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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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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Think You May Have Neuropathy?

Think you may have neuropathy? One hundred million Americans suffer some form of chronic pain—and 25% of those suffer from some form of peripheral neuropathy (PN). Unfortunately, like so many disorders, PN is reaching epidemic proportions.

Why is that? Well, it looks like many forms are lifestyle-related. The most common cause is likely related to the increasing rates of obesity and poor fitness. But because there are many different causes, it is important to work with a healthcare professional that understands this, and tries to identify any possible causes early on.

The most important thing of all while searching for possible correctable causes is to embark upon a self-treatment program early on. This includes learning more about your own health and fitness.

I can’t emphasize enough the importance of maintaining proper body weight. Another immediate step you can take is limiting possible irritants and artificial sweeteners from your diet. Failing to take immediate action to help move your health in a positive direction is a big mistake.

Make every attempt to begin some non-drug therapies like nerve stimulation, laser, and physical therapy early on—even during the diagnostic process! The reason for this is quite simple: As we said, many patients search for answers, and all the while their health continues to deteriorate.Some care may dull the pain for a while. But, unfortunately, symptoms often return, with a vengeance.

Don’t let this be you. Please steer clear of the magic Google “cure” or  latest “Nerve Formula” on Facebook. Only an accurate diagnosis is the clearest pathway toward the best available treatment.

Please remember we are always here to help with a proper work-up and treatment.

Join the conversation on Facebook!

Think You May Have Neuropathy? What To Do Next is a post from: Neuropathy | Neuropathy Doctors | Neuropathy Treatment | Neuropathy Treatments | Neuropathy Physical Therapists

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Is LLLT Effective Pain & Neuropathy Treatment?

LLLT (Low Level Light Therapy) including LLLT and laser in human healthcare dates back to the space program of the 1990s. But is LLLT effective pain and neuropathy treatment? The answer is a resounding yes, IF great equipment and trained physicians are utilized.

According to SBIR/NASA, LED has been utilized as part of cancer treatment, especially for a complication called oral mucositis. LEDs have also been used for improved wound healing, as well as “speeding deconditioned personnel to full duty performance”. LED (Light Emitting Diode) usage has also been approved by the Naval special warfare command. 1

But how exactly does this work? Well, the scientific explanations are highly technical. But what has been known for centuries is that light speeds healing. Once upon a time, ill patients from infectious disease units and TB wards were rolled out into sunlight daily. Wounds that failed to heal were also exposed to sunlight.

From a simple perspective though, we know that light energy is simply clusters of photons or energy particles that can penetrate tissue at selected depths.

We also know that various wavelengths of light can then have specific effects. The most important effect that may have a bearing on peripheral neuropathy and related conditions is the ability to stimulate metabolism, or cellular efficiency.

You see, all the work we have done in the treatment of peripheral neuropathy since 2008 has been focused upon improving cell energy. This also of course includes diet, exercise and certain other compounds found in nature such as amino acids, carnitine, and lipoic acid.

You probably also know we’ve extensively used electrotherapy via the NDGen® Neurostimulator.

With the combination of laser, both in clinic and at home with the Wearable Laser you see below, we are now able to expand our reach and help more patients than ever before with LLLT effective pain and neuropathy treatment.

Although the research is early, it is extraordinarily encouraging. Talk to our team about possibly adding light therapy to your treatment. Consider this especially if you suffer from diabetic neuropathy or other poor wound-healing complications.

Join our community on Facebook to learn about up-and-coming neuropathy and pain treatments!

1 http://sbir.nasa.gov/SBIR/successes/ss/8-035text.html

Can LED Be Part of Effective Neuropathy Treatment? is a post from: Neuropathy Doctors and Physical Therapists| Neuropathy | Neuropathy Treatments | Neuropathy Doctors | Neuropathy Physical Therapists

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Beyond Conventional Neuropathy Treatment

Ask yourself if “conventional” neuropathy treatment alone is making you better?

First (you probably already know this), medicines alone have been the primary or conventional neuropathy treatment. There are a lot of medications used to treat neuropathy and nerve pain. Treatments are essentially the same no matter the cause. Most current drug treatments are directed at altering nerve, brain, and pain receptors.

Do you still wonder, “Okay, so again, am I going to feel better?” Great question!

Can Conventional Neuropathy Treatment Cure Me?

Unfortunately, there is no known “cure” for many forms of neuropathy and nerve pain. However, there is much more beyond a medication only approach.

The biggest problem is, not enough patients and doctors are aware of new and often effective available treatments. This is one area our research is beginning to change.

Here’s a post about a holistic approach and moving beyond conventional neuropathy treatment, if you’d like to know more.

To provide the best care for our neuropathy and nerve pain patients, we usually have to embrace other options. Here are a few reasons why it’s so important to use the multiple modality approach.

  • Better pain relief
  • Less medications are often needed
  • Less side effects
  • Improved quality of life

These four reasons alone are enough, but there are others.

Here at NeuropathyDR that is part of our mission. We inform patients and doctors of evolving treatment options. Knowledgeable experts more and more use a variety of treatments to help neuropathy and nerve pain patients feel better, and lead a better life.

The key takeaway we’d like to share is, the choice is yours.

What can you do? Inform yourself, do your research, and know your options.

Come back here often and read our latest updates. We’re happy to help in any way we can. You can join us over on Facebook for updates and daily diet, lifestyle and treatment advances too!

Click here to join us or for personalized care call our 24/7 Message Line at 339-793-8591

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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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Treatment System

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

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

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

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

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

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

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

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

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

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

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

Join our conversation on Facebook today by clicking HERE!

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Balance and Neuropathy Treatment

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

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

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

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

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

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

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

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

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

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

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

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

All you have to do is ask!!!

Join the conversation today on Facebook by clicking HERE!

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Neuropathy and Chronic Pain: Developing a Schedule

Scheduled physical activity every day can improve neuropathy and other chronic pain.

One of the things we find in our practices is that patients who tend to keep tight schedules do extremely well managing and ultimately defeating chronic pain.

More specifically when we work with these patients even recovering from neuropathy, fibromyalgia, spinal stenosis, and yes even more serious illnesses, we find there is scheduled physical activity every day.

In fact, it may be one the most challenging things you do. But it could also be one of the most rewarding.

The reason for this is our bodies work on set schedules.

Did you know that even such things like body temperature and alertness, etc. all run on internal schedules and cycles?

This also helps explain why those who schedule things such as meals, physical activity, self-treatment with your home-care and clinic-care, do far better!

Otherwise, especially in this modern world, the tendency is to drift aimlessly. And yes, even things such as our computers, social groups, and social media can wind up being distractions using a vast majority of our time.

Unfortunately, this tends to happen more not less as we get older, retire, become disabled, or move away from daily structure.

The bottom line is it is not healthy.

So here’s where I recommend you begin today. Start by outlining what an ideal day looks like for you.

What time do you get up? What do you have for breakfast that makes you feel the best?

Most of our neuropathy and chronic pain patients find that adhering to the NeuropathyDR diet and eating schedule goes a long way towards keeping them productive.

This is because the NeuropathyDR diet will allow you to maintain more even blood sugars and thus your energy level and mental alertness.

Next, regardless of your fitness or illness level, some type of scheduled physical activity is critical.

We are here If you need help developing a more productive schedule.

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

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Neuropathy Treatment Basics

Help Yourself Today by Making a Neuropathy Treatment Plan

If you or someone you love suffers from peripheral neuropathy then you understand how difficult it can be. You know the story all too well: pain, tingling, numbness, burning, and sleepless nights. Maybe your walking has even been affected. So starting today make a neuropathy treatment list of all the things you can do to help yourself.

Most of the time neuropathy is a slowly progressing situation. Many patients look back and find that their symptoms have been developing for many years.

Other times it’s sudden. Some cases can result from chemotherapy, certain medications (most especially statins, antihypertensives, and some antibiotics) and yes, even accidents.

Chemotherapy-related neuropathy also often comes on suddenly.

Because we treat patients with neuropathy every day, we understand it’s easy to become overwhelmed and I’m sure it seems like you are always searching for answers too.

Neuropathy can also be caused by so many other health conditions. Things like viruses, rheumatoid arthritis, and even certain bacterial and viral infections. It takes a really good clinician to sort out everything that’s going on with every patient, to help you get an accurate diagnosis and the most effective treatment.

But there are some things you can actually do immediately!

The most important thing you need to do is to take a look at your overall health habits. And we strongly recommend you start by making a Neuropathy Treatment list.

Regardless of what caused your underlying health problems, things such as quitting smoking, starting a stress management program, improving your diet, most especially by limiting sugars and starches, and becoming more physically active, all can be very helpful!

This will also help your healthcare provider take the best care of you possible.

Start by making a neuropathy treatment list of all the things you can do to help yourself, beginning today! To help yourself the most, be sure to continue to update your neuropathy treatment list as your health habits improve!

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

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