Diabetic Neuropathy

What is it?
Patients with Type 1 or Type 2 Diabetes often struggle with a form of diabetic neuropathy
Distal symmetric polyneuropathy, which is the condition most people refer to as “diabetic neuropathy”, patients can experience tingling and loss of feeling in the hands and feet, which progresses to muscular atrophy if severe
Autonomic neuropathy, which can cause bowel and bladder incontinence
Thoracic and lumbar nerve root disease, causing polyradiculopathies
Individual cranial and peripheral nerve involvement causing focal mononeuropathies, especially affecting the oculomotor nerve (cranial nerve III) and the median nerve
Asymmetric involvement of multiple peripheral nerves, resulting in a mononeuropathy multiplex
Treatment Options
- Nerve Blocks
- Medication (Duloxetine, Tricyclic antidepressants, Gabapentin/Pregabalin)
- Spinal Cord Stimulator
- Capsaicin (8%) Patch
- Intrathecal Pain Pumps
Conditions
- Arthritis
- Cancer Pain
- Cervical Radiculopathy
- Compression Fractures of the Spine
- Herniated Discs
- Lumbar Radiculopathy (Sciatica)
- Post Laminectomy Syndrome
- Trigeminal Neuralgia
- Whiplash CAD
- Complex Regional Pain Syndrome
- Fibromyalgia
- Neck Pain
- Chronic Abdominal Pain
- Chronic Pelvic Pain
- Neuropathy
- Diabetic Neuropathy
- Migraine Headaches
Treatments
- Kyphoplasty
- Lidocaine Infusion
- Lumbar Epidural Spinal Injection (LESI)
- Lumbar Radiofrequency Neurotomy
- Medial Branch Block (MBB)
- Minimally Invasive Lumbar Decompression (MILD)
- Peripheral Nerve Stimulation
- Radiofrequency Ablation (RFA)
- Regenerative Medicine
- SI Joint Injections
- Spinal Cord Stimulation (SCS)
- Stellate Ganglion Block
- Sympathetic Nerve Block
- Transforaminal Epidural Spinal Injection (TFESI)
- Trigger Point Injections
- Vertebroplasty
- Capsaicin (8%) Patch
- Cervical Epidural Steroid Injection
- Disc Nucleoplasty
- Dorsal Root Ganglion Stimulator (DRG)
- Endoscopic Discectomy
- Facet Joint Syndrome
- Intrathecal Pain Pumps
- Ketamine Infusion
- Hip Joint Injections
- Platelet Rich Plasma
- Knee Joint Injections
- Botox Injections
- Lumbar Sympathetic Ganglion Block
- Intercostal Nerve Block
- Minuteman Procedure
- Vertiflex Procedure