A member asked:

I was diagnosed with diabetes neuropathy, my back is painful and i have numbness in my arms and hands.what are the treatments for this?

4 doctors weighed in across 4 answers

HERE'S A FEW: Drugs approved for diabetic neuropathy include lyrica, (pregabalin) cymbalta, and a medical food, metanx. However, additional meds may be useful, and physical or osteopathic therapy might help the back pain. Might consider acupuncture.

Answered 10/24/2014

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See below: The fda has approved lyrica, (pregabalin) cymbalta, and metanx, but other meds may help. For the back pain, consider physical therapy, exercise, even epidural steroid injections, and perhaps chiropractic or osteopathic treatments.

Answered 11/20/2012

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Dr. Payam Rafat answered

Specializes in Podiatry

Many options.: Topical capsaicin may be helpful for some, while others may benefit with oral medication such as Pregabalin (lyrica), Amitriptyline (elavil), duloxetine (cymbalta), Gabapentin (neurontin), Carbamazepine (tegretol), or valproate (depakote) to reduce the painful symptoms in the feet due to neuropathy. Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary.

Answered 10/24/2014

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Can also C osteopath: You have had your wisdom teeth removed, and looks like you are taking amitrityline, and aleve (naproxen) for pain, and Insulin for dm, and pt too. You could benefit from having an ostoepathic manipulative consult/treatment to address your overall pain stemming also from musculoskeketal complaints, and be manually treated holistically to get some relief. Also, they can recommend a cranial dentist too for tmj.

Answered 6/25/2014

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