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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Disuse Syndrome

In our last post, we discussed how exercise can help control the symptoms of your underlying illness (whatever caused your autonomic neuropathy). Today we’re going to discuss the effects of not exercising, which are called disuse syndrome.

Use Vs. Disuse

When you’re thinking about starting an exercise program and you’re thinking about how dangerous it can be, you also need to consider the effects of not starting an exercise program.

The effects of not exercising are called disuse syndrome.  If your level of activity seriously out of sync with your level of inactivity, you can develop:

• Decreased physical work capacity

• Muscle atrophy

• Negative nitrogen and protein balance

• Cardiovascular deconditioning

• Pulmonary restrictions

• Depression

The effects of any of these symptoms of disuse syndrome in combination with your autonomic neuropathy symptoms can make a bad situation even worse.

The very nature of your autonomic neuropathy can affect the systems that are most sensitive to the effects of exercise.  Any exercise program you begin should be designed and monitored by a medical professional well versed in the effects of autonomic neuropathy, like your NeuropathyDR® clinician.

Autonomic neuropathy can have a serious effect on the very systems in the body that are directly affected by exercise.  Make sure you talk to your healthcare provider before you start an exercise program and let them monitor your progress.

For more information on coping with neuropathy, get your Free E-Book and subscription to our newsletters at http://neuropathydr.com.

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Neuropathy Basics: Distinguishing Sensory Neuropathy from Motor Neuropathy

What You Need to Know about the Two Types of Neuropathy and How to Treat Them

Why is neuropathy so difficult sometimes to diagnose and treat?

Well, for starters, there is no one disorder known as neuropathy. Technically, it’s an entire group of issues ranging from basic to complex.

One helpful way of subdividing this class of disorders is to think about sensory vs. motor. Sensory neuropathy is about sensation or lack of sensation—in other words, tingling or pain on one end of the spectrum and numbness on the other end.

Losing sensation can also affect balance, which is a major quality of life issue.

Things like diabetic neuropathy (in its early stages), neuropathy related to metabolic syndrome, and chemotherapy induced neuropathy are examples of sensory neuropathies.

On the other hand, motor (or movement) neuropathy describes a loss of power and strength in the muscles. The major symptom of this type of neuropathy is muscle weakness.

Unfortunately, motor issues can be difficult to diagnose and even harder to treat. You can end up with motor neuropathy as a side effect of a Lyme disease infection, or it can be genetic.

What’s important to know about sensory vs. motor neuropathy is that even the most advanced cases with the worst symptoms can often show some amount of improvement through self care. That means good nutrition, physical therapy, and at-home neurostimulation techniques. Some types of supplements may also help, such as CoQ10.

Even though I’m urging self care, I want to make sure you truly understand that a good self care protocol and treatment plan is always developed in collaboration with a knowledgeable neuropathy clinician.

If you don’t know where to turn to find a trained neuropathy expert in your local area, click here for a list of NeuropathyDR® clinicians sorted by region.

Neuropathy Basics: Distinguishing Sensory Neuropathy from Motor Neuropathy is a post from: #1 in Neuropathy & Chronic Pain Treatment

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Diabetic Neuropathy and Good Chiropractic Care

In Diabetic Neuropathy, Chiropractic Care Can Reduce Symptoms and Improve Quality of Life.

Some kinds of neuropathy happen to people with diabetes, a severe imbalance in blood sugar levels which can block proper blood flow to the nerves.

With diabetes, you might also have some of these diabetic neuropathy symptoms:

  • Loss of ability to feel warm or cold sensations
  • Trouble swallowing
  • Problems controlling your bladder
  • Digestive trouble, like vomiting or nausea and diarrhea
  • Feelings of burning, tingling, or numbness in your feet or hands
  • General muscle weakness

Some of these symptoms, specifically numbness in the hands and feet, can lead to some of the most dangerous complications of diabetes: infection, slow healing, and the possible need amputation as a lifesaving measure.

With this diagnosis of diabetic neuropathy, you may already have been directed to monitor your blood sugar level, avoid certain foods in your diet, and possibly take prescription medications to manage your symptoms. You’ll also be asked to notice and report any sores, blisters, or inflamed areas that could lead to infection in order to intervene quickly to head off serious complications.

This is a great start and an important baseline of health for people with diabetic neuropathy. But for many, it isn’t enough for true symptom relief and quality of life.

In this case, consider looking into chiropractic care by a NeuropathyDR® specialist, who can address any issues you have with spinal alignment that may be negatively affecting your pancreas and other internal organs—not to mention your nervous system.

The two goals of chiropractic care in people with diabetic neuropathy are reducing your pain and beginning to help your nerves repair themselves. In addition to manually manipulating your joints and bones for proper alignment, chiropractic care may involve the use of topical pain relieving medications and various types of nerve stimulation.

If you are looking for a NeuropathyDR® specialist in your area, click here.

Diabetic Neuropathy and Good Chiropractic Care is a post from: #1 in Neuropathy & Chronic Pain Treatment

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Motor Neuropathy Care- Long Term Strategies are Key

If you are a regular NeuropathyDR® blog reader, you know that we tend to focus on the latest developments and research in treating neuropathy pain.  With peripheral neuropathy, though, pain is only one component.  This week, we’re going to talk about how neuropathy can affect your muscles, also called motor neuropathy.

There are essentially three kinds of motor neuropathy.  The first is the overall weakening effect of the muscles, especially in the extremities, which often accompanies peripheral neuropathy.  This can occur because the nerves which control motor function in the muscles have become damaged, or—in the case of a compression neuropathy—constricted.  The second kind is called multifocal motor neuropathy, and takes place when the immune system itself begins to attack the nerves, as can happen after a series of infections or after an illness.  The third kind is Hereditary Motor Sensory Neuropathy, which, as the name suggests, is genetic in nature.  Hereditary Motor Sensory Neuropathy, or HMSN, occurs when there is a naturally-occurring deterioration in the nerves that control the muscles, causing the muscles to not be used, become weak, or even atrophy.

Motor neuropathy usually starts in the hands and feet, and can affect the full extension of fingers and toes.  In addition to the dexterity problems this obviously causes, it often also has a visual appearance of “clawlike” fingers.  The condition is degenerative, getting worse over a period of months and years.  Twitching and spasms can also happen in affected limbs.  While motor issues associated with peripheral neuropathy usually accompany pain, tingling, and numbness, multifocal motor neuropathy involves no pain (only the motor nerves are affected).  Generally, none of the varieties of motor neuropathy are life-threatening, although they can absolutely impact your comfort and quality of life if you suffer from them.

When we met our patient Robert, he complained of a steady and declining loss of strength in his feet, which he had experienced over the past 4 years.  Robert had had cancer during that time, culminating in having his prostate removed.  His motor neuropathy caused Robert to have trouble walking or standing for long periods, and he even had trouble feeling his feet on some occasions.  He also complained of shooting pain, tingling, and soreness in his feet, all typical calling cards of peripheral neuropathy.  Since in cases of multifocal motor neuropathy, the sensory nerves are usually unaffected, Robert’s pain and numbness ruled that out.  Sure enough, when we performed a battery of tests, we found that Robert’s sensation to vibration was all but gone in several places on his feet.

Motor Neuropathy is Characterized by Weakness of The Muscles

Robert did not respond with the typical level of relief we usually see after treating a patient with electro-stimulation.  Over the course of three treatment sessions, Robert’s level of strength and comfort in his feet did not change in any meaningful way.  While this is unusual, it highlights an important theme: neuropathy is a complex problem with many symptoms and manifestations, and NO single therapy technique or tool—even those with a very high rate of success—can stand on their own as a complete treatment.

We designed a treatment for Robert intended to produce more long-term benefit, as his short-term progress was not substantial.  Motor neuropathies require an extensive MULTI-MODAL level of treatment, sometimes pharmaceutical and sometimes homeopathic, and usually involving some level of regular exercise and controlled diet.  Robert is currently improving steadily, and is seeing his NeuropathyDR® clinician as prescribed to monitor his condition and progress.

If you suffer from weakness or pain in your limbs, you may have peripheral neuropathy.  If so, we are here to help!  Contact NeuropathyDR® right away and we will help you find the best course of treatment for your specific symptoms.  We can even put you in touch with a specially-trained NeuropathyDR® clinician who can help you develop a therapy plan that will get results.

http://www.ninds.nih.gov/disorders/multifocal_neuropathy/multifocal_neuropathy.htm

http://www.ninds.nih.gov/disorders/multifocal_neuropathy/multifocal_neuropathy.htm