14 doctors weighed in:
Diabetic neuropathy ? Especially in the feet and toes.
14 doctors weighed in

Dr. Khurram Khan
Wound care
3 doctors agree
In brief: 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.

In brief: 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.
Dr. Khurram Khan
Dr. Khurram Khan
Thank
Dr. Andrew Oh
Pain Management
3 doctors agree
In brief: 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.

In brief: 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.
Dr. Andrew Oh
Dr. Andrew Oh
Thank
Dr. Payam Rafat
Podiatry
2 doctors agree
In brief: 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.

In brief: 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.
Dr. Payam Rafat
Dr. Payam Rafat
Thank
In brief: 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.

In brief: 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.
Dr. Bennett Machanic
Dr. Bennett Machanic
Thank
Dr. Adam Teichman
Orthopedic Surgery - Foot & Ankle
In brief: 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.

In brief: 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.
Dr. Adam Teichman
Dr. Adam Teichman
Thank
Dr. Jeffrey Barke
Family Medicine
In brief: 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.

In brief: 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.
Dr. Jeffrey Barke
Dr. Jeffrey Barke
Thank
Get help from a real doctor now
Dr. Bennett Machanic
Board Certified, Neurology
48 years in practice
55M people helped
Continue
108,000 doctors available
Read more answers from doctors