Simple Steps to Better Foot Care

As you probably know, peripheral neuropathy most commonly afflicts the feet first. And most adults suffer from some type of foot problem as well. But there really are some simple steps to better foot care you can begin to do today!

How well do you take care of your feet?

Initially, better foot care comes something as a shock to most patients. Too many of us ignore our feet until we have a painful or debilitating disorder like neuropathy.

You see, foot pain and neuropathy is much more than pain, tingling and numbness.

Often times there are changes in sensation which affect your balance and your ability to walk normally. Commonly, the shape of your feet will change due to muscle weakness over time or after an injury. This why some of the orthotics you see above can be so very helpful.

There are also changes in skin texture. Patients with peripheral neuropathy and foot pain often find their feet become cold. Cracking of the skin becomes more common. Unfortunately, infections like toenail fungus can happen too. Foot ulcers can be devastating and lead to amputation or worse.

So let’s talk about some of the simple things that you can do on a daily basis to help proper foot care.

The first thing you can do is to make sure that your shoes fit properly. Do not ignore things such as overgrown toenails, which can affect proper shoe fit. If you’re diabetic, your nails should be professionally trimmed by a podiatrist at least once per month.

Next, consider using either light wool, silk or microfiber socks. These socks do not trap moisture, which can make infections and perspiration problems worse.

Finally, be very careful in your choice of bath and shower soaps. Be sure to thoroughly dry and visually inspect the tops and bottoms of your feet every day! There are natural products such as those containing Tea tree oil, which are beneficial in helping prevent athlete’s foot and common fungal infections.

In terms of care, we commonly advise use of our #NDGen, #wearablelaser and #orthotics all of which you can see in our clinics or HERE In Our Self-Care Store

Take better care of your feet every day, ask for our help early on and do not let issues go untreated or fester. and foot pain as well as #neuropathytreatment success will also be easier!

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Call or text the main office for personalized help anytime at all: 781-659-7989

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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!

Want to Learn More? Go HERE

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Pain, Anxiety and Depression

One of the things that is perhaps universal amongst all who suffer from chronic pain and neuropathy is the manifestation of both anxiety and depression.

Unfortunately, neither pain, anxiety and depression receive the attention they often deserve. What you may not know is that part of the development of anxiety and depression is commonly the result of nervous system reactions. These feeings when attended to may actually protect us from further harm. These feelings are very common, and suffered by most neuropathy patients.

But seldom are they talked about honestly and openly with family or clinicians. Yes, quite frankly, this is a mistake.

There ARE a couple simple things you can do immediately that will help. First of all, realize there’s often lots you can control about your health—and some things you can’t. Resign yourself to that fact once and for all. Meditate or pray on this one if need be, as it really helps! It’s one of the great paradoxes of life—however, once accepted as fact, it can make a tremendous difference in your level of mental health and well-being.

And for everything you can change, such as your diet, lifestyle, mental health habits, attitude, et cetera: accept one hundred percent responsibility right now!

Along these lines, there are several other things I suggest to explore. Number one, make sure you have as simple and low stress a lifestyle as you possibly can. Be sure to discuss your feelings quickly, honsestly and openly with your partner, adult children or supportive friends in a position to help. Where these are unavailable, talk with your doctor first, then a trusted friend, clergy member, or social worker!

With severe depression including thoughts of suicide, you need professional guidance immediately! Ask for help, (Call 911) and make sure you get it NOW!

I have seen many patients make extensive progress on the road back to health by simply practicing everything we’ve said in the last three paragraphs.

I have also written extensively about designating enough “Me” time. *It’s a mistake to neglect yourself above others—and this includes parents, relatives, and children.

Above all, recognize you are not alone. I’m firmly convinced that so often sensitization of our nervous system to all the changes that peripheral neuropathy and chronic pain can bring commonly can result in anxiety and depression. Not surprisingly, effective in-clinic treatments first often help turn pain, anxiety & depression around quickly.

This is also why I am convinced EVERY neuropathy and chronic pain patient should own an at home self-treatment kit. Better self-care with less medication can be life-changing to say the least.

You find much more about this as well as our books and other self-help products here at http://neuropathydr.com!

Need Personalized Help or Referrals? Call or Text Our Main Team 781-659-7989 (Leave your name and concerns)

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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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Neuropathy, Pain and Foot Care

Maybe you are overweight, have diabetes or maybe you’ve completed a course of chemotherapy. Or if you suffer from pain or burning in your feet, legs or hands, you’re not alone. More than half the people suffering from neuropathy and foot pain report that they’ve tried complementary treatments in addition to traditional medicine to help relieve their pain and especially improve overall health and well being.

We all need to take special care of our feet and be very aware of any sign of problems. The older we get the more important this becomes.This week let’s talk more about neuropathy, pain and foot care. There are many things you can do daily at home to help you. Here are few to really focus on.

If you are Overweight or have Diabetes tightly control your blood sugar.

This may sound like a no-brainer but many people with diabetes don’t realize how toxic high blood sugar is. High blood sugar is what causes nerve pain and damage. Keeping blood sugar levels close to normal can not only stop ongoing damage; some damage may even be reversible. That provides even more promise for fighting neuropathy pain.

Take Exceptional Care of Your Feet

Nerve pain is usually what brings people in to see their doctors. But the numbness in their feet and inability to feel even the smallest injury can lead to infections and ulceration and ultimately end in amputation. If you suffer from peripheral neuropathy you need pain and foot care. Carefully inspect your feet every time you shower and be very aware of any sign of problems. Some things you can do are:

  • Clean and inspect your feet every day. If you have any irritation or wound that’s not healing properly, get medical care immediately.
  • Wear comfortable shoes. Don’t wear shoes that pinch your toes or rub blisters on your heels.
  • Wear padded socks to cushion the ball of your feet and the heel.
  • Either cut your toenails straight across or have a professional do it for you.

All of these things can go a long way to making your quality of life with neuropathy pain and foot care as good as it can be!

Join the conversation on Facebook! Learn much more about our products and services at  NeuropathyDR.com

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“If your Pain & Neuropathy Treatment is so GOOD then Why doesn’t MY Doctor know about it?”

“If your Pain & Neuropathy Treatment is so GOOD then Why doesn’t MY Doctor know about it?” This is a question we answer every day.

The reality is, most physicians do everything they can to help their patients. Unfortunately, especially in practices that do not specialize, the doctors are oftentimes unaware of new and drug free systems and procedures that may be available to help their patients.

Now don’t get me wrong, oftentimes drugs a life-saving approach, and you should always defer these decisions to your well-trained medical professionals. You probably already know however that in many forms of chronic pain and especially peripheral neuropathy drug only therapy can be a dead end.

But unfortunately, drug therapy is the only training most medical professionals and facilities ever receive. Furthermore, we know the pharmaceutical industry is huge, with immense marketing budgets and constant bombardment of their messages not only to patients but doctors as well.

And this is not a new problem. I remember 30+ years ago having discussions with my medical doctor friends about this very issue. Many times intense pharmaceutical marketing makes their jobs more difficult, rather than easier.

But the good news is, we now know that many patients who combine drug therapy with the latest available neuropathy and chronic pain treatments do far better. Often times, these neuropathy patients are able to reduce and sometimes eliminate certain medications.

These specialized neuropathy chronic pain treatments include patient training and applications of special neuropathy treatment modalities.

Some of the biggest neuropathy treatment breakthroughs are occurring in electrotherapy, laser therapy, in other neurostimulatory techniques.

There are now many systems available to help patients deal more effectively with their neuropathy, pain, sleep and life disruption then ever before.

We are here to help you sort them out.

Join our conversation today by joining us HERE!

If this Neuropathy Treatment is so GOOD then Why doesn’t MY Doctor know about it? is a post from: NeuropathyDR | Neuropathy | Neuropathy Treatment | Neuropathy Treatments | NeuropathyDR

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Your Symptoms and Cell Efficiency

One of the things we get asked all the time is, “What makes NeuropathyDR different?” This is a really good question. For anybody who suffers (or loves someone who does) from peripheral neuropathy or another form of chronic pain, it can be very frustrating to sort through all the details. Treating both your symptoms and cell efficiency is how we are able to provide good treatment based in science…but here is what you must realize first:

Significant improvement in the quality of life can happen by making a few simple changes in your diet and lifestyle and adding special combinations of good treatment.

Our background is in health care and nutrition. So, when I first began intensely treating pain & neuropathy patients in 2008, we knew that improving their underlying health—especially how nerve cells process energy—had to help improve many patients’ peripheral neuropathy and other forms of nerve damage or chronic pain. Of course, there are some patients we cannot help. But we do find that even in patients with genetic neuropathies or other extremely difficult-to-treat cases, significant improvement in the quality of life can happen by making a few simple changes and adding special combinations of good neuropathy treatments.

Your nervous system is made up of billions of cells called neurons. Neurons are highly sensitive to their own environmental changes; things like long-term oxygen starvation due to cigarette smoking, or carrying around too much body weight for too long. Our society is now developing diabetes at alarming rate, in younger and younger age groups. This is largely due to poor food and lifestyle choices. We are also living longer, as a byproduct of better infection control, better chemotherapy drugs, and surgeries.

These things all bring with them increased chances for developing chronic and painful conditions such as peripheral neuropathy. The reason for this is, all of the things we have talked about today will affect how our body processes energy—leading to the development of peripheral neuropathy. Wherever possible, helping to restore energy efficiency to nerve cells can make a tremendous difference in many patients with peripheral neuropathy. And that is why our treatment program includes better nutrition and body motion—improving both your symptoms and cell efficiency by adding therapies such as neurostimulation, laser, and physical therapy, often with nutritional supplementation.

Please learn more and join the conversation all day on Facebook!

Neuropathy Symptoms and Cell Energy is a post from: Neuropathy | Neuropathy Doctors | Neuropathy Treatment | Neuropathy Treatments | Neuropathy Physical Therapists

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