Peripheral Neuropathy Numb Feet and Hands Symptoms Resolved TheVillagesNeuropathy
When you had originally presented to the office,you presented with chronic numbness, tingling, burning, in the hands and the feet. It limitedyour ability to walk, limited your ability to sleep, your ability to relax. We've completeda course of treatment here with the Davis neuropathy program, how have you done withthe treatment and how are you feeling today? I feel wonderful. I have to tell you thatthe treatment, I was on both programs. Before I came in, all that I knew that I had wasperipheral neuropathy after your exam, after you examined me. We found out that I had alsospinal stenosis in my spine. I have followed your program, both of your programs, the DRSprogram and the peripheral neuropathy program,
and I am doing beautifully. I can now walkwithout assistance which I was having to hold my husband's hand or somebody's hand whenI was shopping or doing anything. I could not drive by myself. I feel like a whole personnow. Well congratulations on your results and we're very proud to have you here as apatient. What else would you like to have me tell you? If you have another questionI could certainly, I would like to tell a little bit about your people that you haveworking for you. They are wonderful, young, professional people. I don't know what kindof a program you put them on, but I love each and every one of them. They're an asset toyour office. Well thank you so much for the
kind words and we look forward to seeing youagain soon. You're welcome.
CLEAR A Patients Guide to Understanding Offloading Diabetic Foot Ulcers
The purpose of this tutorial is to help you understandthe importance of offloading, the use of special footwear, and helping your foot ulcer healas quickly as possible. Healing quickly can reduce your risk of developing serious complications.Key elements of successful healing are: rest, eat a balanced diet and maintain your bloodsugars in a controlled range, wear the device your tells you to wear at all times,and refraining from smoking. Foot ulcers need rest in order to heal. If you were to breakyour leg, your would tell you not to walk on it. It is the same with your footulcer. We rest ulcers by taking off the load, or offloading the ulcer using special casts,boots, or shoes.
The possible complications from a foot ulcer that fails to heal are: development of an infection,infection spreading to the rest of the body, resulting in ization, amputation atthe foot or leg, or even death. Foot ulcers put you at considerable risk for amputation.Amputation of part of your foot or leg can lead to changes in your ability to do activitiesthat are part of your everyday life. It can lead to a decrease in activity, which canweaken your heart and body, making it difficult to control your diabetes. It can also changethe way you walk or move, potentially causing
damage to your other foot and leg. Most importantly,the challenge of having an amputation can lead to depression and sadness, affectinghow you are able to enjoy your family, friends, and hobbies. Normally, your body's responseto pain is a sharp reflex that allows you to recoil and prevent further injury. Diabetescauses changes to the nerves in your feet, and the ability to feel or sense pain. Itrobs your body of the protective gift of pain, or the ability to protect itself. This conditionis called neuropathy. People with neuropathy can walk with a stone in their shoe and notnotice it. This could cause an ulcer or blister on their foot. A person with neuropathy doesnot know that they have a sore or blister
on their foot because they cannot feel it.By the time you notice the ulcer, it can become very serious. This is why it is importantto check your feet every day for problems. Diabetes can cause the skin on your feet tobecome very dry, creating cracks that later become sores or infections. Ask a torecommend a good moisturizer for your feet and heels. People with diabetes can also havechanges in their leg and foot circulation. This reduces the oxygen, nutrients, and bloodsupply to your leg, increasing your risk of getting an ulcer and slowing your abilityto heal. Your may order a test to examine your circulation. Because of these factors,simple everyday activities such as walking
or standing on your injured foot can be harmfulto your healing ulcers. It could worsen the condition or cause infection. If you smoke,it is important that you talk to your about treatments to stop smoking. Smokingis a large reason why people develop circulation problems in their legs and feet. Continuingsmoking will slow healing to your ulcer and likely make your circulation worse. The bestway to heal your diabetic ulcers is to take off the load by using special casts, boots,or shoes. It is important to wear these all the time, even if you are only taking a fewsteps. The best way to heal a diabetic foot ulcer is to use a special cast called a totalcontact cast. Research shows that more people
treated with total contact casts heal thanwith other treatments. These include bioengineered tissues, such as growth factors or syntheticskin substitutes, and negative pressure wound therapy. They also heal faster than with manyof the newer advanced woundhealing technologies. People treated with total contact casts healin an average of 42 days. gt;gt; DOCTOR: Next I'm going to make this irremovableby adding on a layer of cohesive bandages. s can also adapt your diabetic walking boot so that you cannot take it off. Thishas been shown to be just as effective as a total contact cast. Your may usea combination of wound and offloading treatments
Treating Painful Diabetic Wounds and Ulcers
This young man had a problem where he hehas diabetes and he stepped on a nail and he got a very serious infection. He got anulcer on the bottom of his foot and it was down here underneath the second metatarsaland then it got an infection and it dissected up here and went all the way across his footand up through his foot. There was a hole all the way through the foot when we firstcleaned this out. It was badly infected. He's been on this thing called a wound vac, whichis a negative pressure wound therapy machine for about five weeks and he's improved alot in those five weeks. In the next couple of weeks we hope to get him back to work andon with his life. He's a great American,
he works hard, takes care of his family, anddoes the right thing. So we're trying to get this guy back on his feet.This just shows a lot of different principles of taking care of a diabetic foot, and I'lltalk to you a little bit about those. The first one is, this probably could have beenprevented with appropriate preventative measures like a good insole or a custom made deviceinside the shoe to take pressure off these areas. Once he did get an ulcer, that couldhave been treated with offloading with maybe a total contact cast. By some misfortune,he ended up getting a really bad infection. Now we're stuck dealing with a lot of tissueloss, and he's doing pretty well with that.
Once we get him back up on his feet, thereare some things we can do to prevent this from ever happening again. What we're going to apply now is collagen.What collagen is is the building block it's sort of like a scaffold for tissue to growinto. That's one of the reasons we've been able to get this patient to heal so rapidly.He had a lot of tissue loss with a big defect and he's all filled in now because we'vebeen using this collagen material. Collagen is just a white powdery substanceand you just put it on the wound, put it about a quarter thickness. We're going to putthis sponge on. What this sponge does is the
sponge is an open cell foam, which means itall communicates with itself. Let's say you were to put one half of the sponge inthe water and suck on it, the water would come all the way up through the sponge, ifit was all sealed, because that's what open cell foam means it means that it's openall the way down. This is open cell foam and that's kind of how it works.Now you can see this sponge, it's all nice and puffy, it's not squeezed down at all.We cut a hole in this sealer that we've wrapped around his foot, attach the part thatgoes to the suction canister, plug that in. What this thing does is it maintains the pressureof negative 125 milliliters of mercury continuously,
or you can set it up for alternating pressure.Basically, the principle of it is that it increases circulation in the area of the woundby about anywhere from 2540%, depending on the study that you read. What this does isit dramatically increases the rate of healing that occurs inside this foot. This thing cutsthe healing time probably with a wound like the one that you had it would probably havetaken 23 months to heal and this has been about a month. With collagen and the woundvac, we've really dramatically decreased his healing time so he can get back to workand normal lifestyle. We'll see you soon, maybe about 45 days, ok?