Treating Neuropathy and Nerve Pain in the Feet
Let me start with I'm a diabetic. I developedneuropathy, which basically you lose all sensation in the feet, but it's over a period of time.It was very painful. I would have sensations in my 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 improvement in your 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 went in and 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, in 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.
Laser Trabeculoplasty for Glaucoma ALT vs SLT Animation
Trabeculoplasty is a laser treatment for primaryopenangle glaucoma. The laser is used to treat the trabecular meshwork, through whichthe aqueous humor drains. In this procedure: The eye is numbed with eye drops. A special laser lens is placed on the eye to help control the direction of the laserbeams. The laser burns a small area in the trabecularmeshwork, opening up the drainage canal. About 50 spots over 180 degrees of the meshworkcircle are treated in one therapy. The original laser trabeculoplasty procedureapplies argon laser of 514nm wavelength on half of the meshwork circle in one treatment.Although a second treatment can be performed
on the other half of the circle, the procedureis generally not repeatable as it causes extensive scarring of the trabecular meshwork.The newer technique Selective Laser Trabeculoplasty or SLT uses a solidstate laser of 532nmwavelength. The pulse energy of SLT is about 100 times lower than the traditional argonlaser trabeculoplasty. SLT selectively targets pigmented cells while leaving the rest ofthe trabecular meshwork tissue intact. For this reason, it can be applied to 360 degrees of the meshwork in one treatment and is considered safe to be repeated.In term of efficiency, the two techniques return similar results in lowering intraocularpressure. Laser trabeculoplasty treatment
is effective in about 75% of patients. Theeffect may take a few weeks to kick in and can last for several years.
In cases of angle closure glaucoma, the irismay bow forward so much that it cuts off your eye's angle completely. Unlike narrow angleglaucoma, where some fluid can still drain from the eye, angle closure glaucoma doesnot let any fluid drain. It develops quickly, and its symptoms can include severe pain,red eye and nausea. Closedangle glaucoma is a medical emergency. If the high pressureis not reduced within hours, it can permanently damage your vision. If you experience anyof its symptoms, you should immediately contact your eye or go to a emergencyroom.