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Painful diabetic perheral neuropathy Gallery


>> Painful diabetic perheral neuropathy


One of the most common symptoms,and often the first symptom,of peripheral
neuropathies is pain.the most common cause of peripheral neuropathies is diabetes and alcoholism.. Diabetic neuropathies are a family of nerve disorders caused by diabetes. People with diabetes can, over time, develop nerve damage throughout the body. Some people with nerve damage have no symptoms. Others may have symptoms such as pain, tingling, or numbness loss of feeling in the hands, arms, feet, and legs. Nerve problems can occur in every organ system, including the digestive tract, heart, and sex organs. 


About 60 to 70 percent of people with diabetes have some form of neuropathy. People with diabetes can develop nerve problems at any time, but risk rises with age and longer duration of diabetes. The highest rates of neuropathy are among people who have had diabetes for at least 25 years. Diabetic neuropathies also appear to be more common in people who have problems controlling their blood glucose, also called blood sugar, as well as those with high levels of blood fat and blood pressure and those who are overweight.

What Causes Diabetic Neuropathies?

The causes are probably different for different types of diabetic neuropathy. Researchers are studying how prolonged exposure to high blood glucose causes nerve damage. Nerve damage is likely due to a combination of factors:

* metabolic factors, such as high blood glucose, long duration of diabetes, abnormal blood fat levels, and possibly low levels of insulin
* neurovascular factors, leading to damage to the blood vessels that carry oxygen and nutrients to nerves
* autoimmune factors that cause inflammation in nerves
* mechanical injury to nerves, such as carpal tunnel syndrome
* inherited traits that increase susceptibility to nerve disease
* lifestyle factors, such as smoking or alcohol use

What Increases Your Risk?

Anyone who has diabetes can develop neuropathy, but these factors make you more susceptible to nerve damage:

* Poor blood sugar control. This is the greatest risk factor for every complication of diabetes, including nerve damage. Keeping blood sugar consistently within your target range is the best way to protect the health of your nerves and blood vessels.
* Length of time you have diabetes. Your risk of diabetic neuropathy increases the longer you have diabetes, especially if your blood sugar isn't well controlled. Peripheral neuropathy is most common in people who have had diabetes for at least 25 years.
* Kidney disease. Diabetes can cause damage to the kidneys, which may increase the toxins in the blood and contribute to nerve damage.
* Smoking. Smoking narrows and hardens your arteries, reducing blood flow to your legs and feet. This makes it more difficult for wounds to heal and damages the integrity of the peripheral nerves.

Management of Diabetic Neuropathies

1. Strict Control Of Blood Sugar
2. Weight Loss
3. Medical Treatment With Polypharmacy Approach:
Anticonvulsant Medications
Antidepressant Medications 
Local Anaesthetic 
4. Interventional Procedures If Associated With Painful Peripheral Vascular Disease.
Sympathetic Block 
Sympathetic Radio Frequency
5. Spinal Cord Stimulator 
To Treat Both Upper Limb And Lower Limb Painful Diabetic Neuropathy.


Diabetic neuropathy has no known cure. Treatment for diabetic neuropathy focuses on:

* Slowing progression of the disease
* Relieving pain
* Managing complications and restoring function

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