Posts Tagged ‘Foot’

Foot Neuropathy Treatment?

i am suffering from pain ,burning sensation due to high blood suger.

Diabetic Socks For Foot Pain And Neuropathy – Small – Crew

• Diabetic socks are designed to reduce pressure on swollen feet, ankles, and sensitive legs by minimizing constriction

• Stretch tops, seamless construction and soft terry soles make these diabetic socks an ideal choice for problem feet
• Accommodates oversized calves with exceptional cross stretch that allows the sock to slip on easily
• The Diabetic Socks reduces friction, abrasion, shear forces and callus formation
• The Toe closure creates a completely seam-free foot environment that means no rubs, no irritation

Product DescriptionDiabetic Socks increases blood circulation and ease pain from swollen ankles. Stretch tops, seamless construction and soft terry soles make these diabetic socks an ideal choice for problem feet determined to stay on the move. The premium weave top easily accommodates oversized calves with exceptional cross stretch that allows the sock to slip on easily, stay up without binding, yet never sag. Wear freely without fear of restricting circulation. The Toe closure creates a completely seam-free foot environment that means no rubs, no irritation. Yarn content: 92% combed cotton 8% Lycra. The coziest diabetic socks you have ever seen. Go ahead and slip in! Diabetic socks are designed to reduce pressure on swollen feet, ankles, and sensitive legs by minimizing constriction. Socks that maintain their shape and ability to absorb moisture are preferable and are seen with materials with a blend of cotton and polyester. Manufactures will soon be coming out with cushioned and low-abrasion potential socks to use in patients with diabetic neuropathy.

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Diabetic Socks For Foot Pain And Neuropathy – Small – Crew

Is Foot Pain Making You Neurotic?

Although itching and blistery feet may be a sign of Athlete’s foot, those who have constant numbness or tingling in their feet may be suffering from a condition known as peripheral neuropathy. This is the general term given to disorders that affect the body’s peripheral nerves.
The peripheral nervous system is comprised of nerves that spread from the spinal cord to various parts of the body. This nervous system is responsible for motor and sensory nerves; the nerves that help us move and feel.

When a peripheral nerve is damaged, the affected area (particularly the lower extremities) may become increasingly numb or hyper sensitive (sensory nerve) and/or weak or paralyzed (motor nerves). Either one or both sets of nerves can be affected.
Peripheral neuropathy that affects the feet is most common in people with diabetes, and in those who inherit the condition from their parent – hereditary neuropathy. However, foot neuropathy isn’t limited to these groups. It can occur in anyone.
The most common symptoms of foot neuropathy involving the sensory nerve include:

What You Needs to Know About Diabetic Foots Amputations

Yesterday James came into my office because he just found out that he had just been diagnosed with diabetes. His doctor said that he needed to get a diabetic foot check. First thing I asked James was if he’d ever known anybody who have a diabetic foot amputation. He said that yes he did have a cousin who had lost his lead to diabetes. He also said that his cousin had died shortly after the operation. When asked what happened he didn’t seem to recall any of the specifics surrounding the event. Asked if he knew how diabetes can cause an amputation. He said he had no idea.
Shouldn’t every diabetic know the details so that amputations could be prevented?
There are basically two groups of patients when it comes to understanding of diabetic foot problems. One group are ready fully understands all of the risks to their feet related to diabetes, but this is very rare. The much larger group of people have no clue how all of this happens. With every one of these folks I feel that the one goal is to get them to understand that diabetic foot problems are optional.
Diabetes can be a very difficult disease to learn to live with. Next thing you know, your doctor is telling you that you have to start exercising, he’s telling you what you can and cannot eat, and he is also telling you to have a heart attack. Then you are at home learning about blood sugar monitoring, taking medicine, pricking your finger every day. People will say, “Now I gotta think about my feet too? Seems like such a hassle.

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And it is.
But the good news in all of this is that everything bad that can happen to you because of diabetes is preventable. Everything. All it takes is a little learning, a little lifestyle change, and little daily effort. The goal is to get you to understand the basics of how diabetes can affect your feet. . . So you can take action and do something about it.
When you have diabetes you have three main problems, all working together and conspiring against you, that can lead to a diabetic foot amputation. It involves your nerves, blood flow and immune system.
When your blood sugar is high, there is a chemical reaction that directly damages the ends of the longest nerves in your body. The longest ones start in your back (where they exit the spine) and head all the way down to the toes in one long piece. Because the ends get damaged first, any nerve damage starts in the toes and gradually creeps up the foot toward the ankles.
It is always damaged at the same level in both feet. For example, if you have nerve damage (neuropathy) at the ball of the foot, the nerve damage is only in the toes. In this case the part of the foot around healed ankle and arch might be just fine.
Diabetic nerve damage makes it very difficult for someone to tell if they’re starting to develop a blister, cut, or even an infection. This can put them in a very high risk for developing serious problems. It is deceptive because you might be able to feel other things like the position of your feet, shoes and socks squeezing, but not a blister, cut or sore.
The second problem is the circulation or blood flow in the feet and legs. The arteries get clogged faster when you have diabetes. If you take two people who are identical, except one is diabetic, the one who is diabetic is four times more likely to have a heart attack. That is because of the increased rate of clogging up those arteries through the process called atherosclerosis. But this process happens everywhere, not just the heart. The blood vessels to the legs get plugged up too. Then, when you get a sore it takes longer to heal. It is also harder for your infection fighting white blood cells to get down there.
The last problem is your immune system. When your blood sugar is high, the white blood cells (called macrophages) have a hard to time fighting off those nasty bacteria. The white macrophages find bacteria through a process called chemotaxis. It is like following a trail of chemicals to its source. This is not very effective when the blood sugar is elevated. In effect, the macrophages are lost in the dark, simply bumping around, hoping stumble into some bacteria to kill. Very inefficient and not very effective.
Even if the white blood cells to find bacteria, they still have a problem. The high blood sugar prevents them from eating the bacteria. The process where the white blood cells engulf the bacteria (called phagocytosis) is essentially disabled. So they bump up against they bacteria, but can’t do anything. Imagine a great white shark with his mouth wired shut trying to eat a smaller fish for dinner. Because of all of this, the immune system is ineffective, the bacteria continue to grow and the infection quickly gets out of hand.
So a diabetic amputation goes something like this. If you start a walking program to help control your diabetes, but you have a little nerve damage, he may not be able to field blister starting to develop. If you keep walking the blister conversed. Just like that, you have an open sore. Your blood flow is a little sluggish and it takes a long time to heal. Then it gets infected while it is trying to heal. If your blood sugar is high, all of those sharks are wandering around in the dark, mouths wired shut, and the infection spreads.
If it spreads enough, one of the foot bones gets infected. And a bone infection is the kiss of death for the diabetic foot. The most consistently effective method of treatment for a diabetic bone infection (called oseomyelits) is to take out the infected bone. And that is where the amputation begins.
The moral of the story is watch your blood sugar, and your nerve damage will never get any worse. If you walk 30 minutes a day, fives days a week, your blood flow will never get any worse. If you develop any diabetic peripheral neuropathy, it is important that you are closely monitored and evaluated by someone who is an expert in the treatment of diabetic foot problems. If you ever get any open sore, blister or ingrown toenail it is an emergency. . . no joke. Get that foot checked out or it might get chopped off!

Diabetic Foot Care and Treatment

Understanding the effect of diabetes on your foot is important. Most diabetics suffer from some form of foot ailment or infection. Due to unique complications associated with increased blood sugar, these foot problems can take a serious form. In extreme cases, amputation of the limbs might be the only choice available.

With proper precautions and regular diabetic foot care most of the diabetes related foot problems can be avoided or contained.

How does diabetes affect your feet?

One of the problems due to diabetes is nerve damage also known as diabetic neuropathy. Diabetic neuropathy affects the peripheral nerves. These include the nerves for pain, motor neurons which control muscles and autonomous neurons which send signals to the organs. This can lead to numbness and loss of feeling in the feet. It can also lead to muscular weakness. Glucose is a reactive compound and excess levels of glucose can cause adverse reactions leading to the above negative effects.

The numbness in the feet makes it difficult to identify any infection or injury and it is essential that the feet are checked regularly. Also a regular visit to a foot specialist known as a podiatrist will help identify potential problems before they blow up. Then appropriate remedial measures and precautions can be implemented and the situation brought under control.

Another important problem is the reduction in blood circulation. This can make the treatment of any infection difficult as the antibiotics or any medication cannot reach the infected site and act effectively.

Some Important Precautions to take

Role of the foot doctor

The foot doctor is a person specialized only in the treatment of foot and foot related ailments. The podiatrist will do a complete foot check including the blood flow and assess the nerve damage. The podiatrist will then recommend the appropriate diabetic foot treatment based on the severity a non surgical or surgical treatment option. They will also provide advice in minor foot problems which can be serious for a diabetic such as corns, calluses, minor injuries and various infections.

Tarsal Tunnel Syndrome: Carpal Tunnel Syndrome of the Foot?

Tarsal tunnel syndrome is condition where the posterior tibial nerve in the ankle is compressed. In many ways, this condition is analogous to carpal tunnel syndrome in the hand where the median nerve is compressed.
With tarsal tunnel syndrome, compression of the tibial nerve occurs within a tunnel created by a floor consisting of the calcaneus (heel bone) and bounded by the medial malleolus- the bump on the inside part of the ankle- and the far corner of the heel bone. The roof of the tarsal tunnel is formed by a retinaculum- a tough piece of fibrous tissue.
Within the tarsal tunnel run a number of tendons (posterior tibial tendon flexor digitorum tendon, and flexor hallucis tendon) as well as the posterior tibial nerve, and the posterior tibial artery.
Many people with tarsal tunnel syndrome may have compression of nerves elsewhere. An example would be a patient who has a pinched nerve in the low back along with tarsal tunnel syndrome. This condition, where there is compression at least two locations, is termed “double-crush” syndrome.
Another problem is that many people who have tarsal tunnel syndrome may have peripheral neuropathy. This is a condition where there is damage to the small nerves in the feet. Numbness and tingling are common symptoms. Among the diseases associated with peripheral neuropathy are diabetes and hypothyroidism.
Medications can also cause a peripheral neuropathy. These include colchicine given for gout, nitrous oxide (an anesthetic), metronidazole (Flagyl- an antibiotic), phenytoin (Dilantin- an anti-seizure medicine), lithium (given for manic depression), disulfiram (Antabuse- given for alcohol addiction), cimetidine (Tagamet- given for peptic ulcer disease), hydroxychloroquine (Plaquenil- given for autoimmune disorders), amitriptyline (Elavil- an antidepressant), and various chemotherapy agents given for cancer.
Excessive alcohol and tobacco use as well as nutritional deficiencies can cause peripheral neuropathy as can exposure to heavy metals. Infectious diseases such as Lyme disease, leprosy, and HIV infection can also lead to peripheral neuropathy.
The most common symptom of tarsal tunnel syndrome is foot pain, which can also be accompanied by numbness and tingling.
Tapping on the tibial nerve at the tarsal tunnel may cause pain and tingling to occur. This is called a positive Tinel’s sign and is clinical evidence of tarsal tunnel syndrome.
The clinical impression can be confirmed with electrical testing (electromyography and nerve conduction). Electrical testing is important to evaluate the patient for other nerve entrapment problems such as a pinched nerve in the back. Peripheral neuropathy can also be diagnosed.
The posterior tibial nerve divides into three branches that include the calcaneal, medial plantar, and lateral plantar nerve branches, all of which innervate different parts of the foot and ankle.
Magnetic resonance imaging (MRI) and ultrasonography may be useful in evaluating a patient for underlying reasons for tarsal tunnel syndrome.
Medical therapy for tarsal tunnel syndrome may start with local injection of steroids into the tarsal tunnel. Physical therapy may be of some value in reducing soft-tissue edema which can ease pressure on the compartment.
Splints and braces may be helpful for patients who have anatomic abnormalities in the hindfoot and ankle.
When conservative therapy fails to help the patient’s symptoms, surgical intervention may be warranted.
More recently, the use of a percutaneous ultrasound guided needle release technique has been found to be effective. With this procedure, which is done using local anesthetic, the retinaculum is pierced several times with a small needle while injecting small amounts of fluid at the same time. In essence, the retinaculum is shredded to relieve pressure in the tarsal tunnel. Recovery time is limited to about one day compared with the weeks to months that can accompany open surgery.
When a patient doesn’t improve and has persistent pain, associated plantar fasciitis may be a cause of persistent pain in the medial heel region after surgery or percutaneous needle release.
Complete relief of symptoms may not be possible because tarsal tunnel syndrome has many causes and because the likelihood of irreversible nerve damage exists. An increase in pain after decompression either by needle release or by open surgery is extremely rare.

Talented Doctor Pioneering New Outpatient Surgery for Pain Relief for Neuropathy Pain, Groin Pain, Joint Pain and Foot Drop

A. Lee Dellon, M. D. graduated from Johns Hopkins University in 1966 and from the Johns Hopkins School of Medicine in 1970. He then completed eight years of additional training, including two years of research at the National Cancer Institute, Surgery Branch, of the National Institutes of Health. He completed a Plastic Surgery Residency at the Johns Hopkins Hospital and a Hand Surgery Fellowship at the Raymond M. Curtis Hand Center . Dr. Dellon has received the Certificate of Added Qualifications in Hand Surgery and is Board Certified in Plastic Surgery. He is currently a Professor of Plastic Surgery and a Professor of Neurosurgery at the Johns Hopkins University School of Medicine, Clinical Professor of Plastic Surgery at the University of Maryland and Clinical Professor of Plastic Surgery, Neurosurgery and Anatomy at the University of Arizona. Doctor Dellon’s research interests center on neural regeneration. In the basic research laboratory, his work included models for peripheral nerve compression, neuroma treatment, neural regeneration through absorbable conduits, and diabetic neuropathy. Dr. Dellon’s clinical work is focused on computer-linked devices to quantitate sensibility, treatment strategies for pain due to nerve injury, use of bioabsorbable tubes as a substitute for autogenous nerve grafts, facial pain, and treatment of the symptoms of peripheral neuropathy. Doctor Dellon has won fifteen national research awards, including the Radium Society Award in 1974, the Cleft Palate Award in 1977, and the Emanuel Kaplan Hand Surgery Award in 1985. Educational Foundation Awards from the American Society of Plastic and Reconstructive Surgery include those for the immunobiology of skin cancer, prediction of recurrence in non-melanoma skin cancer, partial-thickness skin excision for the treatment of benign dyskeratosis, the surgical treatment of the symptoms of diabetic neuropathy, and neurosensory testing, leprosy, and partial joint denervation. Doctor Dellon is the author of four books, 72 book chapters, and more than 375 articles published in peer-reviewed journals. He is on the Editorial Boards of Journal of Reconstructive Microsurgery and The Journal of Hand Surgery. He has previously served on the Editorial Boards of Plastic and Reconstructive Surgery, Annals of Plastic Surgery, Microsurgery, Peripheral Nerve Regeneration and Repair, Journal of Foot and Ankle Surgery, Journal of Hand Therapy, Journal of Experimental and Clinical Plastic Surgery (Italian Journal of Plastic Surgery) and Journal of the American Podiatric Medical Association. Doctor Dellon is a founding member and past president of the American Society for Peripheral Nerve. He has served as Secretary and Vice-President of the American Society of Reconstructive Microsurgery. He is the Director of the Dellon Institutes for Peripheral Nerve Surgery , with Institutes in around the globe.

The Numb Foot Book – How to Treat and Prevent Peripheral Neuropathy

Product DescriptionThe Numb Foot Book is the latest addition to the hit series Numb toes and quickly became the must read book for diabetics or anyone who suffers from peripheral neuropathy. Drs. Alex McLellan and Mark Spitz took the reins of the legendary John Senneff, a pioneer of secular literature focusing on treatment and clear options for neuropathy (nerve pain) disease. This new book is considered the best of the series so far. WHAT IS COVERED :1-The latest information on medical treatment options, including oral and topical medications and their side effects. 2-The nutritional supplement most important asset that can slow the progression or reverse peripheral neuropathy. 3-New treatments such as laser and infrared therapy. 4-The best of alternative and complementary therapies, including tai chi, acupuncture and herbal medicine. 5-Practical advice on how to improve walking and balance problems. 6-A look ahead to new treatment options to come. 7-The personal stories and case studies of people with other neuropathy.

The Numb Foot Book – How to Treat and Prevent Peripheral Neuropathy

What Remedies Are There To Relieve Foot Neuropathy Caused By Diabetes?

My mother is type II diabetic and suffers from neuropathy in the feet. I read on sites that are playing, but he was curious to know if any of you out there who are a remedy against the terrain. . . as familiar with home remedies or creams counter that help? She also burning and stinging at the time kept in the dark. Diabetic Community. . . . HELP PLEASE! Suggestions?