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.
What is cyanotic heart disease
When we talk aboutcyanotic heart diseases we'll come back to what cyanotic means in just a second. So, congenital means that it is something that theperson was born with. So they have heart disease notbecause they didn't eat right or something was wrongwith their environment, but because their heartis structurally abnormal.
And these days, with all the technology, we can actually ultrasound the mom's belly and see that this baby hascongenital heart disease because, again, thisis something structural that we can physically see with our eyes. For cyanotic, I think thebest synonym to use is blue. So blue, in medical terms, means this baby looks blue.
And by the way, I'm goingto keep saying baby, because when we think ofcongenital heart disease we're usually talking about babies because they need treatment early. And yes, they do survive into adulthood which is nice, but whenwe talk about treatment or diagnosing, most ofthe time we're dealing with the pediatric world,
so this baby is blue. Now babies can look blue forlots and lots of reasons. It could be a lung disease thing, it could be somethingwith their circulation, but obviously, for our purposes, we care about theirheart making them blue. So this is a baby, the most obvious ways to see this bluish tintin people of all colors,
are the mucus membranes,so the whites of their eyes might turn blue, their lips, and the tip of theirtongue is a good place. Sometimes, if it's really severe, their body will start to become cyanotic, and that's how you know they really are lacking oxygen. So to go back even further,
we have this idea in medicine that when blood has alot of carbon dioxide in it, it is blue, and bloodwith oxygen in it, is red, how we usually think of blood, and this is true to a certain extent. Blood that has less oxygen in it has a darker tint, butis not actually blue. For our purposes, we'll keep it that way.