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Diabetic Neuropathy
Approximately 60 to 70 percent of the 20.8 million Americans with diabetes will develop some form of diabetic neuropathy. Reportedly, 3 million patients with diabetes will experience painful neuropathy. See below for articles on diagnosing and treating the symptoms of diabetic neuropathy.
Current And Emerging Options For Treating Diabetic Neuropathy
Given the debilitating effects of diabetic neuropathy, this author discusses a wide array of possible treatments ranging from anticonvulsant medications to aldose reductase inhibitors.
Featured Content from Podiatry Today
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Presentation, Diagnosis, and Classification of Diabetic Neuropathy in Older Adults
Although painful neuropathy may be the most evident form of diabetic neuropathy in those patients in whom it occurs, it actually represents a minority of the cases of diabetic neuropathy. Focal Neuropathy Focal diabetic neuropathy can be divided into four categories: (1) cranial neuropathy, (2) radiculopathy, (3) plexopathy, and (4) mononeuropathies. Diabetic neuropathy likely accounts for more than 50,000 amputations in the United States every year; 50% of all nontraumatic amputations ...
Featured Content from Annals of Long-Term Care
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Case Studies In Painful Diabetic Neuropathy
One of the more debilitating complications of diabetes, diabetic peripheral neuropathy can lead to the development of foot ulcers, infections and potential amputations. With this in mind, this author reviews key principles, offers two compelling case studies and provides insight on emerging modalities.
Featured Content from Podiatry Today
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Burning Feet due to Diabetic Neuropathy
Abstract: The authors present the case of a patient with severe burning sensations in the soles of both feet. The patient was diagnosed as having diabetic neuropathy, which can result in extremely variable symptoms ranging from burning, shooting or stabbing pain to complete loss of sensation. The authors discuss treatment of this condition with topical doxepin. Twice daily treatment with doxepin for four weeks eliminated the severe burning sensation without side effects. While it appears that topical doxepin may be an alternative treatment in alleviating neuropathic pain in the diabetic patient, further controlled studies should be conducted to rule out placebo effects.
Featured Content from Wounds Research
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Frostbite and Diabetic Neuropathy
[8] Electrodiagnostic testing often cannot identify a superimposed nerve compression in the setting of diabetic neuropathy, even for the most common peripheral nerve entrapment, carpal tunnel syndrome. Nerve compression in the diabetic patient can be treated successfully by surgical decompression of the peripheral nerve at known sites of anatomic narrowing, such as decompression of the carpal tunnel in the upper extremity. Prevention of foot ulceration and amputation by decompression of ...
Featured Content from Wounds Research
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Choosing Medications For Painful Diabetic Neuropathy
Many people are unaware of the medications that can help relieve the discomfort. The most commonly used TCAs are amitriptyline, nortriptyline, imipramine and clomipramine. The effective daily dosages range between 450 to 675 mg/day.
Featured Content from Podiatry Today
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Expert Insights On Painful Diabetic Neuropathy
Leading authorities in the field discuss and debate the prevalence and etiology of this condition, and assess treatment options, including peripheral nerve surgery.
Featured Content from Podiatry Today
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Preventing Foot Ulceration and Amputation by Decompressing Peripheral Nerves in Patients with Diabetic Neuropathy
Diabetic neuropathy occurs in a stocking and glove distribution, consistent with a systemic metabolic disease. As a result, it is commonly believed that no surgical options are available for this debilitating condition. The classic medical approach to the treatment of diabetic neuropathy consists of attempts to achieve a euglycemic state, obtain regular podiatric care of the feet, inspect the feet for the presence of deformities or ulcers, and help achieve pain control through the use of medication. Unfortunately, all too often this approach is not successful in relieving the patient's pain, and the loss of sensation provides the basis for deformity, ulceration, infection, and amputation. However, scientific and clinical research data support the statement that "today it is possible to restore sensation and relieve pain in 80% of patients with symptoms of diabetic neuropathy by decompression of multiple peripheral nerves." Furthermore, long-term follow-up has shown that no one who has had sensation restored with this procedure has developed an ulcer. These findings change the natural sequelae of diabetic neuropathy.
Featured Content from Ostomy Wound Management
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Introduction
Introduction Feature: Introduction - David E. Allie, MD Dr. Allie is the Director of Cardiothoracic and Endovascular Surgery at the Cardiovascular Institute of the South in Lafayette, Louisiana. The true relevance, natural history, clinical impact, and social and economic costs of diabetic neuropathy are not well documented because of inconsistencies in the objective diagnostic criteria. &...
Featured Content from Podiatry Today
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Painful Sensory Neuropathy in Patients with Impaired Glucose Tolerance: Part II -- Treatment
In this concluding article of the review, we will discuss treatment strategies for IGT neuropathy, including management of IGT, the neuropathy itself, and treatment of neuropathic pain. Treatment of the Neuropathy Glycemic control is the linchpin of effective treatment for neuropathy associated with IGT. In several placebo-controlled, randomized trials examining patients with painful neuropathies, gabapentin has been shown to significantly reduce neuropathic pain and improve sleep.15 An ...
Featured Content from Clinical Geriatrics
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