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 a few precious herbs to cure diabetic neuropathy, which are identified by our ancestors before many decades. Some of the herbs are:
Ayurvedic treatment for diabetic 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.
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 the 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.
Heel pain is a common problem in the body where the affected person experiences pain radiating from the heel bone. Heel pain usually progresses slowly over time, it is recommended to consult a medical professional, if heel pain turns severe. The pain tends to most severe after one has been inactive for some time such as after waking up in the morning.
Heel pain is usually caused when tissues present in the bottom of the heel (plantar fascia) is damaged. These tissues connect the heel bone with the bones of the feet and help in absorbing shocks. Tears are formed in these tissues when they are damaged or when they get thicker. These tissues are at an increased risk of wear and tear for those who are over 45 years old. The risks also tend to increase if the person is obese or whose occupation requires standing for lengthy periods of time.
Among other causes of heel pain are heel bone fractures, fat pad atrophy (a condition where a layer of fat present under the heel bone is reduced) and bursitis (inflammation of the fluid-filled sacs present around the joints). Peripheral neuropathy is a condition where damage occurs in the peripheral nerves (that transmits signals between the central nervous system and the rest of the body), this can cause pain in the heel.
The symptoms of heel pain include:
1. Experiencing pain while jogging or walking
2. A feeling of pins pricking the heels after waking up in the morning
3. Inability to bend the heel
4. Painful swelling
5. Pain in the heel accompanied by fever
Prevention and treatment-
Heel pain can be prevented by taking certain preventive measures such as restricting usage of high heeled shoes without proper support and stretching the heel regularly. Medications such as painkillers are used to treat symptoms of heel pain
Physiotherapy treatment -
1. Some instructions have to follow
2. Manual therapy
3. Ift ++++ultrasound therapy
4. Calf stretching
5. Contras bath
A pinched nerve is a sensation that causes a lot of pain due to pressure on the nerve or some form of nerve damage that may have been caused due to an accident, sports injury, or even as a side effect of other chronic conditions like diabetes. In this condition, one experiences a sharp and shooting pain as soon as there is some movement of the area or pressure on the same.
A pinched nerve usually signifies damage rendered to a peripheral nerve which is usually to be found outside the spinal cord and the brain. Disc herniation and arthritis are also some conditions that may cause a pinched nerve in the affected area. This happens due to the pressure on the nerve which may lead to irritation in the protective layer of the same. This condition can make life quite painful. So here are a number of ways in which you can manage the pinched nerve.
If above conservative treatment fails then we have to go for interventional pain management. Interventions can range from simple trigger point injection, inter lesional injections to more advanced rhizotomies, radio frequency ablation, neurolysis, etc.
Do you realize that around 2.5% of the aggregate diabetics are affected with foot ulcers and related sicknesses. Not just this, progression of ulcers/foot wounds leaves the patient with no other option other than amputation. Studies propose that two third of the diabetic foot ulcers in the long run heel without removals. Specialists encourage diabetic patients to embrace a preventive and powerful way to deal with in order to prevent further complications.
What foot complications can occur in diabetics?
What precautions should a diabetic patient take?
It is fundamental for a diabetic patient to deal with his/her feet and take essential precautionary measures. Some essential foot care tips incorporate
1. Be vigilant. Investigate your feet every day before you start your day. Search for lesions, injuries, cuts, blisters and calluses on your feet.
2. Wash and wipe your feet every day with lukewarm water along these lines decreasing the odds of diseases. Ensure the toes are dry.
3. While rejuvenating or pampering your body with oils/cream make sure your feet is not wet that might create inffection. Apply the moisturizer simply after you have dried your feet.
4. Nails ought to be precisely trimmed; cut your nails straight over the length and not from the corners.
5. Amid work hours attempt to sit upright; change stances to abstain from being in one position for long; helps in directing sugar levels.
6. Amid extended periods of travel, move your feet at customary interims to guarantee an unfaltering blood supply to feet.
7. Pick a tolerable pair of shoes that fits well and shields you from stumbling and wounding. Relaxation for your is as essential as is for you.
8. Orthotic footwear can be a decent pick for those confronting serious footcare issues. Maintain a strategic distance from plastic or vinyl based shoes.
9. You can likewise keep a foot dairy or set up a schedule reserved for your foot care regimen.
When a doctor should be consulted?
• Check for paleness/numbness in your feet, a sign for broken nerve conduction. Pink and red feet may not generally be a pointer of goodfeet; rather are characteristic of over the top blood stream denied of sugars. On the contrary if it reoccurs consult the specialist
• Check for undesirable development; these for the most part develop on regions of relentless weight. Make sure that you don’t incise them all by yourself. Rather consult a specialist.
• Area under the toe, has a few layers of skin and takes the greater part of your body weight. Subsequently, can be another site of callus development.
• In extreme cases, when an injury has taken over two days to recuperate, instantly reach to a podiatrist/specialist. Postponements can prompt disintegration of the injury site.
In this way, take out some time each day and assess your feet precisely. Recall that it is these sound feet that is going to take you to places! stay healthy, stay happy!
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.
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.
Nerve pain or peripheral neuropathy, as it is medically known, is characterized by pain, numbness and weakness that arise out of nerve damage. This pain is usually restricted to the feet and the hands.
What are the common causes?
Diabetes is the most common cause for this condition. However, other causes, such as injuries, infections and prolonged exposure to certain toxins can also trigger nerve pain.
How can you control nerve pain?
Nerve pain can be managed and taken care of at home taking into consideration the points that have been mentioned below:
Topical Painkillers: Certain over the counter ointments and creams can help relieve nerve pain. These medications act as local anesthetics; that is they numb the area of the pain. Capsaicin, a derivative of chili peppers, is one of the major ingredients used in these medicines. Others use botanical oils as the major ingredients.
Supplements: The lack of Vitamin B12 is considered to be a very important cause, and at times, a catalyst for nerve pain. In a case such as this, Vitamin B12 supplements or injections might be administered. Although more research needs to go into this, but certain supplements, especially gamma-linolenic and alpha-lipoic acid can help soothe nerve pain caused by diabetes.
Acupuncture: This time-honored Chinese approach is a proven alleviator of nerve pain. Acupuncture releases chemicals which numb the pain, or prevent the pain signals from travelling to the brain.
Physical Therapy and Massages: Physical Therapy can especially heal and strengthen weak muscles that can stem from acute nerve damage and pain. Though more evidence is needed, according to a few sufferers of this condition, massages can be helpful with the tremendously painful muscle spasms that can so often result from nerve pain.
Relaxation Techniques: In combination with the abovementioned approaches, relaxation techniques can go a long way in relieving debilitating neural pain. Besides being helpful with dealing and reducing a few stress phases of life which can cause nerve pain, these techniques might actually root out the actual pain itself.
Lifestyle Modifications: This one’s always a winner! Eating a well-balanced diet that guarantees all nutrients in uniform amounts can never go wrong. Regular exercises for about 30-45 minutes can remedy different types of pain; nerve pain being one of them. Try and limit alcohol intake (a peg once a week won’t harm one, but binge drinking can play the ultimate spoilsport and make all health plans go topsy-turvy!). Abstain from smoking or chewing tobacco as this is usually the primary contributor towards any medical condition or disorder. If you wish to discuss about any specific problem, you can consult a neurologist.