Lets Make The Most Accurate Diagnosis First. We have been teaching patients and professionals this for many years. Here is one example why.
Recently, I had the opportunity to read an article written about pain & neuropathy treatment. This article was written directly for patients.
Now maybe you even saw this yourself. It has been widely publicized as a “neuropathy treatment solution” in a bottle.
As I read through the article I couldn’t help but think of the patients I’ve seen in my clinic that have been diagnosed with peripheral neuropathy, or another named condition when in fact they have also have another serious underlying health problem.
Unfortunately, this is not at all uncommon. I recently had this discussion with another doctor who repeated the same thing to me.
The fact of the matter is not every patient with a diagnosis or cause of their pain has had it fully explored and when possible confirmed. Far too often, the problem turns out to be something different than what they believed.
Treating patients with pain and neuropathy requires great skill, with much time dedicated to proper assessment and evaluation.
So often, pain, including peripheral neuropathy accompanies other medical conditions. Unless your Doctors are thorough, you can spend months and sometimes years chasing the wrong thing! This is happening more and more with all the Social Media “cures” and practices being promoted.
And that is why it is very important before beginning any extended program of care, it is crucial to most accurately understand what may be causing your symptoms.
Too often, patients with peripheral neuropathy have impaired sensation, and judgment affected by medication. This is one of the things that make self-treatment and home care without supervision potentially dangerous.
Be aware, there are also drug/diet supplement interactions, which can be potentially dangerous. A common one is Coumadin and Co Q10. Then there is the potential interaction with acetyl l Carnitine with thyroid, HIV and many chemotherapy drugs.
Choose your Doctor carefully. Stay away from fads, quick fixes or “magic treatment” pills or supplements.
When in doubt seek out our help before engaging any any questionable treatment. You can Call us anytime @ 781-659-7989.
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“Why Do I Feel so Lousy With Weather Changes?” This is one of things we hear very often from pain and neuropathy patients, “While do I still feel so lousy?”
Sometimes, it’s easy to put your finger on the reason why. For example you fail to eat properly. You over exercise. You under exercise. But lately you’ve been eating better and drinking lots of water but sometimes, you feel lousy for seemingly no reason at all.
It could be, that you are suffering from what we call “denervation hypersensitivity”.
Now, that sounds like a mouth full. And at first glance it is!
You see your body is very sensitive to environmental changes. These could include things such as air pressure, temperature, humidity, and other environmental changes. Much more so with nerve irritation due to injury, arthritis or neuropathy.
Is it sunny and warm or hot and humid today?
The reason for this is that when nerves are damaged they become hypersensitive to environmental changes. This is not an old wives tale.
A very common scenario is when an approaching storm seemingly increases your level of pain and discomfort oftentimes dramatically.
It is a well-known phenomenon that anybody familiar with neuropathy treatment, arthritic pain, or patients that suffer from neuropathy and probably many forms of chronic pain..
Some of my patients even joke that they have become walking barometers. Now there’s nothing you can do to change the weather. However there are some things you can do to make yourself more comfortable. Number one, make sure you maintain as even environmental temperature and humidity level as you possibly can in your home and car.
Number two, keep yourself away from draft exposure. Even on relatively warm days, you need to make sure that you’re protected from wind and drafts.
Lastly, armed with this knowledge plan on extra treatment at home or maybe even in the clinic during times of flare-up
The most important thing of all though?
Recognize that your body while suffering from pain and neuropathy is very sensitive and take steps to protect it.
This is one of the reasons, we advocate every neuropathy treatment patient owns their own homecare kit which can give you invaluable relief during the times of flare-up, during the middle the night, weekends, and even for breakthrough pain.
Tell us how your neuropathy treatments are effected by the environment HERE!
“Doctor, my blood sugar is just a little off–that can’t cause Neuropathy…”
Unfortunately, the reverse is probably true.
Here is reality: Aggressive treatment of both metabolic syndrome and diabetes can lessen the progression and the severity of one of the most common forms of peripheral neuropathy.
We have written extensively about diabetes and metabolic syndrome. We talk often about about how carrying excess body fat impairs our body’s ability to process blood fats and blood sugars.
There’s also really good evidence and multiple clinical studies that show even borderline elevations in the blood sugar over long periods of time make patients more likely to develop peripheral neuropathy.
So how does this slight elevation of blood sugar and blood fats or triglycerides cause neuropathy? Unfortunately, nobody is 100% sure. But there are several good theories.
The most likely explanation is that excess amounts of circulating fats and sugar interfere with your delicate nerves’ ability to take in critical nutrients, including oxygen.
Over a long period time, these can eventually manifest as the tingling, numbness, and burning so commonly found in peripheral neuropathy.
Because it is a well-known fact that patients with metabolic syndrome can likely develop a number of diseases, including heart disease and high blood pressure–as well as peripheral neuropathy—it is critical to attempt to reverse the changes wherever possible.
If frank diabetes develops, it is necessary to treat it as aggressively as possible with minimal side effects. We do know that aggressive treatment of both metabolic syndrome and diabetes can lessen the progression and the severity of one of the most common forms of peripheral neuropathy. But what happens if you’ve done all the right things and your neuropathy persists?
This is the most common presentation we now see in our clinics.
This is because so many more enlightened patients are taking charge of their health by improving their diet and starting to exercise on a regular basis.
And this is how we should all first approach patients with neuropathy and chronic nerve pain.
Let our team help you too.
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If you or someone you love suffers from peripheral neuropathy or chronic pain, I don’t have to tell you how frustrating treatment options can be. You probably also are aware how limited many conventional treatments are. In reality, proper neuropathy and chronic pain treatment requires individualized attention. A haphazard approach just won’t do.
Unless an individualized treatment approach is taken right from the very beginning, and fully implemented, patients continue to suffer the pain, sleeplessness, often needlessly.
That is why the most important thing you can do is to work with a highly competent professional. But you also need to learn everything you can, and take proven action steps that will help improve the quality of your life. That is exactly why we publish the dietary and lifestyle posts every week.
Simply wishing the problem will go away, or masking it’s symptoms without attempting to treat the underlying cause is futile. A combined treatment approach really works best in the long term. The good news is, we now have available more effective and far less invasive treatment strategies for patients with chronic pain and peripheral neuropathy than ever before.
When these are combined with your own powerful self-care program the net result is many of our patients are now experiencing significant improvements in quality of life.
So we encourage you to talk with us, and learn about all the advances in the new technology that more and more neuropathy & chronic pain patients can now take advantage of!
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Which neuropathy treatments may really work? Well, that so often depends upon what’s going on “underneath”. Which is why it is SO important to have a very comprehensive diagnostic work up FIRST. Guess work and internet “magic” fads are just plain dangerous.
Peripheral Neuropathy is the term used for the group of conditions that affect those nerves outside the brain and spinal cord.
Along with other forms of long standing pain, neuropathy is a major source of aggravation and loss of work. Billions of dollars a year are spent dealing with the devastation it can bring.
Twenty million plus people suffer from this condition, with several thousand new patients every year. And if we count the people who suffer from daily pain, that number well exceeds one hundred million.
There are many causes. The most common is in fact lifestyle related due to lack of fitness, obesity and metabolic syndrome.These also bring along the complications of their causes like diabetes or cancer. The most serious are genetic diseases.
And here lies the secret answer to better helping our neuropathy patients! The best treatments target the underlying problems whenever that is possible! And where it’s not, looking at legitimate studies and evidence to support a rational plan of care for you.
I know you understand how miserable life with neuropathy can be because you are reading this article. Maybe it’s for yourself, maybe it’s for someone you love very much.
You have seen just how miserable it can be! For some, its loss of sleep and being able to do the things they love. For others, the prospect of facing yet another day or sleepless night of pain, tingling numbness and burning is terrifying.
You just don’t know what to do!
Recently, even major medication trials have been stopped because of poor neuropathy treatment results.
That is just why we publish our series of articles talking in detail about some real solutions to this huge problem.
But most importantly, always touching base with the real simple things you can do to help take charge of your health and improve the quality of your life no matter where you are right now.
If we can help you in any way, please post your comments or visit our growing Facebook family of friends where we’ll be sharing every day.