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Peripheral Neurology

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.

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.

Peripheral Neuropathy Symptoms Relieved DavisClinic

When you originally presented to the office you presented with very very intense peripheral neuropathy pain in the lower legs and feet. How have you been responding to our peripheral neuropathy treatments, and how do you feel today Today I feel real good, when I first started i couldn't feel a thing under the bottom of my feet. I couldn't feel the carpet, now I can walk on my carpet at home and if there are any crumbs I can feel those and find them. Before I couldn't feel them. As far as my legs go I had it felt like there.

Raynauds Syndrome Peripheral Neuropathy Care DavisClinic

We've been treating you for Raynaud's phenomena in both hands and small fiber neuropathy in both of your hands. What were your experiences before consulting the office with this condition and how have you been responding to the care program today Well the reason that I came in is the numbness in my hands, both hands. It kept getting worse and worse. I got to the point I couldn't feel the keyboard when I typed, I couldn't feel the mouse. Every time it got cold, it would get worse. My fingers were blue, and it would last almost all day.

It was really starting to affect my job. I couldn't hold on to things because I couldn't feel them, I was always dropping things. I came in to see Dr. Davis, we tried this program. I was excited about it because there really isn't a lot of treatment for this particular condition. So when we decided to try it I was excited, and didn't really expect a lot of results as fast as I have. I still have a little numbness in my hands, but at least I can feel the keyboard. The numbness doesn't last as long as it did before. It would last.

Peripheral Neuropathy Tingling Numb FeetLegs Symptoms Resolved .DavisClinc

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.

Eva Feldman, MD Tutorial Profile

Gtgt Dr. Eva Feldman So when I completed college I had the dilemma whether I wanted to go straight into medical school or whether I also wanted to do research because when I was in college, I got very excited about the brain and had, again a professor who told me that he felt that in the next century all the major advances in medicine and in research we're going to be in the nervous system particularly in the brain. So when I finished college, I decided oh maybe I'll get a PhD and a M.D.

And so I started my graduate studies first and I began in a neuroscience program at the University of Michigan. Fell in love with the brain completely and when I started medical school there was no doubt from the very first day in medical school, I said I was going to be a neurologist and I loved every day of it. One of my passions as a neurologist is also to be a neuroscientist. So I'm very privileged to have a fairly large laboratory that I work in with about 30 young people who do research with me.

And we've become very interested over the last 5 years in using stem cells in regenerative medicine particularly in neurodegenerative diseases in neurology. Lou Gehrig's disease is one passion that we have. We're also interested in Alzheimer's disease, Parkinson's disease, and Huntington's disease. So from our basic findings in the laboratory of how stem cells can promote nerve regeneration and protect nerve cells from dying, we've actually begun a clinical trial using stem cells in patients with Lou Gehrig's disease. So it's very exciting because what I do in my basic science laboratory I can then transition.

Over to my clinical practice and ALS or Lou Gehrig's disease is one of the disorders that I am familiar with and I take care of hundreds of patients with that disorder. And so I'm able to serve as a bridge from the basic science to the clinic. I can go to the clinic and tell my patients what I've learned in my basic science laboratory. I can go back and tell my basic scientists what my patients have taught us and they teach us so much. And so stem cells is one of the major avenues I see translating in the near future.

Epley Maneuver to Treat BPPV Vertigo

Normally only with head movement does fluid within the inner ear also move informing the brain that a head turn occurred however should a crystal called an otolith that gets displace into the poster canal of the inner ear, BPPV dizziness occurs. Fluid movement occurs due to the crystal rather than head turns causing the brain to think movement has occurred even though none has happened. When the Epley maneuver is performed to treat this posterior canal BPPV by trying to get the loose crystal out of the canal this maneuver is started by turning the head fortyfive degrees and the body.

Laid back such the head is extended about 20 to 30 degrees. If BPPV is present, eye twitching call nystagmus will occur. After 30 to 60 seconds the head is turned 90 degrees to the opposite side and held for another 30 to 60 seconds The head is then further rotated another 90 degrees accomplished by having the patient turn onto their side which is then held for another 30 to 60 seconds. At this point the head should be turned 45 degrees from the horizontal. When performing this maneuver another individual can help with these position.

Changes the maneuvers then completed by having the patient sit up. So what's going on with these position changes Essentially the head has moved in such a way to manipulate the crystal to fall towards the canal opening. With each position change it takes about 30 to 60 seconds for the crystal to settle into the most dependent position in the canal. If turns are made before the crystal has a chance to settle the crystal may fall back the wrong way and the maneuver will fail. It is also important that they head positions are angled correctly.

Pain nerve drug has no effect on back pain

A popularly used drug for nerve pain may not work Popular Nerve Pain Medicine Has Little Effect On Back Pain. Sonja Elmquist writing in Bloomberg News reported that Pfizer Inc.'s bestselling drug, Lyrica pregabalin, didn't help patients with the most common cause of back pain, severe lumbar spinal stenosis, any more than a placebo in a small study. The study's findings, published in the journal Neurology, casts doubt on the potential for doctors to expand the medication's use. The FDA has not approved the drug's use for spinal stenosis, but Lyrica and similar medicines are often used to treat lower back pain.

Peripheral Neuropathy DVD

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