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Suggest Treatment For Peripheral Neuropathy
Question:
My dad has just been diagnosed with diabetic sensory and motor neuropathy. What can we do to help him Doctors say there are no treatments. I am sure something must be out there. What is the prognosis please? The Neurologist doesn't want to see my Dad again I feel we have been left on the shelf
My dad is insulin dependent type II diabetic and had it for 20 years.
Can dad get any mobility back and if so how? He has seen Neurologist but I think I am better getting in touch with Endocrinology Team Dad was under as I think they may be able to help more do you agree?
Dad needs to lose a bit of weight and blood sugar is now under control averaging around 6.2
This isn't classed as a terminal illness like motor neurone disease is it?
My dad has just been diagnosed with diabetic sensory and motor neuropathy. What can we do to help him Doctors say there are no treatments. I am sure something must be out there. What is the prognosis please? The Neurologist doesn't want to see my Dad again I feel we have been left on the shelf
My dad is insulin dependent type II diabetic and had it for 20 years.
Can dad get any mobility back and if so how? He has seen Neurologist but I think I am better getting in touch with Endocrinology Team Dad was under as I think they may be able to help more do you agree?
Dad needs to lose a bit of weight and blood sugar is now under control averaging around 6.2
This isn't classed as a terminal illness like motor neurone disease is it?
Brief Answer:
Peripheral neuropathy
Detailed Answer:
Good day,
Noted your concern. I have noted a number of reasons for neuropathy
a) Type 2 Diabetes itself.
b) CKD ( uremia is a risk factor for neuropathy).
c) Osteomyelitis ( previous ) of spine ( if it had left any destructive lesions in spine).
d) Associated nutrition problems ( diabetes and CKD associated).
Hence neuropathy can be multifactorial. Before proceeding, we would like to know the extent of damage. It is good to do a comprehensive foot examination and a nerve conduction study.
Prognosis depends on the underlying renal failure and extent of diabetes complications.
Certainly a multi discipline approach including a diabetic/endocrine team involvement will be beneficial.
Regarding the mobility part, it is difficult to say with out examination. The team physiotherapist and occupational therapist will be able to help.
Besides, may I ask further history.
a) History of smoking.
b) Alcohol intake?
May I suggest few tests : Thyroid function profile, CBC, ESR, Vitamin B12, fasting calcium, albumin.
This is not classified as a terminal disease.
Unfortunately, many chronic neuropathies are not fully reversible, but the pain and symptoms can be effectively controlled with a combination of pills and foot care.
Regards
Binu
Peripheral neuropathy
Detailed Answer:
Good day,
Noted your concern. I have noted a number of reasons for neuropathy
a) Type 2 Diabetes itself.
b) CKD ( uremia is a risk factor for neuropathy).
c) Osteomyelitis ( previous ) of spine ( if it had left any destructive lesions in spine).
d) Associated nutrition problems ( diabetes and CKD associated).
Hence neuropathy can be multifactorial. Before proceeding, we would like to know the extent of damage. It is good to do a comprehensive foot examination and a nerve conduction study.
Prognosis depends on the underlying renal failure and extent of diabetes complications.
Certainly a multi discipline approach including a diabetic/endocrine team involvement will be beneficial.
Regarding the mobility part, it is difficult to say with out examination. The team physiotherapist and occupational therapist will be able to help.
Besides, may I ask further history.
a) History of smoking.
b) Alcohol intake?
May I suggest few tests : Thyroid function profile, CBC, ESR, Vitamin B12, fasting calcium, albumin.
This is not classified as a terminal disease.
Unfortunately, many chronic neuropathies are not fully reversible, but the pain and symptoms can be effectively controlled with a combination of pills and foot care.
Regards
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Foot examination dad could not feel vibrations.
Can he walk better with physio input and gain a bit back
Can he walk better with physio input and gain a bit back
Brief Answer:
Physiotherapy
Detailed Answer:
Okay.
It is difficult to say with out examination, however,physiotherapy can strengthen his leg muscles so that , partly it can compensate for the nerve weakness.
Physiotherapy
Detailed Answer:
Okay.
It is difficult to say with out examination, however,physiotherapy can strengthen his leg muscles so that , partly it can compensate for the nerve weakness.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks so all may not be lost x
Brief Answer:
Regeneration
Detailed Answer:
Probably not. some regeneration is possible.
Regeneration
Detailed Answer:
Probably not. some regeneration is possible.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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