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PERIPHERAL NEUROPATHY

PERIPHERAL NEUROPATHY

Diabetic Peripheral Neuropathy: Understanding and Managing Nerve Damage

If you are experiencing symptoms of diabetic peripheral neuropathy or have concerns about your foot health, contact us at one of our five local podiatry offices in Charlotte, Concord, and Harrisburg. Our experienced team at Ryan Foot and Ankle Clinic is here to provide the care and support you need to manage and treat diabetic peripheral neuropathy effectively. Call us today for more information or to schedule an appointment.

What Is Diabetic Peripheral Neuropathy?

Diabetic peripheral neuropathy (DPN) is a type of nerve damage that commonly affects the arms, hands, legs, and feet in individuals with diabetes. Unlike peripheral arterial disease (PAD), which impacts blood vessels, diabetic peripheral neuropathy specifically involves damage to the nerves. This condition develops gradually and can worsen over time if diabetes is not well managed. Even with controlled blood sugar levels, the risk of developing DPN remains, and as the condition advances, it can lead to a loss of sensation and the formation of ulcers (open sores) on the feet.

Types of Nerves Affected

Diabetic peripheral neuropathy can affect different types of nerves, each with its own set of symptoms and potential complications:

Sensory Nerves

These nerves allow you to feel pain, temperature, and other sensations. Damage to sensory nerves can cause numbness, making it difficult to notice injuries like stubs or cuts. Symptoms may include:

  • Tingling or numbness in the feet
  • Pain and discomfort in the legs and feet
  • Sharp pain or a burning sensation in the feet

Motor Nerves

These nerves control muscle strength and tone. Damage to motor nerves can affect balance and muscle function, potentially leading to conditions such as bunions and hammertoes. Symptoms may include:

  • Loss of balance
  • Muscle weakness and loss of muscle tone in the lower legs and feet
  • Changes in foot shape, which may cause pressure areas



Autonomic Nerves

These nerves manage involuntary functions like blood pressure, heart rate, sweating, digestion, and kidney function. Damage to autonomic nerves can lead to complications such as gout due to uric acid buildup. Symptoms may include:

  • Dry, cracked skin on the feet
  • Fluctuations in glucose levels

How Is Diabetic Peripheral Neuropathy Treated?

o diagnose diabetic peripheral neuropathy, your podiatrist will review your symptoms and conduct various tests on your feet and legs. These tests assess reflexes, sensitivity to light touch and vibrations, and may include additional neurologic evaluations as needed. Treatment focuses on managing blood sugar levels to slow the progression of nerve damage. Medications may be prescribed to alleviate symptoms like burning and tingling. Physical therapy might also be recommended to address balance and mobility issues.

Prevention and Ongoing Care

Preventing diabetic peripheral neuropathy and its complications involves maintaining good blood sugar control and adhering to diabetic foot care guidelines. Regular podiatry check-ups, alongside visits to your primary care physician or endocrinologist, are crucial for comprehensive management. Your healthcare team will work together to prevent and address any complications arising from diabetes.

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