Peripheral Neuropathy and Ulcers

Peripheral neuropathy refers to damage of the peripheral nerves, which branch out from the brain and spine to the rest of the body. It typically begins with pain, numbness, tingling, burning or weakness in the feet and may progress to more serious conditions such as ulcers, pain and loss of sensation. Numbness is especially dangerous, as patients sometimes do not detect an injury until the damage is so pervasive that the foot requires amputation. Diabetes is among the most common causes of peripheral neuropathy.

Treatment for neuropathic pain may include anti-inflammatory medication, electrical stimulation or implantable devices. More effective management of your diabetes can also help relieve pain. This condition tends to get worse over time rather than better, so finding a successful treatment method is important.

Our physicians have undergone special training to treat peripheral neuropathy using the latest surgical techniques. Some of the advanced procedures we offer are nerve decompression and partial joint denervation to relieve foot and ankle pain.

Another common problem for those with diabetes is ulcers and other wounds that form on the bottom of the foot. These can easily become infected or lead to other serious complications. Ulcers may develop as a result of poor circulation, lack of feeling in the feet, irritation or trauma.

Once a wound has been detected, it should be treated immediately in order to prevent complications from developing. Diabetic wound treatment focuses on relieving pressure from the area and removing dead skin cells and tissue through a process called debridement. The wound is then medicated and dressed to prevent infection and promote healing. For more severe wounds, patients may be required to wear special footwear or a brace to relieve pressure and irritation to the wound. To prevent wounds from developing, patients should avoid walking barefoot and keep blood glucose levels under control.

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