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For those struggling with diabetes, it’s imperative to be aware of all potential symptoms of diabetic neuropathy, so you can receive treatment right away. If you are diabetic and experiencing any of the above symptoms, you need to contact your doctor immediately.
After you’ve been diagnosed with diabetic neuropathy, there are a variety of successful treatment options to help mitigate the pain and discomfort, while minimizing future nerve damage. The best way to minimize the risk of developing diabetic neuropathy is by regulating blood sugar levels and leading a healthy lifestyle. Diabetic neuropathy is a serious condition, which can cause significant nerve damage if left untreated. At South Florida Foot & Ankle Centers, we have experienced foot specialists who can help.
Unfortunately, there isn’t a cure for neuropathy, but advances in neuropathy treatment have been proven beneficial to patients. For those suffering from diabetic neuropathy, the first step is to begin tight glycemic control.
The doctors at South Florida Physical Medicine are knowledgeable and do whatever it takes to get you better. Place your Appointment Request for your preferred Day and Time and a Representative will confirm your details shortly.
IT IS OUR POLICY THAT THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT. Diabetic neuropathy is the term that refers to damage of the sensory nerves that affect the sensation of the body.
Diabetic neuropathy or nerve damage caused by diabetes can be painful, but the pain is not severe in most of the cases. Research indicates that both metabolic and vascular factors are involved in pathogenesis of diabetic neuropathy. Alteration in cyclo-oxygenase activity and subsequent perturbation in prostaglandin metabolism. This metabolic and vascular disruption impedes mitochondrial function and neurotrophic support to nerve tissue, and mediates injury to neurons and Schwann cells resulting in progressive injury and loss of peripheral nerve fibers and impairment of sensory functions. Diabetes is known to be the leading cause of neuropathy in developed countries, and neuropathy is the most common complication and greatest source of morbidity and mortality in diabetics.
Diabetic Peripheral Neuropathy: Legs and feet are the most commonly affected areas of body.
Diabetic Autonomic Neuropathy: This mostly affects digestive system, specially the stomach, urinary system, blood vessels, and reproductive organs. Diabetic Focal Neuropathy: This can appear out of the blue and affect specific nerves, most often head, torso, and leg resulting in muscle weakness and pain.
Diabetes also can lead to other nerve related problems like nerve compression or entrapment neuropathy. Nerve injuries are caused due to high blood sugar levels and decreased blood flow, the more likely cause being poor control of blood sugar levels. Nerves that help the body to manage vital organs such as the heart, stomach, bladder and intestines as in autonomic neuropathy.
Early symptoms of diabetic peripheral neuropathy in most of the cases will decrease when blood sugar is under good control.
Bloating, Heartburn, Swallowing problems, Nausea, Vomiting, Diarrhea, Constipation, Feeling full after small meals. Blacking out when standing, Increased heart rate, Low blood pressure, Light-headedness, Dizziness, Nausea, Vomiting, Early fullness. Autonomic neuropathy symptoms of male sex organs may include erectile dysfunction or being unable to have or maintain an erection and dry or reduced ejaculations. Chest or abdominal pain that can sometimes be confused with another condition such as heart attack or appendicitis. The key factor in preventing diabetic neuropathy is to keep the blood sugar levels under tight control in a healthy range following the basic steps for management of diabetes, avoiding its complications, and staying as healthy as possible. Protective sensation or feeling in the feet is assessed by touching the foot with a nylon monofilament-similar to a bristle on a hairbrush attached to a wand or by pricking the foot with a pain. Tingling feet or a burning sensation on skin are annoying, but can also cause problems such as falling. After living with diabetes for many years, uncontrolled blood sugar levels can damage nerves. Apex Physical Medicine offers some of the most advanced non-surgical, FDA-cleared procedures for relieving chronic pain. A high-powered laser therapy restores, stabilizes and rebuilds the nerves in your extremities, often with perceivable results on the first visit. Don’t be misled by forms of treatment that include pain medication or a device that blocks nerve signals to reduce pain. Neuropathy is a physical disorder where tremendous nerve pains occur in different parts of the human body. Due to this damage of the nerve fibers the nerves no longer transmit sensations to the brain. People suffering from neuropathy should eat specially whole grains, in order to protect the feet and keep it comfortable. It will accelerate the flow of blood through the feet and other affected areas of the body. Thus, the patient must follow a balanced diet chart, containing food items rich in vitamin B complex, throughout his life. Other than the above-mentioned home remedies for neuropathy, the patient should have a very regulated and controlled lifestyle.
Diabetic Peripheral Neuropathy (DPN) is the most common complication of diabetes, and often presents as a distal, symmetric, sensorimotor neuropathy.
Either way, as the disease progresses, patients may feel a tingling or numbness in the fingers, toes, hands, and feet. A nerve that’s pinched or suffering from damage may send out signals that cause shooting pains.
Once a person loses function in some of the nerves in the feet, they may not notice a blister, infection, or wound until it becomes infected, swollen, and inflamed. It’s because of our nerves we can button up a shirt, create a hairstyle for ourselves, or even open a doorknob.
Some nerve pain is worse at night and as a result, the individual can have difficulty sleeping. To avoid or limit any of these symptoms, concentrate on controlling your blood sugar levels. Talk to your doctor about lifestyle changes and tools that can help you cope once nerve damage has occurred. Diabetic nerve pain, or painful diabetic peripheral neuropathy, is a separate condition from diabetes that is caused by high blood sugar related to diabetes. Although there is a range of pharmacological agents available for treating the pain associated with diabetic neuropathy, only duloxetine and pregabalin are approved by US Food and Drug Administration (US FDA) for the treatment of diabetic neuropathic pain.


Over-the-counter pain relief pills are not approved by the FDA to treat this specific pain.
Combined therapy incorporates two well established procedures that have been combined into a protocol that is showing great promise as an effective treatment solution for diabetic and idiopathic neuropathies. EST is an electrical signal wave treatment that regenerates nerves and increases blood flow by using electrical waves to simulate nerve function in the damaged areas.
With the help of 0.25% Marcaine, which is a vasodilator (opens the blood vessels for a short time to increase blood flow) and a local anesthetic. The patient has the ability to attain increased movement once again with an effective and favorable pain management treatment plan. Diabetes mellitus leads to high blood sugar, which, if unregulated, can result in peripheral neuropathy. However, there are some additional risk factors that can increase your chances of developing neuropathy.
The most common form of neuropathy is peripheral neuropathy, which begins in the legs and feet and later affects the arms and hands. The most commonly prescribed medications are anti-seizure medications and antidepressants. Serotonin Norepinephrine Reuptake Inhibitors (SNRIs) have been proven effective in relieving the pain associated with neuropathy.
Ideally, blood sugar levels should remain between 80 and 120 mg for individuals 59 or younger and between 100 and 140 mg for individuals 60 and older. Patients with diabetic neuropathy have enlarged nerves in their body, which can contribute to feelings of numbness and tingling. Nerve decompression surgery has been proven to be an effective treatment option to permanently reduce pain, while increasing sensation in the extremities. As the nerve damage worsens, it can result in the paralysis of limbs, ulcers, amputations, and in some cases, death. If you’re diabetic and find yourself experiencing any of the aforementioned symptoms, give us a call at (561)-674-0757 or visit our website to see how we can help reduce your discomfort and minimize future nerve damage. These numbers continue to climb as more and more diabetic patients are diagnosed with diabetic neuropathy.
Another way is to receive neuropathy treatment and relief that can eliminate pain and numbness in the hands and feet. We have been to the Mayo Clinic, Johns Hopkins, and the Cleveland Clinic; no one has gotten these results. Animal and in-vitro experiments link enzymatic and non-enzymatic pathways in glucose metabolism to initiation as well as progression of diabetic neuropathy.
According to Diabetes Control and Complications Trial study, the annual incidence of neuropathy is 2% per year, but dropped to 0.56% with intensive treatment of Type 1 diabetes.
Nerve damage in the feet can result in loss of sensation in feet thereby increasing risk of foot issues such that any injury and sore in the feet can go unrecognized due to loss of sensation. Continuous check on blood sugars and keeping them well controlled can help prevent autonomic neuropathy. This disease is unpredictable; however, it generally improves on its own within weeks or months and does not cause any long term damage. Carpal tunnel syndrome is one of the most common type of nerve compression which causes numbness and tingling in the wrist sometimes resulting in muscle weakness or pain. Symptoms of the female sex organs may include decrease in vaginal lubrication and lack or decrease in the number of orgasms. And the effects on the musculoskeletal system can be devastating and reduce the quality of life.
This nerve damage causes different symptoms and the problems first appear in toes, feet and hands. If you have burning or shooting pain, balance problems or a sensation of walking on broken glass, hope is available. Using a combination of pain management procedures with breakthrough technology, damaged nerves can heal and renew feeling in your feet and hands.
We visit with you about your specific situation and needs, estimate our ability to help you, and identify the best course of treatment. The methodology of the team includes using state-of-the-art technology (DRX 9000 and DRX 9000C) and trigger point and joint injections to relieve symptoms. Thus, the patient should always try to control the sugar level in blood and maintain magnesium levels by eating food products containing that.
A lot of mineral water drinking along with the diet is very effective in curing the disease.
Diabetes is associated with both macrovascular and microvascular complications, in which the major microvascular complication is diabetic neuropathy (DN) with a prevalence of 50–60%. The first time you may notice diabetic nerve pain symptoms is when the nerve damage has already progressed. They may also be the result of damaged nerves that are sending out mistaken signals to the brain (misfiring). Suddenly, you may no longer be able to tell when you’ve stepped on a tack or suffered a blister. Nerve damage in the hands and feet can make these everyday tasks more difficult or even impossible.
They are also involved in perspiration, sexual function, heart rate, urinary function, and more. This loss of sleep can cause additional problems so people with this type of nerve pain need to discuss the problem with their doctor to receive early treatment. The more you can keep your levels in the normal range, the slower any nerve damage will progress.
The “gold standard” in treating peripheral neuropathy, pregabalin (Lyrica, Pfizer), helps 39 percent of patients achieve a 50 percent reduction in their discomfort and pain, but causes at least 38 percent to have complications. Diabetic nerve pain is a form of nerve pain, a unique type of pain that is different than other types of pain, like pain from a headache, muscle ache, arthritis or sprained ankle.
Combined therapy consists of two procedures, an ankle block performed with local anesthetic, and Electronic Signal Treatment (EST), as delivered by a unique sophisticated electroanesthetic wave generator.
The nerves consist of four branches of the sciatic nerve (the superficial peroneal, the deep peroneal, the sural, and the posterior tibial nerve) and one cutaneous branch of the femoral nerve (the saphenous nerve).
Electronic signal treatment utilizes computer-controlled, exogenously delivered specific parameter electronic cell signals using both varied amplitudes (AM) and frequencies (FM) of electronic signals. The electronic signal treatment medical device uses sophisticated communications technology to produce and deliver higher frequency signal energy in a continually varying sequential and random pattern via specialty electrodes.
The more blood flow that your nerves get while stimulated the faster your regeneration takes place. Diabetes can lead to a range of other health problems including heart disease, stroke, kidney disease, and vision complications. Neuropathy most commonly causes nerve damage in the feet and legs, but can affect other areas of the body as well. However, by ignoring the problem, you can exacerbate the symptoms over time and increase the risk of infection. After surgery, about 91 percent of patients reported experiencing a reduction in pain and discomfort, while 69 percent stated that they experienced an increased sense of feeling in their feet. As a diabetic, it’s essential to closely monitor your blood sugar, as chronic heightened blood sugar ultimately results in nerve damage.


Neuropathy can vary drastically, causing only mild discomfort in some while causing extreme pain in others. The surge in this disease has caused many of Americans to wonder what the disease is and how it can affect them. Possible signs and symptoms of peripheral neuropathy include: Numbness or reduced ability to feel pain or changes in temperature, especially in your feet and toes. Diabetes can damage the nerves in a number of ways, but all the problems are basically related to blood sugar being too high for prolonged period of time.
The progression of neuropathy is depends on the degree of glycemic control both in Type 1 and Type 2 diabetes. Type 1 diabetics usually develop neuropathy after more than 10 years of getting affected with diabetes.
Also referred to Diabetic Peripheral Neuropathy, the prevailing issue is a burning sensation on the skin or tingling feet or hands.
The cream of capsaicin, when applied on the skin surface of the affected area, gives a lot of relief to the patient.
When it comes to diabetic peripheral neuropathy and its complications, management is resource intensive and long-term, accounting for a large proportion of this total expenditure. The neuropathy progresses with decreasing nerve functionality and nerve blood perfusion which may result in malnourished nerve and leads to permanent nerve damage.
Neuropathy is known to develop well before the patient has any symptoms, and the literature states unequivocally that the sooner treatment can be initiated, the greater the chances of reversal of the symptoms. Chronic pain associated with diabetes is represented by hyperalgesia, allodynia, paresthesias, and spontaneous pain. If you suffer from diabetic nerve pain, you can’t undo the damage that has already occurred but it’s very important that you don’t ignore your pain either.
And since nerve pain isn’t like other kinds of pain, you may need to receive a specific diabetic nerve pain treatment. Over-the-counter pain relief pills are not approved by the FDA for the treatment of diabetic nerve pain. The sciatic nerve gives off two terminal branches, the common peroneal and the tibial nerve. This alternation of sequential and random electronic signal delivery eliminates neuron accommodation. One of the more common complications caused by diabetes is diabetic neuropathy, which is often a cause of foot and leg pain or tingling. High blood sugar limits the ability of nerves to transmit signals, while weakening blood vessels, which makes the nerves more vulnerable to damage.
In addition to regulating blood sugar, doctors typically prescribe a diet and exercise regime.
Rates of amputations also substantially declined in patients who received the surgery, as it lowered their chances of getting an ulcer. By maintaining control over blood sugar levels over time, you can considerably reduce the amount of damage done to your nerves. The best way to prevent neuropathy is to live a healthy lifestyle while closely monitoring blood sugar levels in order to prevent spikes. Age, duration of diabetes, hypertension, cigarette smoking, height and hyperlipidemia are also risk factors for diabetic neuropathy.
Other areas of body like arms, back, abdomen can also get affected but this happens in rarity.
In addition to discomfort, such loss of feeling in the feet can lead to balance problems and falls that result in broken bones. Both comfortable and soothing, the Laser treatments are tailored around the patient’s condition, in order to achieve the best possible results. In 2001, the total annual cost of diabetic peripheral neuropathy and its complications in the U.S.
The clinical manifestations of diabetic neuropathy include numbness, burning and tingling sensation, and intractable pain.
Microvascular circulatory deficiencies, caused by errors in glucose metabolism, for example, have direct effects on the circulation to the nerves, and there are direct effects on the nerves themselves. Symptoms are described as tingling, “pins and needles,” burning, itching, and an abnormal sensation to pain and temperature. Doctors always recommend that people with diabetes check their feet and hands daily for injuries, especially those who’ve suffered nerve damage and lack feeling in the fingers or toes. By answering all questions asked (pain type, duration, and how it has changed your lifestyle), you help your doctor to determine the cause of the pain and how to treat it.
In some cases, diabetic neuropathy can be a painful and debilitating condition that, when left untreated, can lead to amputations and sometimes death. The longer a person is experiencing high blood sugar, the higher risk they are for developing irreversible nerve damage. Maintaining a healthy weight and refraining from smoking or consuming alcohol is also encouraged. Blood pressure can also increase the risk of developing neuropathy, so receive regular blood pressure checkups to ensure you’re within a healthy range. The sooner you seek treatment for a burning skin sensation, the better likelihood of a successful outcome. While receiving the laser treatments, a patient can expect to feel a profound sense of deep warming and pain relief while the therapy is being applied. The home remedies cure the disease without any negative side-effects on the patient’s health and with very less expenses.
Pain signals, in turn, trigger secondary peripheral and central hyperalgesia which enhance the body’s response to the microvascular insult.
Over time, these symptoms may advance from the toes to the foot and up the leg, and these symptoms may occur in the fingers and hands. While some people may only experience mild symptoms, for others, it can be excruciatingly painful. Up to 27 percent of the direct medical cost of diabetes may be attributed to diabetic peripheral neuropathy. On a local level, microinflammation and edema around the nerves also contribute to the neuropathy.
Diabetic neuropathy is a serious condition which, when left untreated, can result in paralysis, amputation, and in rare cases, death.
Through a series of high power laser treatments, feeling is restored and quality of life is regained. Learn more about neuropathy. While this nerve damage can cause pain, it can also result in a loss of feeling in the feet and hands.



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