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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

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 - 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.
3566 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

Dry Mouth and Eyes - Complications Associated With It!

Dr. Alap J. Mehta 93% (104 ratings)
Diploma In HIV Medicine, MBBS
HIV Specialist, Surat
Dry Mouth and Eyes - Complications Associated With It!

An immune system disorder distinguished by dry mouth and dry eyes is known as Sjogren’s Syndrome. It can also cause dryness in places that require moisture, such as throat, nose and skin. Sjogren’s syndrome is often linked to other diseases such as rheumatoid arthritis and lupus (disease in which the immune system destroys its own tissues and causes inflammations). Sjogren’s syndrome normally affects people over the age of 40, and it mostly affects women.

Symptoms 
Sjogren’s syndrome has mainly two symptoms, and they include:

  1. Dry eyes: You feel like there is sand in your eyes as it burns and itches
  2. Dry mouth: You have difficulty speaking or swallowing

Sometimes, you might experience other symptoms as well, such as:

  1. Joint pain, stiffness and swelling
  2. Inflamed salivary glands
  3. Dry skin or skin rashes
  4. Vaginal dryness
  5. Continuous dry coughs
  6. Sustained fatigue

Causes
The exact cause of Sjogren’s syndrome is not known, but research strongly suggests that the autoimmune disease could be caused by genetic factors; especially if the illness has been found in more than one member of the family. Also, families with members suffering from type I diabetes, lupus and autoimmune thyroid disease can cause one or more members of the family to develop Sjogren’s syndrome.


Complications
The complications of Sjogren’s syndrome include:

  1. Dental cavities: Saliva protects the teeth from harmful bacteria that cause cavities. Since your mouth is dry, you become more susceptible to develop cavities.
  2. Yeast infections: Oral thrush, an oral yeast infection, is likely to develop if you have Sjogren’s syndrome.
  3. Vision problems: Dry eyes can cause corneal ulcers, sensitivity and blurred vision.
  4. Problems in the lungs, liver or kidneys: Inflammations can lead to bronchitis or pneumonia in your lungs; may cause cirrhosis or hepatitis C in your liver; and may lead to kidney malfunctions.
  5. Lymphoma: Some people with Sjogren’s syndrome might develop lymphoma, or lymph node cancer.

Peripheral neuropathy: Another complication of this illness is peripheral neuropathy, which is a tingling, burning and numbness sensation felt in your feet and hands.

Treatment
Sjogren’s syndrome is either treated with drugs, or with surgery. Doctors may prescribe drugs to increase the production of saliva and to treat inflammations. Alternatively, surgery is done to either seal the tear ducts or insert silicon or collagen plugs to close the ducts temporarily. If you wish to discuss about any specific problem, you can consult a doctor.

2632 people found this helpful

How To Control Nerve Pain?

Dr. Meghana Patwardhan 87% (47 ratings)
MBBS, Diploma in Anesthesia, FIPM, Clinical Fellowship Training in Chronic Pain Management
Pain Management Specialist, Mumbai
How To Control Nerve Pain?

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:

  1. 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.

  2. Painkillers: There are painkillers available OTC which can curb nerve pain. However, painkillers such as ibuprofen, aspirin and acetaminophen do not really work well for severe pain of the nerves.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

2358 people found this helpful

Naturopathic Integrative Oncology!

Dr. Pritam Mohapatra 96% (1373 ratings)
Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology For Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), PG Diploma In Clinical Counseling, PG Diploma In Oncology & Haematology (A.M), Ayurveda (I) Certification, Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Certificate Course in Homeopathic Oncology, Advances in Cancer Immunotherapy, Cancer Nutrition
Alternative Medicine Specialist, Bhubaneswar
Naturopathic Integrative Oncology!

Facts:

  1. Cancer is the most dreaded and complicated non-communicable disease, with some getting cured and some getting a prolonged life after treatment.

  2. The conventional cancer treatment modalities especially chemotherapy, radiotherapy and surgery are believed to be costly, are known to have serious side-effects, and the disease can still relapse.

  3. There is an ever-increasing demand for traditional/ natural medicine by cancer patients.

  4. Majority of the cancer patients, worldwide, resort to complementary and alternative medicines (CAM) -

    • For reducing the side effects of conventional treatment, enhance quality of life (QOL) and improve clinical outcomes.

    • Apprehension of failure - of any single line of treatment failing to arrest/ cure the disease prompts patients/ caregivers to try out multiple approaches, at times frantically, with a hope to improve prognosis.

  5. Most of the patients do not disclose their CAM approaches to their medical oncologists.

  6. The treatment plans, in a multi-dimensional approach as mentioned above, thus are largely un-coordinated and enhances the risk of drug interactions and adverse events which can jeopardize the chances of achieving the overall treatment goals.

What is Naturopathic Integrative Oncology?

Naturopathic Integrative Oncology attempts bringing in appropriate CAM therapies that are evidence-based, safe, effective and which synergistically complement the conventional treatment modalities making the treatment as a whole all the more effective through improved/ optimized clinical outcomes (especially QOL & OS) and reduced adverse events. It helps manage symptoms, control side-effects, improve the state of physical & mental wellbeing, and speed up recovery. An integrated approach to treatment not only helps add days to the life of a patient but also helps add life to the days that a patient gets to survive.

Why Naturopathic Integrative Oncology?

  1. Cancer is a very complicated disease and its management presents with an enormous challenge. While the standard of care, by virtue of having demonstrated high clinical efficacy, have been chemotherapy, radiation and / or surgery, there still are treatment challenges owing to side effects, drug resistance, and irresponsiveness to conventional treatment of certain advanced stage cancers. It hence requires a strategic, well-researched, holistic & all encompassing/ integrated team based approach to control the same effectively. This necessitates the use of suitable CAM therapies as an adjuvant to conventional therapy.
  2. Improved clinical outcomes, especially quality of life (QOL) & overall survival (OS). It facilitates patients not only exist but also live life well.
  3. Avert adverse events/ reactions that may result owing to an oversight of the integrative oncology essentials.
  4. Cost effective treatment and increased patient satisfaction. It allows a customized/ individualized integrative treatment for each patient basis his financial status, clinical history, diagnosis, current treatment regime, spiritual belief, psychological & physical adverse effects etc all.

How (& Where) can Naturopathic Integrative Oncology Help?

  1. Integrative Palliative Support (CAM)

    • For ameliorating cancer symptoms & side effects of cancer therapies thereby improving QOL. To exemplify, anxiety, depression, cancer related pain, weakness, fatigue, nausea, vomiting, hiccups, diarrhoea, gas/ flatulence, mucositis, alopecia, constipation, anorexia, cough, sleep disturbance/ insomnia, headache, anaemia, peripheral neuropathy etc all can be managed effectively using CAM therapies.

    • Palliative support, in line with the above-mentioned, can be rendered at any point during a patient’s illness to help him feel comfortable. However, should there be any severe aggravation of existing symptoms or acute health conditions, one needs to promptly seek emergency & competent medical help, as locally available, to address the same suitably.

  2. Integrative Cancer Treatment (CAM) for patients who -

    • Consciously choose to not go for full scale conventional treatment for whatsoever reasons.

    • Have advanced and intractable malignancies where conventional therapy has not been able to effectively control the disease progression. Such patients are likely to seek CAM treatment for not only improving QOL but also add days to life as possible contextually.

CAM Modalities in Naturopathic Integrative Cancer Treatment:

  1. Diet & Nutrition/ Lifestyle
  2. Herbal/ Botanical medicine
  3. Homeopathy
  4. Dietary supplements/ Vitamins
  5. Exercise, yoga, meditation
  6. Music therapy
  7. Acupuncture
  8. Reiki/ Prayer Healing
  9. Massage/ Reflexology

Please note that it is at the discretion of the naturopathic/ integrative oncologist to decide on the appropriate CAM modalities, subject to the individual patient’s needs and as appropriate contextually.

Successful Naturopathic Integration Requirements?

For the alternative medicine (s) one decides to integrate with (the current conventional treatment regime), it is essential on the part of the practioner(s) to clearly understand the following for a successful integration -

  • Patient’s current status including his clinical history, diagnosis, treatment regime, physical/ psychological make-up, belief system, financial capability and any other explicit requirement of the patient.
  • Evidence-based clinical efficacy & safety profile.
  • Action mechanism
  • Herb drug interactions
  • Side effects
  • Long term health impact
  • Pharmacokinetics
  • Dosage & Mode of administration etc all. 
3300 people found this helpful
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