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.
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.
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.
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.
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.
When you originally presented to the office, you presented with numbness, tingling, burning, and weakness in your hands and loss of grip strength. It wasn't allowing you to sleep at night. We managed you here at the Davis Clinic with a neuropathy based program. How have you responded to our neuropathy care, and how are you doing today Fabulous. Made all the difference in the world. I'm sleeping, my hands are great, I can take on the world. Well congratulations on your results and we're very proud to have you here as a patient.
Levaquin Peripheral Neuropathy
ATTENTION HAVE YOU TAKEN THE DRUG LEVAQUIN IF SO, PLEASE, LISTEN TO THIS IMPORTANT MESSAGE. Millions of lives have been saved because of the discovery of antibiotics. Fluoroquinolones are a type of powerful antibiotic which have been used to treat serious and lifethreatening bacterial infections. These fluoroquinolones include the antibiotic drug, Levaquin. However, Levaquin has often been prescribed for less serious ailments, such as sinus infections or ear infections, as well as other problems that could be treated with antibiotics that aren't quite as potent. This has resulted in many people developing Levaquin peripheral.
Neuropathy. Peripheral neuropathy occurs when the nerves that carry information from the brain to the central nervous system have become damaged. This results in a variety of symptoms and many people have become disabled due to the use of these antibiotics. Some of these symptoms include Shooting pain Burning or tingling sensation Lack of coordination and muscle weakness Digestive issues Dizziness Lightheadedness Changes in blood pressure Vision problems Sweating or intolerance to heat In 2013, the FDA required drug makers to list peripheral neuropathy as a side effect. This came 12 years after the connection had already been made.
Levaquin nerve damage can result in permanent disability and rob a victim of their ability to work. A number of lawsuits have already been filed, all of which claim the companies failed to provide patients with adequate warnings about their association with peripheral neuropathy. If you or someone you know has taken Avelox, Cipro or Levaquin and developed any burning, tingling, numbness of the legs and or arms, or were diagnosed with peripheral neuropathy, you may be entitled to compensation. However time is limited to file a claim. For a free, no obligation case review, call the experienced law office of Bernstein Liebhard.
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,.
How Acetyl L Carnitine Helps Treat Neuropathy
Hi this is Dr. Silvester and I'm going to talk to you a little bit today about one of the supplements we use for our patients with diabetic neuropathy that seems to have a big effect in helping them and their nerves get better. There was actually a study done with this supplement where they took 1,275 patients who took this supplement, and they actually showed an increase in nerve fiber density, after taking this supplement for 52 weeks. They also showed that they had significant decrease in their pain, and they had significantly.
Improved quality of life after taking this supplement. It's acetyl l carnitine. Acetyl l carnitine works in the same way as many other antioxidants and many other nerve healing supplements. They help the nerve make more energy so it can heal itself and regrow. If you want to start your nerves on the path of healing, not just treating them with prescription medication, which really all they do is help the nerve feel better while it's dying, you can actually heal them with acetyl l carnitine and good studies have backed that up. With.
Periripheral neuropathy burning and cramping pain no more!
Alright well we're here with one of our great patients Verne. How are you doing today Verne I'm doing fine. Verne has been with us for about six weeks now. He initially contacted us about our neuropathy treatment protocol that Dr. Busch developed. Verne had quite a bit of different symptoms going on with your neuropathy. Can you tell us a little bit about what you were feeling from a symptom standpoint before you called in I was getting pains down the back of my legs and down into my feet. I had numbness under my feet and.
Pains in my toes. And these pains were real sharp and shooting Yes. Now you also had some burning pain, is that right, when you go to sleep at night Can you describe that a little bit for me It was mostly in my feet and it was kind of a burning sensation in my feet. Now how did that affect your sleep I know we've talked a lot about how you were sleeping before you came in here, can you tell me what it was like for you to try to.
Sleep at night Well I really couldn't get much sleep, I had to get up and walk around and then I'd go back and get an hour or so of sleep and finally I would sleep in my chair, recliner. I was gonna say, do you have a recliner there Yes. That's where you did most of your sleeping is that right Yes. I know this week we've gotten to a big milestone here where you're getting to sleep in your bed now, which is fantastic. Your daughter got you a nice.
Mattress topper for your mattress, the pain is no longer keeping you awake at night, is that right That's right, yes. The burning pain is 100 gone at this point so that's fantastic, and those sharp shooting pains were going all the way down your leg from the thigh all the way to the foot, those are gone all the way now for the last week or so and the only place you're having anything now is a little bit in the toe on your foot is that right So overall, how much better are you feeling now do you think compared.
To when you first came in Oh I feel 100 better. Changes your whole life doesn't it Yes. You're able to sleep through the night now and makes your whole day better when you wake up refreshed and sleeping allows your body to heal itself naturally which is part of the whole process. So overall how much better is your quality of life at this point compared to what it was Oh it's a lot better, 100 better. Don't feel that hopeless feeling about the neuropathy and that sort of thing. I know you and I have talked a little, but.
Verne did you ever feel you would get to this level of improvement, and what do you say to me You didn't feel like you could did you, you thought it was something you'd have to live with for the rest of your life. Yea. Partly because that's what you'd been told by some other doctors. Well hopefully soon we'll have you off the gabapentin that they have you taking which is a common thing for it. Living life every day and doing the things you want to do. Well thank you for your time, we love having you here as a patient, and.
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