Diabetic Peripheral Neuropathy

Diabetic Peripheral Neuropathy

Diabetic Neuropathy Basic Facts

  • Diabetic Neuropathy is a type of nerve damage that can occur if you have diabetes.
  • High Blood Sugar can injure nerve fibers throughout your body, but Diabetic Neuropathy most often damages sensory nerves in your legs and feet.
  • Depending on the affected nerves, symptoms of Diabetic Neuropathy can range from pain and numbness in your extremities to problems with your digestive system, urinary tract, blood vessels and heart. For some people, these symptoms are mild; for others, Diabetic Neuropathy can be painful, disabling and even fatal.
  • Depending on the type of nerves affected, there are four types of Diabetic Neuropathy: Peripheral, Autonomic, Proximal, and Focal.
  • Diabetic Sensory Neuropathy, is considered a type of the Peripheral Neuropathy affected, but most of the time it is combination of all leading to nerve damage affecting the arms, hands, legs, and feet.

How and Why it is developed:

This condition is associated with Diabetes Mellitus and is a frequent complication.
High blood sugar levels can damage the nerves and lead to pain – especially legs and feet.
Our expert pain management doctors use innovative procedures to accurately diagnose your pain and safe, non-surgical procedures to alleviate the pain caused by Diabetic Neuropathy.

How & Why Diabetic Neuropathy Develops

High blood sugar levels, that are chronically elevated, will cause toxic effect and damage to nerves.

Damage to the nerves can result in decreased sensation, making it more difficult to walk and putting patients at risk of injuring their feet because of loss of sensation. Patients with diabetes who develop ulcers or infections in the feet need to be followed closely.

Damage can cause increase or altered sensations in the hands, feet, fingers and toes Like:

  •     Tingling
  •     Numbness
  •     Burning sensation
  •     Increased sensitivity to touch, Allodynia


The type of pain that you may have with Diabetic Peripheral Neuropathy can be similar to the symptoms of several types of disorders. Accurately determining the problem that is the source of your pain is critical to successful treatment. Like with any pain condition, the earlier you get evaluated by experienced pain management physician and get the appropriate treatment, the likelihood of this not becoming a chronic problem improves dramatically.  One of the worst things you can do is do nothing

  •     Begins with a thorough clinical evaluation
  •     Collecting complete medical history, analysis of your symptoms, and physical examination
  •     Testing may be needed for confirmation and to rule out other conditions, and can include: X-Rays, MRI and/or CT scans, and peripheral nerve conduction study  

Possible Treatments

Successful treatment starts with a plan that is based on accurate diagnosis, multidisciplinary approach, and close follow up. And DPN is a perfect example of the importance of having more than one team involved in the treatment.

No one is like the other when it comes to arranging a treatment plan for DPN, at MAPMSC we will work with your primary care physician, endocrinologist, getting podiatry team involved, if needed, and  do whatever it takes to orchestrate the best actions plan in addressing your DPN pain. This could include:

  • Tight control of your high blood glucose,
  • Lifestyle change
  • Prescribing certain medications that treat the pain
  • Recommending specific procedures

Intervention that we offer for DPN:

  • Optimizing Pain Related Medications
  • Epidural Nerve Block
  • Sympathetic Nerve Block
  • Spinal Cord Stimulation

If you or your loved ones are experiencing PDN symptoms, give us a call today to experience the different care that you will get at MAPMSC…..

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Dr. Beshai, is one of the best human being I had to deal with in the medical field. I had my first procedure with him that helped me tremendously then my pain came back after 8 weeks. I couldn't wait to see him, he overbooked himself and told me that I am his VIP patient, most likely because of my age....!!! What a gentleman that cares about elderly people, like myself, and makes them feel special. Thank you for a caring heart...


2015-07-30 22:59:00