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843-449-FOOT (3668)

 * Home
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TINGLY TOES

Diabetic peripheral neuropathy is a term used to describe nerve damage in the
feet often associated with diabetes. Most of the time peripheral neuropathy can
be felt as numbness, tremor, weakness, tingling, pain, itching, and pins and
needles. These first pain symptoms can worsen to become so severe that patients
cannot allow a bedsheet to touch their feet as they sleep. More commonly noticed
is the area of numbness in the toes, slowly expands into the foot and leg.

These symptoms are a result of nerve loss. Nerves come in two forms, those
relaying feeling information like pain, temperature, or touch and those relaying
information to muscles to cause movement. Diabetic peripheral neuropathy usually
starts with a loss of feeling with damage to the sensory fibers beginning at the
place farthest from the brain: toes, feet, and legs. The numbness will not allow
feeling of pain or temperature on the numb areas. As a result, infections
develop more easily do to cuts, scrapes, or ulcers that go unnoticed.

There is no perfect treatment for diabetic peripheral neuropathy, which is why
maintaining a healthy blood glucose level is important. For most people managing
blood glucose levels will slow down or even prevent further nerve damage. This
is not the case in everyone, as diabetic peripheral neuropathy is not always
caused by poor glucose levels. Management of pain can be a large treatment
concern. To combat the pain many doctors focus on prescription drugs that block
or slow down pain receptors preventing or lessening the patient's pain. Newer
treatments include Alpha Lipoic Acid (ALA) and Evening Primrose Oil (EPO). These
newer treatments help reduce pain and inflammation as well as reduce nerve
damage and may be worth talking to your doctor about. Since none of the
treatment methods can reverse the damage due to nerves, it is important to
practice excellent preventative care. This includes keeping your blood glucose
in a healthy range and keeping your feet healthy with daily care and checking
numb areas for sores.



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Scott Werter, DPM, FACFAS
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Tom Fickling 11/08/2023 4:33 PM
I have neuropathy and interested in treatments.
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Coastal Podiatry Associates 11/09/2023 8:47 AM
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