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Neuropathy is clever in that it varies from person to person and sometimes plays games with its victims.
Only upon a thorough history, examination and diagnostic studies that may include X-rays, MRI, laboratory tests, electromyography (EMG) and nerve conduction velocity test (NCV) will we be able to tell you if the therapies we offer will be able to help your Peripheral Neuropathy.  Without the right tests, peripheral neuropathy can be easily confused with symptoms of lumbar spine disc herniation, vascular insufficiency, plantar fasciitis, or carpal tunnel syndrome, among other conditions. We offer a multitude of therapies as we know there are different causes of Peripheral Neuropathy.  Our new treatment is a combination of pain management procedures with breakthrough technology that aids in healing. If you have any health related issues that you would like to discuss please do not hesitate to reach out to us.
The hip joint (scientifically known as the acetabulofemoral joint) is a special type of 'ball-and-socket' joint. The majority of chronic hip problems are a result of aging, disease (such as arthritis) and fractures. A Hip Replacement is a surgical procedure that replaces the hip joint with an artifical joint.
Bursitis of the Hip (trochanteric bursitis) is so painful, many sufferers rely on a wheelchar for mobility.
Hip Dislocations are very serious but uncommon injuries that occasionally can occur (usually from a traumatic event). After many expensive visits to a chiropractor and physical therapist, I gained some relief, but still experienced constant low level pain in the injured areas with episodes of intense debilitating pain which interfered with my sleep and work.
I absolutely LOVE your products, and enthusiastically recommend them to everyone I meet who is experiencing similar pain issues. Sciatica, also called sciatic neuritis, is used to describe symptoms of pain, tingling, numbness and weakness that can radiate from the lower back all the way down to the foot. These symptoms result from the compression or irritation of one of 5 nerve roots in the spine (sacral nerves S1, S2, or S3 or lumbar nerves L4 or L5) that connect and form the 2 sciatic nerves, or pinching or irritation of the sciatic nerve itself.
The sciatic nerve is the longest and thickest nerve in the body, and originates in the lumbar spine. In most cases, when a sciatic nerve is compressed only one side is affected with pain, although the pain may alternate from one side to the other. Although sciatica pain can be debilitating, most people who suffer from sciatica can find pain relief with non-surgical treatments such as cold compression, ultrasound therapy and BFST®. Compression of the sciatic nerve can occur in various locations and the exact cause and location is not always known. Blood flow stimulation therapy, or BFST®, should be used over your lumbar region and lower back to improve blood flow and nourish soft tissue.
Unfortunately, when you are suffering from sciatica it can be painful to even walk or lift your leg.
BFST® compliments your body's natural healing process By promoting blood flow while you give your sciatic nerve the rest it needs. If you are experiencing referred pain above the knee or in your lower leg caused by the compression of your sciatic nerve, cold compression therapy can provide some relief. Would you like to discuss your Sciatica or other conditions with an Advisor from MendMyHip? There is no cost or obligation for this service and we will do our best to help provide you with the information you need. With these 3 easy-to-use, pain-free, home therapies from MendMyHip, pain is significantly reduced, tissue heals faster, and there's an incredible improvement in the range of motion of your hip. We've helped thousands of people treat their painful injuries and conditions to get them back on the road to a pain-free life! Our customers have tried other common hip treatments, such as cortisone injections, pain killers, physical therapy, NSAIDs, and simply staying off their feet to give their hip the rest it needs, all without lasting results - until they found our incredible therapies! Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice.
I have since bought an Inferno knee wrap for my wife and she says it is the best thing she has ever used to comfort her bad knees.
I also have a lower back that for years was either causing spasms in either side when I would overdo activities, I bought the back Inferno after having such great success with it, each morning I lay it on the bed and lie on it for 20 min before I start my Daily activities. One time my back went out completely when not using it and instead of the 2 weeks to get back in shape it only took a few days while using the Inferno. I am very active in sports and daily activities that require lot of stress on body parts, and as you get older, these body parts dona€™t work as good as they used to and causes pain. Poor blood circulation in diabetics limits the access of these already malfunctioning immune cells to the infected area.
Another problem with diabetes is that diabetics tend to get infection by more than just one or two different types of bacteria. The key to treating toe nail fungus quickly is to see your doctor as soon as you notice the symptoms. Your doctor will prescribe an oral anti-fungal medication which enter your bloodstream and work from the inside. If the nail is damaged severely, it can last up to a year after treatment before the new healthy nail is fully grown. Many people go for home-remedies route common ones being tea tree oil, apple cider vinegar, Listerine mouth wash etc.
It is important to treat Athlete’s foot because the infection can spread to nails causing the more serious and resistant toenail fungal infection. Bacterial infections in a diabetic can deteriorate very quickly and easily spread through out the foot. As a diabetic, it is extremely important for you to see your healthcare provider as soon as possible.
Some diabetics, even before consulting a doctor, apply very heavy antibacterial ointments on the toe if they suspect it’s infected. Infection in a diabetic can quickly spread into deeper tissues involving muscle (called Myositis), tendons (Tendonitis) and form abscess (pockets of pus). Your healthcare provider will determine the severity of your infection classifying it as mild, moderate or severe.
Your healthcare provider will take deep tissue cultures from the infected area to see what type of infection you have, which organisms are involved and which antibiotics will work best.
Antibiotics will be immediately started after obtaining cultures and modified accordingly when result of culture and sensitivity become available.
Important Note:The good news about managing diabetic foot complications is that it’s all up to YOU.
In Benign Paroxysmal Positional Vertigo (BPPV) dizziness is thought to be due to debris that has collected within a part of the inner ear.
Your doctor can make the diagnosis based on your history, findings on physical examination, and the results of vestibular and auditory tests.
The Epley maneuver is also called the particle repositioning, canalith repositioning procedure, and the modified liberatory maneuver. After either of these maneuvers, you should be prepared to follow the instructions below, which are aimed at reducing the chance that debris might fall back into the sensitive back part of the ear. Be careful to avoid head-extended position, in which you are lying on your back, especially with your head turned towards the affected side.
These exercises should be performed for two weeks, three times per day, or for three weeks, twice per day.
If the exercises described above are ineffective in controlling symptoms, the symptoms have persisted for a year or longer, and the diagnosis is very clear, a surgical procedure called posterior canal plugging may be recommended. There are several surgical procedures that we feel are inadvisable for the individual with intractable BPPV.
Certain modifications in your daily activities may be necessary to cope with your dizziness. There are two rarer variants of BPPV that may occur spontaneously as well as after the Brandt-Daroff exercise, or the Epley or Semont maneuvers. In clinical practice, atypical BPPV arising spontaneously is first treated with the same maneuvers as for typical BPPV, and the special treatments as outlined below are entered into only after treatment failure.
Lateral canal BPPV is the most common atypical BPPV variant, accounting for about 3% of cases.
At the American Hearing Research Foundation (AHRF), we are interested in projects that might lead to a better understanding of the basic mechanisms involved in BPPV, and improved treatment. The American Hearing Research Foundation is a non-profit foundation that funds research into hearing loss and balance disorders related to the inner ear and is also committed to educating the public about these health issues. The joints of the foot are seriously damaged and in medical terms this disorder is called neurogenic arthropathy. The main cause for getting Charcot foot is diabetic neuropathy which reduces the sensation in the nerves.
Charcot foot can be caused by peripheral neuropathy, spinal cord injury, neurosyphillis and Hansen’s disease.
Normally such neuropathic disorders may take several years to develop, but Charcot foot can progress rapidly within a week or two. An individual with neuropathic problems like Achilles tendon is likely to develop Charcot foot. It is necessary to diagnose the problem in initial stages to prevent more damage to the joints and bones.
If the surgeon insists on using wheelchair or casting for a while, you should follow his instructions. Lastly one has to make necessary changes in lifestyle to prevent further damage to the affected feet.
In case of severe deformity surgery is done for repairing the joints and bones which have lost shape due to neuropathy.
Avoid injury or trauma to your feet while walking or running and do not overdo any type of exercises if you are diabetic. Lastly you should follow the advice of your doctor in wearing castles or braces until the foot are completely healed. These are the nerves that control your sense of touch, how you feel pain and temperature, and your muscle strength. At times, the disease may seem to go away, only to return later.  For others, the numbness and weakness that one may experience in their limbs may progress in very small increments, so that its claim upon a person’s body may seem minimal, causing an individual to assume that the situation is only minor.
In addition, important nuclei include the red nuclei in the midbrain and the olives in the medulla oblongata.
Sciatica is best treated non-surgically with cold compression, therapeutic ultrasound and BFST.


Many MendMyHip customers have sped up their post-surgery recovery time with our therapeutic tools. Two months later, the pain is barely noticeable, the snapping hip syndrome is an unpleasant memory and I feel that significant long term healing of chronic injuries is taking place.
It then runs down through the buttock area and continues along the back of the leg and branches off to the tibial and common fibular (peroneal) nerves down to the foot. This compression can occur for a number of reasons in various locations and treatment will depend on the cause.
Treating the symptoms can be helpful to manage the pain but treating the source of the compression will result in faster sciatica relief. Your body needs a fresh supply of blood to improve the health of your tissue and treat the muscle strain or irritation to relieve the compression of your sciatic nerve. When you limit movement in your hip the blood flow is reduced, starving your tissue of the necessary oxygen and nutrients. The energy emitted from the Energy Web® stimulates blood flow to your lower back and hip, more than your body would ever be able to generate on it's own, giving your body the boost it needs to keep your spine and lower back muscles as healthy as possible and reduce the risk of irritation, inflammation and herniation. The cooling sensation along with the compression can help to numb the nerves to help alleviate the pain. Our extensive and on-going research could be of great benefit in helping you overcome your hip pain once and for all. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results! In addition, our customers include physicians, professional athletes, sports trainers and coaches, physical therapists, and nurses. One of the cell it effects is that of the immune system particularly cells that fight off bacteria. One problem in diabetics is that wounds don’t heal very quickly resulting in loss of this skin barrier.
As mentioned in previous articles, foot care routine, do’s and don’ts of diabetic foot and daily foot self-exams are the cornerstone for preventing diabetic foot infections and other complications. Although everyone carries fungi in their skin and under the nail edges, they don’t give complaints in most people. You can also infect yourself, it usually starts on one toe and if untreated can spread to other toes as well.
Reason being the organism that causes toe nail fungus doesn’t actually infect the nail tissue itself.
Your healthcare provider may also give prescription anti-fungal ointments and rarely oral medications if it’s resistant. So it is extremely important for you to recognize signs and symptoms of infection and if you notice any of these, call your doctor RIGHT AWAY. Cutting nails too short and wearing poorly fitted shoes increases the chance of developing ingrown toenails in diabetics. If untreated, the infection can easily and quickly spread to the rest of your foot including bone causing serious complications. Most people think that applying such ointment to an infected toe nail is a good thing, it’s NOT. Diabetics are very susceptible to developing cellulitis if minor injuries and cuts are not managed properly. As the name suggests, it’s a condition that damages skin, muscles, fat and deeper tissues within a very short time.
This helps determine the appropriate antibiotic regimen, need for hospitalization or surgical intervention. Activities that bring on symptoms will vary among persons, but symptoms are almost always precipitated by a change of position of the head with respect to gravity. In older people, the most common cause is degeneration of the vestibular system of the inner ear.
Both treatments are very effective, with roughly an 80% cure rate, according to a study by Smouha and others (1997). This means that you should be cautious at the beauty parlor, dentist’s office, and while undergoing minor surgery. Therefore, a common approach is to treat the most symptomatic side first, and move on to the other a week later. If you are among the other 20%, your doctor may wish you to proceed with the Brandt-Daroff exercises, as described below.
In these persons it may be reasonable to undertake a course of generic vestibular rehabilitation, as they may still need to accommodate to a changed utricular mass or a component of persistent vertigo caused by cupulolithiasis. Then move into the side-lying position (position 2), with the head angled upward about halfway.
Canal plugging blocks most of the posterior canal’s function without affecting the functions of the other canals or parts of the ear. Vestibular nerve section, while effective, eliminates more of the normal vestibular system than is necessary. The Vestibular Disorders Association (VEDA) maintains a large and comprehensive list of doctors who have indicated a proficiency in treating BPPV. They are thought to be caused by migration of otoconial debris into canals other than the posterior canal (that is, the anterior or lateral canal).
When atypical BPPV follows the Epley, Semont or Brandt-Daroff maneuvers, specific exercises are generally begun as soon as the diagnosis is ascertained.
It is diagnosed by a positional nystagmus with components of downbeating and torsional movement on taking up the Dix-Hallpike position, or a nystagmus that is upbeating and torsional when sitting up from the Dix-Hallpike. This is an exciting area as considerable progress has been made once the mechanical etiology of BPPV has been appreciated. Anatomical and theoretical observations on otolith repositioning for benign paroxysmal positional vertigo. The canalith repositioning procedure: For treatment of benign paroxysmal positional vertigo.
Modified liberatory maneuver: effective treatment for benign paroxysmal positional vertigo. Benign paroxysmal positioning vertigo: classic descriptions, origins of the provocative positioning technique, and conceptual developments. Three hundred sixty-degree rotation of the posterior semicircular canal for treatment of benign positional vertigo: a placebo-controlled trial.
Posterior semicircular canal occlusion for intractable benign paroxysmal positional vertigo.
The nerves of the foot get damaged due to loss of blood flow and subsequently the bones are also weakened. Since the nerve begins to lose sensation the affected person will not feel any pain on his foot even when it is hurt or damaged. The nerves will not send signals to the brain when there is any injury or pain in the foot. If left untreated, the affected feet may gradually change its shape getting badly deformed.
If diagnosed with the problem of Charcot foot, it is necessary for you to follow the instructions of your doctor.
Other important centers regulate consciousness, respiration, and cardiovascular circulation (¦ Fig. Treating the cause of the nerve compression is important to prevent sciatica pain from returning. We recommend that you see your doctor for a proper diagnosis and to determine the cause of the compression on the sciatic nerve. The soothing energy reaches deep into your body to whisk away the toxins and dead cells, and rejuvenate your muscle tissues for improved elasticity. However, treatment of the location of the compression is most important to treat the source of this referred pain.
It's unique supercharged cooling gel pack, chills in the fridge, not in the freezer like ice or other freezer packs, giving you deep cold therapy without the risk of 'cold burns' or cryoburn. These professionals rely on products from MendMyHip to treat their patients, players, and themselves.
Always seek the advice of your physician or other qualified health provider before using any of our outstanding products to make sure they're right for you and your condition or if you have any questions regarding a medical condition. This further makes it difficult for the body to fight off different organisms at the same time. It basically infects the skin under the toenail and uses the overlying nail as a shield under which it grows and spreads.
Your doctor will take measures to release that infection by removing a portion of your nail. What happens is that the ointment acts like a barrier, compressing the infection inside as opposed to allowing it to come out. It’s a very serious and life-threatening condition that requires immediate emergency management. Keeping your blood glucose in check, daily foot care, early identification of a foot problem and early intervention to prevent further deterioration are the key to minimizing serious long term foot damage caused by diabetes.!
Ear rocks are small crystals of calcium carbonate derived from a structure in the ear called the utricle (Figure 1).
Infrared goggles can assist in the evaluation as this is able to minimize visual supression of nystagmus.
Motion sickness medications are sometimes helpful in controlling the nausea associated with BPPV but are otherwise rarely beneficial.
If your doctor is unfamiliar with these treatments, you can find a list of knowledgeable doctors from the Vestibular Disorders Association (VEDA).
The Semont maneuver (also called the liberatory maneuver) involves a procedure whereby the patient is rapidly moved from lying on one side to lying on the other. It involves sequential movement of the head into four positions, staying in each position for roughly 30 seconds. This means sleep with your head halfway between being flat and upright (a 45-degree angle). Position yourself cautiously and under conditions in which you can’t fall or hurt yourself. While we respect these authors, at this writing (2012), we still feel it best to follow the procedure recommended by Epley.


If a maneuver works but symptoms recur or the response is only partial (about 40% of the time according to Smouha, 1997), another trial of the maneuver might be advised. If BPPV recurs in our practice, we usually retreat with one of the maneuvers above, and then follow this with a once a day set of the Brandt-Daroff exercises. Fujino et al (1994) reported conventional rehabilitation has some efficacy, even without specific maneuvers, although a recent study stated that non-specific exercises are not successful in reducing patient complaints (Lee et al., 2011).
An easy way to remember this is to imagine someone standing about 6 feet in front of you, and just keep looking at their head at all times. In most persons, complete relief from symptoms is obtained after 30 sets, or about 10 days. This procedure poses a small risk to hearing, but is effective in about 90% of individuals who have had no response to any other treatment. Labyrinthectomy and sacculotomy are also both generally inappropriate because of reduction or loss of hearing expected with these procedures. There is presently no data reported as to the frequency and extent of these syndromes following treatment procedures. In patients in whom the exercise treatment of atypical BPPV fails, especially in situations where onset is spontaneous, additional diagnostic testing such as MRI scanning may be indicated. It is diagnosed by a horizontal nystagmus that changes direction according to the ear that is down. The upbeating nystagmus on sitting may be very persistent as the debris settles on the cupula of the anterior canal. Areas of particular interest include methods of improving the results of treatments, and preventing relapses.
Horizontal semicircular canal benign paroxysmal positional vertigo: effectiveness of two different methods of treatment.
Identification of a structural constituent and one possible site of postembryonic formation of a teleost otolithic membrane. Efficacy and safety of bilateral posterior canal occlusion in patients with refractory benign paroxysmal positional vertigo: case report series. If a person continues to walk with Charcot foot without taking treatment, it can cause change in shape of his foot.
This condition gives rise to serious deformity and change in shape of the foot and hence diabetic patients should regularly check their foot to ensure that there is no nerve damage. Diabetes is the main cause for getting peripheral neuropathy and the patient will continue walking since there is no pain making the disease to worsen.
Due to repeated carelessness the position of the foot becomes worse which may again cause more injury to the jonts while walking.
Very often the pain may not be felt by the person and if at all they feel it only as bearable pain. The affected feet should be totally immobilized until the inflammation is healed completely. Some patients will have to use crutches for balancing the weight and to prevent further damage to the affected feet.
By wearing braces one can prevent the formation of ulcers in the feet which may lead to the amputation of the feet. Check both the feet each day to notice any swelling or tenderness which is indicative of Charcot foot.
As it gets worse, it moves into the limbs, causing pain and loss of feeling in the feet, legs, and hands. It is recommended that you see your doctor for a proper diagnosis as there are many injuries and conditions that could be the cause of your pain. When you have diabetes, these macrophages don’t function like they should and the bacteria can easily set up an infection in the body. Necrotizing Fasciitis usually occurs after minor injury and starts as swelling and redness of the area. While the saccule also contains otoconia, they are not able to migrate into the canal system. In half of all cases, BPPV is called idiopathic, which means it occurs for no known reason.
The diagnosis is established through a Dix Hallpike test revealing mixed torsional and vertical nystagnus with the upper pole of the eye being toward the dependent ear and the vertical nystagmus being toward the forehead. The recurrence rate for BPPV after these maneuvers is about 30% at one year, and in some instances subsequent treatments may be necessary.
This is most easily done by using a recliner chair or by using pillows arranged on a couch (see Figure 3).
In either case, a follow-up visit is usually needed at roughly a week from the initial attempt.
When all maneuvers have been tried and symptoms are still intolerable, then surgical management (posterior canal plugging) may be offered.
Stay in the side-lying position for 30 seconds, or until the dizziness subsides; if this is longer, then go back to the sitting position (position 3). In addition to physicians, well trained physical therapists and occupational therapists can perform this therapy as well. It is the author’s estimate that they occur in roughly 5% of the time after the Epley maneuvers and about 10% of the time after the Brandt-Daroff exercises for a significant BPPV.
Anterior canal involvement is probably transient because debris naturally works its way out of the anterior canal with the head in the upright position. There is every chance for the person to get his feet hurt without his knowledge and they will feel very minimal pain. Our nerves are what cause us to sense and feel the world around us, and tell us when an object is hot or cold, or rough or smooth, and warn us of danger by allowing us to feel pain.  Pain is a good thing! After his first Peripheral Neuropathy Treatment with High Power Laser Therapy and Gonstead Chiropractic his pain at night went down to a 1-2 on a scale of 10. By analyzing the patterns of dysfunction discovered during the examination, it is possible to localize the site of a brainstem lesion with a high degree of accuracy. Your healthcare provide may take X-rays of your foot, perform bone scans or do a bone biopsy. The utricle may have been damaged by head injury, infection, or other disorder of the inner ear, or may have degenerated because of advanced age. Viruses affecting the ear such as those causing vestibular neuritis , minor strokes such as those involving anterior inferior cerebellar artery (AICA) syndrome, and Meniere’s Disease are significant but unusual causes. Typically this begins after a 1-2 second latency lasting 10 – 20 seconds and typically is associated with a sensation of rotational vertigo. Three varieties of conservative treatment, which involve exercises, and a treatment that involves surgery are described in the next sections. While some authors advocate use of vibration in the Epley maneuver, we have not found this useful in a study of our patients. Stay there for 30 seconds, and then go to the opposite side (position 4) and follow the same routine. If BPPV recurs, you may wish to add one 10-minute exercise to your daily routine (Amin et al, 1999). Surgery should not be considered until all three maneuvers and exercises (Epley, Semont, and Brandt-Daroff) have been attempted and failed.
Avoid bending down to pick up things, and extending the head, such as to get something out of a cabinet.
In nearly all instances, these variants of BPPV following maneuvers resolve within a week without any special treatment.
Subsequently the bones begin to regenerate in shape giving rock like appearance on the foot.
One should be very cautious in not damaging the feet in order to prevent further damage or deformity to the foot.
The most frequent causes of brainstem damage are demy-elinating diseases (multiple sclerosis) in the young and ischemic vascular disease in the elderly (see Chap 10). That’s why it’s extremely important for you to contact your healthcare provider as soon as you notice any of the symptoms mentioned above. Occasionally BPPV follows surgery, where the cause is felt to be a combination of a prolonged period of supine positioning, or ear trauma when the surgery is to the inner ear (Viccaro et al., 2007). You must not go to the hairdresser or dentist, or engage in exercise that requires head movement.
The Brandt-Daroff exercises, as well as the Semont and Epley maneuvers, are compared in an article by Brandt (1994), listed in the reference section. See the articles by Parnes (1990, 1996) and Ramakrishna (2012) in the references for more information.
It seems to us that these procedures, which require unusual amounts of surgical skill, have little advantage over a canal plugging procedure. Be careful when at the dentist’s office, the beauty parlor when lying back having your hair washed, when participating in sports activities and when you are lying flat on your back.
Most other conditions that have positional dizziness get worse on standing rather than lying down (for example, orthostatic hypotension). When men shave under their chins, they should bend their bodies forward in order to keep their head vertical.
Do not start doing the Brandt-Daroff exercises immediately or two days after the Epley or Semont maneuver, unless specifically instructed otherwise by your doctor.
Of course, it is always advisable when planning surgery to select a surgeon who has had as wide an experience as possible.
Charcot foot affects the metatarsal bones of the feet and very often this affects both the feet. Electronystagmography (ENG) testing may be needed to look for the characteristic nystagmus (jumping of the eyes).
It has been claimed that BPPV accompanied by unilateral lateral canal paralysis is suggestive of a vascular etiology (Amor-Dorado et al., 2004).
For diagnosis of BPPV with laboratory tests, it is important to have the ENG test done by a laboratory that can measure vertical eye movements. A magnetic resonance imaging (MRI) scan will be performed if a stroke or brain tumor is suspected.



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