooler months, reduced activity and tighter clothing (like boots and socks) can impair circulation or slightly increase nerve compression Do any of these theories feel like they might explain it for you Matt?

Really interesting. I must admit that I haven't thought before about the pace of my walking. I saw an article online recently about this new " Japanese walking trend" that Longevity experts are recommending. I wonder if it's the same thing?

I can imagine that is really tough Matt. But remember that everything you do counts. Even if you can't walk as fast as you'd like, just getting up and doing something is better than most people. Have you tried a stationary bike? That might need less balance, and if you put it in front of the TV it might be quite fun too!

Thanks Andy, That's so nice to hear and I'm so glad that you had such excellent care. I think it can feel increasingly difficult for NHS staff these days to feel that they are delivering the care that they would like to do with all of the pressures on the system. However, most of the time we still do deliver great care and it's lovely to read that you had such a great experience.