The Definitive Guide to diabetic neuropathy treatment



Neuropathy is a general term signifying disruptions in the regular performance of the peripheral nerves. The causes of neuropathy are different therefore is the treatment. Lots of a times, the neuropathy is nearly irreversible and the treatment is mainly focused on preventing additional progression of the nerve damage and other helpful steps to prevent any problems due to neuropathy.

Neuropathies due to nutritional deficiencies are primarily treated with the replenishment of the deficient nutrient. Neuropathies due to shortage of vitamins like cobalamin, thiamine, pyridoxine, niacin are treated by providing the vitamin supplementation orally or by intramuscular injection of the vitamin if deficiency is due to defective absorption of vitamins from the diet. Treatment may or may not completely reverse the neuropathy and alleviate the symptoms and in many cases there is some irreversible damage to nerves and relentless signs in spite of treatment. Just recently neuropathy due to copper deficiency has also been discovered. It too is treated with oral copper salts or intravenous injection of copper salts. Once again the action varies and might take numerous months.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are dealt with based on specific cause and the nerve included. Carpal tunnel syndrome treatment differs from medical methods like NSAID (like Ibuprofen), local injection of steroids in wrist, and avoiding aggravating aspects like typing in wrong positions, usage of hand tools etc. If signs not eased by this approach, then surgery is likewise a choice and is most often alleviative if no long-term damage to nerve has already happened. Once again, each neuropathy is distinct and treatment is variable.

The treatment of neuropathies secondary to other diseases is the treatment of the main disease triggering the neuropathy. If neuropathy is due to Myxedema, triggered by lack of thyroid hormonal agent, then treatment is changing the thyroid hormone. Treatment of Diabetic Neuropathy is primarily helpful. In diabetic neuropathies, some forms like Mononeuropathies are reversible but most are irreversible. Strict control of blood glucose levels to slow the further development is of paramount value. Other treatment is based on the signs, like pain is handled with NSAID and many other drugs. The neuropathy associated with Rheumatoid Arthritis frequently responds to the treatment of Rheumatoid arthritis (with immunomodulators).

Treatment of neuropathy due to food allergy is avoiding the irritant food product causing neuropathy. There may be some particular treatment in particular cases, like neuropathy due to isoniazid can usually be prevented by offering pyridoxine along with it.


Many a times, the neuropathy is practically irreparable and the treatment is mainly focused on avoiding more development of the nerve damage and other supportive procedures to prevent any problems due to neuropathy.

Entrapment neuropathies like carpal tunnel syndrome, radial neuropathy, meralgia paraesthetica, etc are treated based on specific cause and the nerve included. The treatment of neuropathies secondary to other illness is the treatment of the main illness causing the neuropathy. Treatment of neuropathy due to food allergy is preventing the irritant food product causing neuropathy.

Whatever the initial cause, your nerves responded with the only survival tool they had: they contracted, they minimized their length and volume to protect themselves, and the gaps in between the nerves(synapse) were extended. A typical sized nerve signal could no longer leap this space. Thus nerve impulses, both those going up to the brain and those coming down from the brain were impaired.

Built-in microprocessors procedures numerous physiological functions of your nerves and immediately adjusts itself to your particular restorative needs, starting with the very first healing signal.

When the unit is very first switched on, it determines the electrical analog resistance and digital impedance and sets its output specifications for your physical mass. It knows if it is treating a 125 lb woman or a 350 pound guy. It understands that if you use it straight on your lower back.

Specialized stimulator then sends a "test" signal that represents the most common waveform for healthy peripheral nerves. This signal goes from one foot, up the leg, to the nerve roots in your lower back, down the other leg, to the other foot. It then waits for an echo-like action from this preliminary signal.
It then analyzes this 'return" signal to identify any aberrations.

Simply as a cardiologist can take one take a look at the shape of the signal showed on an EKG monitor, and diagnose exactly what is wrong with the heart, we have actually been able to identify that the peripheral nerves have a very specific shape to its waveform. Therefore we can diagnose the nature of the issue by evaluating that waveform. This feature is developed into the stimulator and processed by its internal microprocessor.

Abnormalities in the shape of the waveform on the method up suggests issues with feeling numb; the shape of the top of the waveform indicates the capability of the nerve to provide the signal long enough for the brain to get everything; problems in the downward slope of the waveform shows pain, and the shape of the refractory duration as the nerve cell repolarize's itself indicates the capability of the nerve pathway to get ready for the next signal.

The device needs to then create, and send, a compensating waveform, to 'ravel' these irregularities, really just like the method noise canceling earphones work.

This process goes on 7.83 times every 2nd, sending out a signal, evaluating the returning signal, creating a compensating signal, and sending this new signal. It is continuously analyzing your reaction, and changing itself, to gently coax your nerve's capability to send and get proper signals.

Because that is how long it takes for the nerve cell to re-polarize (or reset) itself in between its transmission of nerve signals, these impulses are sent 7.83 times per second. Minerals like potassium, salt, and calcium must pass backward and forward through the cell wall of the nerves. Although very similar to a 'common' 10 gadget, the specialized neuromuscular stimulator signals are greatly more controlled and precise. Commons TENS gadgets use an unnatural, unrestrained, simple signal at a much greater frequency, specifically designed to stop the cells ability to repolarize. This is why a typical 10S merely blocks the nerve signals. This gadget is a very specialized form of TENS, which restores the neuropathy client.

The signals, (as they cross the synaptic junctions in the nerve roots of the lower back to get from one leg to the other), produce a small electromagnetic field that is noticed by the nerves in your central anxious system (spine) and a signal is submitted to the brain to let it know what is happening in more info the lumbar location. The brain then launches endorphins, internal pain relievers that take a trip by means of the blood stream to all parts of the body.


Whatever the initial cause, your nerves reacted with the only survival tool they had: they contracted, they lowered their length and volume to preserve themselves, and the gaps between the nerves(synapse) were extended. A regular sized nerve signal could no longer leap this space. Specialized stimulator then sends out a "test" signal that represents the most typical waveform for healthy peripheral nerves. These impulses are sent out 7.83 times per second because that is how long it takes for the nerve cell to re-polarize (or reset) itself between its transmission of nerve signals. The signals, (as they cross the synaptic junctions in the nerve roots of the lower back to get from one leg to the other), create a little electro-magnetic field that is picked up by the nerves in your main anxious system (spine) and a signal is submitted to the brain to let it understand exactly what is taking place in the back area.

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