One of the most frustrating things for patients and doctors alike is not having adequate treatment plans for patients who suffer from peripheral neuropathy and chronic pain. We find most of the time with our new patients there has never been a real treatment system put into place.
When a piecemeal approach is taken both by patients and their professionals early on, and the net result is failure, or possibly worsening of the underlying neuropathy and chronic pain. Commonly this is the result of a number of factors and too often it’s failure to follow up on early milder issues.
But the good news is when specific formulas are followed, you know what to expect, and we then can know how to measure your progress.
For example, most patients who suffer from diabetic neuropathy know when they keep their blood sugars within a healthy range, their neuropathy and chronic pain improves.
Conversely, when blood sugars are out of control, most often due to poor diet the net result is poor.
And the same holds true for other many other health issues. For example having a personal treatment system including scheduled exercise, a firm diet plan (Get Yours HERE) as well as daily stretching and rest can make a profound difference.
The timing of dietary supplements, and even medications can make a big difference. We know for example that regularity, in terms of time of day and spacing of dosages can make a huge difference for many patients.
We also know that when treating with the NDGen treatment system at specific times makes a huge difference and leads to bigger improvements in quality of life.
So if you find yourself not progressing as much as you would like, let us help you develop a real treatment system or “game plan” for yourself.
Remember no two patients are the same. Some trial and error is necessary to find out what works best for you.
But the good news is having a treatment system to follow provides for more measurable results!
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One of the more common but sometimes under diagnosed components of some forms of peripheral neuropathy is loss of balance. Patients will often say “I don’t have neuropathy; I only walk like I’ve had a few drinks”. This is why it is so crucial to address balance and neuropathy treatment.
In the clinic, we call this “gait” changes. Of course, there are many neurologic disorders that can cause you to walk abnormally or to lose your balance.
But this loss of balance occurs frequently in peripheral neuropathy and sometimes its the very first things patients notice. This is primarily due to changes in sensation in your feet to touch, as well as position sense, or what doctors call proprioception.
One of the most important things to recognize is that left untreated, this problem often gets worse. It requires not only treatment for the neuropathy component but also rehabilitation to help retrain balance and coordination, wherever this is possible.
There are some very simple steps they can be taken almost immediately to prevent catastrophic falls and help balance and neuropathy treatment.
The first thing is to make sure that proper footwear is worn at all times. Secondly, remove common hazards around the household such as objects upon stairs, rugs without non-slip backing or pads, spilled liquids on the floor etc.
Be especially careful in kitchens and bathrooms. Once neuropathy treatment has begun, we’ll instruct you in a series of exercises to help retrain your nervous system.
This is only possible when adequate balance and neuropathy treatment has been able to improve sensation to the soles of your feet, and position sense to your toes and ankles and knees.
This is why getting care early can go along way towards helping possible neuropathy recovery, but also set the stage for a return to a more active lifestyle.
Remember, the sooner you act, the sooner you improve.
Please, do not wait for your situation to really deteriorate before seeking active balance and neuropathy treatment intervention.
Good treatment for many of the more common forms of neuropathy is now available!
All you have to do is ask!!!
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An entrapment neuropathy occurs when a nerve is wedged or “pinched” against a bone, inflamed muscle, or other structure…
Most people have heard of carpal tunnel syndrome (CTS). What you might not know is that carpal tunnel syndrome is only one of a family of ailments in the upper limbs known as entrapment neuropathies. The other entrapment neuropathies are not as well-known in the mainstream as CTS, and so people who suffer from nerve symptoms in their forearms and hands frequently jump to conclusions. We are here to help set the record straight!
Diagnosis for compression neuropathies is usually straight forward…
An entrapment neuropathy, also called nerve compression syndrome, occurs when a nerve is wedged or “pinched” against a bone, inflamed muscle, or other internal mechanism in your arm. Aside from the median nerve (the one associated with CTS) there are two main nerves that help to control your arm and hand: the radial nerve and the ulnar nerve. Both are susceptible to compression, and the results can be painful!
Entrapment occurs under a number of conditions, most commonly:
- When there is an injury originating at your neck or a disease of the cervical spine
- When your elbow has been injured due to fractures or improper use
- When your wrist has been injured due to fractures or Guyon canal alignment problems
- Rarely, an aneurysm or thrombosis in your arteries
- Factors commonly associated with peripheral neuropathy, such as diabetes, rheumatism, alcoholism, or infection
Your radial nerve runs the length of your arm, and is responsible for both movement and sensation. Radial neuropathy usually occurs at the back of the elbow, and can present itself with many of the common symptoms of neuropathy such as tingling, loss of sensation, weakness and reduced muscle control (in this case, often difficulty in turning your palm upwards with your elbow extended).
A number of palsies affect the radial nerve, such as:
- “Saturday night palsy” where your radial nerve is compressed in your upper arm by falling asleep in a position where pressure is exerted on it by either furniture or a bed partner
- “Crutch palsy”, where your nerve is pinched by poorly-fitted crutches
- Tarsal Tunnel at the foot and Cubital Tunnel at the elbow.
Two main conditions affect the ulnar nerve: Guyon’s canal syndrome and cubital tunnel syndrome. Guyon’s canal syndrome is almost exactly the same in symptoms as carpal tunnel syndrome (pain and tingling in the palm and first three fingers), but involves a completely different nerve. Guyon’s canal syndrome is caused by pressure on your wrists, often by resting them at a desk or workstation, and is frequently experienced by cyclists due to pressure from the handlebars.
Nearly everyone has experienced cubital tunnel syndrome: it’s the “dead arm” sensation we’ve all felt when we wake up after sleeping on top of our arm! Sleeping with your arm folded up compresses the ulnar nerve at your shoulder, causing it to effectively “cut off” feeling to your arm. As you probably know from experience, this sensation is unsettling but temporary.
Diagnosis for all compression neuropathies is fairly straight forward. First, we will examine your arms for signs of neuropathy, and will likely ask you to perform several demonstrations of dexterity. If we suspect you may have an underlying condition, nerve (EMG/NCVs) or blood tests may be recommended. To pinpoint the specific location of a compression, we may also suggest MRI or x-ray.
Similar to carpal tunnel syndrome, most cases of compression neuropathy are mild. Treatment for these mild cases and commonly ice, rest, and a change in habits of motion or stress that are causing the symptoms. For more severe cases, possibly anti-inflammatories, and in extreme cases, a surgical solution is sometimes justified.
If you suffer from a compression neuropathy or have questions about this or any other kind of neuropathy, let us help! Contact us by calling the number at the top of the page and we can answer your questions.
Don’t wait! The sooner and accurate diagnosis is made, the more options for treatment you will have.
Do you or someone you know suffer from CTS? Join the conversation HERE!
Lets Make The Most Accurate Diagnosis First. We have been teaching patients and professionals this for many years. Here is one example why.
Recently, I had the opportunity to read an article written about pain & neuropathy treatment. This article was written directly for patients.
Now maybe you even saw this yourself. It has been widely publicized as a “neuropathy treatment solution” in a bottle.
As I read through the article I couldn’t help but think of the patients I’ve seen in my clinic that have been diagnosed with peripheral neuropathy, or another named condition when in fact they have also have another serious underlying health problem.
Unfortunately, this is not at all uncommon. I recently had this discussion with another doctor who repeated the same thing to me.
The fact of the matter is not every patient with a diagnosis or cause of their pain has had it fully explored and when possible confirmed. Far too often, the problem turns out to be something different than what they believed.
Treating patients with pain and neuropathy requires great skill, with much time dedicated to proper assessment and evaluation.
So often, pain, including peripheral neuropathy accompanies other medical conditions. Unless your Doctors are thorough, you can spend months and sometimes years chasing the wrong thing! This is happening more and more with all the Social Media “cures” and practices being promoted.
And that is why it is very important before beginning any extended program of care, it is crucial to most accurately understand what may be causing your symptoms.
Too often, patients with peripheral neuropathy have impaired sensation, and judgment affected by medication. This is one of the things that make self-treatment and home care without supervision potentially dangerous.
Be aware, there are also drug/diet supplement interactions, which can be potentially dangerous. A common one is Coumadin and Co Q10. Then there is the potential interaction with acetyl l Carnitine with thyroid, HIV and many chemotherapy drugs.
Choose your Doctor carefully. Stay away from fads, quick fixes or “magic treatment” pills or supplements.
When in doubt seek out our help before engaging any any questionable treatment. You can Call us anytime @ 781-659-7989.
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“Why Do I Feel so Lousy With Weather Changes?” This is one of things we hear very often from pain and neuropathy patients, “While do I still feel so lousy?”
Sometimes, it’s easy to put your finger on the reason why. For example you fail to eat properly. You over exercise. You under exercise. But lately you’ve been eating better and drinking lots of water but sometimes, you feel lousy for seemingly no reason at all.
It could be, that you are suffering from what we call “denervation hypersensitivity”.
Now, that sounds like a mouth full. And at first glance it is!
You see your body is very sensitive to environmental changes. These could include things such as air pressure, temperature, humidity, and other environmental changes. Much more so with nerve irritation due to injury, arthritis or neuropathy.
Is it sunny and warm or hot and humid today?
The reason for this is that when nerves are damaged they become hypersensitive to environmental changes. This is not an old wives tale.
A very common scenario is when an approaching storm seemingly increases your level of pain and discomfort oftentimes dramatically.
It is a well-known phenomenon that anybody familiar with neuropathy treatment, arthritic pain, or patients that suffer from neuropathy and probably many forms of chronic pain..
Some of my patients even joke that they have become walking barometers. Now there’s nothing you can do to change the weather. However there are some things you can do to make yourself more comfortable. Number one, make sure you maintain as even environmental temperature and humidity level as you possibly can in your home and car.
Number two, keep yourself away from draft exposure. Even on relatively warm days, you need to make sure that you’re protected from wind and drafts.
Lastly, armed with this knowledge plan on extra treatment at home or maybe even in the clinic during times of flare-up
The most important thing of all though?
Recognize that your body while suffering from pain and neuropathy is very sensitive and take steps to protect it.
This is one of the reasons, we advocate every neuropathy treatment patient owns their own homecare kit which can give you invaluable relief during the times of flare-up, during the middle the night, weekends, and even for breakthrough pain.
Tell us how your neuropathy treatments are effected by the environment HERE!
“Doctor, my blood sugar is just a little off–that can’t cause Neuropathy…”
Unfortunately, the reverse is probably true.
Here is reality: Aggressive treatment of both metabolic syndrome and diabetes can lessen the progression and the severity of one of the most common forms of peripheral neuropathy.
We have written extensively about diabetes and metabolic syndrome. We talk often about about how carrying excess body fat impairs our body’s ability to process blood fats and blood sugars.
There’s also really good evidence and multiple clinical studies that show even borderline elevations in the blood sugar over long periods of time make patients more likely to develop peripheral neuropathy.
So how does this slight elevation of blood sugar and blood fats or triglycerides cause neuropathy? Unfortunately, nobody is 100% sure. But there are several good theories.
The most likely explanation is that excess amounts of circulating fats and sugar interfere with your delicate nerves’ ability to take in critical nutrients, including oxygen.
Over a long period time, these can eventually manifest as the tingling, numbness, and burning so commonly found in peripheral neuropathy.
Because it is a well-known fact that patients with metabolic syndrome can likely develop a number of diseases, including heart disease and high blood pressure–as well as peripheral neuropathy—it is critical to attempt to reverse the changes wherever possible.
If frank diabetes develops, it is necessary to treat it as aggressively as possible with minimal side effects. We do know that aggressive treatment of both metabolic syndrome and diabetes can lessen the progression and the severity of one of the most common forms of peripheral neuropathy. But what happens if you’ve done all the right things and your neuropathy persists?
This is the most common presentation we now see in our clinics.
This is because so many more enlightened patients are taking charge of their health by improving their diet and starting to exercise on a regular basis.
And this is how we should all first approach patients with neuropathy and chronic nerve pain.
Let our team help you too.
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