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.
Post Surgical Neuropathy Numbness and Tingling of feetlegs .TheVillagesNeuropathy
When you originally presented to the office you presented with limitation standing, and loss of sensation numbness and tingling in the feet and lower extremities following a fusion lower lumbar spine. How have you responded here at Davis Clinic as far as us managing your back pain and neuropathy in the lower extremities, and what's been your experiences here in the clinic Well the experience in the clinic has been very favorable. People are very friendly and forthright and I feel they know their job and what they're doing and their pleasantness makes it a pleasure to come into the clinic where generally you.
Peripheral Neuropathy Numb Feet and Hands Symptoms Resolved .TheVillagesNeuropathy
When you had originally presented to the office, you presented with chronic numbness, tingling, burning, in the hands and the feet. It limited your ability to walk, limited your ability to sleep, your ability to relax. We've completed a course of treatment here with the Davis neuropathy program, how have you done with the treatment and how are you feeling today I feel wonderful. I have to tell you that the treatment, I was on both programs. Before I came in, all that I knew that I had was peripheral neuropathy after your exam, after.
You examined me. We found out that I had also spinal stenosis in my spine. I have followed your program, both of your programs, the DRS program and the peripheral neuropathy program, and I am doing beautifully. I can now walk without assistance which I was having to hold my husband's hand or somebody's hand when I was shopping or doing anything. I could not drive by myself. I feel like a whole person now. Well congratulations on your results and we're very proud to have you here as a patient. What else would you like to have.
When you originally presented to the office, you presented with peripheral leg pain and neuropathy due to a combination of nerve damage in the lower extremities and a disc herniation. We manage you here at our clinic with the Davis Protocol for neuropathy. How have you responded to the treatment, and what's been your experiences here in the office Well I had the neuropathy, I've had it for 25 or 30 years or whatnot. I've had all kinds of physical therapy pills and whatnot and it never really would get any better. It would.
Always be about the same. I used to go out and go bowling, play golf, I always had to take two aleve in the morning just to get moving. Take two more aleve before I go bowling or playing golf or whatever and maybe one or two at night. Sometimes I take six to eight aleves a day. Now I carry aleve with me, just in case, but I have not had any aleve in the last three, three plus weeks probably. I'm ready just in case but because of the treatment.
When we began managing you here we began managing you for very very numb feet, tingling, loss of sensation in the lower extremities. Now you experienced those sensations for some time and we managed you with our peripheral neuropathy program. How have you done with the program and how are your feet feeling today Well the program, I'm sort of an engineering kind of guy and the tests, or the sensory, I guess they're called sensory testing came up with a, Dr. Davis, came up with a numerical number of how it felt and I can understand.
That and that's just the way I am. The initial evaluation was pretty bad. He did establish that it was peripheral neuropathy as opposed to the other kind, I don't, the other nerves. Subsequent tests after the treatment showed me, based on the analysis that he had done, that things were improving marginally. I had a number of areas that I had no feeling, no sense of feeling on anything and the treatments, I don't know if it was the laser treatment, or the vibration, or a combination of both, got me to where I could feel quite well. A.
Lot different. Much improved. When I started I basically had no feeling in the soles of my feet. It was like I could be walking on nails, I could be walking on the carpet, on roads and had no sense of feeling. Now it's not perfect, but it is definitely improved. I would personally strongly recommend that somebody that has this kind of sensation or feelings or whether you lost numbness in their feet that they consider coming to Dr. Davis at least for a consult. Congratulations on your results and we're very very proud to.
When you originally presented to the office, you presented with cold, numb, and burning feet due to neuropathy. Yes I did. We managed you here with the Davis neuropathy program, how are you feeling today and what's been your experience in the office I'd say I'm almost one hundred percent better. It's probably an 8 or a 9 but I call it a hundred percent because I feel so great. How were you doing before you found the office here, what was it like dealing with neuropathy No sleep, I couldn't walk very far. Now I can walk,.
When you initially presented to the office, you presented with chronic neuropathy symptoms in the feet, lower extremities, numbness, tingling, and burning. We've been managing you here with the Davis neuropathy program. What's been your experience here in the office, and how are you feeling today with the neuropathy Well it's been a very good experience. I can sleep through the night, I don't have any pain in my legs, I don't wake up with cramps, and when I walk in the daytime I don't feel like I'm walking on glass. The pain has just.
Treating Neuropathy and Nerve Pain in the Feet
Let me start with I'm a diabetic. I developed neuropathy, which basically you lose all sensation in the feet, but it's over a period of time. It was very painful. I would have sensations in my feet like I was standing on fire, walking on glass. Last October it got so bad that I couldn't sleep at night. Then I met Dr. Bullard, because he's just a great physician. I wouldn't think twice, I'd recommend him to anybody. Very compassionate, very thorough, I can't say enough about Dr. Bullard. He's just a great physician and I don't know.
If there's anything he couldn't do he could probably move mountains if he wanted to! Glen, probably one of the biggest questions people are asking you is what'd we do, what's happened. Of course, you had a tremendous improvement in your pain and the tingling and the numbness. Easiest explanation is, to tell everybody, that this big nerve here, which is on the inside part of your left foot, was getting strangled. There was a noose around it. What we did is we went in and loosened the noose, and that allows that nerve to begin to function and work like it's supposed.
To. Now, the sensation is coming back, it's something that's going to take time but I can feel more. My quality of life has greatly improved since I had the procedure done by Dr. Bullard. There's no other physician that I would recommend. Glen, in the next couple weeks, what we're going to do is make sure that the swelling is improving, hopefully begin to transition you out of your compression socks, because I know it's kind of hot right now, and then look at making sure that your shoe gear and things like that are where they're supposed.
When you initially presented to the office, you presented with numbness, tingling, and irritation in the lower extremities and feet. We've managed this condition with our peripheral neuropathy program. How have you done with the management and how are you doing today Oh I'm feeling fine, I'm feeling great. When I came in here I thought I'd have to live with pain the rest of my life and it's great, really great. Well we're very very proud to have you here as a patient and congratulations on your results. Thank you doctor, thank you.
Fluoroquinolones and Peripheral Neuropathy
Peripheral neuropathy, this is an often devastating condition in which people develop pain and numbness in their hands and feet. Basically they're told on the evening news that they should be taking this or that medication so that they can get through life. That's treating the smoke and ignoring the fire. Those medicines that you're seeing advertised don't treat the neuropathy, they only treat the symptoms. But what's causing peripheral neuropathy Well we know that in America, one of the biggest causes of peripheral neuropathy is being diabetic, which is clearly related to the foods that you eat by and large. Becoming.
A type 2 diabetic dramatically increases your risk for having peripheral neuropathy and in fact being devastated by it. This is a disease that effects 1 in 15 Americans. Let's take a look. So again this is 1 in 15 Americansthis is 20 million Americans afflicted by this disease, that aside from diabetes, we're told the cause is unknown. Well maybe that's not exactly true. Last month, in the journal Neurology, an incredible study was published describing a relationship between what are called fluoroquinolones, and the risk of developing a peripheral neuropathy.
You may not know what fluoroquinolones are, but chances are you may have actually been exposed to fluoroquinolone. These are antibiotics used for treating things like upper respiratory infections and even urinary tract infections. Things like Levaquin and Cipro are commonly used in walk in clinics. If you have a urinary tract infection, you may have received these mediations. Well, here's what the study showed us So this is a study published in September 2014 that looked at men between age 45 to 80 years of age followed for a 10 year period and in this group there were over 6,000 cases.
Of peripheral neuropathy. And they compared these individuals to about 25,000 aged match controls, and what they found was that risk for developing this devastating condition called peripheral neuropathy was doubled in those individuals exposed to this class of antibiotics called fluoroquinolones. And what the researchers also told us is that, and I quote, Fluoroquinolones have been shown to neurotoxic. Oral fluoroquinolones have also been associated with reported cases of psychosis and seizures, which similar to peripheral neuropathy have been shown to be acute events occurring within days of fluoroquinolone use.
In light of strong evidence of unnecessary prescribing of oral fluoroquinolones in the United States, clinicians must weigh the risk of PN against the benefits of prescribing FQ when prescribing these drugs to their patients. We've got to practice medicine under the dictum of above all do no harm. One of our most well respected peer review journals is now telling us that the use of these medicationsthese fluoroquinolone antibiotics is associated with doubling of the risk of peripheral neuropathy. A disease which often is not treatable. So keep that in mind the next time you think.
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