Do you have pain and numbness in your extremities? Does this pain make it hard for your to live your daily life? This lens is all about Neuropathy, its causes, and your options for treatment.
Neuropathy
- TYPES:
There are 4 types of Neuropathies. The four major forms of nerve damage are: peripheral neuropathy, autonomic neuropathy, mononeuropathy, and polyneuropathy. The most common form is peripheral neuropathy, which mainly affects the feet and legs. - CAUSES:
Besides diabetes, the common causes of neuropathy are chronic or acute trauma (including surgery), and various neurotoxins. Neuropathic pain is common in cancer as a direct result of the cancer on peripheral nerves (e.g., compression by a tumor), as a side effect of many chemotherapy drugs, and as a result of electrical injury
Diabetic Neuropathy: It has been clinically documented that patients with Diabetes have poor circluation. Diabetes causes blood vessels to harden and constrict, which impedes the ammount of blood flow going to the extremities. It is for this reason that Neuropathy develops in patients with diabetes, poor microcirculation. - SYMPTOMS:
Neuropathy often results in numbness, pain, and other abnormal sensations. It affects proprioception, and is an indirect cause of falls in the senior population. Neuropathy patients are at a higher risk for falls, due to the simple fact that they can not feel their feet. Neuropathic pain is usually perceived as a steady burning and/or "pins and needles" and/or "electric shock" sensations. The difference is due to the fact that "ordinary" pain stimulates only pain nerves, while a neuropathy often results in the firing of both pain and non-pain (touch, warm, cool) sensory nerves in the same area, producing signals that the spinal cord and brain do not normally expect to receive. - TREATMENT:
Neuropathic pain can be very difficult to treat; even strong opioid analgesics may provide only partial relief and are not approved by the FDA for neuropathic pain indications. Controlled studies of opioid analgesics that have shown pain relief HAVE NOT shown any consistent improvement in quality of life indicators. However, several classes of medications not normally thought of as analgesics are often effective, alone or in combination with opioids and other treatments.
It is because many of the prescription medications for Neuropathy have limited benefits, that more doctors and therapists trying alternative methods of treatment such as, Monocramatic Infrared Photo Energy, or MIRE. Over 5000 clinical sites across the country utilize Anodyne Therapy (MIRE) with also usually a rehab program, that usually includes physical therapy. Anodyne Therapy emits infra red light, and works by locally increasing circulation and decreasing pain. Patients receive treatment in a local clinic, to find out if the treatment is effective for them. Many patients report increased foot sensitivity, and decreased pain. Anodyne Therapy is off label for the treatment of neuropathy, however, due to their indications in their FDA clearance, Anodyne Therapy can be used by any health care professional in any situation where increasing circulation and decreasing pain is in the best interest of their patient. Recent studies have shown that diabetic patients have poor very poor circulation, and that is what causes neuropathic pain, and numbness. Essentially, the nerves in the extremities are not getting enough oxygen or nutrients to function properly. You must have a doctors prescription for Anodyne Therapy. Check out their website below for more information.
Physical Therapy:Physical Therapy can help to address the balance and proprioception issues of the patients. Gait and Balance training, therex bands, and other manual therapies have proven to be beneficial for people. It is VERY important to keep as active as your pain will allow, as excercise is your body's natural way of increasing circulation.
Natural Suppliments: Vitiman B12 and L Argenine have had some positive reviews by patients and some homeopathic physicians. - MORE ON ANODYNE THERAPY:
I am an experienced Geriatric Care Manager, and I work with many people who have Neuropathy. I can speak on a personal level about Anodyne Therapy. It has been an excellent treatment for my patients. When I see a new patient with Neuropathy, it is one of the FIRST treatments I recomend. Patients of mine have regained sensation in their feet, improved their balance, and also been able to do more activities they enjoy. They are sleeping better too! I am a HUGE advocate of this therapy because I have seen firsthand the results it has yeilded with MY own clients.
I urge you to go to their website to find a local care center, or just call them for more information! Don't accept any more medication prescriptions from your doctor until you TRY Anodyne Therapy!
You can control your neuropathy!
In the words of one patient, "I will never be rid of my Neuropathy, however, my Neuropathy will not control me, I will be in control of my Neuropathy."If you are a patient that suffers from this condition, whether diabetic or non-diabetic, you need to make sure you are taking the best care of yourself.
EXCERCISE! Stay active. Not only will this improve and maintain your heart health, this will help to promote circulation in your limbs. Excercise stimulates the production of a compound called Nitric Oxide. Nitric oxide is a vasodialator, (an agent that increases the size of blood vessels and capilaries). Because Diabetes constricts the blood vessels of your microcirculatory system, you need to take control with excercise and proper blood sugar control.
FOLLOW GOOD DIET PRACTICES: There is a doctor in the UK that I work with, who recomend all of his patients follow the "ZONE" diet. He has seen very good results with respects to controlling blood sugars, and also lessening the pain associated with Neuropathy.
Just because something is LOW FAT (aka toast and Jam) it does not mean its good for you. Toast and Jam is one of the WORST breakfasts that someone with Diabetes, (or anyone for that matter) should eat. White bread, and refined carbs spike your insulin levels just as a tablespoon of pure sugar does, and its actually WORSE than taking straight sugar. You need to have a balance of GOOD CARBS (whole grains, fruits and veggies) and GOOD FATS (Omega 3's monosaturated fats).
See your doctor regularly. Ask them if any of the treatment options mentioned in this lens are appropriate for your condition.
Check your feet regularly for wounds.
Keep reading!! There are many publications and newsletters for diabetics and for those that suffer from Neuropathy. These newsletters offer valuable tips from patients who are successfully managing their conditions through proper maitence.
Neuropathy Resource Links
- Diabetes
- Great Diabetic Resource Link
- Anodyne Therapy Website
- Link to the official Manufacturer of the Anodyne Therapy System (MIRE).
- Voice of the Diabetic
- Voice of the Diabetic, published quarterly, is the national magazine of the Diabetes Action.
Neuropathy Survivors
Tell us what has helped you!
Please let us know what you do to help control your neuropathy, what you share, may be able to help other people.
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Reply
- Steven Steven Sep 10, 2007 @ 3:20 pm
- Lori,like you I also have non specific origen of Neuropathy. I have some some comfort in a medication called neurontin but I am at the max dosage and still have pain but only severe pain between dose's. the side effects suck and I still have episodes of severe pain. I am 50
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- Brenda Brenda Jun 16, 2007 @ 9:55 pm
- I am 48 years old and I found out 6 months ago that I have neuropathy from taking Leflumonide for my rhumatoid arthritis.The doctors have told me that neuropathy will go away on its own but it is getting worse.They mentioned medicine next.It is now in my hands.This is miserable.Doctors don't help.
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- Bernice Bernice May 24, 2007 @ 11:36 pm
- I have just been diagnosed by a neurologist as to having a neropathy. I am 85 years old, and have a heart condition. He doesn't seem to explain anything to me. I am interested in the prognosis, and what I can do. Why does swimming make me dizzy?
Bernice
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- LORI LORI May 1, 2007 @ 5:52 pm
- I JUST FOUND OUT THAT I HAVE NEUROPATHY AND FOR NO APPARENT REASON. I AM 51 YEARS OLD AND IN GOOD HEALTH. I HAVE HIGH BLOOD PRESURE BUT IT'S UNDER CONTROL. I WILL BE TALKING TO MY DOCTOR SOON BUT RIGHT NOW I'M A LITTLE CONFUSED. WHY DO I HAVE THIS AND WHAT SHOULD I DO?
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Reply
- TheSixthGear TheSixthGear Mar 27, 2007 @ 8:29 am
- The 19th annual American Diabetes Alert® Day is Today
Tuesday March 27, 2007
Did you know?
Sixty million Americans are unaware they have diabetes or are at risk for developing type 2 diabetes.
Take the test to see if you are at risk
http://www.diabetes.org/risk-test.jsp
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by TheSixthGear
Hello Everyone! I am an experienced Geriatric Care Manager that lives in the Sunny State of Florida!
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