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Neuropathy in Diabetics & Non-Diabetics
Neuropathy in Diabetics & Non-Diabetics

tingling in the feet, who may have noticed changes in the shape of the feet or toes, or may have begun to experience problems with balance or falling. This patient should be examined in order to measure the degree of sensory and motor loss.


   Special instruction is given to the patient in terms of daily inspection of the foot for early signs of skin breakdown or infection. When the Quantitative Sensory Testing demonstrates sufficient sensory loss, special shoes may be required to protect the feet. There are some medications that can be given to relieve the discomfort of the neuropathy on a temporary basis. And of course, you must be sure that your blood sugar level is the best that it can be.


   If the sensory loss progresses to the point where you have numbness and tingling throughout the day or it even wakes you up at night, then you may be a candidate for surgical decompression of your nerve.  The ideal candidate does not wait until there is no feeling left or until there is already an ulceration present. The ideal candidate seeks consultation while there is still time to reverse the damage to the nerves.

  by Christina Teimouri, DPM  
  Help for Numbness, Tingling,  
  and Weakness of Your Toes!  

Among the most common complications of diabetes is neuropathy. Unfortunately, even with your blood sugar in good control, neuropathy may occur. In fact, over time, this will occur in up to 50% of diabetics. Once diabetic neuropathy occurs, it almost always gets worse.


For Non-diabetics, or patients who come in early in the course of nerve compression, it may be possible to relieve some of the pressure upon the nerve by wearing shoe inserts (orthotics) for the feet, or many other non-surgical options.


   In neuropathy of the feet, usually you will have begun to notice sensory changes such as numbness or tingling in your toes. At first these symptoms will come and go, but then they will be constant. Over a period of time, these sensory disturbances may cause such a loss of feeling in the feet that you will not feel how tight you shoes are. Or you may have a pebble in your shoe that goes unnoticed, injuring your foot.

     Neuropathy is the leading cause of the ulcerations and infections that occur in the feet, and with advanced cases, amputation.  

   The purpose of this article is to provide you with information that is a new source of optimism for patients with neuropathy from diabetes and many other causes.


   Some patients suffer from nerve compressions, and nonsurgical options can be performed to reduce pressure on the nerves to relieve the burning, tingling and pain and in many cases to restore sensation to the feet.


   The surgery to decompress the nerve does not change the basic, underlying (metabolic) neuropathy that made the nerve susceptible to compression in the first place. When the surgical decompression is done early in the course of nerve compression, restoration of blood flow to the nerve will stop the numbness and tingling.


   Of course, if one waits too long to decompress the nerve, recovery may not be possible. If you already have ulcerations on your feet, or have lost toes, then very little sensation may be recovered because the damage to the nerve has become irreversible. We have other ways to protect you at this point.

  Who is a Candidate for this  
  Type of Procedure?  

   The ideal candidate for surgery to restore sensation and strength is the diabetic who is beginning to experience numbness and


          When the nerves that have been “asleep” awaken, you may experience hot or cold or shooting pains in your toes. This is a good sign as it shows recovery, but it may still be uncomfortable for you.


The symptoms of diabetic neuropathy, the most common type that we have been discussing thus far, are numbness and tingling, weakness, and loss of balance, and are essentially the same as those of nerve compression.

  Medication can help these feelings too.  

   Overall, nerve decompression procedures are valuable in reversing the complications of diabetic neuropathy and offer new optimism for reversing potential complications of the feet in diabetics.


Beaver Valley Foot Clinic

  5 Convenient Locations  
  Chippewa • Ambridge • Hopewell  
  Cranberry • Moon  

LivingBody BEAUTIFUL | Your Tri-County Resource Guide to Health and Beauty | Magazine Six      20     


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