Treating Numbness Tingling and Burning Caused by Neuropathy
My name is David Northcutt. I'm oneof the podiatrists here at Dallas Podiatry Works. Today I want to discuss diabetic peripheralneuropathy. There are several reasons for the development of peripheral neuropathy,but diabetic peripheral neuropathy is one of the most common. Diabetic peripheral neuropathy simply meansnerve damage that is caused from having diabetes. This is not something that develops rapidly,but is a slowly worsening and progressive condition which happens over the period ofseveral years. The loss of sensation that occurs with nerve damage from diabetes makesthe patient more prone to developing open
sores or ulcers. Patients often do not know that they havea sore or wound, due to this lack of sensation. This can lead to significant complicationsincluding amputations. Diabetic peripheral neuropathy usually occurs in patients whodo not maintain their blood sugar well, however it can occur in anyone with diabetes. The symptoms of neuropathy include numbness,tingling, pain, burning in the feet which can progress up to the legs, there's oftenloss of muscle tone, loss of balance, and changes to foot structure. To determine whetheryou have diabetic peripheral neuropathy, a
history and physical will be performed. Simple,in office, noninvasive testing helps to diagnose the problem. Neurologic tests sometimes areordered. Sometimes a biopsy of the peripheral nerves in the skin may also be performed.Treatment of diabetic peripheral neuropathy begins with good control of your blood sugar.There are oral medications as well as topical medications that may reduce your symptoms.Prevention of diabetic peripheral neuropathy includes maintaining good blood sugar levels. If you have any symptoms of numbness, burning,tingling in your feet or legs, please give us a call at Dallas Podiatry Works. We willwork to get the correct diagnosis to help
relieve your symptoms.
What is Chronic Facial Pain
Chronic facial pain is used to describe anypain felt in the face or neck area and it's commonly caused by problems with person'sjaws, such as repeated clenching of the jaw or grinding of the teeth or in misalignedbite. Neuropathic chronic facial pain may also originate from the occipital nerves,in a condition called occipital neuralgia. This type of pain generally originates fromthe back of the head and can radiate to the face. Atypical facial pain is usually idiopathic,mean there is no known cause, atypical chronic facial pain usually occurs on one side offace and symptoms are present for most of the day almost every day. The diagnosis ofatypical chronic facial pain is generally
made after more common causes are excluded.To diagnose chronic facial pain your physician will conduct a thorough physical examinationto assess tenderness of a certain areas the face and neck to determine the root causeof the pain. Once proper diagnosis is made a treatment plant can begin. Trigeminal nerveblocks, occipital nerve blocks, sphenopalatine ganglion blocks can treat neuropathic chronicfacial pain.