Diabetic neuropathy ? especially in the feet and toes.

Very difficult: First do everything you can to controll your diabetes: fix your nutrition and exercise almost every day. There are several good medd to help including Neurontin and lyrica (pregabalin). Please consult with your family doc to review your options.

I agree: This is a difficult disease to treat but it is possible to get good results. Tight control of you glucose levels will help the progression of further damage to nerves but will not reverse already damaged nerves. Treatment includes good diabetes control, oral medications, topical medications, and there is some anecdotal evidence for spinal cord stimulation.

Microvas: Dm neuropathy treatment in the lower extremity is usually treated with medication to alleviate the pain associated with neuropathy. Recently there has been some promising research showing a treatment called microvas to help alleviate the symptoms and restore bablance. The idea is that increasing micro circulation will improve nerve function in turn take away the neuropathy symtpoms.

Multiple factors: Sensory neuropathy is broken down into large fiber (loss of sensation, loss of proprioception) and small fiber (burning, tingling sensation). Most patient’s state the numbness starts at the tips of the toes and slowly works it way up the legs. To improve and prevent further deterioration diet and exercise is the key. Keep blood sugars under control.

Possible symptoms: Depending on the affected nerves, symptoms of diabetic neuropathy can range from a numbness and tingling sensation, possibly a burning sensation, to an uncomfortable painful sensation of the extremities. Get evaluated by a professional to determine the exact cause of the neuropathy in order to get the appropriate treatment.

Do EMG: Electromyography can provide a specific pattern to confirm the clinical neuropathy and can rule out potential superimposed nerve compression which might be causing a tarsal tunnel syndrome. If EMG not illustrative, consider diabetic small fibre neuropathy, which can be confirmed on punch biopsy.