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.
Fibromyalgia Fibromyalgia patients pain might stem from smallfiber polyneuropathy
Fibromyalgia. think it's all in your head. it may be in your skin too Fibromyalgia patients' pain might stem from smallfiber polyneuropathy A report in Helio showed that almost half of patients diagnosed with fibromyalgia tested positive for smallfiber polyneuropathy, a peripheral nerve disease that might cause their chronic widespread pain, according to recent study results. Until now, there has been no good idea about what causes fibromyalgia, but now we have evidence for some but not all patients, researcher Anne Louise Oaklander, MD, PhD, director of the Nerve Injury Unit at Massachusetts General Hospital's neurology department, said in a.
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.
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 Pain Severe Pain Reduced DavisClinic
We're currently managing you for a very painful case of small fiber neuropathy in your lower feet. You came to us in quite a bit of pain and managing with cymbalta and managing with gabapentin for the pain. We began the multi dial laser protocol with you for pain management with neuropathy. How are you doing today sir Well I'm not perfect but my feet feel much better. I'm able to sleep now without putting any ointments or salves or anything on my feet. I do feel better. It lets me sleep. At first I had pains in the bottom of my feet.
Like somebody was holding a cigarette lighter to them. It felt very hot and painful. Since then it has gone down quite a bit. As I walked it felt like my feet were just stuffed into my shoes and I had to get a whole size larger to get any comfort which doesn't look goo when you're walking with big feet like that. But I'm back down to normal size and I'm really pleased with this procedure that I'm going through. I thank Dr. Davis for that. Well thank you so much for trusting us with your neuropathy management and we're very very.
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