Treatment For Large Fiber Peripheral Neuropathy

Treating Numbness Tingling and Burning Caused by Neuropathy

My name is David Northcutt. I'm oneof the podiatrists here at Dallas Podiatry Works. Today I want to discuss diabetic peripheralneuropathy. There are several reasons for the development of peripheral neuropathy,but diabetic peripheral neuropathy is one of the most common. Diabetic peripheral neuropathy simply meansnerve damage that is caused from having diabetes. This is not something that develops rapidly,but is a slowly worsening and progressive condition which happens over the period ofseveral years. The loss of sensation that occurs with nerve damage from diabetes makesthe patient more prone to developing open

sores or ulcers. Patients often do not know that they havea sore or wound, due to this lack of sensation. This can lead to significant complicationsincluding amputations. Diabetic peripheral neuropathy usually occurs in patients whodo not maintain their blood sugar well, however it can occur in anyone with diabetes. The symptoms of neuropathy include numbness,tingling, pain, burning in the feet which can progress up to the legs, there's oftenloss of muscle tone, loss of balance, and changes to foot structure. To determine whetheryou have diabetic peripheral neuropathy, a

history and physical will be performed. Simple,in office, noninvasive testing helps to diagnose the problem. Neurologic tests sometimes areordered. Sometimes a biopsy of the peripheral nerves in the skin may also be performed.Treatment of diabetic peripheral neuropathy begins with good control of your blood sugar.There are oral medications as well as topical medications that may reduce your symptoms.Prevention of diabetic peripheral neuropathy includes maintaining good blood sugar levels. If you have any symptoms of numbness, burning,tingling in your feet or legs, please give us a call at Dallas Podiatry Works. We willwork to get the correct diagnosis to help

relieve your symptoms.

Neuromuscular Diseases Treatment at Ohio State

Neuromuscular disease or neuromuscular medicinespecifically pertains to diseases of nerve roots, anterior horn cells, which are locatedin the spinal cord, peripheral nerves, nerve muscle connections or muscle itself. One ofthe things that I was very blessed and fortunate to be able to bring here to Ohio State andto central Ohio was the ability to evaluate and manage autonomic neuropathies or diseasesthat specifically affect the autonomic nervous system which I tell patients is kind of likeyour automatic nervous system. One very common diagnosis that patients get referred to mefor is POTS or postural tachycardia syndrome, which is a very common cause of chronic fatigue.It used to be called chronic fatigue syndrome

and which has very good available treatmentsbut unfortunately many physicians in the general medical community are not aware of this diagnosis.I also bring a particular interest in autoimmune neurology in autoimmune neuropathies likeCIDP or chronic inflammatory demyelinating polyradiculo polyradiculoneuropathy or AIDPor GBS as it's commonly known. I also have an interest in small fiber neuropathies anddiseases of the peripheral nerve. Now with that said, I still see patients with muscledisease, with diseases of the nerve muscle junction but those are areas that I have aparticular interest in both at a al level and also at a research level. And I'mactually currently involved in one multicenter

al trial looking at pain managementfor neuropathies and currently doing some retrospective reviews at a a evaluations forautoimmune neuropathies as well as small fiber neuropathies.

Category: Neuropathic Pain

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