Burning Feet Peripheral Neuropathy Pain Symptoms Resolved DavisSpineInstitute
When we originally began with you, we begantreating for chronic low back pain, numbness, tingling, and burning in your feet and lowerextremities. How have you done here in our office with the DRS Program and conservativechiropractic management and what was your overall experience here in our 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.
Presentation on CMT
Hello everyone, welcome to our presentation on CharcotMarieTooth disease, also known as CMT. My name is Sindhu Ramchandren I am an Assistant Professor of Neurology at the University of Michigan And I direct the Muscular Dystrophy and the CMT at the University. The goals of the talk are to define what 'neuropathy' means, define CMT and how it affects people, provide an overview of the mutations that cause CMT, and finally, an overview of our
and research being conducted at the University and the Inherited Neuropathy Consortium. Let's start with defining 'Neuropathy.' Your Nervous System consists of your Brain, your spinal cord, your peripheral nerves, and your muscles. Your nerves are essentially wires that connect your spinal cord to the muscles.
When we say 'neuropathy', we therefore mean nerve damage. Your nerves look very similar to electrical wires. There is an outside insulation, called 'myelin' in the nerves, and inside, there are several cables, called 'axons'. The axons conduct the electrical signals from the brain to the muscle. and the myelin prevents the electrical signal from leaking. Nerves can be damaged in one of two ways. Either the axon can be affected, or the myelin.
When there are fewer cables to carry the signal down the wire from the brain to the muscle, that type of nerve damage is called 'Axonal' neuropathy. When the myelin is affected, the effect is like having a leaky insulation and the signals can't reach the muscle quickly enough And this is called demyelinating neuropathy. If the problem is with the nerve, then why does the muscle get weak? To understand this, take a look at this garden analogy. Imagine this hose as your nerve
and the garden as your muscle. When the electrical signal is travelling well, the garden grows well and is healthy. In neuropathy, the signal is like a leaky hose. so less water (electrical signal) can get through. Now, your body can repair nerves. and attempts to heal the leaks on its own. But, if it can't fix what's causing the leaks in the first place, then new leaks will continue to develop.
So, for example, if you have neuropathy due to diabetes, if the blood sugar stays high, your body cannot repair the nerves, and new nerve damage occurs. In a genetic neuropathy such as CMT, the coding instructions for the new nerves are faulty so the new wires still have leaks. Over time,