Diabetic Peripheral Neuropathy, also referred as DPN, is a condition that causes damage to the nerves in legs and feet resulting in poor muscle strength. It affects men and women with high diabetes/blood sugar levels.
Medical experts have defined diabetic peripheral neuropathy as the presence of symptoms and/or signs of peripheral nerve dysfunction in people with diabetes after exclusion of other causes”.
If you are living in Mumbai and suffer from symptoms of diabetic neuropathy, seek urgent medical help. Wound and Vein Advanced Clinic is one of the leading and trusted centres with experienced and best doctors for diabetic peripheral neuropathy treatment in Goregaon. Book an appointment today!
Diabetic foot ulcers (DFUs) often co-exist with vascular insufficiency and are the major cause of gangrene and amputation in people with diabetes. Risk of developing diabetic foot ulcers is greatly increased by reduced sensation and high blood sugar.
DPN is one of the most common and serious complications that impact a significant number of patients with diabetes. The reported prevalence of diabetic peripheral neuropathy ranges from 16% to as high as 66% and it is believed to increase with the duration of diabetes and poor glucose control. Diabetic Foot Ulcers also develop as the direct result of DPN. Lack of sensation due to nerve damage, creation of pressure points on foot, undetected and untreated scrapes and cuts may lead to devastating outcomes like ulcerations and eventually amputations.
Depending on the nerves affected by diabetic peripheral neuropathy, you may experience a wide range of symptoms. Some of the complications of diabetes include pain, numbness, high blood pressure, muscle weakness, body balance issues and tingling, pins and needles sensations in legs, feet and hands. Some people have noticed problems related to the digestive system, heart, urinary tract as well.
The reported prevalence of diabetic peripheral neuropathy ranges from 16% to as high as 66% and it is believed to increase with the duration of diabetes and poor glucose control.
Doctors will first conduct a physical examination of your condition, assess existing symptoms and understand complete medical history. The Treatment for Diabetic Neuropathy in Feet will be done after Diabetic Foot Screening using the following methods:
It is used to check sensation at specific points on the feet, and are marked accordingly on the diagram for assessment.
The patient is first given a demo on a bony prominence of the wrist and then it is tested on the feet using a 128 – Hz tuning fork in this test.
The VPT is measured by a sensitometer that uses voltage on the soles of the patient.
Temperature is measured for understanding sensation on the feet.
Stinging, burning and aching pain is evaluated using a TSS score.
The doctor checks on easy movement and flexibility of the ankle.
Diabetes often damages peripheral nerve endings so are checked for numbness at their extremities.
It is used to detect the blood flow through the blood vessels. An Ankle Brachial pressure Index (ABI) is done to measure blood pressure at ankle as well as at the arm.
Podia scan identifies structural defects and the high pressure points on the foot (sole) and helps to resolve abnormal foot positions to avoid non-healing foot ulcers.
A comprehensive diabetic foot assessment consists of five elements,
Inspection - Evaluation including determining the footwear
Dermatologic - Examining skin, infections, ulcerations, calluses, blistering
Musculoskeletal - Checking for deformities and muscle wasting
Neurological - Using vibration 128 Hz tuning fork, pinprick sensation, ankle reflexes or vibration perception threshold testing (VPT)
- Vascular – Determining ankle brachial pressure index (ABI) With all/any of the above the rick can be categorized.
Regular foot care management includes removal of corn and callus, treatment of fungal infection and Tinea Pedis in persons with diabetic condition. While only a cosmetic nuisance for most, in the diabetes population there is a likelihood of secondary complications leading to amputation by compromised vascular status and DPN.
Patients with diabetes need to take extra care and self-inspect their feet and lower extremities. Here are a few tips you should follow -
For a comprehensive diabetic foot assessment, visit Wound and Vein Advanced Clinic today. The leading diabetic clinic is equipped with advanced techniques for diabetes foot care and provides best diabetic peripheral neuropathy, autonomic neuropathy, and proximal neuropathy treatment in Mumbai.
The qualified and experienced team of experts who provide best treatment and medical solutions for all types of diabetic neuropathy in Goregaon, Mumbai are here to help you always. Call us today for an Appointment.