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.
Hi my name is Larry Lewis and I am here to make a testimony about Dr. Polzin's Pain Center. I've been coming now, this is my 12th visit and when I came in I was really in a lot of pain and I could not walk hardly, could only wear Crocs and very little walking. Since I've been here I've improved quite a bit I am not completely healed, I'd say I'm half way through my treatment but I can now walk I can go to the mall with my.
Wife and not have to take a cane find a seat or some place to sit down, now I can move around. It's a really unique way treating this neuropathy. I just want to encourage anyone and everyone who is suffering to come in and talk to Dr. Polzin take the exam and see if he can help you, because if you can be helped he will help you and if he can't then he will tell you he cant. I really do encourage you to give him a call and see what.
Peripheral Nervous System Disorders Diagnosis and Treatment
The peripheral nervous system is the part of the nervous system that excludes or is outside of the brain and the spinal cord. We take care of patients that have disorders that affect the motor neurons, which live in the spinal cord the peripheral nerves that extend out into the arms and legs as well as the muscles and the connection between the nerves and the muscles. Some of the disorders that a nerve and muscle a disease specialist will evaluate and develop care plans for include muscle disorders such as muscular dystrophy,.
Polymyositis, dermatomyositis, peripheral neuropathies such as Charcot Marie Tooth disease or hereditary neuropathy and as well as the neuromuscular junction disorders such as myasthenia gravis. Some symptoms that can be associated with the peripheral nervous system include generalized weakness, fatigue, numbness, tingling, sometimes pain can be caused by disorders of the peripheral nerve. The evaluation of a patient with a possible peripheral nervous system disorder first begins with the very careful history to understand how the symptoms started and how they affect the patient. From the history we extend to the physical exam,.
Understanding Peripheral Neuropathy Burning, Tingling and Pain
Here at Richardson Podiatry Center, we see quite a few diabetics. People with diabetes have certain conditions that affect the health of their feet. These conditions are peripheral neuropathy where people lose feeling in their feet, decreased circulation, and also skin conditions such as fungus and ingrown toenails. The most troubling problem diabetics have with their feet is peripheral neuropathy. Approximately 2040 of people with diabetes will develop peripheral neuropathy over their lifetime. What peripheral neuropathy will do is that, with the loss of feeling in your feet, you cannot feel any type of injury to.
Your foot. It's common for people with peripheral neuropathy for their feet to feel like blocks of wood. They can step on any type of sharp object they can cut their feet and not know it. They might not see the problem until they see redness and swelling and maybe even drainage coming from a wound. At that point, the infections are very hard to treat because, again, it's not only peripheral neuropathy caused from diabetes, they also usually have decreased circulation. When you have decreased circulation, your body cannot fight infections like a person.
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.
When you first presented to the office, you presented with chronic low back, leg pain, and neuropathy pain in your legs and feet. Your post surgical fusion patient and you had utilized a lot of different forms of therapy in pain management before coming to our office for help. How did you do with our therapy and how are you feeling today Great, I don't have the pain down my leg, I have feeling in my feet now, I don't have that constant pain in the back. Well congratulations. We're very proud of your results, and we're very.
Animation Detecting diabetic retinopathy through a dilated eye exam
The comprehensive dilated eye exam opening the door to preventing blindness a doctor can detect signs of diabetic retinopathy during a comprehensive dilated eye exam the patient receives special eye drops to dilate the pupils the pupils open wide allowing the doctor to see the back of the eye clearly when eyes are dilated the doctor can clearly see the retina optic nerve and the macula early diabetic retinopathy starts with small red dots called micro aneurysms and can progress to leaking blood vessels causing thickening of the retina and blurring of vision or new blood vessel.
Growth that can bleed and cause blindness if you have diabetes you are at risk for diabetic retinopathy dilation enables doctors to get a better view of the back of the eye which allows them to determine whether there are early symptoms of disease but it's important to know that all people older than 60 need a comprehensive dilated eye exam each year and should inform their doctor right away if they begin to have problems with their site people at higher risk may need to have a dilated eye exam more often.
Diabetes Foot Exam
We know that one in four people with diabetes will develop foot complications. These complications can be serious and can limit you and what you want to do with your life the Joslin clinical guidelines recommend that you have a thorough foot exam by your physician at least once a year one of the things that can cause foot problems in people with diabetes they result from two major problems. The first is neuropathy. diabetes can affect the nerves over time and as the nerves are affected you may lose the sensation in your feet.
This may not cause you any discomfort, your feet may feel fine, but not being able to sense problems in your feet puts them at risk. A second problem is circulation diabetes can affect circulation in the head in the heart but also affects circulation in your feet. With the circulation decreased, any problem that occurs in your feet will resolve more slowly infections heal more slowly and you are prone to more complications. this combination of neuropathy and circulation problems are why your physician needs to carefully examine you feet at least once a year.
When he or she examines your foot they're going to look at three different things they'll visually inspect your foot to see if there's any deformities, they'll look carefully the skin to see if there's any cuts, any sore spots, any lesions that should need attention between your toes as well as the top of the bottom of your feet the physician will also take a look at your circulation by feeling for pulses at certain spots in your feet where we know the the pulses should be strong and last, they'll check for signs of neuropathy.
By using either tuning fork or something called a ten gram fiber small wis you should be able to sense and if you can't it means you're especially high risk for problems with your diabetes smoking is obviously a problem for anyone's health if you have diabetes smoking is especially damaging so he can affect the circulation in particular the circulation to your feet we know that the majority of our patients with diabetes who have foot problems have had smoking in their past so what can you do to keep your feet healthy.
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