Treating Numbness, Tingling, and Burning Caused by Neuropathy
My name is Dr. David Northcutt. I'm one of the podiatrists here at Dallas Podiatry Works. Today I want to discuss diabetic peripheral neuropathy. There are several reasons for the development of peripheral neuropathy, but diabetic peripheral neuropathy is one of the most common. Diabetic peripheral neuropathy simply means nerve 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 of several years. The loss of sensation that occurs with nerve damage from diabetes makes the patient more prone to developing open.
Sores or ulcers. Patients often do not know that they have a sore or wound, due to this lack of sensation. This can lead to significant complications including amputations. Diabetic peripheral neuropathy usually occurs in patients who do 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 often loss of muscle tone, loss of balance, and changes to foot structure. To determine whether you have diabetic peripheral neuropathy, a.
History and physical will be performed. Simple, in office, noninvasive testing helps to diagnose the problem. Neurologic tests sometimes are ordered. 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 will work to get the correct diagnosis to help.
David Kawamura, MD, a hand surgeon with The Everett Clinic talks about nerve compression.
There are a couple of different nerve compressions in the upper extremity. The most common one, the most widely known one is carpal tunnel syndrome, but there's a second nerve in the arm that can be compressed at the elbow that's called the ulnar nerve. The ulnar nerve generally can get compressed behind a little bony prominence at the elbow. It can cause symptoms in the hand frequently numbness and tingling in particular involving the pinky finger. Numbness and tingling involving the remainder the hand, like the thumb and the index finger, that's more typical carpal tunnel syndrome. But if you have numbness and tingling.
On the pinky side of the hand that's more typical of cubital tunnel or ulnar nerve compression at the elbow. That's a treatable condition, often treated with surgery, if conservative, nonoperative, treatments don't work. Patients, prior to surgery, will have significant numbness and tingling. It's bothersome. If it's significant they can also have potentially permanent loss of sensation. So trying to avoid longterm problems like that would be a benefit of the surgery. In general results are very good. Most patients are very pleased. Depending on how long standing their symptoms are.
Vanderbilt Hand and Upper Extremity Center
GtgtDoug Weikert My name is Doug Weikert, and I'm an orthopedic hand surgeon at Vanderbilt Medical Center. There are four hand surgeons in the Division of Othopaedic Hand Surgery. We treat all conditions that affect the hand and upper extremity from fracture care to arthritis to nerve compression, nerve injuries, even babies born with congenital problems in their hand. This is an xray of a gentleman's hand. He happens to be a football player. Most people take for granted the function of their hand. You can see we have two little screws. We.
Do lots of surgeries, probably around 2,000 a year. In the world of hand surgery, the same injury in a manual laborer may not require the same treatment as that same injury in a concert pianist, so we have to individualize the treatment to meet the patient's needs. Not just structurally but also fit it into what they do for a living. How important is that finger or that wrist or that elbow to their livelihood gtgtGary Robinson, OT, CHT, MBA Anytime you work in a Level One trauma center, you are.
Busy. gtgtWeikert In addition to our hand physician team, we also have wonderful hand therapists. gtgtRobinson And this is one of the most common splints we make. This splint primarily worn at night helps to align the joint at the base of the thumb. We work on sensory, sensory perceptual, gross and fine motor skills. gtgtWeikert When it comes right down to it, it's often the therapy that takes a good result to a great result in the hand world. gtgtRobinson We have to work as a team and communicate. It's wonderful to be in this.
Type of setting because if the need arises and we have a question to ask Dr. Weikert, it's a matter of walking around the corner. gtgtWeikert At Vanderbilt, We have such a huge support team. We go out of our way to make every patient important, to give them the time they need both in the office and during the surgery and after the surgery. We care about every injury whether it's seemingly small to the patient or catastrophic, and again our experience and our devotion to the patient, I believe, make us second.
How to Avoid Aching Knees
Knee pain could be a symptom of several health problems, but a new study found a solution specifically for older adults with diabetes. I'm Lindsay Liepman with your latest health news. Researchers found that a healthy diet and exercise could reduce the shortterm risk of knee pain in overweight type 2 diabetes patients. Type 2 diabetes occurs in people who are resistant to insulin, which is the hormone that regulates blood sugar. Most importantly, the findings suggest that diet and exercise may even help prevent the development of knee pain. Which could be a relief.
First nerve transfer surgery in Canada at The Ottawa Hospital
Timothy Raglin may soon be able to move his fingers for the first time in seven years after a team of surgeons at The Ottawa Hospital performed Canada's firstever nerve transfer surgery on a quadriplegic patient So it was a hot summer afternoon about seven years or so ago and I was working at the cottage, doing some work in the boathouse and decided to go for a swim before suppertime. The year that I dove in, the water was shallow, and I hit the bottom. I realized right away what happened, and I had to try to hold my breath as long as I can.
Luckily there was friends and family around that were able to help me get out of the water and into a helicopter quickly, took care of me pretty fast. The nerve that lets Raglin pinch his right thumb and forefinger has been disconnected from his brain since the accident. During the surgery, the team connected it to a donor nerve from a muscle that bends the elbow. So for Mr. Raglin, the two things that we wanted to achieve for him were some degree of pinch and finger flexion, and some degree of finger and thumb extension, to open his hand.
So the idea would be that he could grasp and release, eventually. Nerve transfer surgery has only been performed on patients with spinal cord injuries a handful of times at one American hospital. It's amazing, when I heard that the doctors were coming up from the states and the team they had assembled for the surgery. I am not used to that type of attention or special treatment I was quite honoured thrilled that I was eligible. I'm very thankful to all of you. The nerves will die beyond where they were cut and sewn together.
But the tubes that contained them will remain. The nerve should regrow down this pathway and branch out into the muscles at about an inch per month. It could take a year to see results. Dr. Kirsty Boyd And it'll just be the same life as he's known it. He's not going to be any different, he's not going to notice any change, hopefully for better or worse in his function. And then we have to wait, so that's going to be the hard part because for these transfers, probably we won't know for at least six to nine months.
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