Your Treatment Project

What frustrates physicians and patients alike in peripheral neuropathy and chronic pain syndromes is that multiple issues are happening simultaneously. So often it requires considerable work by both patient and doctor to sort out each component properly. In essence, this becomes your treatment project.

The first step in your treatment project has got to be an accurate diagnosis. A detailed exam and some tests will help us map out the best “project” for you.

By reading our articles frequently you’ll get a good idea of what you should be doing on a daily basis with diet, lifestyle and the best home care treatment options to compliment professional treatment.

This is also why neuropathy and chronic pain treatment programs that focus only on stopping the pain process and not enhancing healing are almost always doomed to failure!

So always remember good treatment is a project.

And like all good projects you need a written plan, and somebody to help guide you through the process.

That’s why we are here; let us know how we may help you!

Join our conversation today on Facebook by clicking HERE!  You may also call our team 24/7.

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Treatment System

One of the most frustrating things for patients and doctors alike is not having adequate treatment plans for patients who suffer from peripheral neuropathy and chronic pain. We find most of the time with our new patients there has never been a real treatment system put into place.

When a piecemeal approach is taken both by patients and their professionals early on, and the net result is failure, or possibly worsening of the underlying neuropathy and chronic pain. Commonly this is the result of a number of factors and too often it’s failure to follow up on early milder issues.

But the good news is when specific formulas are followed, you know what to expect, and we then can know how to measure your progress.

For example, most patients who suffer from diabetic neuropathy know when they keep their blood sugars within a healthy range, their neuropathy and chronic pain improves.

Conversely, when blood sugars are out of control, most often due to poor diet the net result is poor.

And the same holds true for other many other health issues. For example having a personal treatment system including scheduled exercise, a firm diet plan (Get Yours HERE) as well as daily stretching and rest can make a profound difference.

The timing of dietary supplements, and even medications can make a big difference. We know for example that regularity, in terms of time of day and spacing of dosages can make a huge difference for many patients.

We also know that when treating with the NDGen treatment system at specific times makes a huge difference and leads to bigger improvements in quality of life.

So if you find yourself not progressing as much as you would like, let us help you develop a real treatment system or “game plan” for yourself.

Remember no two patients are the same. Some trial and error is necessary to find out what works best for you.

But the good news is having a treatment system to follow provides for more measurable results!

Join our conversation on Facebook today by clicking HERE!

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Balance and Neuropathy Treatment

One of the more common but sometimes under diagnosed components of some forms of peripheral neuropathy is loss of balance. Patients will often say “I don’t have neuropathy; I only walk like I’ve had a few drinks”. This is why it is so crucial to address balance and neuropathy treatment.

In the clinic, we call this “gait” changes. Of course, there are many neurologic disorders that can cause you to walk abnormally or to lose your balance.

But this loss of balance occurs frequently in peripheral neuropathy and sometimes its the very first things patients notice.  This is primarily due to changes in sensation in your feet to touch, as well as position sense, or what doctors call proprioception.

One of the most important things to recognize is that left untreated, this problem often gets worse. It requires not only treatment for the neuropathy component but also rehabilitation to help retrain balance and coordination, wherever this is possible.

There are some very simple steps they can be taken almost immediately to prevent catastrophic falls and help balance and neuropathy treatment.

The first thing is to make sure that proper footwear is worn at all times. Secondly, remove common hazards around the household such as objects upon stairs, rugs without non-slip backing or pads, spilled liquids on the floor etc.

Be especially careful in kitchens and bathrooms.  Once neuropathy treatment has begun, we’ll instruct you in a series of exercises to help retrain your nervous system.

This is only possible when adequate balance and neuropathy treatment has been able to improve sensation to the soles of your feet, and position sense to your toes and ankles and knees.

This is why getting care early can go along way towards helping possible neuropathy recovery, but also set the stage for a return to a more active lifestyle.

Remember, the sooner you act, the sooner you improve.

Please, do not wait for your situation to really deteriorate before seeking active balance and neuropathy treatment intervention.

Good treatment for many of the more common forms of neuropathy is now available!

All you have to do is ask!!!

Join the conversation today on Facebook by clicking HERE!

 

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Thank You! It’s Been 10 Years

Welcome to all our new friends and patients this week!

Please let us know what you’d like to see more of both here, on Instagram and our newsletter.

If you don’t already subscribe sign up at https://NeuropathyDR.com

Subscribers and users of our products and services also receive email offers not seen anywhere else.

In fact, repeat customers can be invited to join our private support group Reception Room and save 10% on everything they need for continued great care.

Thank you for all your support as we celebrate 10 years with you here!

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Developing a Better Self-Care Plan

If you’re reading this, you likely already understand that so much of getting better when faced with a serious health issue and especially neuropathy and chronic pain is a do-it-for yourself project. And you likely realize a better self care plan can be a BIG piece of the puzzle.

It is also unrealistic for any doctor to say or any patient to assume that his or her own self-care does not have a major impact on their health, and yes of course recovery from any illness.

Because so many people find the topic so overwhelming, what I suggest is that you start by making very simple list. This is step one of your better self care plan.

For example, do you have the more common known risk factors that can cause or aggravate your health problems? This includes things like cigarette smoking, being as little as 10 to 20 pounds overweight, being inactive or sedentary, and consuming too much alcohol?

Do you now have to take more medications because your diet has been so poor?

You see all of these things can aggravate most health issues especially when neuropathy and chronic pain become part of them.

Perhaps there are genetic or family issues, which you cannot change completely.

But could you do a better job of taking care of yourself?

Could you walk more, stretch every day at least once, take your advised supplements and follow a plant based diet plan, and watch the timing and composition of your meals?

Are you using the NDGen® or wearable laser treatment devices you bought from us?

Could you do a better job of working on your stress, your high blood pressure and migraines?

Are you regularly exercising, and taking “time-outs” every day for meditation or prayer?

You see where I am going. One of the most important things you can do right now is to make a better self care plan list for yourself. Share this only with yourself and your health care professionals.

And then, choose just one thing to work on today!

Rather than becoming overwhelmed, it is much more productive to focus on one change at a time. Once that change has been activated, move onto the next. And so on, one day at a time.

When you start behaving in this way, you’ll likely find a better self care plan can improve results, and provide greater success when  working with our treatment professionals!

This is after all is why many hundreds more patients are joining our ranks every week, and we so thank you for being part of our extended family!

Join our conversation today on Facebook by clicking HERE 

Or

Call Us 24/7 at 781-659-7989

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Entrapment Neuropathy: More Than Just Carpal Tunnel!

An entrapment neuropathy occurs when a nerve is wedged or “pinched” against a bone, inflamed muscle, or other structure…

Most people have heard of carpal tunnel syndrome (CTS). What you might not know is that carpal tunnel syndrome is only one of a family of ailments in the upper limbs known as entrapment neuropathies. The other entrapment neuropathies are not as well-known in the mainstream as CTS, and so people who suffer from nerve symptoms in their forearms and hands frequently jump to conclusions. We are here to help set the record straight!

Diagnosis for compression neuropathies is usually straight forward…

An entrapment neuropathy, also called nerve compression syndrome, occurs when a nerve is wedged or “pinched” against a bone, inflamed muscle, or other internal mechanism in your arm. Aside from the median nerve (the one associated with CTS) there are two main nerves that help to control your arm and hand: the radial nerve and the ulnar nerve. Both are susceptible to compression, and the results can be painful!

Entrapment occurs under a number of conditions, most commonly:

  • When there is an injury originating at your neck or a disease of the cervical spine
  • When your elbow has been injured due to fractures or improper use
  • When your wrist has been injured due to fractures or Guyon canal alignment problems
  • Rarely, an aneurysm or thrombosis in your arteries
  • Factors commonly associated with peripheral neuropathy, such as diabetes, rheumatism, alcoholism, or infection

Your radial nerve runs the length of your arm, and is responsible for both movement and sensation. Radial neuropathy usually occurs at the back of the elbow, and can present itself with many of the common symptoms of neuropathy such as tingling, loss of sensation, weakness and reduced muscle control (in this case, often difficulty in turning your palm upwards with your elbow extended).

A number of palsies affect the radial nerve, such as:

  • “Saturday night palsy” where your radial nerve is compressed in your upper arm by falling asleep in a position where pressure is exerted on it by either furniture or a bed partner
  • “Crutch palsy”, where your nerve is pinched by poorly-fitted crutches
  • Tarsal Tunnel at the foot and Cubital Tunnel at the elbow.

Two main conditions affect the ulnar nerve: Guyon’s canal syndrome and cubital tunnel syndrome. Guyon’s canal syndrome is almost exactly the same in symptoms as carpal tunnel syndrome (pain and tingling in the palm and first three fingers), but involves a completely different nerve. Guyon’s canal syndrome is caused by pressure on your wrists, often by resting them at a desk or workstation, and is frequently experienced by cyclists due to pressure from the handlebars.

Nearly everyone has experienced cubital tunnel syndrome: it’s the “dead arm” sensation we’ve all felt when we wake up after sleeping on top of our arm! Sleeping with your arm folded up compresses the ulnar nerve at your shoulder, causing it to effectively “cut off” feeling to your arm. As you probably know from experience, this sensation is unsettling but temporary.

Diagnosis for all compression neuropathies is fairly straight forward. First, we will examine your arms for signs of neuropathy, and will likely ask you to perform several demonstrations of dexterity.  If  we suspect you may have an underlying condition, nerve (EMG/NCVs) or blood tests may be recommended. To pinpoint the specific location of a compression, we may also suggest MRI or x-ray.

Similar to carpal tunnel syndrome, most cases of compression neuropathy are mild. Treatment for these mild cases and commonly ice, rest, and a change in habits of motion or stress that are causing the symptoms. For more severe cases, possibly anti-inflammatories, and in extreme cases, a surgical solution is sometimes justified.

If you suffer from a compression neuropathy or have questions about this or any other kind of neuropathy, let us help! Contact us by calling the number at the top of the page and we can answer your questions.

Don’t wait! The sooner and accurate diagnosis is made, the more options for treatment you will have.

Do you or someone you know suffer from CTS? Join the conversation HERE!

 

References:

http://www.mdguidelines.com/neuropathy-of-radial-nerve-entrapment
http://emedicine.medscape.com/article/1285531-overview
http://emedicine.medscape.com/article/1244885-overview
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2599973/?tool=pmcentrez

 

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Lets make The Most Accurate Diagnosis. First!

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.

You can also join the conversation today on Facebook by clicking HERE!

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Why Do I Feel So Lousy With Weather Changes?

“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!

 

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“My blood sugar is just a little off–that can’t cause Neuropathy.”

“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.

Join the conversation today on Facebook by clicking here!

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3 Pieces of Better Health

Can it really be this easy? Are there really just 3 pieces of better health? The answer is a resounding yes!

Too often, like so many things we tend to make health and even treatment of certain illnesses more complicated than they need to be. As a regular reader of our materials you understand some of this already but let’s try to put it all together today in a simple fashion.

The first piece of the 3 Pieces of Better Health, in fact the mainstay of better health and yes recovery from illness has got to be diet. A plant based Mediterranean type diet.

This diet with very limited, to no animal products, plenty of healthy fats like olive and fish oil and little to no refined sugars is not only perhaps the healthiest diet but also quite likely the best for our brains and nervous systems or what we doctors call neuro-protective. So this has got to be your first priority. If you need a refresher, get your ND Diet Plan HERE

There’s no question no matter where you are that physical activity is paramount to your wellness and recovery from any illness. In fact, simply start where you are! If you’re recovering from surgery for example, use that wheelchair or walker as much as you possibly can.

If you are completely mobile, walk whenever you can and in fact avoid sitting for more than 20 minutes maximum any given time. Believe or not these deliberate but simple physical activities when done consistently during our day probably do more for blood flow and strength than any other single thing you can do throughout the day. This includes going to the gym in the morning and then sitting all day on the job or at home.

Finally, so much as the written about mindset and health. Make no mistake about it your attitude, your support system, your interaction with family and those you love go a long way towards ensuring you have this third but key piece of better health. And no it’s not without demanding your own needs are met. Add in daily meditation, regular thought provoking reading and simple downtime and you literally have a lifelong winning combination.

We’ll talk much more about the key chronic pain and neuropathy treatment pieces next time and as you’ll see these 3 pieces of better health slide right in a critical way.

Finally, don’t make your life or health plan more complicated than it is! Just think of all the time, money and energy you’ll save by simply becoming self sufficient with your shopping and diet, exercising at home and daily mindset & self-care!

 

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