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Prolotherapy to Mid Tendon Achilles Tendonopathy – Only Mildly Better Results When Compared to Eccentric Loading Exercises – How Could That Be Better?
Diabetic peripheral neuropathy with pain, and numb feet and toes could be the result of an entrapment like carpal tunnel and hence potentially treatable. 1) Carpal tunnel entrapment is now thought to be a tendonopathy induced disease (one current approach is to actually strip down the swollen tendons as a treatment). 2) Response to carpal tunnel surgery has very little to do with the delineated nerve conduction entrapment found, suggesting it is more the nerve irritation from the tendonitis that is key. 3) The feet are something you stand on versus the hands so the foot tarsal tunnel sydrome would be a totally different animal from carpal tunnel.
6 – Dellon AL (1992) Treatment of symptoms of diabetic neuropathy by peripheral nerve decompression. 18 – Tambwekar SR (2001) Extended neurolysis of the posterior tibial nerve to improve sensation in diabetic neuropathic feet. 22 – Wood M, Wood W (2003) Decompression of peripheral nerve for diabetic neuropathy in lower extremity.
2 – Biddinger KR, Amen KJ (2004) The role of surgical decompression for diabetic neuropathy. 10 – Lee C, Dellon AL (2004) Prognostic ability of Tinel sign in determining outcome for decompression surgery decompression surgery in diabetic and non-diabetic neuropathy.

11 – Nelson SC, Little ER Jr (2006) Pilot study of the use of the SF 36 questionnaire outcome evaluation for multiple lower extremity nerve decompressions in diabetic peripheral neuropathy. 23 – Yao Y, Wang RZ, Shang B, Liu FY, Wei UK (2005) Treatment of symptomatic diabetic peripheral neuropathy by surgical decompression of three peripheral nerves. With the age of evidence based medicine (gag) people have decided to ignore overwhelming evidence because a randomized control trial has not been done. Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology Vinay Chaudhry, MD, James C. Comment – Innocently, I came across a recent Turkish article describing favorable results of decompression surgery. My fiance has diabetic peripheral neuropathy in his foot on the outside of the foot and he has it also in his big toe on the right side and suffers severely with it. There are metabolic changes that occur in Diabetics(DM) that predispose to entrapment – much like seen in the increased incidence of carpal tunnel in DM patients. Relationship between peripheral nerve decompression and gain of pedal sensibility and balance in patients with peripheral neuropathy. My personal feelings is that there are a lot of block heads out there that ignore the fact that chronic pain causes considerable peripheral sensitization and that produces multiple pain generators. Following initiation of therapy, patients should be interviewed at each follow-up visit to determine whether their pain, depression, and quality of life have changed.

Yesterday, I was at a talk on diabetic neuropathy, and the issue of entrapment was received with groans.
So is there someone out there who has had the surgery for this kind of neuropathy let me know your out come and if it helped your pain at all. The neurologist was nice enough to mention he sends people for steroid injection of the tarsal tunnel as a diagnostic technique and takes it from there.
No clinical trial-based data or guidelines are available for combination therapy, but the combination of an opioid receptor agonist with a tricyclic antidepressant, duloxetine, pregabalin or gabapentin is considered to be appropriate.
We have been prescribed every kind of medicene there is out there to use that has been approved for diabetic Peripheral neuropathy.
We have used Gabapentin, oxycodone, oxycontin, Moriphine, Cymbalta, Lexapro, Ecitalopram and many more of which none have worked for him in the least. We have used all kinds of things that doctors have told us to use like capsacin cream, lidicaine cream, vitamin B creams, Aloe vera cream cream, you name it we have tried it. We are at our witts end and I fear that he might do something to himself some day because he can’t take the pain anymore.

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