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Peripheral Neuro Surgery 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 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 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 - 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

Diagnosing Peripheral Vascular Diseases With Interventional Radiology

MD - Radio Diagnosis/Radiology, MBBS, FNVIR
Radiologist, Mumbai
Diagnosing Peripheral Vascular Diseases With Interventional Radiology

Peripheral vascular disease (PVD) is a circulation issue that affects the veins and blood vessels outside of the brain and heart. PVD commonly strikes the veins that supply blood to the arms, legs, and organs situated beneath the stomach. These are the veins that are located away from the heart. They are known as peripheral vessels.

In PVD, the width of the veins get limited. Narrowing is normally created by arteriosclerosis. Arteriosclerosis is a condition where plaque develops inside a vessel. It is additionally called 'solidifying of the arteries'. Plaque acts towards reducing the amount of blood and oxygen that is supplied to the arms and legs. As the plaque development advances, clumps may develop, which may further affect the vessel.

There are two main types of PVDs:

  1. Functional PVD: This doesn't include physical issues in the veins. It causes accidental side effects. Typically,these fits happen suddenly.
  2. Organic PVD: This includes changes in the vein structure. This sort of PVD causes irritation, tissue harm, and blockages.

The most well-known reasons for functional PVDs are as follows:

  • Emotional stress
  • Smoking
  • Cold temperatures
  • Operating Vibrating machinery

The common causes of such natural PVDs are given below:

The symptoms include the following:

Diagnosis:

PVD can be diagnosed using interventional radiology (IR).

IRis a sub-claim of radiology that gives an image-guided diagnosis, and if required, includes treatment of the organs as well.It has developed as a first-line treatment in the administration of PVD.

Advantages:

IR medications are for the most part less demanding for patients than surgery, since they include no surgical cut.They are less painful and have shorter stays at the hospital. By and large, the patients are discharged on the same day the procedure is done. This mainly includes angioplasty and stenting. The procedure is as follows:

  • Utilising imaging for direction, the interventional radiologist puts a catheter through the femoral artery in the crotch to the blocked vein in the legs.
  • At that point, the interventional radiologist expands a balloon to open the vein that is blocked.
  • Sometimes it is opened with a tiny metallic cylinder called astent.
  • This is a treatment that does not require surgery; only a scratch in the skin the extent of a pencil tip.

Alternative measure:

Angioplasty and stenting have totally replaced invasive surgical methods. Early trials have proven IR to be as successful as surgery for some blood vessel and artery impairments. Earlier, extensive clinical experience demonstrated that stenting and angioplasty are favoured as first-line treatments for more procedures all through the body .

Doctors as well as patients who have been through the same, believe that IR is much better for PVD than invasive surgery, since it reduces the risk of infection.

4955 people 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

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

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.
3566 people found this helpful

Know Everything About Eyelid Surgery Before Going For It

Dr. Sandeep Bhasin 88% (351 ratings)
MBBS, MS Surgery
Cosmetic/Plastic Surgeon, Delhi
Know Everything About Eyelid Surgery Before Going For It

Eyelid surgery or Blepharoplasty is a cosmetic surgery, which is used to correct droopy eyelids. It reduces the saggy quality of lower eyelids which you get with age and also rids of the excess skin from the upper lids. Apart from making your eyes look younger, Blepharoplasty also enhances your peripheral vision which can get affected due to sagging skin. An eyelid surgery does not help you get rid of dark circles or crow's feet which you get on the outer corner of your eyes.

Reasons to Consider Eyelid Surgery

Eyelid surgery is a good option if you want to get rid of the sagging skin from your lower eyelids or the excess skin on your upper eyelids. Sometimes with age your lower eyelids may appear puffy, making you look old and exhausted all the time. An eyelid surgery can make your eyes look younger and livelier and also do away with the grooves and lines formed under your eyes.

Precautions to take after the Surgery

You need to stay indoors after the surgery for more than a week for your eyelids to heal. You may suffer from dry eyes; so always keep ice packs handy. Your doctor may prescribe eye drops or artificial tears, according to your needs. Make sure you always use clean towels and consume painkillers only if your doctor recommends.


It is of primary importance to follow up the surgery with postoperative care. Your doctor will give you detailed information about dressing, a dosage of antibiotics, activity level allowed and also the complications which can arise. Make sure you follow all the instructions and are prepared for the symptoms associated with it.

Risks associated with Eyelid Surgery

Fortunately, major complications associated with Blepharoplasty are rare; yet there could be some side effects of this surgery. Sometimes, there might be cases of infection and bleeding or a bad reaction to anesthesia. Hematoma or accumulation of blood under the skin is also one of the side effects of eyelid surgery.

Related Tip: Improve your eyesight - 5 Top foods to eat?

3968 people found this helpful

Neuro Physiotherapy in the First Stage of Stroke

Dr. Vishwas Virmani 92% (23114 ratings)
MPT, BPT
Physiotherapist, Noida
Neuro Physiotherapy in the First Stage of Stroke

TREATMENT PHYSIOTHERAPY IN THE FIRST STAGE  (FLACCID MAINLY):

Turning over from supine to side lying .

One of first activities the physiotherapist should work for in treatment is that of turning over to either side. The patient should not always remain in the supine position but should soon learn to use his trunk; i.e. his shoulder girdle and pelvis to turn over and lie on his side for some part of the day.

If patient rolls over and lies on the sound side, with the affected arm uppermost, the shoulder and arm should be moved well forward, the elbow should be extended, and the affected leg lie in a natural position of semi-flexion.If patient rolls over and lies on the affected side, the shoulder of that side should again, be placed forward with the elbow extended and in supination.

 This position helps to prevent shoulder retraction and the development of flexor spasticity with pronation of the affected arm.Patients clasps hands, he then raises arms. In this shoulder girdle is moved forward and upwards. Patient’s arms are then moved, with clasped hands to chest. With clasped hands, patient turns towards sound side keeping shoulder well forward.

Lying down from sitting

The physiotherapist holds affected hand of the patient, his arm externally rotated and extended diagonally forward at shoulder height, while the patient slowly lies down, using his sound arm for support. In this way, physiotherapist will prevent retraction of the shoulder and flexion of the affected arm. The patient then lifts the sound leg on the bed. If at all possible, he should then bend the affected leg at the knee and move it into the bed, the nurse giving a little help by lifting from under the knee.

Sitting and standing up

A foam rubber mat should be placed in front of the bed for standing. The therapist never be on patient’s sound side when he sits, stands or walks, since he can use his sound side. If he takes weight on his affected side, the patient will gradually overcome his fear of falling.

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