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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for nerve damage in legs of a diabetic patient

Answered by
Dr.
Dr. Muhammad Hanif

General & Family Physician

Practicing since :2009

Answered : 2369 Questions

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Posted on Tue, 7 Jun 2016 in Brain and Spine
Question: Hi my dad has some kind of myo neuropathy due to diabetes type 2 dads mobility has really deteriorated will he ever get any mobility back and if so how. dad has thigh wasting I am so worried and panicing I keep crying. my dad is only 68. please help me asap. thanks
doctor
Answered by Dr. Muhammad Hanif 5 hours later
Brief Answer:
Strict blood sugar control, and diabetes medications with Physiotherapy!

Detailed Answer:
Welcome to HCM. I appreciate your trust in this health portal and want to add that I have thoroughly reviewed your Dad's case. I can realize the discomfort it may have caused in your family's life.

Actually there is an irreversible damage to the nerve caused by the long standing and uncontrolled diabetes. This causes a lack of trophic effect of nerves on the muscles of legs. That is why there is also a pronounced muscle wasting and pain, weakness and paresthesias (changed sensations) that may also lead to gait and normal walking abnormalities.

Unfortunately this is an Irreversible process that is a major ill effect of diabetes on patient's peripheral muscles. This can however be stopped or at least slowed down through:
Strict control of blood sugar levels, through medications (oral or injectable insulin), walking as much as he can and diet restricted in carbohydrates. Fats and proteins can also form carbohydrates in the body via metabolic crosstalk of the metabolism so healthy and balanced diet is suggested for diabetics.

Please ensure that he takes plenty of mineral water and keep himself as much active as he can. We need here a regular Physical Therapist for proper exercises that will raise the blood supply, and nerve stimulation to the muscles of the legs. This is vital to your Dad's recovery as much possible as can be at this stage.

GABAPENTIN is the medicine his Physician can prescribe for him to control the paresthesies and other symptoms of weakness in legs. It is nice that his reflexes are intact and this will help him start walking through his will power.

Ask him to go for the remedies as aforementioned and please don't lose hope especially in front of him. Otherwise he will think as if he has some disease that is incurable and this will lead to more deterioration. He isn't the only one with this issue. It is very prevalent and people are living with it making it better in weeks or months.

Hope it helps. Please ask for more assistance if you need. I am here to help. For future reference simply click on: tinyurl.com/drhanifmd

Regards!
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Muhammad Hanif 1 hour later
so he can gain some mobility back but not all
doctor
Answered by Dr. Muhammad Hanif 57 minutes later
Brief Answer:
Yes, partial recovery is possible shortly!!!

Detailed Answer:
I warmly Welcome you with this follow up query and feel honored to help you for your Dad's issues.

In such cases partial recovery is possible that may be enough to show no big difference in Before and After effects. But if we say theoretical 100% recovery, that is usually not possible unfortunately, especially in such cases.

But with the will power and support of family, patients are seen who have gained much much better mobility with passage of time.

Regards!
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Muhammad Hanif 1 hour later
can dad stop falling eventually from legs just giving way. how do we stop that and how can we build thigh muscle up? is thigh muscle wasting as dad is get no exercise at the moment?
doctor
Answered by Dr. Muhammad Hanif 9 hours later
Brief Answer:
Through blood sugar control (diet and medications) with Physiotherapy!

Detailed Answer:
Welcome to the health portal, most trusted one in healthcare. Thanks for the follow up query.

Yes, he may regain mobility, to what extent---it is subjective and no limits to define actually.

As aforementioned in earlier replies, he need to keep a balanced and healthy diet (better is to consult a Dietitian in person for making a diabetic diet chart according to your Dad's choice of foods).

Other areas to focus on are:
1.Strict diabetes control by keeping the blood sugar levels under normal limits.
2.Physical therapy. You asked is there some exercise to suffice the thigh issues...Why not, his Physical Therapist will surely go for the specified exercises of legs including thighs. Physical therapist is the personnel trained to handle such disease processes especially in convalescence period. Your Dad will definitely get benefit from the sessions there with Physical therapist.

Hope it helps. Please ask for more assistance if you need. I am here to help. For future reference simply click on: tinyurl.com/drhanifmd

Regards!
Above answer was peer-reviewed by : Dr. Deepak
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