Painful Diabetic Neuropathy Ppt

Treating Neuropathy and Nerve Painthe Feet

Let me start with I'm a diabetic. I developedneuropathy, which basically you lose all sensationthe feet, but it's over a period of time.It was very painful. I would have sensationsmy feet like I was standing on fire, walkingon glass. Last October it got so bad that I couldn't sleep at night. Then I met Bullard, because he's just a great physician. I wouldn't think twice, I'd recommendhim to anybody. Very compassionate, very thorough, I can't say enough about Bullard. He'sjust a great physician and I don't know if there's anything he couldn't do hecould probably move mountains if he wanted to!Glen, probably one of the biggest questions

people are asking you is what'd we do, what'shappened. Of course, you had a tremendous improvementyour pain and the tinglingand the numbness. Easiest explanation is, to tell everybody, that this big nerve here,which is on the inside part of your left foot, was getting strangled. There was a noose aroundit. What we did is we wentand loosened the noose, and that allows that nerve to beginto function and work like it's supposed to.Now, the sensation is coming back, it's something that's going to take time butI can feel more. My quality of life has greatly improved since I had the procedure done by Bullard. There's no other physician

that I would recommend.Glen,the next couple weeks, what we're going to do is make sure that the swellingis improving, hopefully begin to transition you out of your compression socks, becauseI know it's kind of hot right now, and then look at making sure that your shoe gear andthings like that are where they're supposed to be, fitting you well, protecting your feetand stuff. Ok? Very good. Thank you, I appreciate it, havea good weekend! You do the same. Alright, see ya.

Massage Techniques Diabetes Massage

Have you ever wondered how you can incorporatemassage into a diabetic lifestyle? I'm Sundae with Natural Sundae and I'm here to give youa few tips. Now diabetes is a disease that affects the carbohyate metabolismyourbody. And this is a result of not having enough insulinyour body. An insulin is the hormonethat converts the food you eat into energy for yourself. And this means that within thefood you eat, there are sugar. And if there is not enough insulin to carry it to yourself,yourself starves. There are many long term compliions associated with diabetes, suchas damage to the cellsyour eyes, your heart, your kidneys, your blood vessels andyour nervous system as well as the connective

tissue that surround your muscles. Now massagecan be a wonderful therapy for diabetics because it cannot only bring you emotional comfort,but physical comfort as well. Now massage is wonderful because it helps you relax andwith a disease like diabetes that requires constant monitoring, relaxation can be a realgift. It can help calm and soothe your nervous system and it's just a wonderful thing fordiabetics to experience. It can also help bring physical comfort as well because thatconnective tissue that becomes hard, you can retain some elasticity and retain some mobilityand it's just a wonderful physical feeling. Now I would recommend one thing is to pleaseconsult your first. And when you get

to your massage therapist's office, checkyour blood sugar before and after because during your massage your blood sugar willop; but you want to make sure before you leave, your blood sugar's at a safe, stabilizelevel. I'm Sundae with naturalsundae .

Heatpain hyperalgesia correlation with the analgesic effect of opioids

Hi I am Erica Suzan a researcher at RAMBAM medical center on the topic of opioidinducedhyperalgesia. Identifying patients prone to develop opioidinducedhyperalgesia, or OIH, is of crucial importance. A study conducted at the Instituteof Pain Medicine, Rambam Health Care Campus, Haifa, Israel, under the supervisionof Prof. Elon Eisenberg and Prof. Dorit Pud has demonstrated evidence for the developmentof OIHchronic pain patients following four weeks of opioid therapy. The medical approach towards opioid treatmenthas considerably changed over the last

50 years. In the 1960s and 1970s it was consideredinappropriate for any patient suffering from chronic pain to receive longterm opioidtherapy. However, the improvementthe management of cancer pain with opioid mediionshas led to an extrapolation of these treatments to almost all chronic pain conditions, leading to a major increasetheir medical use. Although randomized controlled trails haveshown benefit for patients treated with opioids for short periods of weeks to months, whendiscussing longterm opioid therapies, especially at high doses, the riskbenefit ratio is oftenunfavorable and patients with chronic pain

may not always benefit from these treatments. Several reasons can be attributed for this lack of responsiveness such as opioid tolerance,addiction etc. More recently, opioid induced hyperalgesia (OIH) has been suggested as anotherpotential cause for the reduced effect of opioids. OIH is defined as a paradoxical conditionwhere the intensity of pain increases rather than decreasesresponse to opioid administration.If indeed OIH is a potential cause for the reduced effect of opioids then identifyingpatients prone to develop this condition is of crucial

importance. In order to better understandthe phenomenon of OIH a few future steps should be taken: First, we should try to identifyand characterize predictors for the development of OIH so we can better recognize those patientswho will less likely benefit from opioid treatment. Second, future confirmatory studiesshould be conductedorder to establish the reliability of our suggested OIH model. In the study we conductedRambam, OIH wasdemonstrated 55% of the participating patients with chronic neuropathic pain. OIHwas assessed by thermal sensory testing of heat pain intensitya nonpainful area. Notably,al analgesia was also observed following

four weeks of opioid treatment. Interestingly,OIH was negatively correlated with the al analgesic effect of opioids, so that patientswho exhibited a larger increasetheir heat pain intensitya nonpainful area following4 weeks of opioids treatment also exhibited less al analgesia.

Category: Peripheral Neuropathy

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