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 Americansâ€”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 medicationsâ€”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.
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.
Headaches Neck Pain Low Back Pain Neuropathy Numbness Burning Roger Testimonial
Currie: Today is August 28, 2014 and thisis Roger. And Roger, you've been a patient here at Arkansas Spinal Care and NeuropathyTreatment Center and you're now finishing your care. What conditions brought you toArkansas Spinal Care? Roger: Basically, I had a lot of problemswith my lower back. I had degenerative disc disease. I also had fibromyalgia, diabeticneuropathy. When I walked in the door, it was all I could do to walk through the door.On the way down, I fell asleep. Of course I had about an hour and a half drive, andit was all I could do to make it up on the table.
Currie: Wow, so you had a lot of painand a lot of different conditions going on, and let's talk about each condition individually.First, let's talk about your fibromyalgia. How bad was it before you came here on a scaleof 0 to 10 and where would you rate it now? Roger: I was probably a 9. It also had todo with my neck problems. I could not turn my head to the left at all, and I had it veryrestricted to the right, and now I've got full movement. Basically any time a majorstorm came in, I was in the bed for two or three days. Now, a storm comes up, I veryrarely even feel it coming on, and never get over the edge anymore.
Currie: Awesome. So what would you rate,on a daytoday basis, your fibro, on a daytoday basis, where would you rate it now? Roger: It's probably a 2. Currie: About a 2? Okay, so that's awesometo go from a 9 to a 2 on a daytoday, regular basis. Roger: Yes. Currie: All right, let's talk about yourneck. Okay, how bad was that on a scale of 0 to 10, and how would you rate it now?
Roger: Well, as far as the movement goes,it was probably a 9. Pain wise, I had to block out the pain because it happened in a carwreck in 1988, so it had been a long time. And I'd just gotten adjusted to that I couldnever turn my head to the left at all. And then right, I could probably get to abouthere, that's as far as I could get without pain, and now I can get it all the way around. Currie: That's awesome. Okay now, lowerback? Roger: Lower back, I was right at a 9, verylack of movement, couldn't bend over and tie my shoes. I couldn't put socks on, I had problems.In fact, the first couple of visits, they
had to take my shoes and socks off for me.It is how bad it was, limited as far as movement goes. It was all I could do to struggle toget up on top of the table. Currie: Okay. And then where would yourate that now? Roger: It's right at about a 3 or 4. Currie: 3 or 4, and you're able to tieyour shoes again, and. Roger: Oh, yeah. Currie: And how long had it been sinceyou've been able to do that? Roger: It's been about 15 years.
Currie: Wow, that's amazing. All right,now the last thing. A lot of people come in here and say, quot; Currie, I see a lot oftestimonials about, you know, neck or low back pain, or headaches, or fibromyalgia,but what about neuropathy, because I've been told that there's no cure for neuropathy.quot;I hear that over and over again. What would you say to that? Roger: Well, there is a cure. I mean, it definitelyhelps. I've went from having sharp needles and pins in my feet at all times, burningsensations, now I've got a cool dull pain that 's bearable. Before it was a strugglefor every step, and there were a lot of days