Your Best Self-Treatment

We know for a fact that your best self-treatment goes a long way towards help & recovery in peripheral neuropathy and chronic pain.

Let’s face it. As a clinician, one of the most amazing things I get to do is watch patients make extraordinary recoveries from devastating illnesses and injuries. So let’s talk about what experience tells is is your best self treatment.

Two people exercising at the beach

When people have a sense of control, and responsibility over their own direction, their neuropathy treatment outcomes are far better.

Of course, some health problems are much more serious than others. Some require much more time and effort to recover. And, yes, sometimes recovery is impossible or incomplete.

Regardless, however, we do know that patients who become more involved in their own neuropathy and chronic pain treatment do far better, are far happier, and have a much better quality of life.

The reason for this is simple. We know beyond a shadow of a doubt that when people have a sense of control, and responsibility over their own direction, their neuropathy treatment outcomes are far better.

So, what are some of these simple things that you could be engaging in on a regular basis? Number one, of course, is to let go of habits that are hurting your health.

These include things like cigarette-smoking, eating too much, or eating the wrong things. This is why we spend so much time in our books and social media talking about diet and lifestyle.

Number two: you can become physically active if your current condition allows. You can, if you’re recovering from surgery or an accident. Simply getting up out of bed {with assistance) more often can make a big difference at the end of the day.

Take advantage of all the tools your doctors and therapists can provide, including wheelchairs, walkers and canes.

This is also the reason that virtually every neuropathy and chronic pain patient that visits our clinics receives their own set of tools in a unique homecare kit.

We know for a fact that better, daily self-treatment goes a long way towards helping patients manage and wherever possible recover from peripheral neuropathy and chronic pain.

Last, but just as importantly, is to continually keep a good eye on your outlook and your attitude.

Along with our treatment & systems, our patients tell us all the time that it is their outlook on life and attitude to pull themselves through that has done the most to facilitate their recovery!

Join the conversation on Facebook! *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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Fibromyalgia or Neuropathy?

In both fibromyalgia and in neuropathy, patients often experience tingling, numbness, and significant amounts of pain. This is not at all surprising, since recent research suggests that many fibromyalgia patients actually have small-fiber neuropathy.

We have long suspected this, however, since one of our observations many years ago was that many fibromyalgia patients respond very well to our neuropathy treatment programs, with some specific modifications. That’s why, right now, effective treatment depends so much upon the skill as well as the time and interest of the clinician.

And the reason for this should be very obvious. Once we understand as much as we possibly can about what may be underneath your symptoms, then we can begin the most effective treatment plan possible.

One of the most common things we see as doctors every day is how deeply rooted lifestyle and personal habits are linked to so many health problems. Fibromyalgia and neuropathy are no exception.

pain 200x300 Fibromyalgia or Neuropathy—Which is it?

In both fibromyalgia and in neuropathy, patients often experience tingling, numbness, and significant amounts of pain.

In both fibromyalgia and in many cases of neuropathy, patients are frequently overweight and in poor physical condition. Now, as you might expect, this is not at all uncommon. Often times this “deconditioning” has been present for years.

Contributing factors to this include things such as poor diet, and, yes, even health problems like underlying thyroid disease and possibly more serious disorders. So the best approach for both doctors and patients while attempting to calm pain is to look deeply for underlying causes.

And this goes double for those patients who suffer neuropathy or fibromyalgia and related chronic pain conditions! If you are serious about getting real professional help we invite you to reach out to us personally using the contact info below.

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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 #fibromyalgia #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

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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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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!

Join our conversation on Facebook by clicking HERE!

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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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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