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Re: Diabetic Neurophathy (was: I am really scared..)To ReneeFrom: Barbra (anonymous@obgyn.net)Thu, 17 Jan 2002 06:37:16 -0600 (CST)
At Wed, 16 Jan 2002, Renee wrote: > >This isn't exactly correct. > >Neuropathy is damage to the nerves. It is usually caused by a decrease in >blood flow (arterial=from the heart to the limbs, venous=out of the limbs to >the heart). The change in osmotic value from the difference in concentration >of the blood due to high blood sugars can also contribute. It is very common >in diabetics. > >The pain is usually described as "stabbing," or "electrical/electric shocks." >It is a "nerve pain." Elavil and Neurontin are two meds that are often used >for this pain. > >You can have neuropathy without arterial insufficiency, and vice versa. The >turning purple is likely due to the vascular (circulation) compromise. >Sometimes, the problem is that the small blood vessels are occluded. Other >times, it is the large vessels. The large vessel problems may sometimes be >addressed through surgery. Not much can be done for small vessel disease. > >Both these problems result in a higher risk of foot problems. Anyone with >diabetes, or arterial insufficiency, should see a podiatrist every 2 months, >as cutting your own toenails can be harmful. A little nick,which would heal in >anyone else, could cause a non-healing wound in someone with diabetes. >Neuropathy results in the lack of noticing a problem. Someone could step on a >nail, and not know about it. There could be an infection from a small cut, >but they can't feel the pain from it. With arterial compromise, a problem >will have difficulty healing. Blood is necessary to carry medicines, healthy >blood cells, nutrients, proteins, antibodies, etc. to the site. If there is >not enough blood flow, a problem will not heal well. > >I see this every day. It can be bad, but with appropriate self-care and >management, the risk of problems is decreased. 50-80% of diabetic amputations >are preventable. > >Renee > >Panacea wrote: >> >> At Mon, 14 Jan 2002, Barbra wrote: >> > >> >As for your mom...what is the diabetic neuropathy?what are the pains >> >like? >> >> I don't really know, she never really explained them in detail. >> Neuropathy is a constriction of the veins/blood flow, so her legs aren't >> getting all the blood they should. Her feet have turned purple for >> years, now her legs are doing it. I suppose it's like the sharp pains >> you get when something falls asleep, sorta. >> >> -- >> Panacea > >-- >Renee Cordrey, MSPT, MPH, CWS > >--- > >Don't follow in the footsteps of the masters. Seek what they sought. > --Zen saying > Hello Renee, I was wondering if you can answer a question,as I am not getting the answers from my specialists. I had been sent to the vascular lab at the St, BOniface hospital with one of the top vascular specialists last year to rule out venous insufficiency and his name was Dr. Carter,apparantly he does lectures and studiess. Anyways,I had all these tests done,where first I had to dress all warm and he made me do different positions while constricting on my wrists and I had to make fists etc(long story,I am certain you know what I mean),this test took well over an hour,and then I was sent to lay on this bed with a so called ultrasound of my legs and blood pressure cuffs on my feet.This was a while back,and I was so nervous,that I cannot even remember alot.All I do know is it was painless,but definitely time consuming. My tests came back normal. MY legs still turn purple and bluish,but,this is the but...only when standing or sitting...when raised,they are of a normal color like the rest of me,which is pretty fair.I was told that it is Raynauds Phenomena related to lupus,but I tend to disagree,as they do not turn colors when exposed to cold or hot...only upong say like gravity induced,so to speak. Then I get an 'OPINION' FROM THIS HERBALIST SAYING IT CAN BE CYSTS PRESSING ON VEINS OR SOMETHING THAT ARE CAUSING THIS.MY MD disagrees and so do I. Now,can this be caused from my diabetes insipidus that cleared up on it's own? I was told not> I don't know. Any advice would be appreciated,as the pains are somewhar what you describe,but I actually am hyper sensitive to feelings,so I would definitely feel if I had stepped on something.They get numb at times,but only when standing in one place for a while.Sometimes it feels as if there is a nerve that is sending out some impulses thruout my legs,,other times,they are so sensitive to even pantyhose...everything bothers them,especially when I have bare legs... My grandmother had the problem with on of her legs in the early eighties---mind-you,she was seventy something and she had an artificial artery put into her leg. She had had this problem for years,and told the cause was smoking. Anyways,I know I am off the tracks here a bit,but I don't know who else would be more informed than you to possibly answer or help me with this,as this is one of my major complaints. I do understand about the small and large vessels,and was told that if you have pains while walking,then it is better to walk more,therefore the small ones will open up(I think the collateral vessels),,not sure. I was told that I don't have arterialsclerosis...so what the heck is this? The pains are somewhat electrical,but also like a pulsating toothache....times,I cannot take it. Thanks for reading this. I know it does not make alot of sense,as I am hald asleep,but read your post and had to ask. Oh and Elavil....isn't that an anti-depressant?Does it work for pain? Warm Regards!
-- Sincerely, Barbra Camara
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