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!

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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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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.

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