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Diabetic Neuropathy

One of the essential organ systems of the human body is the nervous system. But as we age or get affected by disease or some condition, it tends to malfunction. It is called neuron degeneration, where nerve cells pass messages more slowly or may not fully function. Due to the underlying condition of diabetics, the chances of diabetic neuropathy become high. But what is it, what are the causes, and is there any cure or treatment? That’s what will be discussed here.

What Is Diabetic Neuropathy?

It is a nerve damage caused by diabetes. It can develop at any time and occasionally is the first sign of diabetes. The longer diabetic you are, the more the risk of getting diabetic neuropathy.

Which Part Of The Human Body Is Affected By It?

The legs and feet are the most affected. However, with time, it can affect sensory neurons (responsible for carrying out information about changes in the external or internal environment to the central nervous system) and motor nerves (which send messages between muscles and skeletons for movement).

Which Age Groups Are Usually Affected By It?

The longer you have diabetes, the more likely you are to suffer from diabetic neuropathy. That means it is likely to affect people who are 60 years old and above. Almost 50% or more Type 2 diabetic patients are likely to get these kinds of complications.

Types

1. Focal Neuropathy | Diabetic Mononeuropathy

Here, a single specific nerve gets damaged. This nerve can be located in the face, torso, arm, leg, and chest (thoracic nerves). Problems reported by patients and doctors include

  • Double vision.
  • One-sided facial paralysis.
  • Hearing issues.
  • Pain behind the ears and eyes.
  • Pain in the foot & front part of the thigh.
  • Difficulty in moving feet.

2. Diabetic Polyneuropathy

Here, multiple sensory nerves and motor nerves are affected. The damage can branch out from the spinal cord towards the arms, hands, legs, and feet. Generally, longer nerves are affected the most. It may cause sensations like burning, tingling, numbness in the body parts mentioned above, sharp pain, and loss of balance.

It is further subdivided into two types:

2.1 Diabetic Autonomic Neuropathy

Here, nerves responsible for involuntary actions, which control blood pressure, heart rate, sweat glands, eyes, bladder, and urinary tract, are affected. People may suffer from digestive issues, low BP, irregularities in heart rate, abnormal sweating, problems with regulating body temperature, and bladder problems.

2.2 Proximal Neuropathy | Diabetic Amyotrophy | Diabetic Polyradiculopathy

First of all, it is a rare type of diabetic neuropathy that only affects 1% of Type 2 diabetic patients. It affects nerves in the thighs, hips, buttocks, legs, and rarely in the arms. Some patients may experience weight loss. Patients may experience difficulty getting up from sitting, chest pain, weakness in thigh muscles, and abdominal wall pain.

Causes

Diabetic neuropathy is a long-term complication of diabetes. It is caused by

High Glucose Levels

High blood sugar can cause chemical changes in nerves and may result in malfunction. It prohibits the ability to transmit information. This, in turn, prevents essential nutrition & oxygen from reaching the nerve cells.

Metabolic

High levels of cholesterol or triglyceride may affect patients who are obese.

Inherited

There are some genetic traits that can make patients more vulnerable to nerve issues than others.

Diabetic Neuropathy Symptoms | Signs

Depending on the severity of the affected nerves, the symptoms may vary from mild to severe.

  • Numbness or reduced ability to feel pain
  • Reduced ability to feel temperature changes (esp. in feet and toes)
  • Tingling or burning sensation (esp. in feet and toes)
  • Sharp or shooting pain (esp. in feet and toes)
  • Numbness or pain in the chest (may result in a heart attack)
  • Issues with digestive and metabolic activities (like urinating)
  • Loss of coordination or balance

Diagnosis

The diagnosis of diabetic neuropathy is based on the patient’s history, physical examination, and some lab test reports.

Physical examinations:

  • Checking muscle strength and reflexes
  • Examining muscle’s sensitivity to position, vibration, or temperature
  • Checking touch sensitivity by brushing a soft nylon fibre
  • Other necessary sensory tests

Lab tests:

  • Haemoglobin A1c
  • Fasting plasma glucose
  • Thyroid
  • Liver test
  • Blood glucose (along with CBC)
  • Immunofixation
  • Vitamin B12

Note: You may not need to go through all of these tests. Depending on your condition, your doctor may ask you to take a few of them. We highly recommend not self-diagnosing any illness and consulting a doctor if any symptoms are prominent and reoccurring.

Diabetic Neuropathy Treatments | Cure

Surgical Decompression | Decompression Surgery

Nerve decompression microsurgery can relieve from:

  • nerve entrapment
  • restore axonal transport (delivering of cargoes from one end to another) and blood supply in the nerve
  • relieve from numbness and pain
  • promote tissue repair

Note: The diabetic neuropathy caused by abnormal glucose metabolism can’t be repaired.

Diabetic Neuropathy Medication

These are some common medications that are prescribed to diabetic neuropathy patients.

  • Duloxetine – Cymbalta, Drizalma Spinkle.
  • Venlafaxine – Effexor XR, Morphine sulphate, Oxycodone, Dextromethorphan, Tramadol

Kindly consult a doctor before taking any of them, as it can have adverse effects on your health.

Although there is no cure for diabetic neuropathy, it can be prevented, or you can delay the progression by

  • Keeping blood sugar level in control
  • Wearing compression socks
  • Icing pain areas
  • Soaking in warm water or Epsom salt
  • Massaging feet
  • Have healthy food choices (refrain from consuming alcohol or smoking)
  • Being physically active

Physiotherapy For Diabetic Neuropathy At Dhanwala Naturo & Physio Care

Physiotherapy is a crucial element in the management of diabetic neuropathy, particularly under the guidance of Dr. Mrs. Surabhi Sachin Dhanwala (PT) at Dhanwala Naturo & Physio Care. She and her team provide multiple sessions & an overall holistic approach for patients by offering diabetic neuropathy treatment.

Exercise Therapy

This can greatly benefit people who are suffering from diabetic neuropathy. These exercises include some non-weight-bearing programs like stationary bicycles, upper body ergometers, ankle pumps, aerobic exercises, seated exercises, swimming, rowing, etc.

Building A Healthy & Diabetic Friendly Diet Plan

Some natural treatments include adding nutrients such as vitamins, cayenne pepper, fruits (containing antioxidants), whole grains, nuts, legumes, omega-3 fatty acids, lean protein, etc. A physiotherapist can make an exclusive diet plan for you depending on the type of diabetic neuropathy and its severity.

Acupuncture

It promotes natural healing by stimulating pressure points in the body. It triggers the nervous system to release chemicals that can change the pain threshold. These pressure points can be in the lower legs, feet, bottom feet, etc. It helps balance emotional well-being.

Apart from these, warm baths and meditation can also help. You can include essential oils (that have anti-inflammatory and pain-relieving properties) such as chamomile and Roman lavender to help increase circulation in the body.

Popularly referred to as the “lady with magical hands,” Dr. Dhanwala adopts a holistic approach to relieve from symptoms associated with diabetic neuropathy. So, contact us today to book your appointment. We understand neuropathy can become emotionally downing for some, but remember, there is always a light at the end of the tunnel.

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