Fluoroquinolones and Peripheral Neuropathy
Peripheral neuropathy, this is an often devastatingconditionwhich people develop pain and numbnesstheir hands and feet. Basicallythey're told on the evening news that they should be taking this or that mediion 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 thatAmerica,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 amatically increases yourrisk for having peripheral neuropathy and
fact being devastated by it. This is adisease that effects 115 Americans. Let's take a look. So again this is 115 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,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 usedwalks. If you have a urinarytract infection, you may have received these mediations. Well, here's what the study showedus: So this is a study publishedSeptember2014 that looked at men between age 45 to 80 years of age followed for a 10 year periodandthis 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 fluoroquinolonesthe United States, ians must weigh the riskof PN against the benefits of prescribing FQ when prescribing these ugs 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 journals is nowtelling us that the use of these mediionsâ€”these fluoroquinolone antibiotics is associatedwith doubling of the risk of peripheral neuropathy. A disease which often is not treatable. Sokeep thatmind 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.
Peripheral Arterial Disease Symptoms Treatments
The road to a healthier life begins righthere, from one of America's most respected namesmedicine: Henry Ford Health System.This is Healthy Living at Henry Ford West Bloomfield . Hi, Jimmy Rhoades herewith Nicole Kennedy, who's a vascular surgeon here at Henry Ford West Bloomfield .And Kennedy, I hear this term PAD but I don't know what it is. What is it, and whogets it? Jimmy, PAD stands for Peripheral Arterial Disease, that's hardening of thearteries or blockagesthe blood vessels that go from the heart down to the toes. Anyonecan get it, it usually builds up over many years. People who are especially at risk arepeople with heart disease and risk of stroke.
Okay, and we have a question from our audiencego ahead. Yes, sometimes when I'm walking my legs cramp, do you think I have PAD? It'spossible. We treat something called claudiion, that's crampingthe legs that occurs afteryou've walked a certain distance, feels better after you rest for a few minutes. That canbe a hallmark of PAD and you should see your about it. What can we do to preventPAD? Taking your mediions, following with your , exercise, avoiding smoking, doingthe right things. Okay, general health. And what about treatment once you have it? Itcan be from a very simple mediion all the way to a surgical procedure involving balloonsand wires, sometimes even an open bypass surgery.
Okay, and they need to consult with someonelike you to find that out. We're here for that. Okay, fantastic. You can find out awhole lot more by visiting the website. Go to wxyz henryford. , thank you so much.For more on today's Healthy Living from Henry Ford West Bloomfield , go to wxyz henryford.
Peripheral Artery Disease Warning Signs El Camino
gt;gt; Perhaps one of the areas that El Camino has become best known for is treatment ofperipheral arterial disease, and basically what that is, isblocked arteriesthe legs. This is a problem that affects at least 20 millionpeopleAmerica. It starts to impact 5 to 10%of individuals 55 years of age and older and it's probablythe strongest marker of risk
for heart attack and strokein patientsAmerica. The testing to determine whethersomeone has peripheral arterial disease is really simple. It can be done with ablood pressure cuff. The treatment is very effectiveand it also is important to recognize this becauseobviously it then turns our eye on the heart and thebrain and make sure that we're doing all thethings that we should do
to prevent majorproblems for our patients. Now peripheral vascular diseasecan present itselfa couple of different ways andthere is a broad spectrum. Patients who smoke,patients who are diabetic, patients who carry all thetypical cardiac risk factors are at increased risk forperipheral arterial disease. The thing about peripheralarterial disease is that over time it has a very,very high risk of death.
At five years afterthe diagnosis of peripheral arterialdisease, the likelihood of survival is reduced by 25%,that's greater than or equal to colon cancer, Hodgkin'sdisease, and other things that people pay a lotmore attention to. When you get advanced stagesof peripheral arterial disease, that number goes upprecipitously to the point that, survival is of graveconcern, not because people die
from peripheral arterial diseasebut because it affects themthe form of strokeand heart attack, which obviously can be fatal. Pause gt;gt; Patients that have thisproblem oftentimes complain of fatigue, tiredness, ordiscomforttheir legs. The typical pattern is theycan walk a certain distance after which they have to stop
because their legs really won'tallow them to go any further. They rest for a few minutes, theblood recirculatesthe legs, they resume their walking and can go a similar distancebefore stopping again. A lot of times this problemis blamed on old age, on immobility, onliving a sedentary life. Some people thinkit's arthritis, it can affect the hips,the buttocks, the thighs,