Burning Feet Peripheral Neuropathy Pain Symptoms Resolved DavisSpineInstitute
When we originally began with you, we begantreating for chronic low back pain, numbness, tingling, and burningyour feet and lowerextremities. How have you done hereour office with the DRS Program and conservativechiropractic management and what was your overall experience hereour office? Verygood. It's very good I'm feeling a lot better and it works. Great, and you're happy withyour care? Yes I am. Well very good we're very glad to have you as a patient and we'revery proud to help you deliver the results you're looking for. Yes I'm very happy, I'mfeeling good. Thank you.
Small Fiber Neuropathy Symptoms Diagnosis and Treatment
Small fiber neuropathy is really an interestingcondition because it consists typically of just burning, numbness, pain of the feet,sometimes the hands later on without necessarily having any abnormalities on your EMG or nerveconduction study. So what I tell patients and actually residents or students who trainunder us is that a normal nerve conduction study does not exclude a neuropathy. And wewill confirm this by doing additional testing, specifically the nervous the the examinationat the bedside asking patients about their symptoms, for example, loss of sensation tocool or or hot temperatures, loss of pain sensation and also doing skin biopsies wherewe look at nerve densitiesthe skin both
from the calf and the thigh as well as doinga special test that looks at sweat function bothyour footin the legs as well asthe feet to gauge the level of small fiber nerve damage. Small fiber neuropathy typicallywill progress unless the underlying cause is identified and reversed. Diabetes of coursebeing the most common cause is always screened for. But once the more common causes are excludedand the focus becomes on excluding any underlying secondary disease process but also controllingpain because if patients' symptoms of pain are generally controlled they tend to do prettywell and really have no other major functional deficits. I've really become interested overthe years is how interconnected neurology
and rheumatology are and one thing I oftendo on patients who have unexplained small fiber even autonomic neuropathy is have themsee rheumatology or get evaluated for connective tissue disorders like lupus or Sjogren's orsarcoid and sometimes even if we are not directly involvedtreating the patients, this canbe the first sign of an underlying connective tissue disorder that can then be brought tothe attention of rheumatology and adessed from their standpoint.
Seeing Pain New approach to diagnosing and treating nerve damage Chris McCurdy TEDxUM
When I was a young childI lost my favorite uncle to alcohol abuse. It made me wonder why does this happen? How can someone be consumed by a substance that's around us all the time? So, I made it my life's missionto become a ug expert, and I went to pharmacy school. I went to pharmacy schoolto understand what it is about ugs
that can make us heal or can hurt us. When I waspharmacy school, I found out I felllovewith the research. Not only did I falllovewith the research I felllove with this passionto edue others. And so, knowing that,I had to move forward. I had to move forward with my eduion so that I could carry those thingsout of my future;
and I went on and earned a atein medicinal chemistry; that's ug design not designer ugs. (Laughter) That enabled me to move forward and really pursue some of the basisof ug abuse and addiction. Here I am now, a professorof medicinal chemistry and pharmacology. And I've dedied my careerto solving problemsug abuse and actually findingbetter pain mediions
because after all, painis the most common reason that individuals seek medical care. It's also the most common reason that we end upwith ug abuse and addiction. Moving from there, I've been ableto establish a laboratory here, at the University of Mississippi, where we've done a lotof groundbreaking work that I'll get toa little bit to move us forwardthose endeavors.
Now, how many people here have had to seek medical treatment that resultedpain prescription? Yes, most all of us. How many of you ended up getting something like morphine, or codeine,or Hyocodone, or Oxycontin? Yeah. Any of you had to take that for more than 2 or 3 weeks,maybe a month, maybe a couple?
If so, there's a high likelihoodyour body became physically dependent. So why does that mean? What do we mean when we talkabout physical dependence and ug abuse? Let's define these thingsa little more clearly. So ug abuse is simply the concept that you take a ug out of the contextthat it was prescribed. So, every now and then,all of us are guilty of taking a little more ibuprofen,or something, than it says on the bottle.