Medicine For Diabetic Peripheral Neuropathy

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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If you are suffering from burning pain or tingling sensation in hands or feet; sharp shooting pain in legs; numbness in hands or feet, then you might be suffering from neuropathic pain. What is a neuropathic pain? Neuropathic pain is a special type of pain which occurs when there is damage to nerve fibres, which produces tingling or burning type of pain. It is of two types: 1. Peripheral neuropathic pain: it occurs when there is an injury to peripheral nerve fibres (a-delta or c-fibers) which carries pain sensation to the brain (thalamus) for interpretation. 2. Central neuropathic pain: it occurs due to sensitization of central pain interpreting mechanisms (thalamus) to falsely feel pain when peripheral nerve fibres are no longer sending pain impulses to them. Worldwide-estimates of the prevalence of neuropathic pain is 7% i.e. 7 persons out of 100 people are suffering from different types of neuropathic pain. Symptoms: •tingling sensation or feeling of ants crawling under skin •burning sensation •sharp shooting pain or electric current-like sensation •stabbing pain •dull pain with numbness or heaviness reasons for neuropathic pain: •diabetes mellitus: most common cause worldwide due to uncontrolled blood sugar levels, causing damage to nerve fibres. •alcohol consumption/cigarette smoking: damage to nerve fibres or damage to blood vessels supplying nerve fibres. Burning pain in feet •neck pain/low back pain/glutei pain •vit. B12 deficiency •chemotherapy for cancer patients •post-herpes virus infection •post-spine surgery •post-amputation •diseases like spinal cord injury, multiple sclerosis, hiv, lead toxicity, etc. Special neuropathies: 1. Carpal tunnel syndrome: tingling, burning sensation in hand which occurs due to compression of median nerve in the wrist area. It occurs in women especially due to pregnancy, hypothyroidism, diabetes, etc. And in men due to improper position of the wrist during working on computers. 2. Cervical radiculopathy: pain in neck and shoulder region (which increases with neck movements), along with sharpshooting pain radiating from neck to hand occurs in cases of cervical radiculopathy. This is due to compression of the cervical nerve root by disc prolapse, facet subluxation, muscle spasm, trauma, etc. 3. Lumbar radiculopathy: pain in lower back or glutei region with sharp shooting pain radiating from hip to leg/foot region, occurs in cases of lumbar radiculopathy or sciatica. This is due to compression of lumbar nerve root or sciatic nerve by disc prolapse, facet joint, trauma, hypertrophied ligamentumflavum, piriformis syndrome, etc. 4. Meralgiaparesthetica: tingling or burning sensation in front of the thigh, occurs due to compression of lateral cutaneous nerve of thigh, near waist region. Usual causes are tight or constrictive clothing at waist region, prolonged sitting, protuberant abdomen, etc. 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. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Burning pain or tingling sensation in hands or feet if you are suffering from burning pain or tingling sensation in hands or feet; sharp shooting pain in legs; numbness in hands or feet, then you might be suffering from neuropathic pain what is a neuropathic pain? Neuropathic pain is a special type of pain which occurs when there is damage to nerve fibres, which produces tingling or burning type of pain. It is of two types: 1. Peripheral neuropathic pain: it occurs when there is an injury to peripheral nerve fibres (a-delta or c-fibers) which carries pain sensation to the brain (thalamus) for interpretation. 2. Central neuropathic pain: it occurs due to sensitization of central pain interpreting mechanisms (thalamus) to falsely feel pain when peripheral nerve fibres are no longer sending pain impulses to them. Worldwide-estimates of the prevalence of neuropathic pain is 7% i.e. 7 persons out of 100 people are suffering from different types of neuropathic pain. Symptoms: •tingling sensation or feeling of ants crawling under skin •burning sensation •sharp shooting pain or electric current-like sensation •stabbing pain •dull pain with numbness or heaviness reasons for neuropathic pain: •diabetes mellitus: most common cause worldwide due to uncontrolled blood sugar levels, causing damage to nerve fibres. •alcohol consumption/cigarette smoking: damage to nerve fibres or damage to blood vessels supplying nerve fibres. Burning pain in feet •neck pain/low back pain/glutei pain •vit. B12 deficiency •chemotherapy for cancer patients •post-herpes virus infection •post-spine surgery •post-amputation •diseases like spinal cord injury, multiple sclerosis, hiv, lead toxicity, etc. Special neuropathies: 1. Carpal tunnel syndrome: tingling, burning sensation in hand which occurs due to compression of median nerve in the wrist area. It occurs in women especially due to pregnancy, hypothyroidism, diabetes, etc. And in men due to improper position of the wrist during working on computers. 2. Cervical radiculopathy: pain in neck and shoulder region (which increases with neck movements), along with sharpshooting pain radiating from neck to hand occurs in cases of cervical radiculopathy. This is due to compression of the cervical nerve root by disc prolapse, facet subluxation, muscle spasm, trauma, etc. 3. Lumbar radiculopathy: pain in lower back or glutei region with sharp shooting pain radiating from hip to leg/foot region, occurs in cases of lumbar radiculopathy or sciatica. This is due to compression of lumbar nerve root or sciatic nerve by disc prolapse, facet joint, trauma, hypertrophied ligamentumflavum, piriformis syndrome, etc. 4. Meralgiaparesthetica: tingling or burning sensation in front of the thigh, occurs due to compression of lateral cutaneous nerve of thigh, near waist region. Usual causes are tight or constrictive clothing at waist region, prolonged sitting, protuberant abdomen, etc. 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. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

91% (41326 ratings)

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Burning pain or tingling sensation in hands or feet if you are suffering from burning pain or tingling sensation in hands or feet; sharp shooting pain in legs; numbness in hands or feet, then you might be suffering from neuropathic pain what is a neuropathic pain? Neuropathic pain is a special type of pain which occurs when there is damage to nerve fibres, which produces tingling or burning type of pain. It is of two types: 1. Peripheral neuropathic pain: it occurs when there is an injury to peripheral nerve fibres (a-delta or c-fibers) which carries pain sensation to the brain (thalamus) for interpretation. 2. Central neuropathic pain: it occurs due to sensitization of central pain interpreting mechanisms (thalamus) to falsely feel pain when peripheral nerve fibres are no longer sending pain impulses to them. Worldwide-estimates of the prevalence of neuropathic pain is 7% i.e. 7 persons out of 100 people are suffering from different types of neuropathic pain. Symptoms: •tingling sensation or feeling of ants crawling under skin •burning sensation •sharp shooting pain or electric current-like sensation •stabbing pain •dull pain with numbness or heaviness reasons for neuropathic pain: •diabetes mellitus: most common cause worldwide due to uncontrolled blood sugar levels, causing damage to nerve fibres. •alcohol consumption/cigarette smoking: damage to nerve fibres or damage to blood vessels supplying nerve fibres. Burning pain in feet •neck pain/low back pain/glutei pain •vit. B12 deficiency •chemotherapy for cancer patients •post-herpes virus infection •post-spine surgery •post-amputation •diseases like spinal cord injury, multiple sclerosis, hiv, lead toxicity, etc. Special neuropathies: 1. Carpal tunnel syndrome: tingling, burning sensation in hand which occurs due to compression of median nerve in the wrist area. It occurs in women especially due to pregnancy, hypothyroidism, diabetes, etc. And in men due to improper position of the wrist during working on computers. 2. Cervical radiculopathy: pain in neck and shoulder region (which increases with neck movements), along with sharpshooting pain radiating from neck to hand occurs in cases of cervical radiculopathy. This is due to compression of the cervical nerve root by disc prolapse, facet subluxation, muscle spasm, trauma, etc. 3. Lumbar radiculopathy: pain in lower back or glutei region with sharp shooting pain radiating from hip to leg/foot region, occurs in cases of lumbar radiculopathy or sciatica. This is due to compression of lumbar nerve root or sciatic nerve by disc prolapse, facet joint, trauma, hypertrophied ligamentumflavum, piriformis syndrome, etc. 4. Meralgiaparesthetica: tingling or burning sensation in front of the thigh, occurs due to compression of lateral cutaneous nerve of thigh, near waist region. Usual causes are tight or constrictive clothing at waist region, prolonged sitting, protuberant abdomen, etc. 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. 

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Mr. Ashish PuniaDiploma in Nutrition and Health Education (DNHE)Dietitian/Nutritionist

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Dear lybrate-user, kindly please do the following on regular basis himalaya diabecon ds once daily himalaya bael once daily for digestion nestle resource diabetic for any neuropathic pain. Also do weekly lemongrass + lemon + honey in warm water. Practice diaphragmatic breathing for 15 minutes daily avoid nuts, seeds, dry fruits, soya, peanut butter etc as it contain phytic acid which is antinutrients in nature, which deplete our calcium reserves thereby causing weakness and pain. Drink mineral water instead of ro, as essential tds is removed from distilled water. I wish you all the best! 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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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. Burning foot painburning foot pain is a common complaint, usually as a result of damage to the nerves of the foot or leg. It may develop due to an injury or medical condition either of which can cause compression of the nerves. Our nerves are the structures that carry messages to and from the brain. They tell our muscles when and how to work and are responsible for sensation including pressure and temperature. Damage to the nerves affects how these signals are transmitted. Burning type symptoms may be constant or come and go, vary in intensity and be accompanied by other sensations such as pins and needles or numbness. It all depends on what is causing the problem. Causes of burning foot painaccurate diagnosis of burning foot pain is vital to ensure appropriate treatment is started as soon as possible to prevent further damage. Here we will look at the most common causes of burning pain in feet, how they present, what causes them and how they are treated. Treatmentcold water foot baths, vitamin b supplements, comfortable footwear (mcr chapelles) 

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Dr. Prabhakar Laxman JatharMBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)Endocrinologist

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Hello, thanks for the query. I have seen the details mentioned. The symptoms of peripheral neuropathy like burning pain or irritation, those can be effectively controlled by using certain medications like gabapentine, pragabalin & methylcobalamineetc. But it is difficult to "cure" those. The reason is those are part of the long term complications of diabetes mellitus. Neuropathy tends to be more severe and repetitive if blood glucose is not in proper control. I am sure you are aware at your age ideally fbg should be just around 100 mg & pp glucose should be 150 170 mg, plus hba1c% has to be < 7%. Since there is no information on those, it is difficult to know how good is your blood glucose control. The medications being used are good enough, but strict glucose control is also more important. Thanks. 

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Dr. Jayvirsinh ChauhanMD - Homeopathy, BHMSHomeopathy Doctor

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Allopathic medicine can be the cause. Homoeopathic treatment side by side can help improve the sexual performance. You can consult online for proper homeopathic treatment. 

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Dr. Prabhakar Laxman JatharMBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)Endocrinologist

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Hello, thanks for the query. Madam, I have gone through the details mentioned. It is good to know you have been able to control the glucose levels better since some time. The levels mentioned (fasting & pp) are quite good so is the hba1c%. As regards the development of tingling & numbness in the feet, these symptoms are almost always seen when diabetes is present for a few years. This is due to the development of peripheral neuropathy, which a common long term consequence of diabetes seen in a large number of patients. This does tend to develop even when the control is fairly good. In this situation apart from maintaining well controlled glucose level, regular exercise and continuing to lead a modified lifestyle, certain drugs may be needed to control troublesome symptoms present. So please let me know your height, weight, dietary pattern and extent of daily exercise. Also let me know the serum creatinine and urea through the private conversation, so that I will be able to give specific guidance and prescribe the necessary medication if required. In this communication we are supposed to give only general guide lines, no drugs can be recommended. Thanks. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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If you are suffering from burning pain or tingling sensation in hands or feet; sharp shooting pain in legs; numbness in hands or feet, then you might be suffering from neuropathic pain. Burning pain in feet •neck pain/low back pain/glutei pain •vit. B12 deficiency •chemotherapy for cancer patients •post-herpes virus infection •post-spine surgery •post-amputation •diseases like spinal cord injury, multiple sclerosis, hiv, lead toxicity, etc. Feet burning sensation 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. Burning foot painburning foot pain is a common complaint, usually as a result of damage to the nerves of the foot or leg. It may develop due to an injury or medical condition either of which can cause compression of the nerves. Our nerves are the structures that carry messages to and from the brain. They tell our muscles when and how to work and are responsible for sensation including pressure and temperature. Damage to the nerves affects how these signals are transmitted. Burning type symptoms may be constant or come and go, vary in intensity and be accompanied by other sensations such as pins and needles or numbness. It all depends on what is causing the problem. Causes of burning foot painaccurate diagnosis of burning foot pain is vital to ensure appropriate treatment is started as soon as possible to prevent further damage. Here we will look at the most common causes of burning pain in feet, how they present, what causes them and how they are treated. Treatmentcold water foot baths, vitamin b supplements, comfortable footwear (mcr chapelles) 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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It can be because of muscle cramp, muscle strain, achilles tendonitis, sciatica, diabetic peripheral neuropathy etc. For calf pain caused by overuse or mild-to-moderate trauma, you can try this: 1.r.i.c.e. (rest, ice, compression, and elevation). Icing and elevating the leg are two common principles of r.i.c.e. That are useful for calf pain. Try elevating your leg at or above the level of your heart to get swelling to decrease. Applying an ice pack in 20-minute intervals may also help. 2. Stretching. Light stretching can help ease calf pain. After the symptoms subside slightly, you should stretch your calf muscles. Common exercises to accomplish this include: calf raises downward-facing dog straight calf stretches homeopathy is a very effective for this problem n has very encouraging results. And homeopathic medicines are safe and do not have any side effects at all. 

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