Do You Suffer from “Analysis Paralysis”?

While searching for answers or treatment, vow to do everything you can TODAY to improve the quality of your health and well-being without “Analysis Paralysis”.

If you are reading this, no doubt you understand how difficult chronic pain and frustrating a diagnosis of peripheral neuropathy can be. You probably know that many times it is impossible to identify precisely what causes a patient’s peripheral neuropathy. The same is true for many forms of chronic pain.

You should know this is very frustrating for your doctors as well. One of the things that’s the most frustrating for all of us is searching for a precise answer where none is liable to be found. Unfortunately, many cases of chronic pain including peripheral neuropathy are just like this.

So what happens is, both patients and clinicians will delay treating the patient. Now, sometimes this is a good idea— especially when it involves strong medications with powerful side effects and/or invasive tests or procedures. But what also happens is, while searching for a precise answer or treatment plan, constructive changes such as changes in health and behavior are neglected, and our patient’s suffering continues. This is “Analysis Paralysis”?

We suggest a better solution is to vow to do everything you possibly can to improve the quality of your health and well-being immediately. What we do know is that our behaviors have a profound impact upon the outcome of any disease, trauma, or health condition.

For example: could you become a little more fit, starting today? Are there other habits you have, like smoking cigarettes, or consuming too much alcohol, that you could change immediately? These could make a profound difference in how you feel a month from now. In fact, you may want to start with this free diet and lifestyle guide.

So, while it’s wonderful to have a single diagnosis, and all the answers, too often this is not possible.

This is why becoming more involved with your own health conditions goes a long way towards speeding you on your path back to health. But where do you begin? This is always the first question that patients pose.

The answer is, start with a list of things you could be doing different right now including picking up the phone and calling us today!

So don’t add “analysis paralysis” to your list of maladies. Instead, vow to take daily positive actions, however small they may seem.

*As frustrating as it may be at times, we encourage you to learn as much about your underlying condition and treatment options as possible. Even if it’s not 100% clear on what the underlying cause, the good news is proven strategies now exist for effectively treating many forms of  #pain & #neuropathy.

Join us for more in depth help, #neuropathytreatmentsthatwork and learn lots more about #chronicpain & #neuropathy HERE

*You can also call or text our team at 339-793-8591 Just BE SURE to leave your full name, time zone and concerns.

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Is My Treatment Actually Helping?

Is my treatment actually helping is a common question? The real measure of your treatment progress often times comes down to the examination skills of your doctor.

This is one of the questions we get quite often not only from patients but also from physicians and physical therapists who are new at treating patients with chronic pain and peripheral neuropathy.

It’s also very important to understand one of the basic concepts common to many patients with the most common types of pain is that laboratory and diagnostic tests are often completely normal. Sometimes, there are only very slight abnormalities which are misinterpreted or remain a point of confusion for both the doctor and the patient.

There are also tests like EMGs and nerve conduction studies, and sometimes even these are normal or nearly so. All of this makes accurately evaluating effective neuropathy and pain treatments a real specialty.

Let me share a secret with you. The real measure of your treatment progress often times comes down to the examination skills of your treating clinician. Even despite extensive technology, a good examination is still the most important element of getting great care!

Furthermore your doctor must have excellent record keeping systems so he or she can retrieve your information on a moments notice.

Some of the things that we check for are really quite simple. Things like your range of motion, sensation to touch, temperature, and vibration. Also your ability to walk on your heels and toes will be tested. All of these things can tell us so much about your progress.

Yes, sometimes you will need more diagnostic tests to confirm your progress. But, there is still no substitute for a very thorough initial examination as well as thorough and periodic follow-up examinations.

You should always feel completely comfortable with your doctor and her examination skills. If not, find somebody else. Ask questions but most especially ask what the answers to those questions mean. You have every right to expect honest answers.

*As frustrating as it may be at times, we encourage you to learn as much about your underlying condition and treatment options as possible. Even if it’s not 100% clear on what the underlying cause, the good news is proven strategies now exist for effectively treating many forms of  #pain & #neuropathy.

Join us for more in depth help, #neuropathytreatmentsthatwork and learn lots more about #chronicpain & #neuropathy HERE

*You can also call or text our team at 781-659-7989 Just BE SURE to leave your full name, time zone and concerns.

#neuropathydr #ndgen #neuropathytreatmentsthatwork #neuropathytreatment #neuropathy #stopchronicpain

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Stop Waiting for the “Magic Fix”

Right now, a “magic fix” or “formula” for so may health conditions are pushed at consumers on many web and social media platforms. Not unexpectedly, the results can be disastrous. Nowhere else are there so many gimmicks, offers, and programs available for people who struggle with weight management. Of course, there are many other conditions that fall into this category.

You don’t have to go far to find numerous ads and sales pages for some new magic fix or formula. Unfortunately, peripheral neuropathy and chronic pain is no exception.

Here is what concerns us the most: peripheral neuropathy and many forms of chronic pain have multiple underlying medical factors.

This makes them necessarily complex to evaluate and treat. Missing one could be deadly.This is also why looking for one simple magic fix,  formula, or pill to help “cure” your problem is often ineffective, at best—and dangerous, at worst.

So what are the answers— real answers—to become a more informed patient?

Become your own treatment advocate! Look for complete treatment systems rather than isolated over hyped pieces. Approach any serious underlying condition with curiosity, and uncover all the relative facts. You also find that this will make your doctor’s job of providing you an accurate diagnosis and effective treatment much easier.

When you approach any serious underlying condition with curiosity but with caution and physician guidance, and uncover all the relative facts, you’ll be far happier and ultimately much more satisfied with any at-home or in-clinic care.

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*As frustrating as it may be at times, we encourage you to learn as much about your underlying condition and treatment options as possible. Even if it’s not 100% clear on what the underlying cause, the good news is proven strategies now exist for effectively treating many forms of  #pain & #neuropathy.

Join us for more in depth help, #neuropathytreatmentsthatwork and learn lots more about #chronicpain & #neuropathy HERE

*You can also call or text our team at 781-659-7989 Just BE SURE to leave your full name, time zone and concerns.

#neuropathydr #ndgen #neuropathytreatmentsthatwork #neuropathytreatment #neuropathy #stopchronicpain

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Physical Activity and the Best Treatment

Much has been written about the effects of exercise and health in general. But what you may not know is there are good studies showing improvements in many health parameters with regular physical activity.

Not too long ago, the American College of Sports Medicine made the statement that adults should be very physically active seven days a week. Not unexpectedly, some in the popular media attacked this as ‘totally not doable by most adults’.

But the fact is, the more sedentary our lives become, the worse our health becomes. For example, we know that metabolism slows with as little as 90 minutes of continued sitting at your desk. As your metabolism slows, you become much more efficient at making fat than you do burning it.

And as a regular reader you know that poor metabolism can lead to the development of neuropathy, type II diabetes, or more serious illnesses.

So this means you can boost your metabolism with a workout at the gym or a stroll in the morning—and eat properly—but sitting all day without moving will negatively impact your health.

Typically, inactivity will make neuropathy and chronic pain worse. So what’s the solution?

In simple terms, it’s important to get as much physical activity as you possibly can. In times of illness, or recovering from surgery or accidents, this may simply mean getting from bed to bathroom more often. As recovery continues, it’s imperative that you push and move as much as possible.

For patients who suffer from peripheral neuropathy of the feet, using bicycles and similar low-impact equipment can be very beneficial.

But whatever you do, make sure you are doing it often enough! Even just five minutes an hour can really add up at the end of your day.

Not only will you feel better, but you will improve the chances of a better neuropathy and pain treatment outcome!
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*As frustrating as it may be at times, we encourage you to learn as much about your underlying condition and treatment options as possible. Even if it’s not 100% clear on what the underlying cause, the good news is proven strategies now exist for effectively treating many forms of  #pain & #neuropathy.

Join us for more in depth help, #neuropathytreatmentsthatwork and learn lots more about #fibromyalgia & #neuropathy HERE

*You can also call or text our team at 781-659-7989 Just BE SURE to leave your full name, time zone and concerns.

#neuropathydr #ndgen #neuropathytreatmentsthatwork #neuropathytreatment #neuropathy #stopchronicpain

Physical Activity and the Best Neuropathy Treatment is a post from: Neuropathy Doctors and Physical Therapists| Neuropathy | Neuropathy Treatments | Neuropathy Doctors | Neuropathy Physical Therapists

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Shot Gunning

“Shot Gunning” is a term applied in medicine when multiple therapies are used all at the same time. In pain neuropathy and pain treatment this can sometimes create additional problems.

As I’m sure you are aware, peripheral neuropathy can be a very frustrating condition to treat. One of the most frustrating things for both doctors and patients alike is where no clear neuropathy treatment plan is identified.

To avoid shot gunning we advise every therapy, every medication you take must be part of an overall treatment strategy.

Even if that strategy is a trial to see what works best for you! This is why those patients who become the most proactive in their personalized pain and neuropathy treatment programs always do the best.

So as frustrating as it may be at times, I encourage you to learn as much about your underlying condition and neuropathy treatment options as possible.Even if it’s not 100% clear on what the underlying cause of your peripheral neuropathy is, the good news is proven strategies now exist for effectively treating many forms of #pain & #neuropathy.

Join us for more in depth help, #neuropathytreatmentsthatwork and learn lots more about diabetic and other forms of #neuropathy HERE

*You can also call or text our team at 781-659-7989 Just BE SURE to leave your full name, time zone and concerns.

#neuropathydr #ndgen #neuropathytreatmentsthatwork #neuropathytreatment #neuropathy #stopchronicpain #habits #powerofhabit

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Treating Diabetic Neuropathy

One of the most difficult and frustrating things doctors and patients do together is treating diabetic neuropathy As you probably know, diabetes as well as #diabeticneuropathy, is on the rise. The reasons for this are many however it is widely agreed the most common cause is sugar and carbohydrate intake and the accompanying increase in BMI or body mass index otherwise known as weight gain.

Unfortunately, this is one neuropathy problem, especially in the early stages that is not treated aggressively enough. Too many patients are simply told to “lose a little weight”, get more exercise etc. without any meaningful specifics.

Worse yet, very common hospital-based diabetic nutrition programs are still far too high in carbohydrates, as are some very famous diet programs.This also includes some programs still prescribed by nutritionists who treat diabetics. In our opinion, this has perpetuated problems with weight control in diabetes.

We also see people eating so-called healthy diets, which are loaded with natural “sugars”. This commonly includes diets rich in fruits and grains. The most important thing to realize in the treatment of diabetes and its cousin metabolic syndrome is that carbohydrates in your diet must be significantly controlled.

This means that carbohydrates need to be restricted to approximately 15g-20g per meal or snack unless you are on insulin*. This often means no more than a half a slice of bread per meal with no other carbs, minimizing starchy vegetables, and eliminating sugars. The ONLY times to add more without going crazy is if you will be engaging in HEAVY exercise within the hour.

Now this also means you will need to work with your doctors and nurses to adjust your medication dosages, especially, if you are insulin-dependent. *Do not make these suggested changes without your doctor’s knowledge or consent.

Getting very strict about carbohydrate control and realizing that conventional nutrition approaches may not be enough to manage your weight, #diabetes, but most especially your chronic pain & neuropathy goes a long way towards helping you regain control of your health, and thus your life.

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Join us for more in depth help, #neuropathytreatmentsthatwork and learn lots more about diabetic and other forms of #neuropathy HERE

*You can also call or text our team at 781-659-7989 Just BE SURE to leave your full name, time zone and concerns.

**You can also download our free dietary guidelines (some patients report losing 50 pounds or more) HERE

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The Importance of Having a Pain and Neuropathy Treatment System

Having a pain and neuropathy treatment system provides for more measurable results!

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.Too often, a haphazard approach is taken both by patients and their professionals early on, and the net result is failure, or possibly worsening of the underlying pain and neuropathy. When specific formulas are followed, you know what to expect, and how to measure your progress. Having a pain and neuropathy treatment system provides for more measurable results!

For example, most patients who suffer from diabetic neuropathy know when they keep their fasting blood sugars within a healthy range, their neuropathy reacts much better. Conversely, when blood sugars are out of control due to poor dietary systems the net result is worsening of their neuropathy. And the same holds true for other facets of treatment. For example having a personal system for regular, and scheduled exercise as well as 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.We also know that when treating with our homecare pain and neuropathy treatment systems 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, work more on a system and game plan for yourself. Remember no two patients are the same. Some trial with your Doctors first 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 pain and neuropathy treatment results!

Join our conversation on Facebook today by clicking HERE!

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Stress and Pain

As a reader, you already understand the relationship between stress and pain. You probably already know to that inflammation and “inflammatory states” caused by stress and diet, even at microscopic level, can cause a whole host of human illnesses, ranging from arthritis to cancer and heart disease.

The more inflammation we suffer, the more pain and disease we can endure. This is also why we are continually writing about easily correctable factors such as diet, certain supplements, adequate water intake, etc.

A key component of health is stress management. Stress is something that all human beings deal with on a daily basis. Some of us are confronted with enormous periods of stress and remain healthy.

But we all have our limits. Sooner or later, our bodies experience breakdown. And if we already suffer from a painful condition like peripheral neuropathy, stress makes it worse. But why is this so?

We know that inflammatory diets, such as those high in sugar, can aggravate pain, as can our environments, physical activity, and a many other external factors.

Well, scientists have finally made the connection between stress and pain.

A research team at Carnegie Mellon Institute in Philadelphia has discovered that stress significantly affects our body’s ability to regulate inflammation.

Not only can stress affect hormone production, but it can affect the way our immune cells and immune system response to attacks by things like viruses.

And, everybody knows, inflammation causes pain.

For example, how bad does a sunburn or deep scratch hurt? When you look at these, you notice the swelling, redness ,and sometimes extreme discoloration. These are all signs of inflammation.

If we are relatively healthy, our bodies will respond relatively quickly. Within two weeks we never knew anything happened.

But what happens if you can’t control inflammation properly?

That scratch or sunburn may worsen, or could develop a serious complication like an infection. We all know how badly they can hurt.

So, when inflammation is not regulated properly internally, our pain levels will increase; we are more predisposed to everything from the common cold to more significant illness and disease. The longer this goes on, the worse it becomes.

It’s been said that the first step to improvement is knowledge, so next time we’ll talk more about some more practical stress management techniques for those who suffer from many forms of pain and, of course, peripheral neuropathy.

Join us for more information HERE

Pain, Neuropathy, and Stress? is a post from: Neuropathy | Neuropathy Doctors | Neuropathy Treatment | Neuropathy Treatments | Neuropathy Physical Therapists

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Carpal Tunnel Syndrome

Most people have heard of carpal tunnel syndrome. 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 carpal tunnel syndrome (CTS), so often those who suffer from nerve symptoms in their forearms and hands frequently jump to conclusions without having an accurate diagnosis.

An entrapment neuropathy, also called nerve compression syndrome, occurs when a nerve is wedged or “pinched” against a bone, inflamed muscle. 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
  • 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 (also called Honeymooner’s 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 axillary crutches
  • Handcuff neuropathy, wherein tight handcuffs compress your radial nerve at your wrists

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 consistent: We’ll 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,lab tests may be recommended. To pinpoint the specific location of a compression, we may also suggest MRI.

Similar to carpal tunnel syndrome, most cases of compression neuropathy are mild. Good self care for mild cases involves ice, rest, and a change in habits of motion or stress that are causing the symptoms. Otherwise, professional care in office as well as at home is often indicated.

If you suffer from a compression neuropathy or have questions about this or any other kind of neuropathy, call us ASAP. As with any neuropathy, don’t wait! The sooner you get an accurate diagnosis, the more conservative options for treatment you’ll have.

Join the conversation at Beating Neuropathy!

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

Entrapment Neuropathy: More Than Just Carpal Tunnel! is a post from: Neuropathy | Neuropathy Doctors | Neuropathy Treatment | Neuropathy Treatments | Neuropathy Physical Therapists

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Eating More Frequently May Manage Neuropathy & Weight Easier?

On the surface, a statement like that might seem wrong. After all, isn’t eating at the root of weight gain, obesity, and its complications? To a point, yes. This is especially true when we consume far more calories in one sitting then we need, and load our meals with carbohydrates and poor-quality fats. So eating more frequently may manage neuropathy and my weight easier?

Eating more frequently will stimulate your metabolism—or, how efficiently you burn versus store fat, keep your blood sugar more even, and actually help keep you warmer.

What I tell all my neuropathy patients—and, indeed, every patient—is to try to eat something not more than three hours apart.

But a little-known fact is that when we eat less frequently, we become much more efficient at storing fat rather than burning it. This is not to say periodic fasting isn’t helpful. Turns out it actually is.

So what does this have to do with managing peripheral neuropathy?

The bottom line is, eating more frequently will stimulate your metabolism—or, how efficiently you burn versus store fat, keep your blood sugar more even, and actually help keep you warmer. For patients who suffer from peripheral neuropathy, all of these things are crucial.

But this does not mean you can eat anything you want. What we do know is that by consuming relatively low amounts of carbohydrates in our meals, along with periodic low carb snacks, we become much more efficient metabolically. *Now, if you are an insulin-dependent diabetic, some of what I say here will not apply, so please be careful and work with your Doctor here.

What I tell all my patients is to try to eat something low carb (low carb meal or if a snack  some almonds, cashews, half a banana or apple, small salad with olive oil, small chia bar for example) not more than three hours apart. For example, you will start your breakfast with something like a protein shake, or a small serving of steel-cut oatmeal with a little added fat like Earth Balance, perhaps some berries. Approximately three hours later, you’ll have six to 10 almonds, or perhaps another lean, low-carbohydrate snack if nut allergies are a problem.

Again, this points out the need to work with well-trained neuropathy treatment professionals to truly manage your peripheral neuropathy and, indeed, your health in general.

What are some of your favorite snacks? Join the conversation on our Facebook page!

Learn so much more or schedule an evaluation HERE.

Eating More Often May Manage Neuropathy and My Weight Easier? is a post from: Neuropathy Doctors and Physical Therapists| Neuropathy | Neuropathy Treatments | Neuropathy Doctors | Neuropathy Physical Therapists

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