My name is David Northcutt. I’m oneof the podiatrists here at Dallas Podiatry Works. Today I want to discuss diabetic peripheralneuropathy. There are several reasons for the development of peripheral neuropathy,but diabetic peripheral neuropathy is one of the most common. Diabetic peripheral neuropathy simply meansnerve damage that is caused from having diabetes. This is not something that develops rapidly,but is a slowly worsening and progressive condition which happens over the period ofseveral years. The loss of sensation that occurs with nerve damage from diabetes makesthe patient more prone to developing open
sores or ulcers. Patients often do not know that they havea sore or wound, due to this lack of sensation. This can lead to significant complicationsincluding amputations. Diabetic peripheral neuropathy usually occurs in patients whodo not maintain their blood sugar well, however it can occur in anyone with diabetes. The symptoms of neuropathy include numbness,tingling, pain, burning in the feet which can progress up to the legs, there’s oftenloss of muscle tone, loss of balance, and changes to foot structure. To determine whetheryou have diabetic peripheral neuropathy, a
history and physical will be performed. Simple,in office, noninvasive testing helps to diagnose the problem. Neurologic tests sometimes areordered. Sometimes a biopsy of the peripheral nerves in the skin may also be performed.Treatment of diabetic peripheral neuropathy begins with good control of your blood sugar.There are oral medications as well as topical medications that may reduce your symptoms.Prevention of diabetic peripheral neuropathy includes maintaining good blood sugar levels. If you have any symptoms of numbness, burning,tingling in your feet or legs, please give us a call at Dallas Podiatry Works. We willwork to get the correct diagnosis to help
relieve your symptoms..
Why Does My Arm Keep Twitching
Why does my arm keep twitching? Did you just get a shot? If your arm was interceptedby a needle, it could twitch in response to the injection. No, not shots. I’m very healthy. If you’ve been working out a lot, such asdoing pushups or pullups, your arm could be twitching in response to the strain. I do work out, but not today. Sitting in an awkward yoga pose could strainthe muscle, too.
I did not have yoga today. Have you put a couple of miles on your mousetoday? That could strain your arm, especially the shoulder and wrist, if you have bad posture. Could it be twitching because of how I slepton it? If you’re curled up like a baby, no. If itwas wrapped over your head and holding onto a lamp, maybe. I wonder if it might be something serious,something bad. Muscle twitches that you can not relate tostrain might be due to injury. If you fell
and hit the arm on something hard, you mayhave nerve damage. I have not had a serious injury, but I amworried. A twitching arm could be a sign of nerve disease. Like West Nile virus? More like Parkinson’s disorder or a similarexam. You’d need to be assessed by a . Look, doc, my arm keeps twitching. What areyou going to say? I’d say he’ll say he needs to order more tests.He might look for sensory loss like pins and needles sensations or a loss of strength inthe limb.
And hit my elbow with the hammer. If the reflexes are normal, it is more likelystrain, maybe an actual disease. If the reflexes are depressed, there is nerve damage. And then I’m depressed. Don’t let this get you down. Or, rather, getup and get to the so you can get a diagnosis so it doesn’t get worse..