Tingling Limbs May Be Small Fiber Neuropathy

A sound mind resides in a sound body. Signs and symptoms depend on the particular nerves that are affected, their location, and their functions. Generally the feelings of numbness and tingling are ignored because the sensation is more like hand or feet falling asleep. However the tingling or numbness sensation can better be described as inability to feel the touch on the skin. Nothing can be done to reverse the damage caused to your feet by diabetic peripheral neuropathy. Nerve damage, in the case of diabetic neuropathy, is caused by a combination of factors. The most important would be high blood glucose, high blood fat levels, having been diabetic for a long time, and low levels of insulin. Damage to blood vessels that carry oxygen, swelling of nerves, mechanical injuries, habits such as smoking or drinking alcohol are some other reasons.

Diabetes sets in gradually. Most of the time the patients remain unaware that a chronic disease is setting in. It is a severe condition which causes the level of blood sugar to rise. The high levels of glucose in blood for a longer period of time start to damage various systems of the body. The nervous system of the body is the first victim of high sugar levels. The damage to the nerves of the body results in tingling and numbness sensation. Regular monitoring of blood sugar levels, maintaining a healthy diet, getting regular exercise, and taking the appropriate medications are vital to controlling diabetes and diabetic neuropathy.

The large blood vessel can also be damaged. It causes hypertension and some heart problems. Diabetes may also cause mouth infections and even on the urinary tract. For men, diabetes may cause impotence and pregnancy problems for women. In fact, at least almost a tenth of men who have diagnosed with diabetes suffer from impotence due to their illness. Another study conducted in Africa in 2006 found that for the 126 patients that received acupuncture for diabetic peripheral neuropathy, 86% deemed the treatment as being effective for reducing symptoms in their hands and feet.

If the answer to one or more of the above questions is yes, then I’m happy that you are reading this. The numbness or tingling in your hand or feet can be a warning sign. You’re reading this article means that you care for your health. When neuropathy becomes more severe, chronic pain, loss of motion, and injuries occur that can lead to amputation. Progress is being made against the challenge of nerve damage caused by diabetic neuropathy. The feet are also more prone to cuts, bruises and infections because the nerves do not communicate damage or pain to the body. Careful monitoring and care of the feet is a must for diabetics.

Focal neuropathy is a sudden bout of pain in a localized area. This is a consequence of a group of nerves malfunctioning. The pain can be anywhere in the body but is often in the head or torso regions. The pain will eventually recede over a few days to weeks. Whether it is alcohol, tobacco or junk food addiction, or it is Bell’s palsy, dementia, headache or a migraine or stroke, getting acupuncture treatment from a specialist and completing a 12 to 24 course of treatments would provide sufficient blood flow to the nerves. If diabetes is the major cause of nerve damage, then acupuncture treatment can also prevent a spike in blood sugar level induced by sugar intake and will help stabilize the sugar level in the blood.

Excess glucose in the blood for many years causes damage to the walls of the smallest blood vessels. These vessels nourish the nerves responsible for sending messages to the brain about pain, temperature and touch, as well as orders from your brain telling muscles when and how to move. The nerves in the extremities are particularly vulnerable to diabetic neuropathy, and usually show signs of damage first. If you have pain, pain relief from diabetic neuropathy complications can be dealt with through homeopathic, non-addictive drugs such as Menastil. Menastil is available from The Centre for Pain Relief in Burlington, NJ.

Numerous trials have shown that drinking alcohol on a daily and prolonged basis can cause alcoholic neuropathy. This can be very painful and easily avoided. The combination of alcohol abuse and malnourishment can expedite nerve damage and magnify the symptoms. Vitamin B especially folate and Vitamin E deficiency are thought to affect the nerves and cause damage resulting in associated neuropathic symptoms. Autoimmune damage can cause neuropathy and one of the more common underlying factors is gluten intolerance.

You need to see a doctor immediately. A good place to start would be a physician well versed in diagnosing and treating nerve disease and damage, like your local clinician who specializes in our treatment protocol. Type 2 diabetes is gradual and many people aren’t aware that they have it. Diabetes is a condition that causes the blood sugar level to be higher than normal. This high blood glucose, among other things, damages the nervous system causing the sensation of tingling or numbness. It is important to be vigilant and proactive about foot care. Anyone with diabetes or diabetic neuropathy should routinely examine their feet for any wounds or injuries. Early detection and treatment of foot problems in people with diabetes can prevent life-altering and devastating consequences.

The study was consistent with another article published in May 2010 in the Journal of Diabetes Complications. Workers at the Department of Molecular Medicine and Surgery, Karolinska Institute in Sweden, examined 156 people with Type 2 diabetes. Twenty-three per cent were diagnosed with peripheral neuropathy caused by diabetes. Autonomic neuropathy commonly causes stomach problems. This could mean that food is not processed effectively which may lead to constipation, cramps or bloating. The autonomic nervous system also controls the urinary tract which could lead to urinary tract infections or incontinence.

It may seem far-fetched that diabetes can affect nerves but this is one of the most common and most debilitating complications of diabetes. If your autonomic neuropathy causes dizziness when you stand up, then do it slowly and in stages. Flex your feet or grip your hands several times before you attempt to stand to increase the flow of blood to your hands and feet. Try just sitting on the side of your bed in the morning for a few minutes before you try to stand. Neuropathy is used to describe the problem with nerves and usually peripheral nerves. Diabetes is the leading cause of neuropathy these days. Hyperglycaemia affects all the nerves and capillaries of the body and thus neuropathy is often encountered in uncontrolled diabetic condition. Usually, this problem is encountered in old age when the patient usually complains of tingling sensation.

Few diabetics have no neuropathic symptoms, but for many it may merely be apparent in numbness, a twinge of pain, or both. Other symptoms could be urinary troubles, impotence or vaginal aridness; nausea, indigestion, giddiness, diarrhea and vomiting. It is important to note that these symptoms could be trivial at first and go unnoticed, thus continue to damage the nerves for an extensive period of time, unchecked. If the numbness and tingling feelings are limited to the fingers and hands, the cause could be carpal tunnel syndrome, which is a condition that is caused by compression to the median nerve that crosses the wrist. Carpal tunnel is most often caused by repetitive use of the hands in an extended position, such as typing on a keyboard. It can be caused from a pinched nerve in the neck, which is where the median nerve originates.

Proximal neuropathy applies to the hips, buttocks and legs. Commonly there will be pain in these areas and weakness that may make it hard to move from a sitting position to standing without help. Proximal neuropathy is often a consequence of long term diabetes and other symptoms of peripheral neuropathy are likely to exist beforehand. The conventional way of treating the various associated diabetic conditions, including peripheral neuropathy, is with drugs. Sometimes certain drugs actually worsen the diabetic condition leading to more intensive drug therapy. If you have never taken supplements before, the idea of taking them can seem strange to you. You may even equate supplements with medications, but they are not.

}

Pain In The Tip Of Your Thumb? What Causes It And How Can You Get

Having a hand fall asleep and stay asleep with numbness and tingling is often caused by a pinched nerve. Mine started out as a gradual feeling in my feet. They felt like they had just starting to wake up after falling asleep, as an example, from sitting in a chair too long. You know, that odd feeling that you get when they just start waking up and the tingling makes everything you feel, feel 10 times worse. When something touched my foot or I managed to step on something on the floor, the feeling was magnified by the tingling, making it feel much more intense. In usual cases of polyneuropathy it is the longest nerve-fibers that are most at risk, while the shorter nerve-fibers are less affected. In brief, polyneuropathy is a “length-dependent” neuropathy. Because the longest nerve-fibers in the body are those that run from the lower back to the feet, in typical cases of polyneuropathy the first part of the body to become weak or numb is the feet.

As with the nervous system, the circulatory system can be negatively affected by diabetes. When cardiovascular health is compromised, it may be more difficult for the body to deliver sufficient blood flow to the penis to achieve and maintain an erection. This can lead to sexual dysfunction, as well as further compromising nerve health due to lack of oxygenation of the nerve cells. Because of her regular acupuncture treatment, my mother only needed these injections many months into her chemotherapy, as acupuncture boosts the immune system and helps the body recover and repair itself more quickly. And even when she did need the injections, their side effects were regulated with the acupuncture as well. Acupuncture is similarly used to boost the immune systems of people with HIV, and has seen remarkable results in this application as well.

Eagle’s syndrome is also looked upon as a lesser but vital factor in glossopharyngeal neuralgia that can at times turn fatal if accompanied with cardiac problems. It can lead to serious weight loss even when cardiac issues are not present. Any given day, Eagle’s syndrome and not TMJ dysfunction is looked upon by medics as an important factor in aggravating glossopharyngeal secondary neuralgia. As stated, lupus is an autoimmune disorder, which means that it comes about when a person’s immune system mistakenly believes that some part or parts of its own body is an “enemy” and so attacks. Diagnosing lupus can be a challenge because many of its symptoms are similar to those created by other conditions. The most distinctive symptom associated with lupus is a butterfly-shaped rash that typically appears across the cheeks and nose. But not every person with lupus has this rash.

CTS affects people when there is a compression or twist of the median nerve traveling through the carpal tunnel – located around the wrist region. The median nerve is responsible for controlling sensation to the palm-side of the thumb. For that reason, Carpal Tunnel Syndrome symptoms begin by showing themselves in the hands since it is an upper limb neuropathy that causes motor and sensory disturbance of the median nerve. Vitamin B helps improve the human immune system and also helps in numbness and neuropathy. Some natural food sources that are rich in Vitamin B Complex include bananas, potatoes, lentils, other whole grains, chili peppers, green vegetables, eggs, dairy products, and meats including turkey, tuna, and liver.

Polyneuropathy is more of a category of nerve impairment than a final diagnosis, and numerous diseases can produce the same end-result of stocking-glove loss. Guillain-Barré syndrome involves inflammation of nerves and nerve-roots (spinal cord connections) caused by an overactive immune system. This is a so-called auto-immune disease in which a person’s immune system attacks a tissue within their own bodies, in this case the nerves. Certain treatments that temporarily suppress the action of the immune system have been shown by randomized, controlled trials-the gold-standard of medical proof-to improve outcome in this condition.

Aging is frequently accompanied by increased fragility and degeneration of the bones and joints throughout the body resulting in chronic pain and diminished activity. Additionally, muscle strength and function also decline due to loss of muscular fiber and diameter. For the sake of proper identification we are presenting the symptoms associated with Eagle’s syndrome. TMJ pain, eye-ache, sensitive teeth, throat pain which increases during the process of swallowing food and tonillar discomfort and other symptoms of the stylohyoid elongations.

If the answer to one or more of the above questions is yes, then I’m happy that you are reading this. The numbness or tingling in your hand or feet can be a warning sign. You’re reading this article means that you care for your health. Screening for peripheral neuropathy is carried out with a small instrument called a monofilament, which is used to touch the skin of the feet or hands. Being able to sense the touch of a monofilament rules out peripheral neuropathy. A tuning fork can also be used. If you have a diagnosis of Type 2 diabetes, your doctor will likely want to test for peripheral neuropathy as part of your regular checkups.

If the numbness and tingling feelings are limited to the fingers and hands, the cause could be carpal tunnel syndrome, which is a condition that is caused by compression to the median nerve that crosses the wrist. Carpal tunnel is most often caused by repetitive use of the hands in an extended position, such as typing on a keyboard. It can be caused from a pinched nerve in the neck, which is where the median nerve originates. Keeping glucose levels under control is a major factor in protecting penis sensitivity and preserving the ability to enjoy sex. Supporting penis nerve health with nutrients such as the amino acid acetyl L carnitine may help to reduce loss of penis sensitivity and stimulate the regeneration of damaged nerve tissue.

There are several symptoms, including loss of feeling in little fingers such as pinky and ring finger. Part of your hand might also get numb, too. The numbness gets stronger while an elbow is bent. When the arm is straight, the loss of feeling seems to be lesser intense. If you answered “yes” to any or all of these questions, then I’m glad you’re reading this. The tingling or numbness in your hands and feet may be a warning sign of diabetes. The most common symptoms include tiredness, constipation, feeling the cold, dry skin, blurred vision and general numbness all over the body especially in fingers and toes. You are indeed at high risk if hypothyroidism is running into your family. Being the hereditary disease, this can come on to you too.

The U.S. diabetes epidemic is more dangerous than most people realize. The Center for Disease Control recently indicated that more than 63% of Americans are at risk for diabetes due to a Body Mass Index (BMI) qualifying them as overweight. Diabetes not only causes other conditions and symptoms, but also is linked with kidney and cardiovascular diseases. To prevent complications, it’s important to understand the relationship between diabetes and other diseases. Sex is often a goal-oriented activity, starting in a specific way and ending with a climax. A man who thinks this way might be tempted to masturbate for an hour, not stopping until he’s reached his peak, or he might pound away on a partner until both parties are raw and sore and no one is satisfied. While these sorts of behaviors might seem harmless, they can do yet more damage to the taxed nerves that line the penis.

Relief from Eagle’s syndrome can also be achieved with the help of Prolotherapy. Prolotherapy works by strengthening the stylomandibular ligament, as most of the associated symptoms occur due to weakness in that area. Prolotherapy is safe and is proving effecting to a great extent in the repair of ligaments and cartilage naturally. It creates a passive inflammation in the damaged ligament and as the body tires to heal through the inflammation Prolotherapy accelerates the healing procedure. Blood vessels that line the penis are responsible for erections, but the nerves that lie alongside the circulatory tissue are in charge of sending signals of pleasure. Each touch and vibration passes through these nerves, delivering messages from the penis to the brain. But the penile nerve tissue is remarkably sensitive to injury, and men with diabetes can be especially susceptible to sensory loss in the penis.

}

Similarities Between Polio, Sensory Nerves, Your Brain, And Stun Guns

One of the hardest things a person suffering from peripheral neuropathy struggles with has nothing to do with their tingling feet, numb hands and numb feet. 7) DON’T drink excessively – Just as smoking can further damage your circulation, so alcohol can speed up the damage to your nerves already caused by neuropathy. This increases the likelihood that you’ll be unable to detect injury or other problems with your foot. Avoid drinking in excess. Apart from the obvious issue of management of pain, this is the primary reason why diabetic neuropathy treatment is so important. Treatment protocols can be problematic, as the symptoms may affect any area of the body. Generally health care professionals will focus a treatment on the immediate symptoms before addressing the underlying issue.

As per medical estimates in every third case of peripheral neuropathy causes are unknown. Thus every third case is that of idiopathic peripheral neuropathy. It is also being said that this condition is very common among the middle aged and the elderly population. Aside from diabetes, smoking is also a known cause of peripheral neuropathy. Cigarette smoking has a negative effect on circulation and can increase the risk of foot problems. Chronic alcoholism may also lead to nerve problems because of vitamin deficiencies. Genetics or heredity also plays a role in diabetic neuropathy.

Toxic load damage such as occurs with Agent Orange exposure, chemotherapy, radiation therapy. Many medications are known to cause or contribute to neuropathy, including the cholesterol lowering drugs called statins. Some symptoms of uremic neuropathy include pain, numbness, and tingling in the feet and legs (can suffer resembling “pins and needles”); cramps, muscle twitches, or increased pain sensation in the feet and legs; and muscle weakness or reduced sensation can take place. Proximal neuropathy is a rare, disabling type of nerve damage in your hip, buttock, or thigh. This nerve damage typically affects one side of your body, making it hard to move, but seldom spreads to the other side.

There are, in fact, advances in the realm of physical treatment of neuropathy that may potentially benefit diabetic neuropathy patients right now. Let me tell you about the research findings of a team of surgeons from Johns Hopkins and related research findings from the physiotherapy profession in Australia. If you or someone you know is suffering from diabetic neuropathy, you are going to want to know about this research. Surgical intervention: In extreme cases sometimes the nerve itself will be destroyed. This often only helps the pain for a brief period of time as peripheral nerves have an astounding ability to regenerate. Unfortunately, symptoms ultimately wind up worse then before the procedure.

How is peripheral neuropathy treated? Although the nerves that have died cannot be restored, the right treatment will help ease the pain. The burning pain can be treated by the doctor with capsacin which is a topical ointment. If there is shooting pain or pins and needles, the doctor may prescribe antidepressants. Fortunately, there is help, there is hope. One form of effective neuropathy treatment is the encouragement and advice found in support groups. Support groups have been known to help people struggling with all kinds of life problems (drugs, loss, alcohol, weight issues), and people struggling with neuropathy can find solace among others diagnosed with this disease.

Entrapment or compression neuropathy can usually be diagnosed based on symptoms. Be sure you keep a good record of when and how your symptoms started. Do a visual inspection and don’t rely on soreness or pain. Your neuropathy impairs your ability to feel pain in your extremities and you may not notice the problem until it’s too late for successful treatment. There are a number of drugs in the research pipeline that may potentially address some of the metabolic pathways associated with the development of diabetic neuropathy. If these drugs pan out, they have the potential to offer the first-ever therapy that seeks to address the cause rather than mask the symptoms of diabetic neuropathy.

Some physicians will prescribe pain medications to be taken each day for the relief of the pain associated with neuropathy in feet. Generally, there this complication can affect any nerves in the body, but it is usually classified into four main types of diabetic neuropathy. Treatment can then be tailored to suit the particularly affected region. It is vitally important that you choose a health care provider with the clinical skills and experience to recognize your symptoms for what they are and distinguish them from other diseases. Entrapment neuropathies can mimic other conditions and vice versa. The longer it takes to get the appropriate diagnosis and treatment, like the treatment protocol used exclusively by your local neuropathy clinicians, the more likely you are to have permanent nerve damage.

Getting active may seem like a way to increase the pain associated with your neuropathy, but exercise is a great method for neuropathy treatment. Exercise has positive effects across the board. Not only does it keep your body in optimal physical condition, it also helps create a healthy state of mind. Many active individuals agree that exercise helps to clear the mind and the hormones released during physical activity cause a euphoria that cannot be found in medications. The nutrition counseling provided by your clinician is part of an overall lifestyle modification plan that will help you control your weight and increase your physical activity, within your abilities, to reduce the likelihood of your entrapment neuropathy causing permanent nerve damage or recurring once your immediate problem is taken care of.

Thus low level laser therapy can be used by neuropathy patients to increase function and possibly even cause repair and regeneration of the nerve cells. It may also increase the levels of pain-suppressing GABA in the nervous system. When combined in a comprehensive neuropathy treatment program, laser can be extremely beneficial for patients suffering from neuropathy. Great news for neuropathy patients. Nothing can be done to reverse the damage caused to your feet by diabetic peripheral neuropathy. A healthy diet and lifestyle not only promotes good health but for those who have been diagnosed with diabetes maintain a healthy weight and regular exercise can prevent the onset of diabetic neuropathy. Selecting a healthy diet that is rich in antioxidants, low in fat and high in protein will help a diabetic reduce his or her chances of developing neuropathy in feet.

In severe cases of neuropathy the nerves that control the stomach, heart or other organs can become damaged. This causes all sorts of secondary signs and symptoms, depending on which nerves are damaged and the organs that are controlled by those nerves. What follows are synopses of case studies. To the best of my knowledge, this is the first time a comprehensive outpatient drug free treatment for peripheral neuropathy has been so effective. Physical stimulation and exercise enhances blood flow and circulation of all the body’s fluids. This helps to reduce swelling or pooling (edema) and remove toxins from the distal parts of the body. In turn, it allows for nutrient rich blood to be properly circulated to the nerve cells. Your neuromuscular stimulator should have a muscle stimulator component to its signal, to enhance the body’s own natural venous blood pump, as well as improve muscle atrophy.

Finally with particular reference to neuropathy associated with diabetes, the Protein Kinase C or PKC enzyme and its relationship with T-Type Calcium Channels may be therapeutic targets. It appears that elevated blood glucose unregulates PKC in diabetic nerves. PKC appears to drive specific calcium channels in diabetic nerves known as T-Type Calcium Channels. These changes are believed to drive hyper-sensitivity and excitability at least in nerves affected by diabetic neuropathy. If you have a chronic condition like diabetes that already compromises your blood flow, the fact that Uncle Harry never had these issues and you do is probably more indicative of your overall physical condition than genetics. Your body is just more susceptible to this type of injury. You need to be more mindful of how you move and use whichever part of your body is affected.

Hypnosis For Pain Management

Peripheral neuropathy or malfunctioning nerves in the feet or hands are becoming more and more common. A nerve problem (where the nerves themselves are affected by the disease) called peripheral neuropathy is the most common source of foot pain tied to diabetes. Peripheral neuropathy comes in the form of sensory, motor, and autonomic neuropathy. Traumatic injuries: As any professional athlete can tell you, traumatic foot injuries can be a pain in the, well, foot. Broken toes and foot bones can take months to heel, and Achilles tendon injuries can be debilitating for life. One of the most common injuries to the foot is simply dropping something heavy onto the foot and crushing one or more bones in the process.

In Piriformis syndrome the muscle contracts and thickens due to spasm in response to a strain, injury or chronic postural stress. When it thickens it squeezes the sciatic nerve causing the characteristic pain from the buttocks to the thigh or lower leg. In some cases the sacroiliac joint develops scar tissue in the joint and surrounding muscle and tendon junctions. The scar tissue is a “bad patch” that keeps getting aggravated and triggering the pain. Treatments to reduce the scar tissue quickly reduce the duration of treatment and risk of returning severe pain.

Tingling and numbness in the last two digits can also be related to ulnar nerve irritation at the elbow level from chronic tendency to lean on the elbows or sleep on the arm. Although there may be numbness along the inner and lower third of the back of the forearm with ulnar nerve irritation, there will not be symptoms in the inner aspect of the front of the forearm. If this region is tingling is numb, consider also involvement of the T1 nerve root. Tingling and numbness in the foot in the region of the first three toes can be related to L5 nerve root irritation. The numbness may also involve the top of the foot and the outer aspect of the front of the leg. However, irritation of the peroneal nerve can also give rise to the same symptoms.

Let’s face it, neuropathy can be terrible; I have seen people in my office who can’t wear shoes, only flip-flops, due to the amount of foot pain they agonize with daily. Others have given up driving due to their inability to feel the brake and accelerator pedals. Losing your freedom is one of the worst outcomes of progressive neuropathy. All the related muscles that are continuously subjected to lengthening contractions need to be treated. Return of strength for these muscles is achieved through shortening contractions. Treatments must include treating the spinal extensor muscles, gluteus maximus, adductor magnus, tensor fascia lata, rectus femoris and the foot and ankle dorsiflexors. Selective activation for these muscles is most effective through motor point stimulation using the eToims Twitch Relief Method.

Because the foot is the only connection of a standing person to the ground, it must be re-educated to contact the ground without pain. Foot and ankle pain may need support in the form of a brace or orthotics. In addition, the relationship of the foot and ankle to higher structures must be addressed. If the spine, hips, and legs don’t function as a system, the feet and ankles can be stressed. Heel spurs often form as a result of chronic plantar fasciitis. They are calcium deposits formed on the fascia tissue. There may not be pain associated with heel spur.

Compression on the nerve caused by a herniated disc can be relieved by disc decompression which will draw the bulging disc contents back into the center. Remedial surgeries for spondylolisthesis and spinal stenosis also alleviate sciatic nerve impingement. Surgery is especially suggested in patients with accelerating weakness or loss of bladder or bowel function (“cauda equina syndrome”). It is not uncommon that chronic low back pain will precede the onset of sciatica and may feel like a bad leg cramp or pain that lasts for weeks before it goes away. You may have pain, especially when you sit, sneeze, or cough. You may also experience numbness (pins and needles), burning or weakness, in your leg.

Nux Vomica: Severe sciatica down either leg with great sensitivity and is often accompanied with anger. Worse in the morning that worsens the longer they stay in bed; from the cold; from turning in the bed. Better from heat. Sciatica nerve pain typically entails sharp pain in the lower back and buttocks that extends to the back of the leg, knee, and then foot which will typically occur when these problems are found. Quite often, sciatic pain is experienced on only one side based on the place where nerve impingement is found.

Some of the causes of leg pain form naturally, through muscle cramps, blockages of arteries, or deep Venus Thrombosis (a blood clot). Other causes of leg pain are brought on by injury such as a fracture, or a completely broken bone, or a sports injury. The gastrocnemius and soleus muscles are responsible chiefly for bending the ankel and foot down so that the toes can point toward the ground. However when the foot is flat on the ground as in the sitting, crouching or squatting positions, the gastrocnemius muscles can bend the knee but not the soleus. Those who have tightness of the calf muscles will note that they are unable to place the heels flat on the floor.

By stretching and strengthening specific muscles in the body, pressure on pinched nerves is relieved. People suffering from arch pain or heel pain typically find that orthotics are a good solution for them. Heel pain (called Plantar Fasciitis) can be extremely uncomfortable and custom orthotics can help reduce this pain by better supporting the arch. However with S1 nerve root irritation, there will also be symptoms in the heel whereas in tarsal tunnel syndrome, there will be no symptoms of tingling and numbness in the heel.

In many people the sciatic nerve passes under the Piriformis muscle and then branches off into two parts to supply different parts of the leg. In others, the nerve may branch before the Piriformis muscle and overlap parts of it and still another variation is where the Piriformis muscle is split in two parts with the sciatic nerve passing between the muscle branches. Much is written about disc disease, bulges and herniations. Subluxations are also referenced a lot particularly by Doctors of Chiropractic. Tumors are relatively rare. Piriformis muscle spasm is getting more and more attention and in fact is becoming so “popular,” I am beginning to see it becoming “over diagnosed” by many general practitioners of all persuasions.

• Stand easily in a turned out first position, Are your gluteal muscles rock hard? It may be a sign of overworking the turnout and hip joint muscles. Periodically, sit on a chair with one leg crossed over the opposite thigh in an open position and lean forward. You’ll feel the stretch deep in the gluteals of the bent leg. Herniated Disc: This is a protrusion of the center of the disc that compresses the nerve root which is located directly behind the disc. This is clearly different from a disc bulge which is a very common MRI finding that is found in 81% of the asymptomatic population. A herniated disc is therefore a very different objective finding compared to a degenerative related disc bulge, and the two are commonly confused.

Autonomic neuropathy affects the nerves that we don’t consciously control, hence the ‘auto’ of autonomic. With this condition existing your sweating triggers are altered and as such you may suffer from dry or cracked skin. For your feet this may result in a build up of foot calluses, thickened nails and such that lead to foot pain. The daily use of conditioning agents formulated specifically for diabetes can aid or prevent this problem. Most patients enjoy a significant improvement from their leg pain after surgery. In order to heal properly, patients must avoid any activity that requires prolonged sitting or bending. This includes driving, excessive sitting, lifting, or bending forward for at least a 3-5 weeks after surgery. There will be no restrictions on walking and this will be encouraged by your doctor. Your surgeon may recommend physical therapy and exercises to help strengthen your back.

The treatment options here are similar to those used in treating axial pain. Diagnostic and therapeutic measures are aimed at correcting abnormalities in the muscles, ligaments and small joints of the spine. Plantar fasciitis: a painful inflammation of the plantar fascia, a fibrous band of tissue on the sole of the foot. It occurs when the fascia is overloaded or overstretched, causing small tears in the fibers, especially where the fascia meets the heel bone. Nerves are critical pathways that carry information from the brain to the extremities and are distributed throughout the entire body. There are two types of nerves, motor and sensory. Motor nerves carry information from the brain to the organs, muscles, and heart. Sensory nerves send information from the body back to the brain for processing, including pain, touch, taste, temperature and other sensations.

It takes a lot of force and pressure to fracture your heel bone. Falls from ladders, jumps from high heights and victims of car accidents are common causes of heel bone fracture. Heel fractures are painful and severe, requiring prompt treatment, which is usually heel reconstruction surgery. The one thing that is common in these conditions is that the pain is restricted to the lower back area. The sacroiliac joint slides back forth as we walk or run. Sitting causes the joints to be flexed forward stretching the joint ligaments. Injuries often occur with chronic sitting, such as on long car rides or plane flights. The sacroiliac is being slightly stretched and strained for hours, which leads to the injury and back pain. Sacroiliac injuries also occur with bending and twisting activities. It is a common injury after moving furniture, working in the yard, or any heavy lifting activity.

With diabetic people muscle and joint pain is not uncommon. If tendons and joints begin to stiffen coupled with imbalances associated with peripheral neuropathy and walking alignment occurs, the foot and the joints become painful. In fact, if the walking misalignments continue, this can lead to other foot disorders such as corns, bunions, and hammertoe. Herniated Disc in the Lumbar Spine. Bulging of the material of the disc center compresses the spinal cord or nerve roots. If the symptoms of tingling numbness are in the last two toes, irritation of the S1 nerve root need to be considered. The symptoms may also be felt in the sole of the foot. These same symptoms may be noted with irritation of the tibial nerve at the inner aspect of the ankle due to presence of tarsal tunnel syndrome.

}

Diabetes And Numb Feet

Neuropathy is a disease that affects the nervous system. Diabetes is a disorder that affects the pancreas. The disease causes the beta cells of the pancreas to either malfunction or destroy. The basic responsibility of these cells is to produce a hormone termed “insulin”. The insulin is used for the regulation of glucose level in the blood. The lack of insulin in the blood is the basic reason of inability of cells to convert glucose into energy. This condition if left untreated poses serious health related problems. Some signs of neuropathy may appear suddenly, but loss of sensation increases gradually. Neuropathic pain is common in those with cancer or HIV, as a result of the disease or drugs used for treatment. Diabetics will develop nerve damage sooner or later. Research shows that millions of Americans are affected by neuropathy, and that diabetes is one of the primary causes, responsible for more than half of those affected.

It is theorized that diabetes causes damage to nerves by altering the function of the small blood vessels that supply the nerves. The excessively high levels of glucose in the blood are thought to cause damage to the covering of the nerves. This covering called the myelin sheath helps in the conduction of impulses along the nerve cell and from one nerve cell to another. A major study conducted by the NIH, “The Diabetes Control and Complications Trial” found that people who kept their blood glucose levels close to normal can lower the risk of nerve damage by as much as 60%. The process of testing glucose levels 4X a day; 4X metformine tablets (Type II) or 3X-4X daily injections of insulin (Type I); adjustments of both according to food intake and exercise; and monthly visits to a doctor and health-care team have proven effective toward blood glucose control.

Numb feet present themselves when the nerves in the foot fail to send a signal to the spine and brain. There can be many causes for the nerve damage or the numb feet such as diabetes, physical injury, systemic diseases, poisoning, malnutrition and alcohol abuse, hereditary and infections. More than half of diabetics can have some form of peripheral neuropathy. Although most experience warning signs, others may not be aware that they are beginning to have nerve damage. Most prone are those with uncontrolled blood sugar levels for long periods. Being overweight and having high blood pressure also increases the risk.

Excess glucose in the blood for many years causes damage to the walls of the smallest blood vessels. These vessels nourish the nerves responsible for sending messages to the brain about pain, temperature and touch, as well as orders from your brain telling muscles when and how to move. The nerves in the extremities are particularly vulnerable to diabetic neuropathy, and usually show signs of damage first. Diabetes sets in gradually. Most of the time the patients remain unaware that a chronic disease is setting in. It is a severe condition which causes the level of blood sugar to rise. The high levels of glucose in blood for a longer period of time start to damage various systems of the body. The nervous system of the body is the first victim of high sugar levels. The damage to the nerves of the body results in tingling and numbness sensation.

A 2007 study entitled “Clinical observation on effect of acupuncture in treating diabetic peripheral neuropathy” involved a total of 60 participants. The study found that those receiving acupuncture had a statically greater improvement in neurological symptoms as well as improved nerve function for both sensory and motor nerve conduction when compared to the control group. Mononeuropathy or focal neuropathy is damage to a specific nerve in the face, torso (middle of the body) or leg. It’s most common in older adults. Mononeuropathy often strikes suddenly and can cause severe pain. However, it usually doesn’t result in any long-term problems.

7. Plantar Fasciitis – This is a condition that is a type of tendonitis, and it can cause severe foot pain The pain is usually felt in the heel area, and walking may become difficult or even impossible because of the discomfort. So anything that interferes with the normal communications process within the body has far reaching negative affects on a person. To put it simply, sick nerves mean a sick person. If diabetic neuropathy were to cause damage to the nerves in your hands and feet, you might feel intense pain therein. Conversely, you could also end up having no feeling at all at other times. These should be useful signals for you to suspect the start of the disorder. If left unattended, the skin around your feet could crack and develop into sores. To make it worse, you could be injured in your legs and never know.

Peripheral neuropathy is a common issue that specifically affects diabetics, people undergoing chemotherapy, and those with HIV. The most common areas affected by neuropathy are the feet with the second being the hands. Peripheral neuropathy symptoms can be varied and can include decreased sensation, increased sensation, weakness of foot or hand muscles, and symptoms related to changes in the skin and nails. But first we need a little lesson on how a nerve behaves physically in the body and also a little background on what may happen to nerves in diabetic patients. Once we understand these fundamental properties of the peripheral nerves, we can talk about the specific research findings of these two groups and how they may benefit diabetic nerve pain sufferers.

Nerve damage, in the case of diabetic neuropathy, is caused by a combination of factors. The most important would be high blood glucose, high blood fat levels, having been diabetic for a long time, and low levels of insulin. Damage to blood vessels that carry oxygen, swelling of nerves, mechanical injuries, habits such as smoking or drinking alcohol are some other reasons. There are many acupuncture points on the body that can treat the above patterns as well as Chinese herbal formulas that can help treat peripheral neuropathy and reduce the symptoms. Additionally, nutritional recommendations may be made to help decrease the pain. Your practitioner may also recommend including a practice into your daily life such as meditation, tai chi, yoga, or biofeedback to help with the emotional side-effects and stress of chronic pain.

Symptoms of neuropathy vary depending on which part of the body is affected by the nerve damage and what type of nerves are being affected – motor, sensory or automatic nerves. The most common natural substances to improve neuropathy are B complex vitamins: B1 (thiamine), B6, B12 and folic acid. Many of the over-the-counter vitamins that contain these products, however, are in a form that are not as easily absorbed or utilized by the body. In our research, we have found two products that provide the vitamins in a form that are beneficial and easily utilized by the body.

Motor Nerve damage can cause muscles to spasm weaken or cramp. Difficulties with balance walking and running are common. And finally, in a Chinese study involving 90 participants, those receiving total body or wrist and ankle acupuncture has significantly improved blood sugar and lipids, decreased blood viscosity, and improved functions of peripheral nerve cells, thus resulting in therapeutic effects for diabetic peripheral neuritis when compared to the control group. The study also found no significant difference between the total body group and the ankle and wrist treatment group.

There are a number of drugs in the research pipeline that may potentially address some of the metabolic pathways associated with the development of diabetic neuropathy. If these drugs pan out, they have the potential to offer the first-ever therapy that seeks to address the cause rather than mask the symptoms of diabetic neuropathy. Researchers in the Department of Endocrinology and Metabolism, Shanghai Jiaotong University In China reported a study on ‘Peripheral Neuropathy in Diabetes’ in the July 2010 issue of Diabetes Metabolic Research Reviews. A total of 1193 patients were enrolled in the study, including 1067 with established cases of diabetes and 126 new cases. In the entire group, over 17% demonstrated peripheral neuropathy.

}

4 Tips On Peripheral Neuropathy You Can Use Today

The ulnar nerve is one of three major peripheral nerves to the upper extremity. Another group having more than 20 yr experience of using magnetic or electromagnetic fields (EMF) in the treatment of about 1500 patients with trauma, musculoskeletal diseases, circulation and nervous system problems. They used various magnetic devices produced in Eastern Europe, including static magnetic fields (SMF), sinusoidal or PEMF extremely low-frequency fields (ELF EMF) and extremely high-frequency (EHF) EMFs ranging in field strength from 1-40 mT. Treatments lasted from 20-30 minutes per day, to 5-8 hr per day for up to 3-4 wk. The treatments had anti-pain, anti-edema, antiinflammatory, macro- and microcirculation benefits. The results of the treatment depended not only on the parameters of the fields but also on the individual sensitivity of the organism.

1) Diabetic Feet – One fact that many people don’t realize is that of the 23.6 million Americans or 7.8% of US citizens that have been diagnosed with diabetes, podiatrists are one of their primary doctors that they visit on a regular basis. Diabetic feet are a tricky and sensitive issue that podiatrists deal with on a daily basis. Diabetics over time may develop neuropathy which is a loss of sensation which in diabetics starts in the toes and moves up the leg. Podiatrists work especially hard with diabetics to make sure they are extra careful about their feet or they can develop potentially life threatening ulcers or infections.

Hypoglycemia, or low blood sugar, occurs from time to time in most people with diabetes. It results from taking too much diabetes medication or insulin, missing a meal, doing more exercise than usual, drinking too much alcohol, or taking certain medications for other conditions. It is very important to recognize hypoglycemia and be prepared to treat it at all times. Headache, feeling dizzy, poor concentration, tremors of hands, and sweating are common symptoms of hypoglycemia. You can faint or have a seizure if blood sugar level gets too low.

2. Benfotiamine: A bioactive form of Thiamine, Benfotiamine, is a nutrient that is deficient in many people suffering with peripheral neuropathy. A common brand name of Benfotiamine is Neuremedy. Thiamine, Vitamin B1, is essential for the nervous system to function properly. It is difficult to maintain adequate levels of Thiamine through diet alone. Benfotiamine works to nourish the nerves and reverse the effects of peripheral neuropathy. After taking Benfotiamine, people can notice a change in their peripheral neuropathy symptoms anywhere from several days to two months after first taking it. For those who it is effective for, it is important to continue to take the supplement. Benfotiamine has been used in Europe since the 1960s and has been proven to be safe and effective.

Repetitive magnetic stimulation (rMS) has been found to relieve musculoskeletal pain. Specific diagnoses were painful shoulder with abnormal supraspinatus tendon, tennis elbow, ulnar compression syndrome, carpal tunnel syndrome, semilunar bone injury, traumatic amputation neuroma of the median nerve, persistent muscle spasm of the upper and lower back, inner hamstring tendinitis, patellofemoral arthrosis, osteochondral lesion of the heel and posterior tibial tendinitis. Patients received rMS for 40 minutes. rMS was applied. 8,000 pulsed magnetic stimuli were applied in 40 min sessions. A VAS rated pain severity. Mean pain intensity 59% lower vs 14% for sham treated. Patients with amputation neuroma and patellofemotal arthritis obtained no benefit. Those with upper back muscle spasms, rotator cuff injury and osteochondral heel lesions showed more than 85% decrease in pain even after a single rMS session. Pain relief persists for several days. None had worsening of their pain.

The symptoms of peripheral neuropathy occur because the nerves are damaged in some way. This can occur at either the axon, which is “wire” from the nerve cell out to the body, or it can occur in the myelin sheath itself. The myelin sheath is like an insulator around the axon which acts to speed conduction of the nerve signal. For example, an axon with myelin connects like a broadband internet connection able to stream high definition video and an axon without myelin is like dial up service, slow with frequent interruptions. Myelin involvement often occurs in the setting of demyelinating diseases or some infections.

Having cold feet is really a symptom in itself, but there may be other symptoms that appear with it. For instance, if your cold feet are caused by blockage of blood vessels that run to your foot, you may start seeing other problems such as toe discoloration (they start to look red or purple), muscle cramping after brief periods of exercise, and later issues might include ulcers, pain in your limbs while you rest, or gangrene. If your cold feet are caused by extensive exposure to cold weather, you may notice that your toes or other prominent areas of your foot develop chilblains, or red and itchy spots that can become infected. Definitely see your podiatrist if you get these.

Your peripheries (including your feet) may be particularly susceptible to nerve damage. Any of your several types of nerves can be affected: your sensory nerves (which provide information about sensation, such as pain or heat), motor nerves (which carry signals to your muscles to provide tone and movement), or your autonomic nerves (which control reflexive, or non-voluntary body functions, such as breathing, heartbeats, and digestion). The nerve damage that’s most likely to affect your feet directly is to the sensory and motor nerves.

So what do extra wide socks have to do with diabetes and diabetic foot problems? They have everything to do with both protecting the foot from cuts, bruises, sores, ulcers, and blisters and helping the blood to more freely flow through the lower extremity allowing for an improved ability to heal and fight off infection. Extra wide socks are less restrictive on diabetic feet which are often larger and wider in the first place so eliminating elastic bands at the top of socks and widening the sock at the foot area can help the blood circulate more freely as it is less constricted by the sock itself.

The type of symptoms you experience from peripheral neuropathy depend on the underlying cause and the type and location of the nerves damaged. For causes from metabolic disorders such as diabetes, the progession is usually slow and begins in the lower extremities. A change in sensation is often the first symptom people notice. This is worse at night. It progresses from there to involve decreases in the ability to sense temperature, vibration, and eventually leads to complete sensory loss. Oddly enough this is frequently accompanied by severe pain in the affected extremity which can be brought on by even minimal stimuli. At its ends stage, peripheral neuropathy can lead to skin breakdown, balance problems, and ultimately profound muscle weakness and wasting.

For type 2 diabetes, healthy eating, physical activity, and blood glucose testing are the basic therapies. In addition, many people with type 2 diabetes require oral medication, insulin, or both to control their blood glucose levels. Some of the oral medications work by stimulating your pancreas to make more insulin (keys). Other oral medicines work to make the rusty locks start working again. In a sense they are kind of like WD-40 for the rusty locks on the cells. It fixes the lock on the cells so the insulin (keys) can open the cell to allow the glucose (fuel) inside. Once the glucose (fuel) is allowed inside the cells, your blood sugar levels will drop back down to normal.

Peripheral neuropathy is a term which describes the damage done to peripheral nerves. This damage can be caused by more than 100 different known diseases. If only one nerve is involved it is called a mononeuropathy an example of which is carpal tunnel syndrome. If 2 or more nerves are involved in separate areas it is called a multiple mononeuropathy. This is usually the type of neuropathy meant when people say they have a peripheral neuropathy. If a spinal nerve root is involved it is called a radiculopathy such as sciatica from a herniated disc. If there is diffused involvement of the peripheral nerves it is called a polyneuropathy.

The physical exam helps to define the extent of the neuropathy and usually involves a head to toe evaluation with particular attention on the eye and neurologic portions of the exam. During this exam it is usually evident if you have a mononeuropathy or a polyneuropathy. After the history and physical exam diagnostic testing is often undertaken. There are three main classes of diagnostic tests used to aid in the diagnosis and treatment. These are laboratory studies, imaging studies, and nerve studies.

Ultraviolet C- range ( 254 nm) has consistently shown the ability to not only kill all forms of pathogens, especially bacterial, but no bacteria has ever been capable of mutating or avoiding the lethal effects of UVC. Ultraviolet C range is easy for the patient to self-treat and one of the lamps is FDA approved for dermatological applications such as destroying pathogens on the skin surface thus avoiding new contamination. Total treatment time is less than 90 seconds. Cost once device purchased or rented is only the cost of electricity for a 4 watt bulb for 90 seconds, or less than a penny.

A static magnetic foil placed in a molded insole for the relief of heel pain was used for 4 weeks to treat heel pain. 60% of patients in the treatment and sham groups reported improvement. There was no significant difference in the improvement on a foot function index. A molded insole alone was effective after 4 weeks. The magnetic foil offered no advantage over the plain insole, in this study. This study like others with low numbers of patients, may not have had a large enough sample. Placebo reactions in pain studies can be large and differences in benefit may be harder to detect. In addition, since magnetic foils produce fairly weak fields, placement against tissue becomes important, as does consideration of the depth into the body of the target lesion or tissue. Magnetic fields drop off in strength very rapidly from the surface.

}

Pain Treatment

Over half of all people with Type 2 diabetes have some form of neuropathy, or nerve damage. Generally, diabetics are commonly affected by peripheral neuropathy. This will usually affect your feet but it may move into your legs. Some people can have their hands or arms affected, but this is less commonly seen. There are a number of indicators of peripheral neuropathy including tingling or numbness of the feet. As the condition progresses and more damage occurs, there is an increased severity in the symptoms. This condition tends to be exacerbated since diabetics can be prone to feet complications such as bruising. When sensation is reduced, there is a greater risk of a cut going unnoticed and untreated. This can increase the risk of infection and gangrene, which could eventually result in the need for amputation.

Mercury also enters our body through different types of dental procedures. Cavities are routinely filled with silver fillings, which contain mercury. Over time the mercury leeches from the fillings directly into the mouth where it is absorbed into the body through the digestive process. This, combined with the mercury in the vaccinations as well as in the food we eat, quickly rises to a level of toxicity and serious health concerns. Diabetic complications can be prevented or lessened for a longer time period by paying serious attention to lifestyle. A diabetic who eats right, keeps his blood sugar in control and within accepted limits, exercises and gets proper rest can expect to have a quality of life that is much higher in terms of the pain and suffering that diabetic complications brings into the lives of diabetics who do nothing to change their lifestyle.

The numb feet due to this type of neuropathy can be caused by number of factors such as long history of diabetes with less secretion of insulin and increased blood sugar and fat level. Disorders affecting blood vessels capacity of providing oxygen and essential nutrients to nerves can also cause complication of numb feet associated with diabetes. Certain inherited factors and autoimmune disease also account for this. Alcohol abuse and excessive smoking can also cause nerve damage. Focal neuropathy is a sudden bout of pain in a localized area. This is a consequence of a group of nerves malfunctioning. The pain can be anywhere in the body but is often in the head or torso regions. The pain will eventually recede over a few days to weeks.

Peripheral neuropathy: described as a burning, tingling, and numbing type of pain in the hands and feet. There are two main types of neuritis: Optical and Peripheral. Increased cholesterol. Increased bad cholesterol damage the small blood vessels feeding the nerves. Finally, nerve conduction studies and electromyography(EMG) is often undertaken. In nerve conduction studies a probe is used to stimulate a nerve causing an electrical impulse to fire. The way in which this impulse is transmitted can often tell your doctor if it is the axon or the myelin that is damaged. With EMG electrical activity is measure with the muscle active and at rest. This can help distinguish between nerve and muscle injury.

Third, it is important to control the symptoms. The symptoms of peripheral neuropathy can be very difficult to control. Initial pain control with over the counter analgesics such as ibuprofen and acetaminophen is sometimes helpful but rarely sufficient. If pain is severe and chronic a variety of medications may be tried but there are no definitive guidelines give lack of evidence strongly favoring one treatment over another. Generally, there this complication can affect any nerves in the body, but it is usually classified into four main types of diabetic neuropathy. Treatment can then be tailored to suit the particularly affected region.

After trying so often and failing to find relief from neuropathy pain, you might think those patients didn’t have “real neuropathy” like you. Having discussed the physiological and anatomical effects of each, of the three limbs, of yoga, The secondary benefits and testimonials are just as compelling. Stress for PWA is greatly increased by additional factors: side effects of medicine cocktails (diarrhea, neuropathy, liver dysfunction, high blood pressure, high cholesterol, diabetes, nausea, digestive problems), discrimination, disclosure, racism, and homophobia.

Alpha-lipoic acid (ALA). Alpha-lipoic acid is an antioxidant found in food, can help reduce symptoms of peripheral neuropathy. If you find you have a lot of foot pain, first check your blood sugar levels and make sure they are where they should be. Medical doctors are usually able to detect polyneuropathy from patients’ histories of symptoms and their physical examinations, but tests of muscle and nerve electricity-called electromyography and nerve conduction studies-are often helpful in characterizing the extent and pattern of nerve impairment.

These shoes are designed to be slightly wider and deeper than regular shoes and they also allow the addition of a removable (and replaceable) diabetic insole. These insoles are shaped to the contours of the foot and some utilise modern materials like visco elastic memory foam for padding. The design of these shoes allows periodic replacement of the insole, or the option to try different types of insole until the best fit is found. Autonomic Neuropathy: This diabetic complication generally affects your digestive system including the stomach, urinary system, blood vessels, and reproductive organs. Autonomic Neuropathy is characterized by vomiting, nausea, abnormal pulse rate, constipation, excessive sweating, weight loss, diarrhoea, bloating, and heartburn.

When your blood sugar gets high, this can have a negative impact on your blood circulation. Up to 34 percent of diabetics will develop a foot ulcer in their lifetime as a result of poor circulation. Several factors can contribute to these ulcers, including pressure from your footwear and foot injuries that do not heal and worsen with time. In the most severe cases, gangrene can set in and put you at risk for an amputation. Frequency, intensity and site of application depend on the specific condition and treatment goals. TENS can be used to treat a number of disorders like acute and chronic pain associated with cancer, joint disorders, Alzheimer’s disease, heart disease, autoimmune disorders, back pain, dysmenorrhea, nerve disorders, labor pain, nausea, diabetic peripheral neuropathy, postoperative recovery, gastroparesis, cognitive impairment and much more.

This type of anemia occurs when the overall levels of hemoglobin keep on increasing but the size of red blood cells remain normal. This can be caused by acute blood loss, anemia due to chronic disease, hemolytic anemia and aplastic anemia. Neurological disease due to diabetes is usually diagnosed based on symptoms, medical history and physical examination. The doctor will examine your muscle tone, bone tendon reflexes, touch sensation, thermal sensation and vibration sense. There are a number of animal studies that show that laser not only improves nerve speed, but also promotes nerve regeneration. After a series of laser treatments, researchers looked at the nerves under a microscope. They saw signs that the damaged nerves were sprouting roots, just a a plant clipping placed in water. If the same thing happens in human nerves exposed to laser, it means that laser may be an essential tool in the treatment of peripheral neuropathy.

In this write-up, we will throw light on the types and characteristics of Diabetic Neuropathy so that you can identify the early symptoms of each type and take the right measures to prevent the disorder from aggravating. This is important to know for two reasons. Firstly, if you have diabetes you have to be aware that you can be affected by neuropathy, even if you have normal blood glucose levels. Secondly, having neuropathy does not automatically mean that someone has been irresponsible with their blood glucose levels.

Hormonal disturbances: Changes in hormone levels are a common effect of cancer treatment for many men and women. These hormones include estrogen, progesterone, and testosterone. The result of these changes can be one or more symptoms, from hot flashes, bone weakening, mood, sleep and skin changes (for men and women), to changes in the vagina and urination (for women). There are generally four different types of foot pain, the most common being when the nerves in your foot or on the foot’s skin have been affected. This is called peripheral neuropathy and it takes the form of three different sub neuropathies, autonomic, motor and sensory.

• Peripheral: This is when the condition affects the extremities of your body. This is especially common in the feet. Neuritis can involve either a single nerve or a series of nerves however typically several different groups of nerves in various parts of the body may be involved. • Autonomic: This is when the nerves in the autonomic system are affected. This can affect automatic processes within the body and will generally manifest with stomach issues. If you have foot issues in addition to diabetes, such as a hammertoe or calluses, there are in-depth shoes that are up to 0.5 inches deeper to provide your feet more room for added comfort. You can also choose to have your diabetic shoes custom-made. With this option, a mold of your foot is taken, and the shoes are based on this to ensure a perfect fit. If you have a foot deformity or your feet are an abnormal size or shape, these can be a good choice.

5) Pathophysiology – muscles, joints, ligaments, and organs show wear and tear and premature aging.( This has proven true in numerous low back pain studies ). These are usually the reasons people see chiropractors. Adjustments alleviate these components, providing a powerful medium to combat primary ,as well as secondary symptoms. One unpleasant, although uncommon, side effect of diabetes is a condition called peripheral neuropathy. This condition can cause a slight loss of feeling in the extremities of the body like the feet and this in turn can result in scuffing or cutting of the feet without any “pre-warning” pain.

}

Best Anti Anxiety Medication

Serotonin is not a word on the tips of everyone’s tongue, but many will find the following list of words somewhat familiar: Effexor, Cymbalta, and Paxil. Physical causes of sexual arousal disorder include inflammation of the vagina (vaginitis), inflammation of the bladder (cystitis), endometriosis, an underactive thyroid gland (hypothyroidism), diabetes mellitus, multiple sclerosis, and muscular dystrophy. Sexual arousal disorder may develop as women age. As menopause approaches, the lining of the vagina thins and becomes dry because the estrogen level diminishes. As a result, the ability to become aroused deterate, partly because sexual intercourse may be painful. Taking drugs such as oral contraceptives, antihypertensive, antidepressants, or sedatives can cause sexual arousal disorder. Surgical removal of the uterus (hysterectomy) or breast (mastectomy) may damage a woman’s sexual self-image, contributing to sexual arousal disorder.

Finally, because SSRIs are broadly used, their mixing with other drugs has also been well documented. One well-known example is the natural herb St John’s wort. In a strange twist, the supplement has frequently been touted as a non-artificial cure for depression or anxiety. But unfortunately, it turns out that intake of St. John’s wort inactivates a function of the liver, responsible for catabolizing SSRIs in the blood and eliminating them from the body. Because St John’s wort interferes with liver function, the SSRIs stay in the body for longer and at higher dosage, leading to worsened side effects.

Nerve deformities and lesions are the reasons for neuropathy pains. Damage or malfunction of peripheral nerves also causes neuropathy pains. It also affects Somatosensory system ( consists of receptors and processing centers, responsible for generating sensory modalities). Nerve fibers get damaged themselves or injured due to external activities. When damaged, nerves cannot carry correct signals and responses, shows impact on and around the affected area. There are no particular causes for it, alcoholism, diabetes, age, shocks of electricity, spine surgery, and limb problems are the some common reason included.

The cause of scabies is a tiny 8-legged mite called Sarcoptes scabiei. This mite is so small that you need a magnifying glass to see it. It is attracted by the human body’s smell and heat, and once it gets on the skin it starts to burrow until it reaches under its surface. They create tunnels in there and they start living inside these tunnels. The females also lay eggs in the skin, so once they establish they will soon spread. Sometimes if you look very careful you can see these tiny tunnels. The incubation period of scabies is a few weeks, so the symptoms only appear a few weeks after you get infected with the mites. However, you become contagious right after the infection, so you may have scabies and spread it and not even know about it.

– Viagra (Sildenafil) of Pfizer: acts on the penis by relaxing muscles and increasing blood flow to the region. Effective in cases of partial impotence, erection of providing 40 to 60 minutes after ingestion of the medication, with stimulation of the penis. Its effect can last up to six side reactions such as headaches, nasal congestion, facial flushing and dyspepsia. Heart patients, especially in drug treatment of nitrate (Sustrate, Monocordil, Isordil, Nitradisc, Nitroderm TTS, Isocord, Isosorbide, nitroglycerin) can not take this medicine.

Many patients with Celiac disease also have what the radiologists and neurologists call “UBO’s” on MRI exams of the brain. These unidentified bright objects (think UFO) are white spots that show up on images of the brain. When found in certain locations of the brain they are highly suggestive of multiple sclerosis (multiple scarring spots in the brain). However, though many people with CD have MS like symptoms and these symptoms often respond to a gluten free diet when started early enough, the UBO’s seen on MRI of the brain are typically not in the classic areas of MS. Instead it is common to find them in areas of the brain associated with migraines or balance difficulty (ataxia).

This often times leaves the patient suffering both from the cancer and cancer treatment, with only a few days out of a month when they are enjoying the progress the chemotherapy has made, and the freedom from the hangover that the chemotherapy and accompanying drugs leaves. This in itself is psychologically difficult to manage, and so frankly, the resulting combination of physical and psychological symptoms leaves the patient debilitated and with little hope or motivation other than the idea that all their suffering will be worth something when they beat their cancer.

Organic causes are subdivided according to the etiology. The vasculogênicas are more prevalent, particularly the flow changes, arteriosclerosis and trauma (resulting in injury to blood vessels).Venous flow abnormalities are less common. The neurogenic causes are diabetic neuropathy, multiple sclerosis, alcohol abuse, trauma, spinal cord and nerve damage by radical prostatectomy (surgery to remove the prostate). Since the causes are hormonal hipoandrogenismo primary or secondary (disorders of male hormones).

Often times, a Massage Therapist will meet a survivor that has been cancer free for many years. They show up at your spa and request a deep tissue massage or other body treatment, “I have always received a deep massage from my other therapist, I have been cancer free for 5 years.” Once again the oncology massage training enables you to explain that up to now they have been lucky, but your training allows you to speak with confidence and explain fully why deep tissue is not appropriate for nodal dissection or when bones have been radiated. You might lose a new client, but many times they are grateful for your knowledge and you gain their respect and their business.

Enter Acupuncture, a system of medicine that has been proven to control nausea and vomiting with no side effects, and will not interact with any medication. Patients who receive regular acupuncture treatment while undergoing chemotherapy, can have relief from nausea, vomiting, reduced hair loss, reduced fatigue, reduced neuropathy, increased red and white blood cell counts, and relief from headaches or any other pain. And so they can also undergo their treatment and take less medication, and increase the number of days out of the month that they feel like a decent human being and not a hung over receptacle for numerous pills and injections.

Neurontin was originally approved in 1993 for the treatment of partial seizures in adults and children, especially epileptic seizures. However, this limited market for a drug with so few side effects was not enough for the company, Warner-Lambert. The company set up a massive campaign to improve sales of Neurontin, and it worked. By 2002 Neurontin was a $2 billion dollar drug, outselling even Viagra. How did a little epilepsy drug come to claim such a huge number of patients? It did so illicitly.

Current treatment for erectile dysfunction is a phosphodiesterase-5 inhibitor such as sildenafil (Viagra), tadafil (Cialis), or vardenafil (Levitra). These drugs cannot be used in males taking nitrates, and they need to be used with caution in men taking adrenergic blockers. Side effects include hypotension, syncope, indigestion, headache, and blindness. The response to phosphodiesterase-5 inhibitors is poor in hypogonadal (low-testosterone level) men and can be improved with testosterone replacement.

Another important characteristic of Geranium oil is its diuretic properties.These properties will help to increase urination. Now this is something everyboy needs to know. Urination is one of the natural and is the most effective way of removal of toxins from the body. Bearing in mind that the other two are excretion and perspiration. If the majority of the toxins are flushed from the bodies system through urination then less would be needed through perspiration. These toxins include urea, uric acid, bile salts, pathogens and other synthetic or chemical substances, heavy metals, pollutants and sugar. Urinating also helps reduce excess water in the body and reduces blood pressure, both of which contribute to excessive sweating.

How Neuropathy Leads To Social Exclusion

Through out my career, and now with increasing frequency, I have had the occasion to treat patients with peripheral neuropathy, (PN) often with varied success. Most f. a. q. ‘s on peripheral neuropathy pertain to the symptoms, which are dependent on the type of nerve hit; either just one type or a combination of types. Some common signs of peripheral neuropathy wherein the motor nerve fibers are affected include weak muscle control, loss of sensation and muscle tone, up to the more serious ones like difficulty in moving, breathing and swallowing, lack of dexterity, blurred vision, dizziness, urinary incontinence and even impotence in males. When sensory motors are affected, the signs present are numbness and tingling sensations, burning sensations, loss of vibration sense, loss of position sense, loss of coordination sense, and muscle weakness. Symptoms pertaining to damage to autonomic nerves are centered on the autonomic functions of blood pressure regulation, digestion, urination, and body temperature regulation.

After the identification of the primary cause of the neuropathy and ways on how to cure it, the next step is to help alleviate the debilitating symptoms. For mild to moderate pain, medications are prescribed such as over-the-counter pain relievers like aspirin, acetaminophen, ibuprofen and nonsteroidal anti-inflammatory drugs. Drugs used for seizure attacks can also be prescribed for jabbing pain. Examples of this are gabapentin, carbamazepine, and phenytoin. For non-ingestion of drugs, a lidocaine patch is suggested as well as other topical anesthetics like capsaicin. Tricyclic antidepressants are noted to ease mild to moderate symptoms since they interfere with the chemical processes in the brain that allow you to feel pain. Some examples are nortriptyline, desipramine, and imipramine. Selective serotonin reuptake inhibitors such as paroxetine and fluoxetine hydrochloride, commonly known as Prozac, may also help diminish the pain caused by peripheral neuropathy.

A neuropathy originating form pressure on a nerve can occur when a certain position is held for a long periods of time or specific actions are done repetitively over a long period of time. This causes a pressure on the nerves – such as the radian nerve in the hand – due to its location in the tight compartment of the hand, leading to undue pressure which is what we call Carpal Tunnel Syndrome. The ulnar nerve also gets pressure from sports related injuries such as tennis, when the nerve gets pressure from the constant movement of the elbow. Excessive alcohol intake can also lead to peripheral neuropathies because of the toxins it releases into the blood in the form of free radicals. These free radicals attach themselves to the cells and alter their chemical substances, which in turn produces abnormal effects on the body.

Vitamin B6 (pyridoxine) supplementation during isoniazid (INH) therapy is necessary in some patients to prevent the development of peripheral neuropathy. In vivo pyridoxine is converted into coenzymes which play an essential role in the metabolism of protein, carbohydrates, fatty acids, and several other substances, including brain amines. INH apparently competitively inhibits the action of pyridoxine in these metabolic functions. The routine use of pyridoxine supplementation to prevent peripheral neuropathy in high risk populations is recommended.

Systematic reviews on medications do not show clear evidence that anti-depressants, are more effective than placebo in chronic LBP. Non-steroidal anti-inflammatory drugs (NSAIDs) are effective for short-term symptomatic relief in patients with acute and chronic LBP without sciatica. Muscle relaxants are effective in management of non-specific LBP, but adverse effects require cautious use. Opioids compared to NSAIDs or antidepressants did not show differences regarding pain and function. There are no placebo-randomized controlled trials (RCTs) supporting effectiveness and safety of long-term opioid therapy for treatment of chronic LBP.

Neuropathy may cause social exclusion by severely disabling a person. Often patients with neuropathy may have difficulty in walking and sometimes even frank ataxia also. Patients might develop certain deformities, for example, claw hand due to nerve damage, and may start avoiding social gatherings. The pain and altered sensations like tingling, numbness and other paraesthesias associated with neuropathy sometimes might be very severe and may make the patient seek comfort of home more rather than going out. Diabetic patients with distal neuropathy affecting the lower limbs may prefer to stay at home due to fear of causing injury to the foot. Diabetes often runs in families, and many a times, the patients have witnessed in other family members the serious complications arising from such an injury and are thus are very cautious. Bowel disturbances like severe diarrhea may also make a person more and more confined to home, especially if he has other symptoms of neuropathy.

The elevated blood vessels PTH additional depletes bone Ca2+ and contributes to osteomalacia of chronic renal failing (see later discussion). Congestive heart failure and pulmonary edema can develop in the context of amount and salt overload. Thus, osteodystrophy, neuropathy, bilateral little kidneys shown by abdominal ultrasonography, and anemia are typical initial findings that recommend a chronic course for a individual newly diagnosed with renal failing about the basis of elevated BUN and serum creatinine.

After beginning the treatment protocol she started to get the sensation back in her feet. At two weeks, not only had her peripheral neuropathy symptoms improved, but also her skin temperatures and textures have improved. What follows are synopses of case studies. To the best of my knowledge, this is the first time a comprehensive outpatient drug free treatment for peripheral neuropathy has been so effective. Individuals with chronic renal failure show abnormal hemostasis manifested as elevated bruising, increased blood vessels reduction at surgery, and an elevated incidence of spontaneous GI and cerebrovascular hemorrhage (including both hemorrhagic strokes and subdural hematomas).

Hypertension is a typical finding in chronic renal failing, also generally on the basis of fluid and Na+ overload. However, hyperreninemia is also a recognized syndrome in which falling renal perfusion triggers the failing kidney to overproduce renin and thereby elevate systemic blood stress. Signs and Symptoms of Deficiency: In infants, convulsive seizures and hyperactivity are the usual presenting symptoms. Diarrhea is also common. Anemia and peripheral neuritis are seen in tuberculosis patients on isoniazid who develop pyridoxine deficiency. 20-30% of homocystinuric patients with dislocation of the lens of the eye, osteoporosis (brittle spine), mental retardation, and a tendency for spontaneous blood clots that can lead to heart attacks and death, respond to vitamin B6 therapy.

Evidence strongly suggests that vitamin B6 has a preventive effect in the progression of coronary artery disease. Although it did not show any effect in lowering the fasting plasma homocysteine level, vitamin B6 supplementation is shown to lower postmethionine load tHcy, which might be the reason for its cardioprotective effect. Electronic nerve stimulation can reduce pain. Properly used, it can improve nerve health, increasing the nerves ability to propagate the nerve impulse. There is only one device which is designed to do exactly this, by properly allowing the nerve cells to re-mineralize and repolarize.

Asterixis is manifested as involuntary flapping motions seen when the arms are extended and wrists held back to “stop visitors.” It’s because of to altered nerve conduction in metabolic encephalopathy from the broad range of brings about, including renal failure. Populations at risk: As this vitamin is widely distributed, deficiency is rare except in chronic alcoholics and among women taking oral contraceptives. Elderly persons and infants of preeclamptic mothers or mothers deficient in B6 are at risk. Patients on Cycloserine, hydantoin, hydralazine, isoniazid, and penicillamine should be given B6 supplementation. High protein diet increases the needs of this vitamin.

The first patient is an 80-year-old female who presented to me with a long history of diabetes. She’d been diabetic for about 10 years. She was suffering so badly from peripheral neuropathy that she had been unable to sleep for four years. She was complaining primarily of burning, tingling, very significant sleep disturbance, and a complete loss of sensation in the left great toe. Populations who are prone to be deficient in this vitamin such as chronic alcoholics, women on oral contraceptives, patients on Isoniazid, and athletes should receive supplementation. Pregnant and lactating women should consume adequate amounts of vitamin B6 in their diets for the normal development of central nervous system and cognitive function and for the prevention of abnormal behavioral development.

}

New Relief For Foot Pain Due To Diabetic Neuropathy

The effect peripheral neuropathy can have on one’s feet can be profound. These observations lead surgeons to develop a surgical procedure designed to decompress and release the trapped nerves in the feet of patients suffering with diabetic neuropathy. The results of a large clinical trial were very encouraging. These results suggest that in addition to treating the symptoms of diabetic neuropathy with medications, physical release of the nerves in feet of these patients could produce dramatic improvement in burning pain, numb toes and other symptoms of diabetic nerve complications.

1. Microvascular Therapy: It has been well documented that even in cases where the main arteries are bringing adequate blood flow down the limb, the microvascular circulation, the small tributaries, are not as well functioning. This is particularly true in people with diabetes. Microvascular therapy is achieved through a unit similar to a physical therapy modality. The unit is distributed by Neurovasix and is called Microvas. It is a non-invasive treatment not requiring any medication and has no side effects. The treatment involves a digital wave that causes angiogenesis, the reperfusion of capillaries, which brings more oxygenated blood to the nerves. Patients often feel a dramatic increase in sensation. Some cases report full resolution of peripheral neuropathy symptoms. It has been well documented that people with diabetes suffer from microvascular deficiency and is the primary cause of neuropathy. For that reason, microvascular therapy is much more effective in people with diabetes.

Although the cause of pain in the ball of the foot is varied, the treatment, at least the initial treatment, is the usually the same. We try to reduce load and if necessary movement of the metatarsal heads. This is accomplished by adding a metatarsal pad to an orthotic or arch support. The metatarsal pad fits in the ball of the foot just behind the metatarsal heads. This allows more of the weight to be taken up by the long shafts of the metatarsals and less on the metatarsal heads. The metatarsal pads can be added to a custom arch support. They can also be purchased over-the-counter from a pharmacy or specialty shoe store. The correct placement of the metatarsal pad is critical so follow directions or ask your physician or podiatrist for help.

During a typical day, the average person spends approximately four hours on their feet and takes around 8,000-10,000 steps. So this means that your feet support a united force equal to several hundred tons of repetitive stress in every day. For this reason, foot pain and swelling becomes one of the most common complaints heard by family practice physicians today. Think about how many times at the end of the day your feet are hurting and all you want to do is to get off your feet for a few minutes. Painful feet will certainly get your attention. But let’s think about it for a minute, maybe it isn’t just the fact that you’ve spent way too much time on your feet, maybe there is an underlying foot problem responsible for the some of the discomfort you are experiencing.

Even when the nerves are starting to regenerate, troublesome symptoms may appear. As nerves are damaged, they repair by sprouting. These immature nerve sprouts, called rootlets, are very sensitive. They send signals spontaneously and are very sensitive to stimulation. Even a patient’s clothes touching the skin in the area of these immature rootlets can cause pain. For a patient to obtain good relief, it is essential to help these immature rootlets develop and mature to reduce their mechanical sensitivity.

As with all diabetic complications, prevention is the best treatment. Keeping the blood sugar levels within a normal range is the most important tool in treating and preventing peripheral neuropathy. Even with tight control, most diabetics will develop some level of neuropathy. Considering the severity of the complications associated with neuropathy (ulcers, infections and amputations), the associated pain in PDN, tight blood sugar control is of the utmost importance. Along with a healthy diet, exercising for 30 minutes each day will also help to increase circulation and stimulate the growth of new vessels, which may help slow the progression of neuropathy.

Another symptom that afflicts those with diabetes is poor circulation. A good blood circulation is known to aid your body in all healing processes, so when it becomes sluggish, it takes longer for any injuries to your feet to heal. This is the reason that you need to inspect your feet each day for any sort of scrapes or cuts, and be sure you are also very careful in keeping your toenails trimmed. Trimming of the toenails aids in the avoidance of ingrown toenails. Also of note here, please do not attempt to trim any sort of callus or corn from your feet. Leave this sensitive job for your health care provider to do.

Most podiatrists aren’t superheroes (although, of course, some may be using the mild-mannered podiatric profession to hide their secret life of crime fighting), but they are heroes of a different sort, and are really good at figuring out what the tingling of your feet might be trying to tell you. To determine the cause of your tingly feet, your podiatrist will likely ask you about your symptoms, such as where exactly the tingling occurs, how long it’s been going on, whether anything has made it worse, and whether you’re experiencing any other symptoms. Your podiatrist will also likely examine your foot, and may press on it in an attempt to reproduce your symptoms.

The idea that lipids are associated with small blood vessel disease (microangiopathy) is not new. Previous studies have found associations between high levels of triglycerides in the blood and microangiopathy in diabetics (2). The lack of blood flow to the nerves, as a result of microangiopathy, causes changes within the nerves (demyelination and axonal degeneration) and results in nerve dysfunction. Microangiopathy causes the blood vessel lining to thicken which results in a narrowing of the vessel lumen, reducing blood flow (3). Without adequate blood flow, the nerves undergo changes, which ultimately result in nerve dysfunction. This recent research reinforces the link between small blood vessel disease and diabetic peripheral neuropathy.

Wearing properly fitting shoes during and after pregnancy is of particular importance. Although the ligaments relax in the foot during pregnancy, they do not stay relaxed. The post-pregnancy foot is at higher risk for developing foot problems. There are multiple reasons contributing to the increased risk. The flattened foot places excess stress on the ligament that holds up the arch. The weight gain from pregnancy places excess stress on the feet. Moms are also carrying their baby, added weight which transmits to the feet. Moms are staying at home more often and walking around in slippers and flexible shoes which are generally not supportive.

4. Shoes are Important! With all the discomfort with peripheral neuropathy, it probably is best just to go barefoot, right? WRONG!! For one, the feet must be protected. If someone with peripheral neuropathy has a decrease in sensitivity, as most do, then that person is putting their limbs at risk by not wearing shoes. A foot that does not have full sensitivity cannot be expected to feel what it steps on. This will, at best, cause a lack of balance and, at worst, cause a foreign body to embed into the foot, which can become infected and lead hospitalization or amputation. When looking for a shoe, the sole is most important. A sturdy rubber sole is the best way to protect the foot from foreign objects. If enclosing the foot proves to be too uncomfortable, a looser fitting shoe or sandal can work well also.

As I told you in the beginning of this article I am informing you of what has been working for me. My diet has changed to one of all raw foods. When I saw a doctor she told me that I would need to be on this diet for approximately six months. So far I have been eating uncooked fruits, vegetables and some nuts for three weeks as of May 5, 2007. I am experiencing relief. My feet feel and look better. There is less pain and less of a tingling feeling in my lower extremities. Hey, I am getting petty good diversifying salads I am making. I will keep you apprised as to how I am doing with my diet and condition.

If the neuropathy is caused by diabetes, then the diabetic will need to change his or her diet completely in order to lower blood sugar. Obviously, the sooner the diabetic’s blood sugar is under control, the easier and faster they can get foot neuropathy treatment. After visiting their physician, the diabetic must see a nutritionist. Once their diet is under control, the diabetic is less at a risk of losing their limbs. Amputation of the foot is not the only option. Diabetics suffer from poor circulation, so something as simple as message therapy can help alleviate the symptoms of this disease – that is, if the diabetic’s diet is in place.

This problem is described by people who experience it as a loss of sensation that starts in the tips of their toes and gradually works its way up their legs. This type of complication is also one of the most common of all diabetic complications. Foot ulcers are possible results of this condition if left untreated. This condition can also result in infections and possibly if not treated, amputations. This medical problem can usually be controlled when treated with proper diet and medication, and is an example of why it is important for diabetics to pay extra attention to their feet. Pain, burning and tingling can often be lessened with drugs such as Lyrica and Cymbalta. Lyrica is a new medication that is said to work well on neuropathic pain. Lyrica works by slowing down impulses in the brain that cause this pain. Cymbalta as an alternative is also approved to manage the pain from this condition.

How about treatment? Treatment varies according to what caused the peroneal neuropathy in the first place, but let’s consider a typical case unrelated to severe trauma. Nonsurgical approaches are usually tried first, including avoidance of further pressure on the peroneal nerve, improved nutrition and supplementation of the diet with vitamins. A simple brace applied to the ankle improves walking. In many cases the nerve recovers without anything more drastic being done. But if these conservative treatments fail (and the peroneal neuropathy is not part of a more widespread polyneuropathy) then surgical exploration of the fibular tunnel is often indicated. If the nerve is pinched, then the surgeon frees up the nerve from whatever was pinching it.

}