Tell me more about diabetic neuropathy/treatment/.I am from Bulgaria,and here we dont know too much about that
id like to know more about neuropathy and legs,speciallity for wonds of legs
Answers:
Neuropathy occurs in people who are diabetic because of the excessive amount of sugar in the blood stream. As it is attached to our blood cells and these blood cells travel through our capallaries, the sugar groups "scrape" the inside of the capallaries, causing them to become damaged. This leads to poor circulation of the tissues and nerves.
Neuropathy is characterized by pain/burning/tingling sensations primarily in the legs and feet. A loss of sesation to touch is also common. Wounds commonly occur in people who have diabeties because the veins in the legs become inefficient at returning the blood back to the heart. It begins to pool and cause pressure on the surrounding tissues until the tissues start to ulcer and cause wounds. This is called a venous stasis ulcer. This is a very dangerous situation because the blood supply to the injured tissue has already been comprimised and the rate of healing is greatly reduced.
Treatment of the wounds requires an adequate amount of pressure be applied to the leg to substitute for the inefficient veins. There are serveral "multilayer bandaging" systems available in the U.S. that when applied by a medical professional, can aid in healing of the wounds. I am most familiar with the "PROFORE" system. It consists of four bandages applied in a specific sequence and specific techniqe that is worn for 2-4 days before it needs to be removed and disposed of, and then a new set is applied. Each time the bandages are removed, the wound tends to get smaller and smaller. Healing time varies, but many are healed within 4 weeks. It is important that the person applying the bandages has been properly trained to do so.
Regarding the pain of neuropathy, many things are still being discovered. Many people have great releif with medications that are directed at calming the nervous system such as neurontin. Your doctor can advise you if this in a good option. One up and coming treatment is anodyne therapy which uses infrared light to help stimulate the growth of new blood vessles, thereby reducing pain. It still has not yet been widely accepted, but is present in a few physical therapy clinics in the U.S.
As you mentioned, diabetes leads to neuropathy. Neuropathy causes loss of sensation in the lower extremeties. Normally, when a person injuries his foot, they sense the pain and stop. Unfortunately, diabetics can't. They continue injuring their feets. I have seen diabetics remove their shoes and there are blisters, boils and infections Therefore, it is common for diabetics to see a podiatrist (i.e. foot doctors) for customized shoes which prevent injury to the feet. In addition, you should see a podiatrist on a regular bases for foot care. I seen cases in which surgeons had to amputate a diabetic's foot, which could have been prevent if the patient had seen a podiatrist earlier. When it comes to neuropathy, prevention is the best solution. Well controlled blood glucose levels is the key to avoid diabetic symptoms, not only neuropathy. You need an endocrinologist who specialize in diabetes to treat you. If you are suffering from type 2 diabetes (a.k.a adult onset diabetes) then excercise and diet is a must. Obesity and lack of activity worsens the symptoms of diabetes.
they have only recently designed treatments that alleviate but presumbably do not reverse neuropathy
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