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                           Management neuropathy

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[Up] [Management drug therapy] [Management foot problems] [Management kidney problems] [Management eye complications] [Management Hypertension] [Management lipid disorders] [Management hypoglycemia] [Management neuropathy]

 

Management Neuropathy

 

 

Management of diabetic neuropathy.

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Improved sugar control may significantly improve symptoms if the patient presents early.

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Although many drugs have been tried, no drug shown to be specific for treating diabetic neuropathy.

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Topical application of Caspian (.025-.075 % strength) may improve superficial pain or discomfort.

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Severe pain may require the use of carbamazepine, or antidepressants.

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Muscle pain may be improved by stretching exercise, skeletal muscle relaxants, and use of non steroidal anti-inflammatory agents.

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Physiotherapy for improvement in gait disturbance due to pain and muscle imbalance.

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Deformities caused by muscle imbalance must be adequately managed.

 

 

"Burning Feet Syndrome" is difficult to manage; 

Associated with

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Usually seen in patients who have been prescribed a severe calories and nutrient restricted diet, or have 

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Significant weight loss, and possibly 

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Those managed with relatively large Oral hypoglycemic agents, especially metformin;

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Often associated with efforts for rapid sugar control,

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With episodes of hypoglycemia;       

 

Relief often possible with high calorie diet, insulin therapy in small doses and weight gain; anti depressants and non steroidal anti-inflammatory agents may also help.

 

The most important aspect of management of diabetic somatic neuropathy must be prevention of Foot complications.

 

 

Neuropathy

 

 

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