Emg Findings Diabetic Peripheral Neuropathy

Fluoroquinolones and Peripheral Neuropathy

Peripheral neuropathy, this is an often devastatingcondition in which people develop pain and numbness in their hands and feet. Basicallythey're told on the evening news that they should be taking this or that medication sothat they can get through life. That's treating the smoke and ignoring thefire. Those medicines that you're seeing advertised don't treat the neuropathy, they only treatthe symptoms. But what's causing peripheral neuropathy? Well we know that in America,one of the biggest causes of peripheral neuropathy is being diabetic, which is clearly relatedto the foods that you eat by and large. Becoming a type 2 diabetic dramatically increases yourrisk for having peripheral neuropathy and

in fact being devastated by it. This is adisease that effects 1 in 15 Americans. Let's take a look. So again this is 1 in 15 Americans—thisis 20 million Americans afflicted by this disease, that aside from diabetes, we're toldthe cause is unknown. Well maybe that's not exactly true. Last month, in the journal Neurology,an incredible study was published describing a relationship between what are called fluoroquinolones,and the risk of developing a peripheral neuropathy. You may not know what fluoroquinolones are,but chances are you may have actually been exposed to fluoroquinolone. These are antibioticsused for treating things like upper respiratory

infections and even urinary tract infections.Things like Levaquin and Cipro are commonly used in walk in s. If you have a urinarytract infection, you may have received these mediations. Well, here's what the study showedus: So this is a study published in September2014 that looked at men between age 45 to 80 years of age followed for a 10 year periodand in this group there were over 6,000 cases of peripheral neuropathy. And they comparedthese individuals to about 25,000 aged match controls, and what they found was that riskfor developing this devastating condition called peripheral neuropathy was doubled inthose individuals exposed to this class of

antibiotics called fluoroquinolones. And whatthe researchers also told us is that, and I quote, quot;Fluoroquinolones have been shownto neurotoxic. Oral fluoroquinolones have also been associated with reported cases ofpsychosis and seizures, which similar to peripheral neuropathy have been shown to be acute eventsoccurring within days of fluoroquinolone use. In light of strong evidence of unnecessaryprescribing of oral fluoroquinolones in the United States, ians must weigh the riskof PN against the benefits of prescribing FQ when prescribing these drugs to their patients.quot; We've got to practice medicine under the dictumof quot;above all do no harm.quot; One of our most

well respected peer review journals is nowtelling us that the use of these medications—these fluoroquinolone antibiotics is associatedwith doubling of the risk of peripheral neuropathy. A disease which often is not treatable. Sokeep that in mind the next time you think you need an antibiotic for this or that problem,discuss this study with your treating physician. I'm David Perlmutter.

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 densities in the skin both

from the calf and the thigh as well as doinga special test that looks at sweat function both in your foot in in 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 involved in treating the patients, this canbe the first sign of an underlying connective tissue disorder that can then be brought tothe attention of rheumatology and addressed from their standpoint.

Neuropathy Chemotherapy Nerve Damage Larry S Testimonial

Interviewer: Hi, sir. What is your name? Larry: My name is Larry Shine SP. Interviewer: All right, Larry. Today is May29, 2013, and you're at Arkansas Spinal Care and Neuropathy Treatment Center. Why don'twe start off by having you tell me why you came to this ? Larry: One of my classmates, number one, gaveme a phone call one day and said quot;Larry, have you seen this ad? I've been seeing somethingon TV, a inaudible 00:00:26 over in Conway, Arkansas, that supposedly can dosomething to help you with your neuropathy

problem.quot; So she called me back and gave methe phone number. So I immediately made a phone call, and the people at the 'soffice sent me a package in the mail inaudible 00:00:44. I received it within two or three days. Iwent over the information, and then I immediately made a phone call back and made an appointmentto come by to see what they could probably do for me. The good news is that my cousinand I came over and I had the opportunity to meet Curry SP. We discussed mysituation, that I've been suffering with neuropathy for a little bit over a year and a half becauseof cancer that I had, which was Stage 4 cancer,

and I'm a diabetic, which caused my sugarlevel to rise, which resulted in me having neuropathy. And some of the symptoms of my problem arefeet, my lower leg, and my hands. I can tell you this, today is my second day of treatment.I could tell, believe it or not, last night, the first day back home, I saw some positiveresults of the treatment that I had on Tuesday. It's amazing. Number one, I'm walking better.I forgot to use my cane yesterday and last night by the way. I'm getting too much confidenceI guess. But anyway, I'm very proud of the fact.andsome of the things that I'm feeling in my

feet and my legs last night when I was asleep,I think are positive signs that maybe blood circulation is prevalent, is gonna happen,is imminent rather. And I've got a feeling that after a few more treatments, it's verypossible that you will see, I will see, a tremendous amount of improvement in my condition.But I'm very pleased with the staff here. I'm very pleased with the . You've gotsome very capable, professional people here. I couldn't ask for a better service than whatI'm getting now. I mean, it's like family; it's a family affair. And when you come overhere, and I will highly recommend that if you're thinking about getting some type ofa service and treatment, and you want a ,

you want a staff that's really concerned aboutyou and treats you like family, this is the place to go, right here in Conway, Arkansas. Interviewer: Thank you, Larry. That is awesome.I mean, really. Wow! Thank you. The one thing that I wanted to talk about for sure is, somany of the patients who have neuropathy, they come in here and they talk about theirsense of balance and the fact that they fall, or they stumble a lot, or they don't havesure footing, or they trip a lot. All those kinds of things go with neuropathy becausethey don't have the correct sensation down in their feet. It can make them feel likethey don't have good balance. Would you go

over what you told me a little while ago aboutthat, even after your first treatment? Larry: Right. My equilibrium has improvedas of yesterday. Like I said earlier, I'm walking now really without the cane. I feela very good sense of balance. Normally, when I get out of bed in the morning, I takes melike a minute and a half before I can really get my balance, before I can walk maybe intothe kitchen and get my coffee ready or whatever the case may be. This morning when I got up, I got up thismorning, by the way, around 4:30, and I didn't have to stand up more than 30 seconds beforeI went and ventured on and made my coffee

Category: Neuropathic Pain

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