Background: Chronic alcohol consumption is known to cause peripheral nerve damage leading to sensory, motor, or autonomic dysfunction. Alcoholic peripheral neuropathy is often underdiagnosed, leading to progressive disability.

Aim: To assess the prevalence, clinical pattern, and severity of peripheral neuropathy in chronic alcoholics and correlate it with duration and quantity of alcohol consumption.

Materials & Methods: A cross-sectional observational study was conducted among chronic alcoholic patients. Detailed history, neurological examination, nerve conduction studies (NCS), and laboratory investigations were performed. Neuropathy severity and correlation with alcohol intake were evaluated.

Results: Peripheral neuropathy was present in 65% of chronic alcoholics. Most cases were sensory-motor, symmetrical, and distal in pattern. Severity of neuropathy was positively correlated with duration (>10 years) and quantity of alcohol consumption. NCS showed predominantly axonal degeneration.

Conclusion: Peripheral neuropathy is highly prevalent in chronic alcoholics. Early detection, nutritional supplementation, and abstinence from alcohol can significantly prevent progression.