+
Home BlogPeripheral Neuropathy

Category: Peripheral Neuropathy

3Nov

What Is Diabetic Neuropathy—and Why Your Feet Need Extra Attention

Neuropathy raises the risk of diabetic foot ulcers and amputation
Neuropathy raises the risk of diabetic foot ulcers and amputation

If you live with diabetes and notice tingling, burning, numbness, or “electric” pain in your toes or soles, you could be experiencing diabetic neuropathy. This nerve damage reduces sensation and makes small injuries—like a blister or cut—easier to miss and slower to heal. That’s why steady, proactive foot care is non-negotiable if you want to stay active, independent, and comfortable.

Read More “Diabetic Neuropathy Foot Care: Protecting Your Feet, Mobility & Peace of Mind”
13May

You probably have peripheral neuropathy if you have diabetes and suffer from pain or loss of sensation in your feet. Diabetics are often affected by this form of nerve damage. As you may be aware, this disease raises the risk of foot ulcers and perhaps amputation. If you have neuropathy, you should pay special attention to your extremities.

Read More “How To Manage Peripheral Neuropathy”
7Feb

Diagram showing peripheral arterial disease and coronary artery disease effects. Poor circulation in the feet typically occurs when there is a blockage in the arteries. This common circulatory problem is known as peripheral artery disease (PAD), and it usually affects the extremities, more commonly the legs and the feet. PAD is primarily caused by atherosclerosis, or the buildup of fatty plaque in the arteries. Less common causes of PAD are blood clots in the arteries, injury to the limbs, and unusual anatomy of the muscles and ligaments.

Read More “Symptoms of Poor Circulation In The Feet”
22Nov

Illustration of nervous system with affected hands and feet in peripheral neuropathy. Peripheral Artery Disease is a condition that occurs when the arteries outside the brain and heart have plaque buildup and become obstructed or narrowed. It happens in the lower extremities where there is blockage of the vessels from the heart to the legs. The primary cause of plaque is fatty build-up known as atherosclerosis. The condition can happen in any blood vessel but is usually in the legs.

Read More “Ultrasound for Peripheral Artery Disease Diagnosis”
Illustration of Morton’s Neuroma showing nerve swelling and localized pain in the foot.
31Oct

Morton’s neuroma causes thickening of the tissue around the nerves leading to your toes. It is a painful condition affecting the ball of your foot between the third and fourth toes and the tissue around the nerves. Neuroma foot feels like you are standing on a pebble or a fold in Illustration of Morton’s Neuroma showing nerve swelling and localized pain in the foot. your sock. It causes a burning, sharp pain in the ball of the foot that radiates into the toes. The toes may feel numb, sting, tingling, and a burning sensation.

Who is vulnerable to developing Morton’s Neuroma?

Certain footwear

Shoes that are ill-fitting or high heeled shoes place extra pressure on the toes, and the ball of the foot causes the development of Morton’s Neuroma. It commonly affects women who wear high heels more because of compressing the toes together.

Certain sporting activities

High impact athletic activities that cause repetitive trauma to the feet, such as running and jogging, put extra pressure on the nerve of the foot. Also, sports that require wearing tight shoes such as rock climbing and snow skiing that puts pressure on your toes.

Foot deformities

Experts believe foot deformities are be associated with Morton’s Neuroma development. It is because the conditions cause the metatarsal bones to rub against the nerves. If you have the following, you might be vulnerable to the development of neuroma foot:

  • Hammertoes, where the middle joint of the toe is bent, and pressure is applied when one has footwear on.
  • A bony swelling, known as a bunion, puts pressure on the nerves of the foot.
  • Irregularly positioned toes.
  • Flat feet if you have a low arch or have no arch at all.
  • High arches that cause the instep of the foot to be raised.

Overweight

If you are overweight, you are at risk because the extra weight puts pressure on your feet. If you add footwear, it causes pressure to build on the nerves in the foot.

Home remedies

If you are experiencing pain from Morton’s neuroma, consider self-care to allow the nerve to heal.

  • Take over the counter anti-inflammatory medications to relieve pain and reduce swelling.
  • Use ice packs regularly massage to reduce pain. Roll the pack over the affected area and painful site.
  • If you are suffering due to foot deformities, you can buy footpads and arch supports. Fit inside your shoe to reduce the pressure placed on the nerve. They are available over the counter or consult a foot doctor who can mold an exact fit for your foot.
  • Change your footwear to lower heeled shoes or shoes with extra depth and a broad toe box.
  • Take a break from active sports. You can reduce aerobic exercises, jogging, or dancing that put extra pressure on your feet.

If these home remedies do not work, the doctor might recommend other Morton’s neuroma treatment such as steroid injection, decompression surgery, and in severe cases, removal of the nerve is done.

Here at DeNiel Foot and Ankle Center  located in Houston, Texas, and covering surrounding areas like Cypress, and Katy, TX. Ejodamen Shobowale, DPM and her highly skilled staff provide personalized comprehensive care for all your podiatry and sport medicine needs. Whether the issue is foot-related like hammertoes, or toenail fungus or involves pain in the heel , nerves, or joints, Dr. Sho, as she is fondly called, can get you back on your feet in no time.

Illustration of nervous system with affected hands and feet in peripheral neuropathy.
5Jul

Illustration of nervous system with affected hands and feet in peripheral neuropathy.

The peripheral nervous system is responsible for sending information to the central nervous system (spinal cord) and the brain. Peripheral neuropathy is a result of damage to the peripheral nerves and nerves outside the brain. The cause of neuropathy can be because of infections, exposure to toxins, traumatic injuries, inherited causes, and metabolic problems. These cause pain, numbness, and weakness, especially in the feet and hands.

Cause of neuropathy

Different health conditions causing peripheral neuropathy include

  • Diabetes patients are more likely to develop a kind of neuropathy.
  • Autoimmune diseases such as chronic inflammatory demyelinating polyneuropathy, lupus, rheumatoid arthritis, Sjogren’s syndrome, vasculitis, and Guillain-Barre syndrome.
  • Inherited disorders such as Charcot-Marie-Tooth.
  • Bacterial and viral infections including hepatitis B and C, Lyme disease, HIV, shingles, leprosy, Epstein-Barr virus, and diphtheria.
  • Bone marrow disorders, a form of bone cancer, abnormal protein in the blood, the rare disease amyloidosis, and lymphoma.
  • Connective tissue disorders, hypothyroidism, kidney disease, and liver disease.
  • Other causes of neuropathies include alcoholism, medications, trauma to the nerve, pressure on the nerve, exposure to poisons, and vitamins B and E deficiencies.

If you are dealing with a nerve pain in your legs, you may want to seek help from a foot specialist. Feel free to contact our office to make an appointment with our podiatrist. Our foot and ankle doctor, Dr. Ejodamen Shobowale can provide you with the care you need to keep you pain-free on your feet.

Diagnosing peripheral neuropathy

The doctor first conducts a full medical history, including your family history of neurological disease, drinking habits, lifestyle, and exposure to toxins. The doctor can then recommend a neurological examination to check your sensations, nerve pain in legs, tendon reflexes, muscle tone and strength, coordination, and posture.

Tests used for diagnosis include

  • Imaging test- MRI or CT scans to check for abnormalities such as tumors and herniated disks.
  • Blood tests that effectively detect diabetes, vitamin deficiencies, and abnormal immune function.
  • Nerve function tests – In this test, a thin needle is inserted into the muscles to record the electrical activity of the muscle.
  • Skin biopsy where a small portion of the skin is tested for the reduction of nerve endings.
  • Nerve biopsy involves removing a small portion of the nerve to check for nerve abnormalities through a sensory nerve.
  • Other nerve function tests include an autonomic reflex screen which records how the nerve fibers work, a sweat test to determine the body’s sweating ability, and sensory test to record reactions to different senses such as heat, cooling, touch, and vibration.

Treatment for neuropathy in legs and feet

If you are experiencing burning feet because of neuropathy, it is very important to stop the nerve damage. Treatment of underlying diseases can improve the symptoms of neuropathy, but if not the doctor can focus on treating the symptoms. Some medications that can be administered to relieve symptoms include

Pain relievers: Nonsteroidal anti-inflammatory drugs can be used to relieve mild symptoms, but for severe symptoms, the doctor can prescribe medications.

Anti-seizure medications: these are used to treat epilepsy and very handy in relieving nerve pain.

Topical treatments: this includes the use of capsaicin cream, which contains a substance found in hot pepper. It reduces irritation and burning skin when applied and the symptoms lessen over time. Other topical treatments include lidocaine patch applied to the skin for pain relief.

Antidepressants: Tricyclic antidepressants such as nortriptyline and doxepin relieve pain by interfering with the chemical processes spinal cord and brain. Norepinephrine reuptake inhibitor, duloxetine, serotonin, and venlafaxine are extended-release antidepressants that ease pain likely caused by diabetes.

Therapies

TENS (Transcutaneous electrical nerve stimulation) – A gentle electric current is administered at varying frequencies on the skin. This should be about 30 minutes for about a month.

Plasma exchange and intravenous immune globulin –beneficial for people with inflammatory conditions because it suppresses the immune system activity. Plasma exchange, your blood is removed, and anti-bodies and proteins removed from it then returned to the body. In immune globulin therapy, the body receives immunoglobulins, which work as antibodies.

Physical therapy– This improves movements and aids can be used such as foot and hand braces, a walker, cane, among others.

Surgery– if the condition is due to pressure on nerves from tumors.

If you have any questions, please feel free to contact our office located in Houston, TX. Our Houston, TX office can handle all of your foot and ankle issues. We will provide you with the latest diagnostic and treatment methods for treating all foot neuropathy related issues.