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Diabetic Peripheral Neuropathy Tips

Peripheral Neuropathy - How To Avoid It?

Dr. Purav Patel 84% (10 ratings)
D.N.B Neurosurgery
Neurosurgeon, Ahmedabad
Peripheral Neuropathy - How To Avoid It?

The sensation of pain and numbness are quite common in patients suffering from high blood sugar. If you are suffering from nerve damage from high blood sugar, chances are you have diabetic peripheral neuropathy. The discomfort can affect your mood and overall quality of life. But with some easy to follow steps can help you keep peripheral neuropathy under control.

  1. Keep your blood sugar levels under control: Your first task is to manage your blood sugar levels under control and with the passage of time it will damage the peripheral nerves and pave the way for diabetic neuropathy. If you can keep your blood sugar levels within a healthy range, you will be able to reduce the risk of nerve damage by about 60 percent. You should talk to your doctor first since a rapid drop in the blood sugar levels can prove to be even worse.
  2. Get the right level of Vitamin D: Your skin functions by producing Vitamin D in response to sunlight and it is immensely helpful in shielding against nerve pain. It has been found people who have lower levels of this nutrient are more likely to suffer from more pain. In case it is hard to get the recommended daily intake from food only, you will have to take supplement pills.
  3. Keep away from smoking: We all know that smoking causes the blood vessels to constrict which hampers circulation. If you don’t quit smoking, your peripheral nerves may not be able to nutrient-rich blood which would make pain worse.
  4. Take a warm bath: Warm water is not just relaxing, it can also improve circulation all through the body. It can provide instant relief. But it is worthy of mention here that since diabetic neuropathy leads to loss of sensation, you should ensure that the water isn’t too hot before you jump in.
  5. Seek resort to over the counter medications: There is a host of painkillers available for easing mild to moderate ache stemming from diabetic neuropathy. These include ibuprofen, aspirin, naproxen and acetaminophen. But before taking any of these pills, you should consult with an expert who can choose the right medicine for you.
  6. Get up and move: Exercise can combat pain in a variety of ways. It helps in keeping blood sugar levels under control which, in turn, can hinder nerve damage. Workout increases blood flow to the extremities while also uplifting your mood. It will help you get rid of stress so that you can better deal with the symptoms of peripheral neuropathy. In a study conducted by the University of Kansas, it was found that people who exercise regularly didn’t face any trouble in doing daily activities.
  7. Consider carpal tunnel surgeryWhen the patient is suffering from localized peripheral nerve compression that affects the hands, carpal tunnel surgery can be considered as a last resort to achieve pain relief, reduced incidence of ulceration, increased range of movement and balance, preservation of limbs and improved quality of life.

With these few tips, you will be able to manage the peripheral neuropathy better.

2956 people found this helpful

Peripheral Neuropathy - 6 Things You Should Know!

Dr. Meghana Patwardhan 87% (47 ratings)
MBBS, Diploma in Anesthesia, FIPM, Clinical Fellowship Training in Chronic Pain Management
Pain Management Specialist, Mumbai
Peripheral Neuropathy - 6 Things You Should Know!

Leading a life with peripheral neuropathy is quite similar to riding a roller coaster. Managing the pain can be frustrating at one time and overwhelming on the other as patients can experience alternating symptoms with debilitating pain. So you should learn about the various treatment options as they can help you go a long way in managing the pain.

The peripheral nerves are considered the longest in the body which extend from the hands to feet. When these nerves are damaged, you may feel some sort of pain, tingling in the hands and feet and even numbness, and these symptoms can even get worse and you may experience stabbing pain with increasing weakness.

There are many things that you should know about peripheral neuropathy as they would help you to manage the condition much more effectively.

  1. Diabetes is the leading cause of neuropathy: More than 70% of diabetics develop symptoms of peripheral neuropathy. So you should keep your blood sugar within optimum levels as a means of reversing diabetic neuropathy.
  2. A melange of causes behind neuropathy: Though diabetes is the number 1 cause of peripheral neuropathy, other causes include deficiency of vitamin B12, alcoholism, traumatic injury, chemotherapy and exposure to toxic substances. Physicians may find it difficult to pin-point the cause and when this happens. This is often termed as ‘idiopathic neuropathy’.
  3. Medications causing neuropathy: If you are suffering from diabetes and being treated with the drug named metformin, you may develop peripheral neuropathy.
  4. Preventing neuropathy is the most recommended way: While it is the fact that some nerves may potentially get damaged from certain surgeries or injury, peripheral neuropathy can be potentially prevented or sometimes stopped from spreading. As diabetes is a major cause of diabetes, being watchful about your diet and exercising regularly can help you go a long way to prevent diabetes as well as neuropathy.
  5. Pain is not simply confined to a tingling sensation: Though pain and a tingling sensation is the commonest and easiest way of recognising the symptoms of peripheral neuropathy, each of your sensory, motor and autonomic nerves can show different set of symptoms that you should be watchful of.
  6. A diet may make the symptoms even worse: You can either help or hurt your nerves with your choice of foods. For improving symptoms, you should avoid food with excessive sugar, refined grains and artificial sweeteners as they may strain your nerves and irritate them further.

Whether you are recently diagnosed with peripheral neuropathy or living with it for many years, understanding a few conditions would help you make informed decisions about your well-being. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

2572 people found this helpful

Peripheral Neuropathy - Ways To Control It!

Dr. Amit Kumar Ghosh 86% (140 ratings)
MBBS, DNB, Fellowship In Neurosurgery
Neurosurgeon, Kolkata
Peripheral Neuropathy - Ways To Control It!

The sensation of pain and numbness are quite common in patients suffering from high blood sugar. If you are suffering from nerve damage from high blood sugar, chances are you have diabetic peripheral neuropathy. The discomfort can affect your mood and overall quality of life. But with some easy to follow steps can help you keep peripheral neuropathy under control.

  1. Keep your blood sugar levels under control: Your first task is to manage your blood sugar levels under control and with the passage of time it will damage the peripheral nerves and pave the way for diabetic neuropathy. If you can keep your blood sugar levels within a healthy range, you will be able to reduce the risk of nerve damage by about 60 percent. You should talk to your doctor first since a rapid drop in the blood sugar levels can prove to be even worse.
  2. Get the right level of Vitamin D: Your skin functions by producing Vitamin D in response to sunlight and it is immensely helpful in shielding against nerve pain. It has been found people who have lower levels of this nutrient are more likely to suffer from more pain. In case it is hard to get the recommended daily intake from food only, you will have to take supplement pills.
  3. Keep away from smoking: We all know that smoking causes the blood vessels to constrict which hampers circulation. If you don’t quit smoking, your peripheral nerves may not be able to nutrient-rich blood which would make pain worse.
  4. Take a warm bath: Warm water is not just relaxing, it can also improve circulation all through the body. It can provide instant relief. But it is worthy of mention here that since diabetic neuropathy leads to loss of sensation, you should ensure that the water isn’t too hot before you jump in.
  5. Seek resort to over the counter medications: There is a host of painkillers available for easing mild to moderate ache stemming from diabetic neuropathy. These include ibuprofen, aspirin, naproxen and acetaminophen. But before taking any of these pills, you should consult with an expert who can choose the right medicine for you.
  6. Get up and move: Exercise can combat pain in a variety of ways. It helps in keeping blood sugar levels under control which, in turn, can hinder nerve damage. Workout increases blood flow to the extremities while also uplifting your mood. It will help you get rid of stress so that you can better deal with the symptoms of peripheral neuropathy. In a study conducted by the University of Kansas, it was found that people who exercise regularly didn’t face any trouble in doing daily activities.
  7. Consider carpal tunnel surgeryWhen the patient is suffering from localized peripheral nerve compression that affects the hands, carpal tunnel surgery can be considered as a last resort to achieve pain relief, reduced incidence of ulceration, increased range of movement and balance, preservation of limbs and improved quality of life.

With these few tips, you will be able to manage the peripheral neuropathy better. In case you have a concern or query you can always consult an expert & get answers to your questions!

3350 people found this helpful

Peripheral Neuropathy - How Ayurveda Can Help You Treat it?

Dr. S.K. Baidya 88% (4798 ratings)
BAMS
Ayurveda, Kolkata
Peripheral Neuropathy - How Ayurveda Can Help You Treat it?

Neuropathy, popularly called us peripheral neuropathy, is a condition where the nerves that are responsible for carrying information from spinal cord to brain is damaged. It is always good to consult your Ayurvedic doctor to treat neuropathy. The affected patients are treated naturally with Bhumyamalaki Chura 3g on a dosage of two times per day. It is always good to go by

Symptoms
Peripheral neuropathy condition results in numbness and pain in feet and hands. The usual symptoms of the disease include infections, metabolic disorders, exposure to toxins and injuries. Sometimes tingling or pain of toes, legs, feet, arms, hand, fingers etc. may happen.

Causes
In spite of reducing the body’s toxicity, it is very important to identify the root cause for the disease. Here the essential cause for the disease includes viruses, inflammation and oxidation.

Treatment

  1. Intake of 600 mg lipoic acid per day would reduce the symptoms of peripheral neuropathy. In case of diabetes patients, it is good to monitor the blood glucose level, as the intake of lipoic acid on a regular basis might reduce blood glucose level.
  2. Another effective medicine to control the symptom of Peripheral neuropathy is CoQ10. This is very good at treating heart and brain.
  3. Omega-3 fatty acid is also good at treating this disease. Salmon fish and flax seeds acids are the natural source of fatty acids that helps in reducing the inflammation I the body.
  4. An herb known as St.John’s wort is good at treating all types of nerve injuries, especially to the toes and fingers. It helps in reducing the burning and shooting pain. The herb is very powerful in treating mild depression and is anti-viral herb.
  5. The numbness and weakness in the limb can be cured by the regular usage of oat seed. It is an herb that is rich in minerals. It is a safe natural medicine free from any side effect.
  6. Another herb called passion flower is useful in curing from agitation, spasms, muscle twitching and restlessness.
  7. Nettle and Ginko Bilba are other useful herbs that help in treating peripheral neuropathy. If you wish to discuss about any specific problem, you can consult an Ayurveda.
3565 people found this helpful

Role Of Physiotherapy In Peripheral Neuropathy!

Master of Physiotherapy (MPT-Neuro), Bachelor of physiotherapy(BPT)
Physiotherapist, Ahmedabad
Role Of Physiotherapy In Peripheral Neuropathy!

Peripheral neuropathy (PN) is damage to or disease affecting nerves, which may impair sensation, movement, gland or organ function, and affects other aspects of health, depending on the type of nerve affected. The treatment by a physical therapist helps in reducing symptoms and improves an individual’s quality of life. As the cause, type, and symptoms of peripheral neuropathy can vary, the approach to care also varies. Physical therapy is helpful in maintaining strength, mobility, and function. 

Strengthening exercises for peripheral neuropathy moderately improve muscle strength. Exercising can help, when done regularly. They further reduce the neuropathic pain and also helps in controlling the blood sugar levels.

Objectives of physiotherapy include:

  • Maintaining and improving functions via a range of motion through stretching.

  • Strengthening muscles which include exercising against increasing resistance, use of weights and isometric exercise.

  • Balance training helps in providing stability and prevents falls.

  • Braces or splints can be used to enhance balance and posture.

  • Splinting is used in the treatment of compression mononeuropathies, such as carpal tunnel syndrome.

Following recommendations and care are provided by physiotherapist:

  • Moderate intensity exercise- It helps to improve strength and physical function.

  • Never gliding activities- Includes exercises shown by a physiotherapist who will help you move and glide your nerves.

  • Balance and coordination activities - Your physiotherapist works on strategies to improve your balance and coordination. Improving balance and coordination helps to decrease your risk of falling and injuries that arise due to it. Balance exercises are a crucial part of the recovery of peripheral neuropathy. Balance training is important in overcoming the feeling of stiffness and unsteadiness, especially among elderly people.

  • Education – Your physiotherapist educates you on how to safely manage peripheral neuropathy. It mainly focuses on improving your safety, preventing further complications, and finding alternative ways to perform certain tasks.

  • Kinetic therapy in peripheral nerve injuries- It should not be started until the late stage of nerve regeneration when progressive strength return can be seen. After an injury to the nerve, physiotherapeutic methods are used to eliminate paresis and to restore normal function of muscles as well as to improve circulation.

  • Electrostimulation – It plays an important role in the treatment of various neuromuscular dysfunctions.

  • Magnetotherapy- It is used where a pulsed low-frequency magnetic field is applied. It has well-known effects on enhancing enzymatic activity, oxy-reductive processes and proper blood circulation resulting in better oxidation and conduction characteristics of regenerating peripheral nerves. It enhances the regeneration of nerve fibers.

  • Bio-laser stimulation- where low energy biostimulation lasers are used in palatial, continuous manner. Laser radiation can also be used to rejoin the nerve stumps.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5225 people found this helpful

Diabetic Neuropathy - Treat it with Ayurvedic Remedies

Dr. S.K. Baidya 88% (4798 ratings)
BAMS
Ayurveda, Kolkata
Diabetic Neuropathy - Treat it with Ayurvedic Remedies

Diabetes is a group of metabolic disorder in which the blood glucose level remains persistently high and requires lifelong medications, diet control and several other factors to maintain it in the normal level. Person having diabetes commonly end up with a serious complication called as ‘diabetic neuropathy’. It is also referred as peripheral neuropathy in which the peripheral nerves which are responsible for caring the impulse towards and away from the brain get affected. The symptoms may vary depending upon the type of nerve that gets affected but most commonly people may experience pain, numbness and tingling sensation over the arms and lower extremities.

The most important thing to be done in curing diabetic neuropathy is to maintain the blood sugar level to normal always with proper medication, diet and adequate physical exercises. Ayurveda uses few precious herbs to cure diabetic neuropathy, which are identified by our ancestors before many decades. Some of the herbs are: 

  1. Ashwagandha which is also referred as Indian Ginseng is the best herb which has many medicinal effects and mainly used for ailing the disorders of nervous system. This herb acts on the nerves and also improves the strength and physical stamina. It also used for relieving the pain over the calf muscles, loss of weight because of diabetes, neuropathy, stress, frequent urination and nerve exhaustions.
  2. Manjishtha is an herb used in Ayurveda as a treatment for several diabetic complications. It treats not diabetic neuropathy, but also cures diabetic nephropathy and retinopathy. It acts as a best remedy for several chronic infections and inflammations. It has been noted that it has a calming effect on the nervous system thus it can also be used for the treatment of epilepsy.

Ayurvedic treatment for diabetic neuropathy

  1. Abhyangam, in which the whole body is massaged gently with the medicated oil to improve the circulation of blood, causes nerve stimulation effect and also relieves stress. They concentrate mainly on the foot (Padabhyanga) which is commonly affected in neuropathy.
  2. Sirodhara deep relaxation and revitalisation of the central nervous system which is found to get affected in neuropathy.
  3. Ksheeradhoomam, it is a process done for the problems of nervous system and other neck problems by applying special type of medicated steaming. If you wish to discuss about any specific problem, you can consult an Ayurveda.
3435 people found this helpful

Danger Signs in Diabetic Neuropathy

Dr. Pavan Murdeshwar 93% (3210 ratings)
MCh - Plastic & Reconstructive Surgery
Cosmetic/Plastic Surgeon, Bangalore
Danger Signs in Diabetic Neuropathy

Global statistics state that 60% of the diabetics are known to have foot neuropathy and almost 1 in 5 diabetic foot ulcers end in amputation. This is a known fact. But what is unknown is that the acting earliest and taking a podiatrist advice on the appearance of the danger signs, reduce this likelihood of amputation by 85%. In a normal lifetime the feet support a human being for over a hundred thousand steps, which is roughly equal to 4 times around the world. So it’s time you show how much you support your feet

Danger signs

  1. Pins and needles sensation, leg cramps, numbness over the bottom of feet or the feeling as if feet is on fire.
  2. Pain or difficulty in walking, swelling in the feet.
  3. Excessive smelly feet.
  4. Red spots, bruising, colour change.
  5. Cuts, sores, blisters.
  6. Ulcer, pus, discharge.
  7. Corns, calluses, hard skin.
  8. Ingrown toe nails or the Infected ones with thick/ brittle/ yellowish discoloration.
  9. Change in the structure of the toes, foot or sole.

    Any of these danger sign necessitates your urgent consult with a podiatrist. Never hesitate to consult for the silliest of the reason. It is your foot and you have to act. Taking care of these simple things will definitely keep your feet far from the worse. 

2 people found this helpful

Diabetic Neuropathy - How Ayurveda Can Help You Manage It?

Dr. Mayur Surana 86% (586 ratings)
MD, DYA, PGDCR
Ayurveda, Nashik
Diabetic Neuropathy - How Ayurveda Can Help You Manage It?

How to manage diabetic neuropathy naturally?
Diabetic neuropathy is a chronic medical condition that results in nerve damage. This occurs due to the inefficient usage of insulin hormone in the body. More than 60 diabetic patients shows one or the other signs of neuropathy. The latter can aggravate to more complicated problems, if the blood sugar levels are not kept in check. Here is a list of some natural remedies that will help you fight diabetic neuropathy.

  1. Controlling the blood sugar level: It is important to maintain a healthy blood sugar level to prevent any further damage of blood vessels, nerves, skin, eyes and other parts of the body. The best way to keep your blood sugar in check is by maintaining a healthy diet, exercising on a daily basis and living a stress-free life. Frequent blood sugar tests should be conducted to ensure that the readings are within the accepted level.
  2. A proper diet: Diet of a person has a direct effect on the blood sugar levels. Intake of refined carbs and sugar drinks should be strictly avoided to stabilize blood sugar. Fresh fruits and vegetables that are rich in vitamins and fiber, and are antioxidant in nature should be consumed regularly. Other food items such as wild-caught fish, olive oil, nuts, avocado, coconut oil, egg whites (albumen), legumes and stevia greatly help in maintaining blood sugar level.
  3. Exercise and physical activity: A study conducted by the Journal of Diabetes Complications in 2012 reported that daily exercise significantly helps a diabetic neuropathy patient to bring down the blood sugar to a more accepted level. Walking for a span of 30-45 minutes daily, performing mild exercises, cycling and swimming lower the blood sugar level. They also help the body in using the insulin in a much better fashion, reducing cholesterol and improving blood circulation in the body. Additionally, daily exercise strengthens muscles and increases mobility.
  4. Refrain from toxic chemicals: Chemicals such as pesticides, beauty products and unnecessary antibiotics can lead to kidney stone formation for a patient of diabetic neuropathy. Toxic wastes in the blood aggravate the symptoms of diabetes leading to other complications. Consumption of alcohol or any other nicotine-related products should be stopped as well. They tend to damage the nerve and increase the risk of heart attacks and cardiac arrests.
  5. Stress management: Stress is another culprit responsible for enhancing diabetic neuropathy. It not only escalates the blood sugar level, but also increases the chance of cardiac-related diseases such as cardiac arrest and strokes. Exercise, meditation, practicing hobbies, spending time with friends and family are few ways of relieving stress. Studies have shown that alternate treatments such as acupuncture can also relieve you from stress to a great extent. If you wish to discuss about any specific problem, you can consult an Ayurveda.
7306 people found this helpful

Peripheral Artery Disease!

Dr. Paramjeet Singh 90% (1400 ratings)
MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Peripheral Artery Disease!

Peripheral arterial disease (PAD) happens when there is a narrowing of the blood vessels outside of your heart. The cause of PAD is atherosclerosis. This happens when plaque builds up on the walls of the arteries that supply blood to the arms and legs. Plaque is a substance made up of fat and cholesterol. It causes the arteries to narrow or become blocked. This can reduce or stop blood flow, usually to the legs. If severe enough, blocked blood flow can cause tissue death and can sometimes lead to amputation of the foot or leg.

The main risk factor for PAD is smoking. Other risk factors include older age and diseases like diabetes, high blood cholesterol, high blood pressure, heart disease, and stroke.

Many people who have PAD don't have any symptoms. If you have symptoms, they may include

  • Pain, numbness, achiness, or heaviness in the leg muscles. This happens when walking or climbing stairs.
  • Weak or absent pulses in the legs or feet
  • Sores or wounds on the toes, feet, or legs that heal slowly, poorly, or not at all
  • A pale or bluish color to the skin
  • A lower temperature in one leg than the other leg
  • Poor nail growth on the toes and decreased hair growth on the legs
  • Erectile dysfunction, especially among men who have diabetes

PAD can increase your risk of heart attack, stroke, and transient ischemic attack.

Doctors diagnose PAD with a physical exam and heart and imaging tests. Treatments include lifestyle changes, medicines, and sometimes surgery. Lifestyle changes include dietary changes, exercise, and efforts to lower high cholesterol levels and high blood pressure.

1 person found this helpful

Peripheral Arterial Disease - What Is The Aim Of The Treatment?

Dr. Yashpal Singh 87% (37 ratings)
MBBS, MS - General Surgery, DNB Peripheral Vascular Surgery
Vascular Surgeon, Lucknow
Peripheral Arterial Disease - What Is The Aim Of The Treatment?

Peripheral arterial disease (PAD) refers to the narrowing of blood vessels that in turn causes poor blood flow to the limbs. This is also known as peripheral vascular disease. The blood vessels of the legs are most susceptible to this condition. PAD is typically caused by a buildup of plaque in the blood vessels. This limits the amount of blood that can pass through the arteries. High cholesterol, blood pressure and smoking are all contributors to this condition.

Treatment for the Peripheral arterial disease aims at 

  • Relieving the symptoms of this condition and reducing the risk of a heart attack or stroke.
  • Lifestyle changes are the first aspect of treating this condition. If the patient smokes, it is imperative for them to stop doing so.
  • In addition, the patient must have a healthy, well-balanced diet and exercise regularly. The patient should limit the number of fats and carbohydrates being consumed and increase the number of vegetables and fruits in his or her diet.
  • This can help maintain a healthy body weight. In addition, cholesterol and blood pressure levels should also be maintained at normal levels.
  • Medication may be needed in some cases. Diabetics must also ensure that their blood sugar levels are maintained at healthy levels. In some cases, a cardiac rehabilitation program may be advised. This program educates the patient about the disease and helps them build healthy habits.
  • Lifestyle changes often need to be supplemented with medication. Medication may also be prescribed to lower the risk of a stroke or heart attack. If the patient suffers from high cholesterol levels, he or she may be prescribed medication to help lower the cholesterol levels.
  • Similarly, medication will be prescribed in cases of high blood pressure. Medication may also be prescribed to help prevent blood clots. If the lifestyle changes do not relieve the pain caused by PAD, medication may also be prescribed for the same.

In patients suffering from severe peripheral arterial disease, a bypass surgery or an angioplasty may be required. This surgery aims at opening out the narrowed arteries and rerouting blood around the blockages. In very rare cases of advanced PAD, a lack of blood flow can also cause the death of the tissue in the foot or leg. In such cases, the foot or leg will need to be amputated. This is usually seen only if the patient also suffers from diabetes.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2916 people found this helpful
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