A Common-Sense Approach to Neuropathy Treatment

One of the things that we see frequently are patients with pain or neuropathy symptoms for many years before having a professional evaluation. In these cases, it is so crucial to have very thorough evaluation before jumping to conclusions about what may or may not be going on. Making assumptions that are not based in fact is dangerous. This is a big reason you need to ask for a common-sense approach to neuropathy treatment.

Too often, patients search for answers without an accurate diagnosis and thus never have effective treatment. This is becoming more common, especially when the only consulting “doctors” have been Facebook and Google. This also means that too often today the actual conditions underlying or aggravating neuropathy are going untreated.

The consequences of this are dangerous. The longer you delay proper evaluation and treatment, the more difficult effective treatment could actually be.

This is not to say every case of neuropathy is curable; unfortunately, it is not.

But we now understand the impact of things like lifestyle, cigarette smoking, and body weight have on most forms of peripheral neuropathy, and related disorders such as fibromyalgia and chronic pain.

So here’s the best advice we can give you. Realize just how important it is to get the most accurate diagnosis possible and then proper treatment that targets the overall improvement of your health—early!  Work with healthcare professionals that understand all possible underlying causes of your situation.Be sure to identify any correctable things such as poor diet, cigarette smoking, et cetera.

Above all, it is important to take responsibility for your own care, in your own health. Neuropathy and chronic pain are not one-size-fits-all disorders. Patients who do the best realize this—and take action every single day.

Be sure to get regular physical activity as tolerated. Ask for proven modern treatments including neurostimulation and laser.

Finally, listen to your body. Pay attention to what it is telling you. Years from now, you’ll be glad you did.

Join us HERE for much more help and to contact us personally.

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When Counting Sheep Won’t Stop Peripheral Neuropathy Symptoms

Sleep disturbance is a very common human condition. In fact, sometimes it’s unavoidable. For most of us, fortunately, sleep disturbances are mild and brief. This is When Counting Sheep Won’t Stop Peripheral Neuropathy Symptoms…

Fotolia 36770769 S 300x199 When Counting Sheep Wont Stop Peripheral Neuropathy Symptoms

Space your meals and pay attention to things like too much sugar or too much caffeine.

However, when sleep disturbances or insomnia last for long periods of time, they can cause serious health problems.

Last time, we spoke extensively about RLS, or Restless Leg Syndrome. As you probably now know, RLS is often associated with peripheral neuropathy.

So let’s talk a bit more about sleep. Sleep is the time when both your brain and your body rest.

It’s part of normal 24-hour, or, Circadian, rhythms. During the normal sleep rhythms of the body, certain functions such as changes in our body temperature (which help induce sleep), and hormone levels that control things such as appetite take place.

But when things like peripheral neuropathy, restless leg syndrome, or even simple stress intervene, the net result is disturbance in all of the above. So, side effects from sleep disturbance can include weight gain, muscle aches and pains, overall lack of energy, and sometimes serious depression.

But what is the neuropathy sufferer to do? Well, fortunately, there are several things that can be done. First of all, work with your doctors to take appropriate dosages of medications, when absolutely necessary.

We also strongly suggest that you keep yourself is active during the day, if your condition allows. Wherever possible, this should include some exercise in bright sunlight.

Stay well hydrated. Dehydration or too much water consumption late in the day also disturbs sleep.

Space your meals and pay attention to things like too much sugar or too much caffeine.

Magnesium supplementation taken throughout the day may also be very helpful. We commonly suggest 200 to 400 mg of NDGen Magnesium per day into divided dosages. Never do this without your doctor’s knowledge, and never in the presence of kidney disease.

Finally, if you have not already taking advantage of one of our NDGen Home Care Kits which includes a unique neurostimulator, you should know that one of the chief reasons for owning these is that they can greatly help reduce painful symptoms when used 1-2 hours before bed—and thus help you sleep more easily.

They’re so easy to use, they will even shut themselves off with a built-in timer, which means you can go to bed with them on. Gentle electric stimulation often helps you feel better in a number of different ways. Don’t let sleep disturbance—whether due to peripheral neuropathy, RLS or some other condition—continue.

Pay attention to diet, and stress reduction. All of these things, plus the use of your NDGen home care kit will greatly facilitate a good night’s rest!

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When Counting Sheep Won’t Stop Peripheral Neuropathy Symptoms is a post from: Neuropathy | Neuropathy Doctors | Neuropathy Treatment | Neuropathy Treatments | Neuropathy Physical Therapists

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Are All the Peripheral Neuropathies the Same?

No. All the peripheral neuropathies are not the same. We find, though, that the patients who present with peripheral neuropathy, regardless of the cause, do have remarkably similar symptoms.

The good news with our treatment program has been that even in the presence of similar symptoms from different etiologies (causes), the corrective care for is often remarkably effective regardless of the primary cause. That is the beauty of the treatment system that we have been able to employ.

In order to find out what components of peripheral neuropathy you have, your doctor will need to conduct a very thorough evaluation. This will include things such as your vital signs, body mass index, the mobility and range of motion of your lower back and hips, and the overall health of your feet, skin, nails and hair, blood vessels and circulation. This might include Doppler ultrasound, a simple painless test to check for blood flow or blockages.

As the doctor performs her clinical examination, she’ll also perform a very thorough neurological examination including reflexes, muscle-testing, and sensation to touch using a device as simple as a pin, a brush or perhaps even a pinwheel. Doctors commonly will also check your vibration sensation, which very often is disturbed in peripheral neuropathy. This is done painlessly and very easily through the use of simple tuning forks. Your balance will be assessed.

Laboratory tests may very well be performed. These would include things such as a chemistry panel, kidney and liver function. Your doctor will also want to double check your blood sugar levels and more than likely perform a hemoglobin A1c.

This particular test is very good at identifying patients who may be borderline diabetic.

We find many patients who present with neuropathy symptoms have not yet been diagnosed with diabetes but may very well suffer from what’s called metabolic syndrome. This is when your body abnormally handles blood sugar, which may unfortunately lead to the development of neuropathy and other diabetic complications well before the formal diagnosis is made.

All the more reason to really be sure to work with the most knowledgeable physicians.

Let us help!

Join the conversation with us today on our Facebook Page, Beating Neuropathy!

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Acetyl-L-Carnitine – Can It Help You?

Most people don’t have a clue what acetyl-L-carnitine is. Perhaps, you see it on the vitamin shelf and think, “yeah, whatever,” if you notice it at all. However, this supplement has been getting a lot of attention for its potential benefits.

As with any supplement, medicine or treatment, there’s no one-stop-shop or magic pill for everyone and everything. We’re all different and have varied chemistries. Consequently, this means things can act differently in our bodies. That’s why it’s impossible for someone to say, “this is a 100% effective.”

That’s also why it’s important for all of us to be wise stewards of our own health. For this reason, here at neuropathydr.com we enjoy sharing potentially helpful information in hopes we can help you.

Acetyl-L-carnitine is one of those hidden gems with the potential to help many. Now, we’d like to introduce you.

How Can Acetyl-L-Carnitine Help You?

To begin with, acetyl-l-carnitine is an amino acid. In case you don’t remember from science class, amino acids are the building blocks for proteins. However, this amino acid acts differently. Acetyl-l-carnitine helps our nerve cells utilize energy and function at peak levels.

We won’t go in depth about the details of how. More importantly, we want to focus on what it can do.

Based on research across decades, acetyl-l-carnitine has emerged as effective in supporting optimal brain health. It also helps memory and much more. Beyond the brain, it has shown great promise for impacting neuropathy pain, nerve functioning, energy levels and still more.

Here is just a small list of areas acetyl-l-carnitine is being or has been researched for its beneficial properties. These have shown varied levels of effectiveness, but all are believed to show promise though more research continues to be needed.

  • Memory improvement
  • Increased energy
  • Alzheimer’s disease
  • Poor brain functions due to certain causes
  • Nerve pain (neuropathy)
  • ADHD, bipolar disorder, depression
  • Fragile X – decreased hyperactive behaviors
  • Fibromyalgia – improved pain

And so much more.

With the potential of this supplement, we would be doing our readers a disservice if we didn’t share.

So, is this a guarantee it will help you? No. Is there a chance acetyl-l-carnitine could help you, definitely! If you’d like to give this supplement a try today, we do offer it here solo and in topical and as part of our Metabolic Dose Packs. (REMEMBER: Reception Room Members SAVE 10% Every Day!).

As with any supplement be sure to check with your physicians before beginning.

We’d love to have you join us over on Facebook. We share a variety of information and always welcome your feedback.

 

 

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A Clear Neuropathy and Pain Treatment Pathway

When confronted with a a disabling diagnosis, too often patients and even doctors don’t know that good neuropathy and pain treatment is available.

Instead, many patients self-medicate, which may dampen the most bothersome symptoms. But problems arise when this is the only neuropathy and pain treatment approach.

You see, your clearest path to improving your life is to let us help identify, then correct the underlying causes of your particular issues wherever that is possible. You need a clear neuropathy and pain treatment pathway.

Sometimes of course, that’s not entirely possible, such as in the hereditary neuropathies like CMT of HNPP. But even in these cases a neuropathy and pain treatment plan or clear pathway is still better than playing “blind archery”!

Now some clinicians take a more fatalistic view. But not us. We will always address as many pieces of your unique situation as we possibly can. And yes, this includes patients with hereditary neuropathy too!

Some neuropathy and pain treatments have additive effects. But it’s not a simple as taking several pills and potions. Every patient is different, and programs must be individualized then monitored. Monitoring treatment is one of the only ways to know if your they are are achieving exactly what we design!

So how can you as the patient make sure all this is done? You’ve already taken a key first step by reading all about your treatment options here

And don’t neglect solid home care plans! Things like NDGen® neurostimulation in the clinic and in our home care kits to help normalize function and sooth your pain, tingling numbness and burning.

In the clinic, we have many tools to choose from too. This includes extensive manual therapies and physical therapy modalities including laser, and traction for spinal conditions.

But most importantly, you’ll have a clear neuropathy and pain treatment pathway outlined for you before your care ever begins!

Join our conversation today on Facebook by clicking HERE!

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Multiple Underlying Causes

Perhaps the most frustrating, but real issue surrounding patients who suffer from peripheral neuropathy and many types of chronic pain is that more often than not, there are often multiple underlying causes.

As you know, life is an accumulation of experiences—sometimes, unfortunately, including trauma and illnesses.

All of these things have consequences, some of which will not show up for many years. You probably also know that things that are very easy to ignore at 25 now become impossible to ignore at 65 and beyond.

One of the issues that concerns me while treating many neuropathy patients is when clinicians and patients focus exclusively on trying to find the “one” cause of their pain, burning, tingling numbness or other neuropathy symptoms.

The reason for this is quite simple. Most commonly, patients develop peripheral neuropathy as the result of multiple underlying causes.

For example, a common scenario is an overweight smoker who had a history of back surgery. Perhaps they are overweight or pre-diabetic, or have used some medications (commonly statins) known to cause neuropathy. These are some of the many multiple underlying causes we find in patient histories every day.

The reality is, all these things are risk factors for the development of chronic pain, and often peripheral neuropathy.

So, unless all these multiple underlying causes are addressed, the patient is unlikely to significantly improve.

Worse yet is when doctors and other caregivers are not familiar with this all-too-common scenario.

We honestly believe this is the reason why so many patients receive symptomatic prescriptions, yet no constructive advice on how to manage, let alone possibly beat, their peripheral neuropathy.

So the best advice we can give you is to try and understand everything that may be contributing to your current situation.

Also understand how very important it is NOT to delay proper treatment. The longer the delay, the more difficult peripheral neuropathy and chronic pain becomes to manage.

We find this is also why the biggest neuropathy treatment successes come when implementation of EARLY effective pain & neuropathy treatment, including neurostimulation (NDGen(R)), manual and massage therapy, laser (LLLT/LED) therapy, can have a profound impact on our patients’ outcomes, no matter what the multiple underlying cause(s) might turn out to be.

Learn so much more about treatment options, products and service at https://NeuropathyDR.com

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What About Laser Treatments?

Laser has been around since about 1960 or so when a now famous scientist produced these “focused light beams” in the laboratory. Laser treatments in some forms have actually been used in medicine for many years.

Now, lasers are everywhere, everything from CD Players, printers and measuring devices to military weapons. I’m sure you may even have seen a few of your own! These ultra focused light beams can be used at high intensity to seal tissue, aid surgeons dentists and dermatologists in their daily work with patients. And at lower intensity, they have had applications in pain and neuropathy treatment for some time too.

So what does laser have to do with neuropathy and pain treatment? Well, it could be that laser treatments are the “missing link” in some forms of neuropathy and pain treatment! One of our basic attempts in neuropathy and pain treatment is to do whatever can help safely and effectively boost our cells use of “energy”. Well, along with proper nutrition and electrotherapy, laser may aid energy production in damaged nerves. The way this may happen is fascinating, but way beyond the scope of this column.

No treatment works 100 percent of the time. And that is a key point to remember. Nowhere is this more apparent than in laser treatments for neuropathy. Even amongst laser treatment experts there’s often disagreement as to what makes good neuropathy and pain treatment. But some techniques and equipment are proving very effective while others are a complete waste! And this is exactly why we now have so many types of laser treatments available.

This even includes an home laser treatments you can actually sleep with to improve your laser treatment results for pain and perhaps wound healing as well.

The good news is more experience and research including our own is helping us find even better laser treatments than we have available today!

Always remember though, our team members go to great lengths every day to be sure we are up to date in the latest, and best forms of laser treatment for you and your family!

Join our conversation today on Facebook 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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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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