My father is diabetic and has neuropathy issue and uses to stick to walk outside home, so left leg has less sensation. In 2016 he got treated for kind of clot in brain reports and discharge summary is available. He got cavity vaccination for first dose a month ago. For two things he needed to be consulted 1. Frequently he has feeling of dizziness (recently couple of times he lost his balance) 2. In recent time suddenly he gets leg cramps and can?t walk (especially in the night) 3. He is getting severe pain below knee while he walk (even for a step)
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Prevention of neuropathy: 1. Avoid alcohol consumption and cigarette smoking. 2. Maintain ideal body weight/bmi (body mass index) 3. Lifestyle changes: daily exercises (>30 minutes per day) or brisk walking or swimming; avoid prolonged sitting or standing (>30 minutes). 4. Food/diet should have following components: ?green vegetables e.g. Spinach, fenugreek leaves (methi), radish, etc ?coloured vegetables e.g. Tomato, carrot, capsicum (green/red), ladies-finger (bhindi) ?milk products e.g. Milk, buttermilk, curd, cheese (paneer) ?protein-rich foods e.g. Fish, egg, chicken, pulses (daal) ?fibre-rich foods e.g. Bran, oats, brown-rice ?fruits e.g. Apple, orange, guava, papaya, pomegranate, berries 5. Blood sugar control (in diabetics) 6. Care of feet: ?regular inspection of feet (with mirror) ?comfortable, well-fitted shoes ?regular consultation with a podiatrist ?treatment of wounds, foot deformities 7. Adequate sleep 8. Warm water bath (increases blood flow to the affected area) treatment: ?consult pain medicine specialist. ?neuropathic painkillers e.g. Amitriptyline, pregabalin, gabapentin, capsaicin, duloxetine, etc. ?vit. B12 supplements, anti-oxidants, multi-vitamins. ?transcutaneous electrical nerve stimulation (tens) ?acupuncture ?relaxation and yoga ?neural prolotherapy a burning sensation in your feet may be caused by nerve damage in the legs, also called neuropathy. Although many medical conditions can cause burning feet, diabetesis the most common. Most burning feet treatments focus on preventing further nerve damage and reducing pain. Causes of burning feet most often, neuropathy is the cause of burning feet. Damaged nerve fibers are more likely to become overactive and misfire. The damaged nerves send pain signals to the brain even though there is no wound. In most people with neuropathy, the leg nerves become damaged first. These people often have tingling and numbness in the feet as well. Many people complain that their feet are overly sensitive to touch (hyperesthesia) and can have varying degrees of burning pain. It can range from mild to disabling. Diabetes and alcohol abuse are by far the most common causes of neuropathy in the legs. Many other conditions can cause neuropathy or a burning sensation in the feet: besides neuropathy, infections and inflammation of the feet can also cause a burning sensation. The most common of these is athlete's foot, an infection of the skin caused by fungus. Peripheral artery disease (pad) also commonly causes burning feet. The poor circulation of blood to the feet may frequently cause pain, tingling, and burning feet, especially while walking. ?chronic kidney disease (uremia) ?small fiber neuropathy ?vitamin deficiency (vitamin b12, folate, and occasionally vitamin b6) ?alcohol abuse ?low thyroid hormone levels (hypothyroidism) ?lyme disease ?hiv/aids ?amyloid polyneuropathy ?drug side effects, including chemotherapy drugs, vitamin b6 overdose, hiv medicines, amiodarone, isoniazid, metformin, and others ?erythromelalgia ?heavy metal poisoning (lead, mercury, arsenic) ?vasculitis (inflammation of bloodvessels) ?sarcoidosis ?guillain-barre syndrome (gbs) ?chronic inflammatory demyelinating polyneuropathy (cidp) ?always use the footwear of proper fitting and which is comfortable. ?always use socks. Never use shoes without socks. ?after a long day work, it is advisable to stretch and also to ice your feet. ?provide rest to your feet as much as you can. ?avoid the use of alcohol or any narcotic items. ?acupuncture or magnetic therapy shall be done whenever possible to keep the nerves active. ?follow all the instructions as given by the doctor. Radiculopathy, also commonly referred to as pinched nerve, refers to a set of conditions in which one or more nerves are affected and do not work properly (a neuropathy). This can result in pain (radicular pain), weakness, numbness, or difficulty controlling specific muscles.[1] in a radiculopathy, the problem occurs at or near the root of the nerve, shortly after its exit from the spinal cord. However, the pain or other symptoms often radiate to the part of the body served by that nerve. For example, a nerve root impingement in the neck can produce pain and weakness in the forearm. Likewise, an impingement in the lower back or lumbar-sacral spine can be manifested with symptoms in the foot. The radicular pain that results from a radiculopathy should not be confused with referred pain, which is different both in mechanism and clinical features. This should be due to the sciatic nerve compression in the right side probably close to your l5 vertebrae. It can also be due to the strain on the left leg, try wearing mcr chappals which would help you to get relieved from pain. Juice helps you to get cleansed with toxins. Ginger in general is good for joint pain and honey / black pepper helps you to get rid out of toxins quickly increase rom- free active exercises of lumbar spine. Pelvic tilting forward, backward in crook lying, quadriped, sitting and standing. Mobilization- restoration of intersegmental mobility by accessory pressure enables the patient to regain full functional painfree movement.
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