Neuropathy Awareness Week

Peripheral Neuropathy
May 5th thru the 12th is National Neuropathy Awareness Week. Neuropathy is a chronic condition that affects millions of people in America. While there is no cure for neuropathy, there are ways to manage the pain associated with it. Many groups including the Foundation for Peripheral Neuropathy and the American Health Council help patients dealing with pain find additional resources such as mental health guides for managing pain. As well as garnering support for research funding to learn more about peripheral neuropathy. So this Neuropathy Awareness week, take time to learn more about this condition and how it can affect the body. https://www.youtube.com/watch?v=EPD4ijRcrm8 Dr. Castillo discusses neuropathy, some of its causes and possible treatments. Neuropathy is a chronic condition. It’s estimated that 7-10% of people have neuropathic pain. In many…
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Myofascial Pain What to Know

Chronic Pain Conditions, Nerve Pain, Peripheral Neuropathy
myofascial pain trigger points Skeletal muscles primarily function our way of moving by attaching to other muscles and joints. When those muscles get knotted up, like when you sleep on your neck wrong, or have a back spasm, trigger points develop causing the muscle to shorten and become dysfunctional. Myofasical trigger points prevent normal muscle function, not allowing the muscle to contract or relax as it should. These highly sensitive trigger points in the muscle can cause sensory, motor, and autonomic symptoms. When myofascial trigger points are not treated early, they can cause stress in the dysfunctional muscle fibers and lead to more trigger points developing in the muscle or the compensating muscles (a snowball effect that could effect a lot of the musculoskeletal system). Sort of like when you…
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Carpal Tunnel vs. Cervical Radiculopathy

Chronic Pain Conditions, Peripheral Neuropathy
The carpal tunnel is a structure in the wrist that contains the tendons that control the fingers and then median nerve, which innervates the thumb and first two fingers. When the carpal tunnel is too small and/or inflammation occurs in the tendons that run through it, the median nerve becomes compressed, causing symptoms such as pain, numbness, and tingling in the wrist, hand, and fingers. Symptoms of Carpal Tunnel Syndrome Symptoms of carpal tunnel syndrome include, but are not limited to, the following: Tingling and numbness in palm, thumb, or first two fingers, especially during the night or in the morning. The sensation may cause people to want to “shake out” the hand. Aching pain in the wrist and hand, with occasional shooting pains up the forearm Weakness in the…
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Neuropathy And Chronic Back Pain

Chronic Pain Conditions, Nerve Pain, Peripheral Neuropathy
Neuropathic pain originates in the nerves; and can be thought of as similar to static on a telephone line. Neuropathy happens when nerves become damaged or dysfunctional because of an injury or trauma. It's considered a chronic condition. Neuropathic pain is distinct from other types of pain. If a person breaks a bone, pain signals are carried via nerves from the site of the trauma to the brain. With neuropathic pain, however, pain signals originate in the nerves themselves. How Neuropathic Pain Develops In many cases, the nerves become damaged or dysfunctional after responding to an injury or trauma, causing hypersensitivity to pain. The nerves then send faulty signals of pain even when the injury has healed. The initial injury can occur in either the peripheral or central nervous system.…
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Light Therapy to Treat Neuropathic Pain

Chronic Pain Conditions, Peripheral Neuropathy, Therapies & Treatments
For someone with peripheral neuropathy, even the slightest touch can cause burning, stinging or shooting pain, usually in the hands or feet. The pain is caused when the peripheral nervous system is damaged by diabetes, shingles, chemotherapy or some other medical condition. About 8% of adults worldwide suffer from some form of neuropathy. Medications prescribed to dull the pain – such as opioids, anti-depressants or gabapentin (Neurontin) -- often prove to be ineffective, don’t last long or have unwanted side effects. Scientists in Italy have now discovered an experimental way to treat neuropathy that provides pain relief for weeks at a time without the use of medication. In experiments on laboratory mice, researchers at the European Molecular Biology Laboratory (EMBL) in Rome identified a specific set of nerve cells in…
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Diabetic Peripheral Neuropathy In Young Adults

Peripheral Neuropathy
Long-term uncontrolled glycemic levels primary cause of complication in diabetes, such as diabetic peripheral neuropathy. There is a gradual increase in incidence of type 1 diabetes (T1D) and type 2 diabetes (T2D) among the U.S. youth population. Studies show that if this continues, diabetes prevalence among the youth population will triple within three decades. One of the most distressing complications of chronic diabetes is diabetic peripheral neuropathy and contributes to significant disability and diminished quality of life. It has been well-researched and documented among the adult population but not so with the adolescents and young adults in the U.S. Prevalence and predictors of DPN in children and adolescents with diabetes have been well studied in Australia and Denmark. The Australian cohort study reported a DPN prevalence of 21% and 27%…
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Nerve Decompression Potentially Beneficial in Diabetic Neuropathy

Chronic Pain Conditions, Peripheral Neuropathy, Therapies & Treatments
This article is part of Endocrinology Advisor's coverage of the American Diabetes Association's 77th Scientific Sessions (ADA 2017), taking place in San Diego, CA. Our staff will report on medical research and technological advances in diabetes and diabetes education, conducted by experts in the field. Check back regularly for more news from ADA 2017. Results of research presented at the 77th American Diabetes Association Scientific Sessions demonstrated that patients with painful diabetic neuropathy who underwent nerve decompression or sham surgery had greater reductions in pain when compared with patients who did not receive surgery. The researchers conducted a randomized, controlled, double-blind, prospective study to examine the long-term effect of neurolysis in painful diabetic neuropathy and to determine whether the approach could alleviate pain, since one-third of individuals with this condition…
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Post-Stroke Shoulder Pain Reduced with Peripheral Nerve Stimulator

Nerve Pain, Peripheral Neuropathy, Spinal Cord Stimulation
Clinical results reported at the 2017 North American Neuromodulation Society meeting show that peripheral nerve stimulation provides meaningful relief for people suffering from post-stroke shoulder pain (PSSP).   Post stroke shoulder pain is experienced by anywhere between 30 and 70 percent of stroke sufferers. Dr. Porter McRoberts, a trained Physiatrist and Interventional Spine and Pain Management Specialist in Fort Lauderdale, Florida, shared data indicating that peripheral nerve stimulation is a promising treatment for post-stroke shoulder pain (PSSP) patients when compared to the alternative options for pain management. “Post-stroke shoulder pain is a condition that occurs in approximately 30 to 70 percent of stroke patients.  This condition contributes to a loss of upper limb use and results in an inability to perform basic daily tasks such as getting dressed or tooth brushing,”…
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Microvascular Complications of Diabetes

Chronic Pain Conditions, Peripheral Neuropathy
Abstract and Introduction Abstract Microvascular complications of diabetes include eye disease, kidney disease, and peripheral and/or autonomic neuropathy. This study illustrates the importance of early screening and detection of microvascular complications, while also focusing on treatment guidelines and indications for specialist referral. Introduction Diabetes mellitus (DM) is a chronic disease that is classified, based on etiology, into 4 main groups: type 1 (T1DM); type 2 (T2DM); gestational; and "other."[1] As a brief review, T1DM, most commonly an autoimmune process, is due to pancreatic islet β-cell destruction, resulting in absolute or near-total insulin deficiency.[1,2] The worldwide incidence of T1DM varies; the highest incidence is in Scandinavia and northern Europe (approximately 20–40 cases per 100,000 per year among youths ≤ 14 years old), and the lowest incidence in China and parts of…
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Advancing Pain Management Medicine: Human Studies

Chronic Pain News, Nerve Pain, Peripheral Neuropathy
Nearly every advance in modern medicine, from diagnosis to treatment, has benefited from animal studies. Basic research has made vital contributions to all aspects of medical care, including our understanding of pain pathophysiology. However, the applicability of these findings to humans remains limited. “Translation from animal to human is hindered by many obstacles, in particular with the subject of pain, where the human organism and mind interact in quite a unique way,” Claudia Sommer, MD, a professor of neurology at the University of Würzburg in Germany, told Clinical Pain Advisor. Even so, valuable insights have been gained by the direct study of humans with chronic pain. In a special issue on pain, Science published a review article by Dr Sommer that highlights some of the most notable developments, including the…
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