Diabetic neuropathy and muscle pain relief,diabetes effects on bones 07,can diabetics eat rice and beans - PDF Books


Diabetes is a condition that affects many areas of the body, including a patient’s feet, legs and hands. Most cases of diabetic peripheral neuropathy can be traced back to uncontrolled blood sugar.
Neuropathy can be very painful, but the condition generally starts with a slight tingling or numbness in the legs, feet or hands. The best thing a diabetic can do to rebuild muscle and keep new nerves healthy is to adopt a healthier lifestyle.
Physical therapy is another option available to diabetics suffering from leg, arm or foot pain. Serving Beverly Hills, Los Angeles, Encino, Studio City, Sherman Oaks, Tarzana, Malibu, Calabasas, Santa Monica, Pacific Palisades, Reseda, Northridge, Woodland Hills, West Hills, Granada Hills, Porter Ranch, Sylmar, and the surrounding areas. Diabetes is a condition in which the body cells become unable to absorb glucose from blood either due to lack of insulin production by the pancreatic cells or due to the inadequate working of the target receptors.
Symptoms of numbness, pain and tingling in arms, hands, fingers, legs, feet and toes; nausea, dizziness, weakness, vaginal dryness, erectile dysfunction, stiffness of wrist, hand, hip and knee, etc.
Other drugs such as duloxetine hydrochloride, amitriptyline, which are anti-depressants, are used to relieve pain in diabetic neuropathy. Physical therapies such as muscle stretching, exercises and massages can help the patients who suffer from muscle cramps, spasms and weakness.
Electric nerve stimulation is a technique in which low voltage current is used to stimulate the nerves. Diabetes Neuropathy is not a life taking disease if one follows proper steps to keep the blood pressure and blood sugar levels in control. Peripheral neuropathy is a disease process that affects the sensory, reflex, motor and vasomotor (pertaining to the blood vessel) responses of the peripheral nerves. The symptoms of peripheral neuropathy vary with the primary reason why the neuropathy has occurred. Neurological testing for peripheral neuropathy may include testing for the ability to sense vibration, differentiation between warm and cold, differentiation between sharp and dull touch and the ability to tell where one is in space (proprioception). EMG (electromyelogram) and NCV (nerve conduction velocity) studies help to quantify the degree of neuropathy and can be used to establish a base line or monitor change in the progression of peripheral neuropathy.
The peripheral nervous system includes the sensory (touch) and motor components (muscle action) of the cranial and spinal nerves as well as the autonomic nervous system, with its sympathetic and parasympathetic divisions. Causes of peripheral neuropathy are varied, but trauma is by far the most common cause of mononeuropathy. Toxic agents - Chemicals and drugs include emetine, hexobarbital, barbital, chlorobutanol, sulfonimides, phenytoin, nitrofurantion, vinca alkyloids, heavy metals, carbon monoxide, triorthocresylphosphate, orthodinitrophenol. Other conditions to consider when evaluating peripheral neuropathy include multiple myeloma, multiple sclerosis, ALS, TIA (transient ischemic attacks) or CVA cerebral vascular accident (stroke).
The first step in treating mononeuropathy and multiple mononeuropathy of the lower extremity is attempting to identify a source of entrapment. Painful mononeuropathy can be treated with several methods that focus on the destruction of the contents of the nerve. The single most important step to be taken in the treatment of peripheral polyneuropathy is the identification and elimination of the primary cause of the neuropathy.
Pyridoxine (B6) has been used for years as a method of nutritional support following peripheral nerve damage. Exciting new treatment modalities for peripheral neuropathy includes the used of anti-oxidants. Other treatment may include the use of metabolic factors or medications such as aldose reductase inhibitors or aminogunidine. Mentanx is a prescription medical food supplement that is used for dietary management of endothelia dysfunction in patients with diabetic peripheral neuropathy. The success of each of the modalities mentioned above can be monitored with the use of periodic epidermal small nerve biopsies.
Topical medications can be used to sooth the pain of peripheral neuropathy found in stage 3. Biofreeze is a greaseless, stainless, topical vanishing gel used to treat muscle and joint pain.
Natural Diabetic Foot Cream treats dry skin while helping to control the symptoms of diabetic peripheral neuropathy. ShareNeck pain can have a variety of causes, some more serious than others, and the way that we describe that pain is important for understanding its likely progression and appropriateness of treatments. We all recognize that the body is a complicated system where the mind can affect pain perception and pain perception can affect the mind. Pain of this kind is usually constant, aching or throbbing but not normally chronic as the body heals the damage once the cause is removed. In contrast to nociceptive pain, neuropathic pain involves trauma to the nerves, leading to abnormal pain sensations or persistent pain sensations even upon light touch (allodynia). Neuropathic pain can occur to varying degrees and secondary to undiagnosed conditions, meaning that it is often unrecognized and untreated. Some patients have neuropathic pain caused by the growth of a tumor which presses on the nerves, or of scar tissue causing pinched nerves or nerve adhesion. Some of the mechanisms behind systemic inflammation and neurogenic inflammation are shared or influence each other while in other conditions, such as fibromyalgia, it may be that abnormal nerve activity (neuropathy) triggers altered muscle activity that then causes nociceptive pain. Send Home Our method Usage examples Index Statistics Advertise with us ContactWe do not evaluate or guarantee the accuracy of any content in this site.
A greater occipital nerve block is an injected medication used in the pain relief efforts that originates in the small and big occipital nerves located at the rear and base of the head just above the neck. Peripheral Vascular disease occurs when the lining of the arteries become damaged from high blood pressure and high cholesterol levels.
Diabetics who suffer from numbness, pain and loss of sensation in the extremities have what is called peripheral neuropathy.
It is estimated that over half of the patients diagnosed with diabetes will experience peripheral neuropathy at some point in their lives. Vocational, occupational and physical therapists can work with patients to rebuild muscle and help them find solutions to everyday problems stemming from physical limitations.


This means that those who are just now experiencing the early symptoms will have the best outcome from treatment.
Early symptoms are often ignored; however, it is important to act quickly to limit nerve damage. As a result, the cells are devoid of the proper glucose supply and the blood levels of glucose remain high. The raised blood sugar levels can cause damage to the peripheral nerves resulting in peripheral neuropathy. Neuropathy of motor nerves can lead to proximal muscle weakness whereas, that of sensory nerves can lead to loss of sensations and sensations of tingling and numbness in different parts of body. Although, it is an epileptic drug, it is helpful to ease the pain that occurs due to neuropathy.
It has proved to be useful in reducing the stiffness and pain symptoms of diabetic neuropathy and hence, improves mobility. Moreover, weight control is also necessary and a proper check and control of the diet must be carried out. Some forms of neuropathy affect the motor function of the nerve while other are selective for sensory function.
For instance, in cases of chemical toxicity, the amount of chemical exposure, the duration of exposure, the general health of the patient (such as overall liver function) and the nature of treatment all become variables in the symptoms and the outcome of the neuropathy.
As the content of these two chemicals changes in the nerve, the electric potential shifts sending an electric charge through the nerve.
Patient does perceive sensory loss and experiences sharp shooting or dull achy severe pain. As an example, the onset, severity and duration of peripheral neuropathy secondary to diabetes would vary based upon many factors including fluctuations in blood sugar levels and how compliant the patient has been over the course of treatment for their disease. Direct pressure to a peripheral nerve is the cause of some of the more common mononeuropathies that we know including tarsal tunnel syndrome and carpal tunnel syndrome. The use of power tools, such as routers, saws and jack hammers has been known to cause single or multiple mononeuritis. It may be symmetrical or asymmetrical and may effect the feet, the hands or both the feet and hands together. Many other neurological conditions present with symptoms of peripheral neuropathy, therefore, when dealing with the symptoms of peripheral neuropathy it is always advisable to seek the help of a healthcare provider trained in this area. A thorough history and physical exam by your doctor should include evaluation of lumbar disc disease, back and leg pain and focal evaluation of specific peripheral nerves. For instance, in diabetes, the single most important issue affecting diabetic peripheral neuropathy (DPN) is control of serum glucose levels. These scavengers of the body are used to eliminate toxins which may contribute to peripheral neuropathy. Mentanx increases nitric oxide synthesis and offers the potential advantage of improving blood flow to peripheral nerves. The epidermal small nerve biopsies can be performed in a matter of minutes in your doctor's office using just a local anesthetic. These symptoms are described as electrical sharp shooting pains, burning pain and tingling pain. Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor (SSNRI) used for the treatment of pain and depression associated with diabetic peripheral neuropathy.
In some cases mind-over-matter really is key to resolving neck pain as both internal mental factors and external environmental factors within our control can have a significant effect on how pain is felt, if at all.
The latter includes things such as burns, bruises, muscle strains and ligament sprains and inflammation from things like arthritis and infections. However, in the case of neck pain it may be that a combination of factors such as text-neck, iPhone-related shoulder pain, a non-ergonomic messenger bag or briefcase, and even an ill-fitting bra are all contributing to the pain, making it tricky to relieve tension quickly and effectively through a single action. Burns and bruises are good examples of this, while conditions such as arthritis, or chronic muscle tension which goes unresolved do persist.
There are many causes of nerve trauma, some specifically involving the nerves and others where the nerves are damaged secondarily to other tissues. In such cases, the neuropathic pain is no longer acting as an alert to tissue damage but is a sign of nerve signal dysfunction, which tends to respond less well to opiate drugs.
For example, a patient may have both muscle strain and inflammation from working out at the gym and also have an underlying inflammatory joint condition affecting the spine, such as arthritis. As such, even neck pain that appears to be clearly linked to one cause may have a number of complex underlying factors that warrant a range of interventions including opioids, anti-inflammatories, improved nutrition, and alternative therapies such as meditation and mindfulness to help apply the gate control theory of pain management.
Patients should also stop smoking because it constricts blood vessels that should be feeding nutrients to peripheral nerves.
According to an estimate, about 60-70 % of diabetes affected individuals suffer from peripheral neuropathy. Due to an autonomic neuropathy, internal organ functions can be affected such as functions of heart, lungs, urinary system, sweat glands, etc.
But the question arises, ‘how to treat diabetic neuropathy? Well, treatments for this consequence of diabetes include medications, physical therapies, nerve stimulations, and many more.
Serotonin-norepinephrine reuptake inhibitors are also known to relieve pain due to neuropathy.
In cases of traumatically induced peripheral neuropathy, similar variables apply such as the severity of the injury, the duration of injury prior to seeking care, etc.
When compared to normal values, any variation, such as delay in the normal conduction rate may indicate a form of damage that the peripheral nerve has sustained. Particular activities can contribute to direct pressure neuropathies such as sitting on a wallet (back pocket sciatica), habitual crossing of the legs (peroneal palsy) or working in jobs with repetitive mechanical duties. Micro-organisms may cause mononeuritis as seen with conditions such as herpes zoster, or shingles. It's important to evaluate peripheral nerves from their origin in the spine to the site of pain. Neuroablation can be performed in a number of ways including chemical ablation, radiofrequency ablation or cryoablation. The individual nerve that is contributing to mononeuritis is cut and transposed into living tissue such as muscle or bone.


Anti-oxidants used to treat peripheral neuropathy include gamma-linoleic acid and alpha lipoic acid (thiotic acid). Oral dextromethorphan, a N-methyl-D-aspartate (NMDA) receptor antagonist has also been used for chronic peripheral neuritis.
The literature shows an increase of 136% blood flow to the peripheral nerves with the use of Mentanx over 8 weeks. These symptoms are tolerable during the day (for most patients) but become severe at night often limiting the normal sleep cycle. The exact mechanism of action is not fully understood, but the presumed action is that pregabalin binds with the alpha2-delta subunit of protein of calcium channels and acts to reduce the release of excitatory neurotransmitters.
This side effect can be helpful in restoring the normal sleep cycle in patients who suffer from painful peripheral neuropathy symptoms.
The pain signals we get in these kinds of cases are caused by physical damage, or impending damage, to bodily tissues and act as a trigger to remove the cause of injury. Visceral nociceptive pain can also arise, although this is usually less localized, and may be due to an infection causing inflammation in an internal organ. Instead, herniated discs pressing on spinal nerves or leaking inflammatory fluid onto spinal nerves are more likely to be the cause of cervical spinal neuropathy. There are alternative pain medications, however, such as anti-depressants and anti-seizure drugs which patients may need to take at low doses in perpetuity as some neuropathic pain is irreversible. Or, it may be that diabetic neuropathy is adversely affecting nerve function and a patient accidentally burns themselves because of a loss of feeling and coordination. This condition has been divided into two subtypes, hereditary motor and sensory neuropathy (HMSN) types I and II. As the muscles weaken, patients may be more likely to lose their balance when standing or walking.
Therapeutic ultrasound, hot wax and short wave diathermy are also known to benefit by reducing pain and giving massage to muscles. Moreover, a careful monitoring of blood glucose level must be done to prevent its levels to rise in the blood. A big consequence of diabetic neuropathy is the loss of sensations of feet, infections of leg and foot; and foot and leg ulcers. Mononeuropathies are very common in foot care and can be the result of lacing your shoes too tight or wearing shoes that cut into the top of the foot such as clogs. Soft tissue tumors such as a ganglionic cyst are a common reason for impingement of a peripheral nerve in an enclosed space. Once the primary contributing factors are removed, the nerve may have an opportunity to regenerate.
Alpha lipoic acid increases glucose uptake in muscle and fat cells to improve both the symptoms of DPN and diabetes.
Dextromethorphan is widely available over the counter in non-narcotic cough preparations such as RobitussinDM and Benylin DM. An increase in small nerve fiber counts over time indicate a positive response to the treatment modalities mentioned above.
Neurontin (gabapentin) is a medication frequently used to suppress the symptoms of peripheral neuropathy. Again, this will often be limited, timewise, and is, like most nociceptive pain, usually responsive to opiate medications for pain. This kind of pain may persist months after the actual trigger for the tissue damage has been removed. Try These Five Foods That Can Help You SleepNatural Neck Pain Relief Within 30 Minutes – How Effective is Celadrin Cream for Arthritis and Myofascial Neck Pain Syndrome?
HMSN I is associated with abnormal nerve conduction velocities and nerve hypertrophy, features not seen in HMSN II. Patients who have debilitating peripheral neuropathy in the legs and feet may require a wheelchair, leg braces or splints. Hence, the effected individuals must take great care of their feet and check every day for if any blister, cut or redness appears. Individuals with peripheral neuropathy will loose the ability to sense the touch of the monofilament wire. Direct pressure to the top of the foot can inhibit normal nerve conduction and result in sensory loss on the top of the foot and in the toes. Varicose veins and soft tissue tumors can also be a contributing factor in tarsal tunnel syndrome.
A series of 5-7 injections are performed over a period of time, separated by 1 week intervals. Supportive efforts are helpful during this phase of repair and include nutritional support and the use of anti-oxidants. It is believed that dextromethorphan has the chemical ability to relieve peripheral neuritis pain by blocking pain sensation. If soft tissue tumors or varicosities are suspected, these tumors or veins should be removed.
Radiofrequency neuroablation and cryoablation are typically performed in a surgical center of hospital on an outpatient basis. Studies have shown as much as a 24% reduction in peripheral neuritis pain as compared to a placebo. Removal of the tumor or vein should be performed in conjunction with a peripheral nerve release. Although the use of Neurontin for the control of symptoms due to neuropathy is considered an 'off-label' use by The Food And Drug Administration, doctors use it regularly for control of symptoms.



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