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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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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Doctor, what is the VERY first step?

Many patients from around the world contact us every day and ask my husband, “Doctor, what is the VERY first step to help me get back on the road to better health?”

Well, the ND Diet Plan has GOT to be a mainstay. You can even have a copy of that FREE on our website or with your order!

But as you already know, diet alone is just one step. Most patients we consult with really need a comprehensive health recovery plan, and that’s why we invented the Metabolic Support Formula.

This is a high potency broad spectrum multi-vitamin/mineral and trace element formula that provides the highest nutritional value for all systems of the body.

You probably have recently read about poor quality store bought supplements and why not only they may not be helpful but harmful!

Many patients tell us they were buying formulas costing more than twice what a month’s supply of Metabolic Support Formula could bring you!

This is a bioavailable, gentle formula that is well tolerated by most and now shipped world-wide.

One of the MOST Comprehensive Multi Nutrient Supplements Ever Formulated the ND Metabolic Support Formula also Contains Calcium and Magnesium in citrate/malate form for better absorption.

We also added 1000 IU of Vitamin D, 400 IU of Vitamin E, Significant B-12 and Folate as bio-available Metafolin(R) and Sooooo many more micro nutrients MISSING from most every other nutrient formula.

At just $1.46/day this formula could very well help yourself get back on the road to health today!

All You Need To Do Is Click  HERE to Order!

This one formula just may change your life, forever!

Sincerely,

Patti, for The NeuropathyDR Team

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The Best Neuropathy & Chronic Pain Treatment Strategies

If you or someone you love suffers from peripheral neuropathy or chronic pain, I don’t have to tell you how frustrating treatment options can be. You probably also are aware how limited many conventional treatments are. In reality, proper neuropathy and chronic pain treatment requires individualized attention. A haphazard approach just won’t do.

Unless an individualized treatment approach is taken right from the very beginning, and fully implemented, patients continue to suffer the pain, sleeplessness, often needlessly.

That is why the most important thing you can do is to work with a highly competent professional. But you also need to learn everything you can, and take proven action steps that will help improve the quality of your life. That is exactly why we publish the dietary and lifestyle posts every week.

Simply wishing the problem will go away, or masking it’s symptoms without attempting to treat the underlying cause is futile. A combined treatment approach really works best in the long term. The good news is, we now have available more effective and far less invasive treatment strategies for patients with chronic pain and peripheral neuropathy than ever before.

When these are combined with your own powerful self-care program the net result is many of our patients are now experiencing significant improvements in quality of life.

So we encourage you to talk with us, and learn about all the advances in the new technology that more and more neuropathy & chronic pain patients can now take advantage of!

Join our conversation with our staff 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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Calcium and Your Health: A Balancing Act by Your Body

Eat like the NeuropathyDR Diet says to—lots of vegetables, nuts, and lean protein like fish, using animal products sparingly.

!Calcium is an element which is essential to life and health. Like potassium and chloride, too much or too little of this key element can literally kill us! Your body has some aging mechanisms built in to keep calcium levels in our blood nearly constant. So much so that, if we consume too little, our parathyroid glands send hormone messengers that break down bone to release more usable calcium.

Calcium is necessary for proper heartbeat and normal nerve function. A disturbance in blood calcium can cause fatal arrhythmia of our heart, and “tetany”, which is a severe disabling contraction of our muscles!

Now, if you live in the USA, you probably have been lead to believe that dairy consumption is the only way to get adequate calcium. You might even have been told that calcium consumption alone can prevent or treat osteoporosis.

Neither of these assumptions, by themselves, are true.

For example, John Robbins was one of the first to point out in the ’90s that in cultures where daily physical activity and plant-based diets are the norm, osteoporosis was virtually non-existent. These cultures do NOT consume any dairy at all.

Instead, they eat like the NeuropathyDR Diet says to—lots of vegetables, nuts, and lean protein like fish, using animal products sparingly. This diet is far healthier than the typical sugar, fat, and soda consumption of the average modern diet!

These cultures also have higher levels of active Vitamin D, secondary to sunlight exposure. Vitamin D helps us absorb calcium in our gut, and among many other things, helps us build stronger bones, ward off infections, and a whole host of diseases.

Calcium is a key player in your health! Unless you have a disease which requires careful monitoring, eating healthy and getting enough vitamin D and exercise are probably all we need.

Most of the time, large amounts of calcium supplementation may actually be dangerous, and could actually contribute to other disease risks.

In nature, calcium often occurs with magnesium. Effective supplementation delivers calcium and magnesium in near-equal concentrations.

Magnesium is another crucial nutrient—in fact, the most commonly deficient in the so-called modern diet.

Join the conversation on Facebook!

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Metabolic Syndrome: Pre-Diabetes?

Carrying around excess body fat creates a number of health issues, not the least of which is higher amounts of circulating blood fats and sugar, which can displace oxygen, leading to the development of neuropathy and other disorders.

One of the things I write about, and we see quite often in the neuropathy and chronic pain clinic, is patients with metabolic syndrome. Now, metabolic syndrome is something I’ve written about and speak about all the time. Once upon a time, this was called pre-diabetes. Now it’s called Syndrome X.

So why can metabolic syndrome be potentially more dangerous and more devastating than a diagnosis of diabetes?

The real reason, as we find, is that most patients once diagnosed with diabetes tend to take better care of themselves. But metabolic syndrome is like a smoldering fire that, too often, does not get serious attention until damage has been occurring for years.

Unfortunately, metabolic syndrome is probably the most dangerous affliction of modern man. Being just 20 pounds overweight is a major risk factor not only for things like heart disease, but other conditions too, not the least of which is peripheral neuropathy.

Metabolic syndrome can present in a number of ways, commonly years before the diagnosis of diabetes. It is marked by borderline changes in blood sugar and blood fats, possibly increasing blood pressure, and always an increase in waist size.

Carrying around excess body fat creates a number of health issues, not the least of which is higher amounts of circulating blood fats and sugar, which can displace oxygen, leading to the development of neuropathy and other disorders.

So how does metabolic syndrome develop? Usually very slowly and over many years. We’ve seen patients present with neuropathy for sometimes 10 years or more, before being diagnosed as frankly diabetic.

It is a sad fact, but even modern medicine accepts an ever-expanding waistline as simply normal.

In our next series of articles, what we will do is highlight the simple (but also very effective) things you can do to not only minimize your risk of metabolic syndrome, but to better manage it, as well as diabetes.

For more on metabolic syndrome visit us at NeuropathyDR.com

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Neuropathy and Chronic Pain Health Plan

Patients who do extremely well managing, and ultimately defeating chronic pain keep tight schedules.

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

With patients that do the best we find there is scheduled physical activity every day, yes even patients recovering from neuropathy, fibromyalgia, spinal stenosis and yes even more serious illnesses.

Now I’m not saying this is easy.

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, 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 self 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 begin today. Start by outlining what an ideal date 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 along 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.

If you need help, developing a more productive schedule join the conversation on Facebook!

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