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Diabetic Neuropathy

Nerve Pain & Neuropathy Pain Management

Diabetic Neuropathy is a complication of diabetes that affects the nerves. Our Podiatrists can perform a simple skin biopsy in which we will determine the concentration of small nerve fibers in your lower extremity. This allows us to diagnose and effectively treat your condition.
 
Symptoms of neuropathy include your foot feeling numb, burning, tingling or shooting pain. You may have a loss of balance or the feeling that your sock is rolled up under your toes.

Diabetics suffering from neuropathy can develop minor cuts, scrapes, blisters, or pressure sores that they may not be aware of due to insensitivity. If these minor injuries are left untreated, complications may result and lead to ulceration and possibly even amputation. Neuropathy can also cause deformities such as Bunions, Hammer Toes, and Charcot Feet.

It is important for diabetics to treat their feet properly to avoid any future problems. Footwear and foot orthotics play an important role in diabetic foot care.
 
Footwear that fits poorly can cause irritation and injury. The most successful way to prevent diabetic neuropathy from occurring is to control diabetes.
 
It is important to maintain blood sugars at normal levels and maintain normal blood pressure.

Morton’s Neuroma

A neuroma is a thickening of nerve tissue that may develop in various parts of the body. It is most commonly found in the ball of the foot between the third and fourth toes.

  • Padding- provides support for the metatarsal arch by lessening the pressure on the nerve and decreasing the compression when walking

  • Icing-placing an icepack on the affected area helps to reduce swelling

  • Orthotics- custom orthotics prove the support needed to reduce pressure and compression on the nerve

  • Change in physical activity- avoid activities that put repetitive pressure on the neuroma

  • Shoe modifications- wear shoes with a wide toe box, avoid narrow-toed or high-heeled shoes

  • Medications-oral anti-inflammatory drugs (ie. Ibuprofen) can help to reduce pain and inflammation

  • Injection therapy- treatment may include injections of cortisone or other local anesthetics

  • If these conservative treatments do not relieve the symptoms, surgical excision may be performed.

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