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Diabetic neuropathy comes from chronic high blood glucose and is normally a frustrating and debilitating complication that can lead to painful neuropathy symptoms that may be hard to diagnose.
A lot of people normally complain about numbness or pain on their feet, though this is not the only symptom known for diabetic nerve pain.
In the US pharmacy (including Florida), there are neuropathy treatment medications that can help relieve these symptoms in some individuals, though in most cases, finding a means to prevention is better than treating symptoms. On the brighter side though, the Diabetes Control and Complications Trial has revealed that keeping blood sugar in a healthy range lowers the risk of damage to the nerves by more than 50%.
Speak to our physicians at NSI Intergrative Wellness about the symptoms that you are experiencing with your neuropathy. Sensory neuropathy: Normally referred to as peripheral neuropathy, or simply neuropathy) centers around the nerves relaying information to the brain about sensations from different parts of the body. Autonomic neuropathy: Targets the nerves controlling involuntary activity in the system, like in the stomach, intestine, bladder or the heart.
Motor neuropathy: on the other hand targets nerves which carry signals to muscles, thereby enabling you to move your fingers or walk, and is very rare with diabetes.
Sensory neuropathy brings about numbness, pain or tingling in the extremities and in the long run you will not be able to experience heat, cold, and other sensations where affected.
You can have either symmetric or asymmetric neuropathy (affecting both sides or one side of your body). Femoral neuropathy: very painful sensory neuropathy centered around your thigh muscles, and can be asymmetric or symmetric.
Diabetic amyotrophy: motor neuropathy centered on your thigh nerves, and results in weakness together with or in place of some pain. Gastroparesis: autonomic neuropathy targeting the stomach, in the process making it impossible to empty normally.
Diabetic diarrhea: autonomic neuropathy which causes erratic functions in the small intestine.
Bladder neuropathy: a situation where the nerves in the bladder cannot respond well to the pressure when it fills up with urine and cannot allow it to empty properly either.
Postural hypotension refers to autonomic neuropathy which brings about low pressure in the blood if you stand. Charcot joint is normally referred to as neuropathic arthropathy and happens when the bones in the feet fracture, leading to misalignment.
Unilateral foot drop will happen in the event that you are unable to pick up your feet as a result of nerve damage through blood vessel disease or compression. Peripheral neuropathy is normally used to refer to diseases that damage the nerves just outside the brain and the spinal cord. Another possibility is that intracellular metabolites get depleted and as a result nerves get damaged.
Several studies have however revealed that reduction in the flow of blood to the nerves can also bring about diabetic nerve disease.
For a good neuropathy treatment plan, you might want to speak to your physician, since most people do not really know what causes neuropathy. Different tests such as electromyography and nerve conduction studies together with special observation can help rule out the possibility of other sources of the discomfort and in the process determine neuropathy. No miracle neuropathy treatment is available so far, though there are other helpful mechanisms in place. If you have neuropathy, you need to make sure that your blood sugar levels are maintained at a proper level, exercise often, and watch your weight. Exercise on the other hand strengthens damaged muscles, and keeps them well toned at the same time. In such a situation, patients are more than willing to try their hands on any kind of pain reliever, including non-narcotics. Creams with capsaicin have also been recommended by some physicians in Florida and the US; an extract of the hot capsicum pepper and then you rub it on the affected part of the skin. Before you try any of these products, always make sure that you speak to your physician, and follow the instructions to the latter. You can however get capsaicin, approved by the FDA for pain over-the-counter in brand names such as ArthriCare® and Zostrix®. There are a number of antidepressants that also work just fine, such as Amitriptyline (Elavil®), desipramine (Norpramin®) or imipramine (Tofranil®), which are members of the tricyclic antidepressant category of drugs. The medication will block your pain, and this is why you have to take them at night when the pain is intense, to help tone down the pain and help them sleep.
Some other useful drugs include anti-convulsants like phenytoin (Dilantin®), carbamazepine (Tegretol®) or gabapentin (Neurontin®), mexiletine (Mexitil®).
Besides that however, nothing is conclusive about the rest of the nutritional supplements and treatments. There are other successful alternatives like acupuncture, meditation and biofeedback, and this is also encouraging, as long as it works well for you. There was a time back in the 19890s when aldose reductase inhibitors hit the market in all the US and Florida also, causing a frenzy. In the case of gastroparesis, where the stomach does not empty properly, our physicians can prescribe metoclopramide (Reglan®). If you are going through bladder neuropathy where the bladder doesn’t empty completely, bethanechol (Urecholine®) can work for you.
Male impotence occurs from damage to the blood vessels (versus psychological causes or due to medications such as anti-depressants or blood pressure medication) and this can be treated with drugs that are injected to induce an erection before sex or inserted into the end of the penis.
Drugs like Cialis, Levitra®, and Viagra® can also be used, though you have to consult your physician before using these drugs.
Remember that using these drugs together with nitroglycerine tablets (a treatment for acute heart problems such as angina or heart attack) can be fatal. Particular blood pressure medication can be prescribed to patients that are struggling with postural hypotension or alternatively they can also use support stockings so that blood does not pool in their legs.
The biggest problem with neuropathy is the fact that over time, the nerves that are affected end up dying and you lose complete sensation in the area.
You should have your shoes in mint condition to prevent pebbles or anything causing you harm without you realizing it.
It can take close to two years for the pain to turn into numbness, and this happens only when the nerve cells have been badly damaged. Special foam inserts are easily available without the prescription of a trained medical professional.
One can develop a diabetic neuropathic condition where the person becomes unaware of the feelings in his legs and feet.
As a normal person would have become aware of the bruises or cuts on the legs, a diabetic person cannot sense the same. Diabetic neuropathy is a condition in which the nerves are damaged due to diabetes.  Because of high blood sugar for a prolonged period, the nerves are damaged. The pain and numbness can range from extremities to disorders in blood vessels, urinary tract, digestive system and even heart. This is used to treat nervous irritability, spasms, cramps, tingling sensation or crawling sensation under the skin, to increase the strength in feet or any kind of digestive disorder due to neuropathy.
Aconite is used in homeopathy for tingling and numbness in extremities, treating shooting pain, icy coldness, unsteady knees, lame feeling limbs, cold feet, problems in tendons like twitching, weak tendons, colic, urinary problems, anxiety, etc.
It serves to treat weakness of extremities, spasms, atrophy, burning pain, cramps, restless feet, neuritis, and twitching.
Hypericum is used in homeopathy for nerve pains, tingling, nerve crawling, burning pains, and numbness. According to the American Academy of Family Physicians, ulcerations seen on the foot of any diabetic patient may constitute the most common etiological factor for amputation of the lower leg.
This change along with damage caused to the nerves (diabetic neuropathy) form the two crucial factors that increase the susceptibility of the diabetic individual towards development of foot problems, mainly foot ulcerations and varying degrees of infection. To ensure that the patient stays off the affected diabetic foot (known as offloading), he or she requires to make an appropriate selection of footwear. Although time consuming for application, minimally padded, total contact cast or TCC can be used to alleviate the pressure on the ulcerated plantar surface and to redistribute it along the wall of the cast worn and the rear foot region. In many cases, doctors need to perform the surgical procedure of debridement so as to remove the necrotic tissue or calloused skin. The aim is to continue careful removal of the infected or dead tissue till the point a healthy edge has been brought to the surface. Once debridement is done, a dressing consisting of sodium chloride (in moist, gel or paste form) is applied over the surgically debrided foot.
The dressing may need to be changed more than once in a day, especially in cases where the wound is highly exudative in nature. Antibiotics are considered as a helpful line of treatment in healing foot ulcerations and infection.
Severe cases often require hospitalization and intravenous administration of antibiotics, like Ampicillin or Piperacillin. In an attempt to promote appropriate healing of the foot, doctors may recommend the topical use of platelet derived growth factors; for example Becamplermin in gel form (marketed as Regranex). Hyperbaric oxygen therapy is not used commonly and must not be considered as the perfect substitute for revascularization. The use of skin grafts may be considered in diabetic foot ulcers that fail to show improvement with other forms of treatments.
For those living with diabetes, apt foot care becomes an important component of preventing and treating diabetic ulcers. The second pivotal guideline for treating and controlling foot problems in diabetes is following a healthy diet plan. Our body is a factory that works non-stop, without a break and glucose is the main source of fuel to our body. When food is consumed it gets broken up into fats, proteins and carbohydrates. But for the cells to convert the glucose in the blood to energy it needs the hormone – Insulin.
Diabetic Neuropathy – Diabetic neuropathy occurs when there is damage to the nerves due to high blood sugar levels. Peripheral Vascular Disease – Peripheral vascular disease is a condition when blood vessels narrow down and restrict the flow of blood. Athlete’s foot is a type of Tinea Fungal infection, the fungus start thriving on the skin of your feet. Fungal nail infection occurs when fungus attacks a toe nail, fingernail or the skin under the nail.


Calluses occur due to the accumulation of dead skin cells that hardens and thickens in a particular area. When a toe gets bent because of weakened muscles, the weakened muscles tend to make the tendons shorter. Diabetes results in insufficient supply of blood to the feet, when the supply is minimal wounds or cuts require more time to heal. Good diabetes management and regular foot care help prevent such foot diseases that are difficult to treat and may require amputation. In addition the following foot care tips will help you prevent most of the diseases. Inspect Your Feed Frequently: Inspect your feet for blisters, cuts, sores, cracks, colour change in toe nails. Wash Your Feet Regularly: Washing your foot once a day in warm water helps you keep your foot clean. Remember you are not a Doctor: In order to prevent injury to your feet do not try to remove calluses, warts or corns, you would be doing more bad than good.
Quit Smoking: Smoking reduces blood circulation, which in turn will lead to more complications.
Diabetes is certainly a disease not to be ignored and the Foot not be forgotten as it takes the most in daily physical stress. The condition of gangrene is a serious one, primarily marked by loss of adequate supply of blood to the tissues of the body, ultimately resulting in its necrosis or death. Injury to the tissues, infection (mostly of bacterial origin) and presence of any underlying health ailment that inflicts damage to the blood carrying vessel structure form the three key underlying mechanisms that are responsible for initiation and development of irreversible tissue damage and life threatening condition of gangrene. As already explained, one of the causes of gangrene in the toes and fingers is linked with damaged blood vessels.
High level of blood glucose associated with diabetes mellitus also damages the nerves (known as peripheral neuropathy), especially the nerves in the lower extremities.
The dullness or lack of sensation puts diabetic individuals at an increased risk of injuring the skin of their fingers or feet without having any realization (it mostly goes unnoticed in the feet region). The sore or foot ulcer formed takes an extended time to heal because of both, poor circulation of blood through the injured area as well as lesser number of defence cells.
Bacterial infection also forms another causative factor that makes the diabetic individual more prone to developing gangrene. Such type of infection is marked by noticeable skin discolouration and dryness along with the formation of skin blisters. The weakened immune system (seen in diabetes) further raises the risk of incurring serious infection, which later develops, into gangrene. In case you experience breathlessness with chest pain along with leg pain with coughing up blood then it can be due to pulmonary embolism. Pregnant women can develop this problem since it puts great pressure on the pelvic muscles and legs.
In rare cases, the blood clot from the legs travel into the bloodstream reaching the lungs thus blocking the blood flow causing pulmonary embolism. Your doctor will make a thorough physical examination and check for the symptoms of swelling of legs and tenderness on the affected area. The aim of treatment is to reduce the symptoms and stopping the blood clot to grow bigger in size.
Some patients that have enjoyed some relief by controlling their blood sugar, exercising or keeping their weight under check, as well as some who have sought treatment from NSI Integrative Wellness Center in Clearwater, Fl. There are different symptoms that can be associated with neuropathy, depending on the regions where it is localized. Besides, keeping diabetes in check will also make your work easier in limiting damage as a result of neuropathy if it develops.
Autonomic neuropathy in men causes impotence, neuropathy of the bladder, bloating in the stomach or diabetic diarrhea. Mononeuropathy is a situation where only one type of nerve is affected, and polyneuropathy where so many are affected. It is normally symmetric and occasionally asymmetric and is the most prevalent type of neuropathy.
The symptoms are similar to ulcers, hence malnutrition and hypoglycemic episodes can occur because the food will not be absorbed normally. In this case, your pulse will not accommodate the fluctuation in blood pressure, and as a result you will feel dizzy or faint.
This causes disfigurement because there are no nerves to properly stimulate the feet, and as a result the muscles are not able to support your feet appropriately. Generally, diabetic neuropathy is believed to result from chronic nerve damage through high blood glucose. In one theory, too much sugar in the system interacts with aldose reductase, the enzymes in the Schwann cells.
There are so many theories that have been advanced so far, including one that suggests that the pathway for protein kinase C, currently under study by George King, MD are induced by high blood glucose, and result in several complications, including neuropathy.
Different studies in the United States (in Florida as well), are currently going on with this regard, to improve the flow of blood to the nerves. These can reveal a situation where the nerves do not respond as they should normally, or a slight alteration in blood pressure if you sit from a reclining posture. A bone scan or an X-ray will come in handy with respect to diagnosing Charcot foot fracture. This is important in keeping your blood glucose closer to the normal limit and minimize damage to the nerves. Christopher Gibbons, MD, of Joslin, says neuropathy patients that exercise often feel less pain than those who don’t. Pain medicines should be taken regularly throughout the day, instead of waiting for the pain to get out of hand. In some cases the creams block pain signals, though this is never the case for all the affected parties.
They are not normally prescribed for depression, although having persistent pain for months can be depressing, according to Dr. This however only works when vitamin deficiency is the cause of your neuropathy, or the vitamins will just be passed out through urine, very bright yellow urine, though the neuropathy treatment will not harm you. Be careful because vitamins that cannot be passed out through urine can be toxic, so try not to take too much of vitamin supplements to ease your pain.
Sadly, none of these drugs have been effective, and their side effects to date are still a concern. Alternatively, we can also use vacuum devices that induce an erection or surgical prosthesis. Besides that there are unsubstantiated claims that using these drugs can affect the retinal circulation, besides the common side effects.
If you have diabetes and high blood pressure, a good blend of lowering pressure mechanisms and medicine can stop your pressure from going so low immediately when you sit up, and you would need specific adjustments to realign this procedure effectively. Make sure that you monitor the affected area every other day for cuts or any problem that you do not feel. If you are affected, try to stay away from electric blankets, heating pads and so forth because you might end up setting yourself ablaze without knowing or feeling it.
In the meantime, our aim is to make sure that we find viable ways of helping you manage the pain effectively, and keep the discomfort at bay, living a normal life irrespective of the challenges associated with this painful situation. You can get them over the counter and are specially designed for people suffering from diabetes. As you do not get any sensation of the hurt, it is possible that there could be redness or pain. The symptoms can be mild to fatal in some cases.  There are different kinds of diabetic neuropathy like focal, peripheral, autonomic and proximal neuropathy. It can treat heart and circulatory system related problems as well as disorders associated with extremities. The strychnine and other compounds present in Nux vomica are responsible for the beneficial effects.
Hypericin and hyperforin present in Hypericum have nerve restorative and anti-depressant properties. Belladonna is good for autonomic nervous system, which is responsible for controlling the basic functions of the body like blood flow to organs, sweating when affected by several disorders.
Diabetes is a metabolic disorder that has a negative effect on several systems of the body. There exist several non-surgical and surgical approaches for the treatment of diabetic ulcers. Extra depth, also known as diabetic or therapeutic shoes must be used so as to minimize further risk of skin rupture and injury.
The reduced concentration of pressure over the affected area automatically facilitates quicker wound healing. Closely inspect your feet on a daily basis for physical changes, such as the formation of cracks, inflammation, blisters and feelings of numbness or tingling. Damp or wet dressings ensure thorough coverage of the wound as the constituent absorbs the exudate and offers protection to the surrounding vital tissue. The type of dressing used may vary in accordance with the nature of the injury and its location.
Diabetic patients with a mild degree of ulceration on the foot are often given oral antibiotics, such as Cephalexin or Clindamycin for fighting microbial growth and infection (mainly caused by Staphylococcus aureus or Streptococcus). Once prescribed, the patient must take the entire antibiotic course (usually lasts for four to six weeks) for thorough resolution of the infection followed by healing.
The role of Regranex gel is stimulation of the migration as well as proliferation of cells that aid in healing of neuropathic, diabetic ulcers. Using this form of therapy, oxygen is supplied to the ulcerated areas so as to reduce the extent of swelling and quicken the process of healing. By performing this surgical procedure, the rate at which the wound heal is hastened, and health skin growth takes place. To ensure the same, one needs to quit the habit of smoking any form of tobacco as this injurious habit not only favours poor circulation of blood, but also induces harmful changes in the blood carrying vessels which increase the chances of foot infections and slows the rate of healing, as well. Modify your dietary schedule so that the level of blood sugar stays well within the normal range. Diabetes occurs when the hormone – Insulin is not produced in sufficient quantities or is defective. When people with Diabetes have excess of glucose in their blood for a long duration of time it tends to make them prone to serious complications, including foot problems. Our body hosts a number of bacteria’s and fungi, some of these are good while the the others at times multiply in numbers and start infecting our hair, skin and nail. When you are healthy fungal nail infection won’t affect your nail and when it does attack it is easily visible and painful.
When a toe finger is bent for a long duration of time the muscles shorten and inturn makes the toe finger bend forward.


Death of cell and tissue may target any part of the body, however, it has been typically observed in the extremities, such as the toes, fingers and hands.
In both, type 1 and type 2 diabetes, the raised level of sugar is capable of causing damage to the blood vessels and reducing blood supply.
Owing to the nerve damage, the transmission of sensation, particularly those of pain to the brain gets impaired. A notorious bacterial organism, Clostridium perfringes is often linked with gas gangrene; after it attacks the site of injury or sometimes, surgical wound. For some people symptoms like leg pain, swelling in the leg, swelling in the ankle are observed.
Individuals who are in bed rest in hospitals due to paralysis or any other medical condition have increased chance for developing blood clots in the calf muscles. In case you have sudden shortness of breath, chest pain, increased pulse rate and rapid heartbeat and profuse sweating you need to contact your doctor immediately.
Blood thinners like anticoagulants are prescribed for reducing the ability of blood to get clot. This medicine is given only on serious condition since it can cause life threatening adverse effects of bleeding. Common symptoms are pain when urinating, fever and pain in the lower back, together with clouded urine. Nutritional deficiencies (B-12 and folate), chemical exposures, pressure on nerves, or medication especially in chemotherapy or treating AIDS can also bring about neuropathy.
This interaction transforms the sugar to sorbitol, drawing more water to the Schwann cells and forcing them to swell. Infection in the urinary tract is also something that you need to take seriously, while other clues include constant diarrhea and constipation, and most importantly ulcer symptoms.
From time to time, some people might actually experience side effects like irritation on the skin and eyes. When you think about the pain too much, you will experience it, but when you keep your mind focused on something else, you will not feel the pain.
Because of this reason, none of them have seen the light of the market yet, though a lot of research is still going on through some companies to figure out their effectiveness in dealing with neuropathy, says Dr. Sucralfate (Carafate®) can also be used together with this to get rid of additional acid that might be in the stomach, says Dr. Most of the patients in this situation will often develop frequent urinary tract infections.
Using these drugs can induce sexual activity in individuals that are struggling with heart disease (diagnosed or undiagnosed). After that you will have special shoes, and you might also need surgery to restore your feet to their normal shape.
In the event that this is impossible, using Tylenol at intervals every few hours and antidepressants in the evening, coupled with exercise can help you manage the pain. With a professional advice behind you, you may most probably need to make your next visit to the podiatrist.
This means, the footwear you use should be wide enough so that the tips of the toe do have enough space to move in its vicinity.
A podiatrist can make such footwear available that are specially designed for the diabetics. It is used to treat peripheral neuritis, pain, diabetic gangrene, paralysis of limbs with atrophy.
Belladonna acts directly on the nervous system and produces active congestion, reduces twitching, pain, excitement and tingling.
One of the many problems caused by diabetes includes curtailment of proper circulation of blood throughout the body (particularly the legs and feet). Another alternative for offloading is to make use of either a pair of crutches or a wheelchair.
You must immediately inform your physician about such changes so that the appropriate treatment can be started without any delay. In certain cases, this process is repeated multiple times so as to achieve adequate healing.
For less exudative wounds, polyvinyl dressing is considered so that oxygen and moisture may have access to the wound without allowing any bacterial invasion.
As 100 percent of oxygen reaches the area, circulation of blood enhances, which in turn, favours the formation of new vessels as well as healthy tissue.
The other advanced treatment available is known as negative pressure wound therapy (NPWT) which increases the success rate of skin grafting procedure to quite an extent.
Also, the patient must get his or her blood sugar checked at frequent intervals and maintain a record of it.
In the absence of a continuous supply of nutrient and oxygen rich blood, the cells within the body begin to fail in carrying out their normal function and finally give up. As a result of restricted blood circulation to the extremities, such as the feet, the area becomes deprived of those cells (white blood cells) which aid in fighting off any infection. This condition occurs for people who are sitting for long time like traveling in car or due to certain medical conditions. In rare cases, DVT can develop complications like postphlebitic syndrome causing swelling of legs and skin discoloration. If the result of blood test indicates presence of D dimer then it is confirmed you have DVT.
It prevents further formation of blood clots and also restricts the size of existing blood clots. In case medicines are not responsive, then filters are inserted into the vein like vena cava in the abdomen which prevents blood clot to move towards your lungs.
You are at a greater risk if you have neuropathy or have already lost sensation on your feet. These drugs have already shown promising results in animals, and there are clinical trials to be rolled out soon enough.
For this reason, we may prescribe prescribe chronic antibiotic therapy to minimize the bacterial level in your bladder and urinary tract. For this reason, make sure that you only get to use them upon the recommendation and approval of a physician.
In addition, a one-week course of two antibiotics plus an acid-suppressing medicine will usually clear the H. The dosage depends on age, health conditions and several other factors, so consult the physician before using this, as it might have some side effects. Swelling and inflammation resulting from the infection causes the local temperature of the area involved to be slightly elevated, and also leads to pain.
In rare cases, deep vein thrombosis can become life threatening when the blood clot break loses and reaches the lungs causing pulmonary embolism (block in normal blood flow). Anesthesia given during surgery can cause dilation of veins increasing the risk of blood clotting.
Taking hormone therapy for long time and using oral contraceptive pills gives increased risk for getting DVT. Heparin injection is given for few days and followed as oral pills like Coumadin or xarelto.
Consult a homeopathic practitioner while using this for treating diabetic neuropathy, as it might have side effects.
Doing so improves the blood circulation to the legs, feet and aids in maintaining normal blood sugar level. Taking bed rest for long, undergoing surgery on knee or hip, fracture in the pelvic bone and obesity can cause DVT. Certain types of autoimmune disorders, cancer, smoking, and using oral contraceptive pills for long can cause this problem.
Do not exceed the dosage of any medicine given for DVT since it can land you up in serious condition. Anti-inflammatory medicines used to treat conditions such as arthritis sometimes cause duodenal ulcers. If you need to continue with the anti-inflammatory medicine, then you may need to take long term acid-suppressing medication. After being mixed in the stomach, food passes into the duodenum (the first part of the small intestine). If you could see inside your gut, an ulcer looks like a small, red crater on the inside lining of the gut.
However, these medicines sometimes affect the mucus barrier of the duodenum and allow acid to cause an ulcer. In this test a doctor or nurse looks inside your stomach and duodenum by passing a thin, flexible telescope down your oesophagus. If this infection is not cleared, the ulcer is likely to return once you stop taking acid-suppressing medication. In addition, you need to take an acid-suppressing medicine to reduce the acid in the stomach.
If it is done, it needs to be done at least four weeks after the course of combination therapy has finished.
If it has not gone, then a repeat course of combination therapy with a different set of antibiotics may be advised. Some doctors say that for people with a duodenal ulcer, this confirmation test is not necessary if symptoms have gone.
You will also normally be prescribed an acid-suppressing medicine for several weeks (as mentioned above).
However, in many cases the anti-inflammatory medicine is needed to ease symptoms of arthritis or other painful conditions, or aspirin is needed to protect against blood clots. In these situations, one option is to take an acid-suppressing medicine each day indefinitely.
This reduces the amount of acid made by the stomach, and greatly reduces the chance of an ulcer forming again.



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