Overcoming Diabetic Neuropathy

Overcoming Diabetic Neuropathy
Posted by Dr. John

Overcoming Diabetic Neuropathy

Overcoming Diabetic Neuropathy

If you have had diabetes for several years, or even if you are pre-diabetic, the latest research has revealed that you are three times more likely to develop Diabetic Nerve pain, also known as peripheral neuropathy. As a matter of fact, 70 percent of diabetics will develop diabetic nerve pain (aka: peripheral neuropathy).

Diabetic nerve damage occurs as a result of your nerves being exposed to chronically elevated levels of blood sugar. Excess glucose circulating in the blood stream is extremely damaging to peripheral nerves. Elevated glucose levels also lead to increased inflammation and decreased circulation. All of this will increase the severity of your symptoms.

Symptoms of diabetic nerve pain you may experience may be numbness, tingling, and burning in the feet (sometimes even the hands). These symptoms usually start off very mild, but with time they will worsen, and additional symptoms can develop, as well. You may begin to lose your balance, resulting in falls. You may also experience sharp, shooting pain or chronic dull, achy pain in the legs or arms. Many people will also experience muscle cramping. Commonly, symptoms will be much worse at night, making it difficult to fall asleep or stay asleep.

Most doctors treat the symptoms of diabetic neuropathy by prescribing medications to help deal with the pain. Commonly prescribed medications are Lyrica, Cymbalta (duloxetine), Neurontin (gabapentin), and even Ultram (tramadol), but, these remedies are only 40% to 60 percent successful in reducing the pain and symptoms.

The important fact to know is that these medications do not reverse the damage to the peripheral nerves. In fact, most doctors will tell you that Peripheral Neuropathy is permanent and “You Just Have to Learn to Live with it”. Fortunately, this is not true. Peripheral nerves can be repaired. This has been proven by highly respected and well accredited institutions like Harvard Medical School, and Massachusetts General Hospital -to name just a few.

So, what can you do to aid in the repair of your peripheral nerves? First and foremost, optimal control of blood glucose levels is number one. The better handle you get on maintaining healthy glucose levels, the less damage that will occur. The best ways to control your glucose other than medication is by managing your diet. You may be taking the best-known medications for glucose management but if your diet is laden with starches, processed foods and junk foods, the medications will still struggle to maintain appropriate glucose levels. By the way, the levels you should be striving for is between 80 mg/dL – 115 mg/dL (fasting) or 135mg/dL 2 hours after a meal (post prandial). This can be achieved.

The second thing you want to do to increase your insulin sensitivity is supplement with Alpha Lipoic Acid. There is a tremendous amount of research showing that Alpha Lipoic Acid decreases your Hemoglobin A1C (HbA1c) and decreases your glucose levels. Research has shown that taking 300mg twicer per day is very effective.

Another extremely effective tool at repairing damaged peripheral nerves is the use of Low Level Laser Therapy (LLLT). This form of treatment has been researched by Harvard Medical School and Massachusetts General Hospital. Many other scientists have also researched the validity and efficacy of this treatment and found it to be reliably successful.

How Does Laser Treatment for Neuropathy Work?

This new technology, Low Level Infrared Laser therapy for neuropathy was introduced to the U.S. in 2002. The reality is that this technology has been around for over 40 years. It has been successfully used in Europe, Asia, Australia and Russia since the 1960s. There have been over 2,000 published research reports and over 100 double blind studies confirming the effectiveness of Low Level Laser Therapy for repairing damaged peripheral nerves.

The research studies have proven that LLLT treatment can play a significant role in diminishing symptoms, while repair to the nerve occurs. Here’s, what studies have revealed about Low Level Laser Treatments:

  • Reduces Pain by stimulating cells to produce endorphins – a natural painkiller
  • Reduces Inflammation by as much as 75%
  • Decreases Swelling by stimulating lymphatic drainage
  • Increases Blood Flow/Circulation by stimulating the formation of new capillaries in damaged tissue. This promotes better oxygen deliver, which is responsible for speeding up the healing process, closing wounds and reducing scar tissue
  • Promotes Faster Healing by stimulating cells to increase the production fo two major healing enzymes and improving oxygenation to the tissue by as much as 75%. The LLLT also increases healing by stimulating the mitochondria of the cells, allowing for 40% more energy for the repair process.
  • Re-vitalizes Cell Membranes to allow the transport of essential nutrients across cell walls, thus allowing a healthy new cell to grow. Nutrients can not cross an injured or sick cell wall, which slows the healing.
  • Stimulates Re-growth and Repair of Neural (nerve) Tissue

 

There are many different types of lasers on the market but, according to the research, not all will be effective in the repair and regeneration of peripheral nerves. Here’s what you need to know about the LLLT you may be using.

LLLT come in a wide variety of wavelengths of the infrared light. These wavelengths can range from 300 nm to 1400nm. In order to elicit healing of the neural (nerve) tissue the range of LLLT must be between 800nm – 100nm. This range will allow for deep penetration into tissues. This is of extreme importance because nerve tissues lie deep within the body.

Laser therapy has shown great promise in several other countries and now the U.S. is just beginning to scratch the surface of this treatment.

Key Takeaways

Painful diabetic neuropathy is a frequent problem when you have diabetes. Symptoms such as tingling, burning, and numbness might affect your sleep and quality of life. Current treatments, usually medications, don’t heal, and only partly alleviate your pain. Laser therapy shows promise in reducing your pain.

References
  1. 1. Horwitz L, Burke TJ, Carnegie DE. Augmentation of Wound Healing Using Monochromatic Infrared Energy. Advances in Wound Care. 1999;12:35-40.
  2. 2. Noble JG, Lowe AS, Baxter GD. Monochromatic Infrared Irradiation (890): Effect of a Multisource Array upon Conduction in the Human Median Nerve. Journal of Clinical Laser Medicine and Surgery. 2001;19:291-295.
  3. 3. Kochman AB, Carnegie DE, Burke TJ. Symptomatic Reversal of Peripheral Neuropathy in Patients with Diabetes. Journal of the American Podiatric Medical Association. 2002;92:125- 130.
  4. 4. Prendergast JJ, Miranda G, Sanchez M. Improvement of Sensory Impairment in Patients with Peripheral Neuropathy. Endocrine Practice. 2004;10:24-30.
  5. 5. Leonard DR, Farooqi MH, Myers S. Restoration of Sensation, Reduced Pain, and Improved Balance in Subjects with Diabetic Peripheral Neuropathy; A Randomized, Double Blind, Placebo Controlled Study. Diabetes Care. 2004;27:168-172.
  6. 6. Kochman AB. Monochromatic Infrared Photo Energy and Physical Therapy for Peripheral Neuropathy: Influence on Sensation, Balance and Falls. Journal of Geriatric
    Physical Therapy. 2004;27:16-19.
  7. 7. Powell MW, Carnegie DE, Burke TJ. Reversal of Diabetic Peripheral Neuropathy and New
    Wound Incidence: The Role of MIRE. Advances in Skin & Wound Care. 2004;17(6):295-300.
  8. 8. DeLellis S, Carnegie DE, Burke TJ. Improved Sensitivity in Patients with Peripheral Neuropathy: Effects of Monochromatic Infrared Photo Energy. Journal of the American Podiatric Medical Association. 2005; 95(2):143-147.
  9. 9. Harkless L, DeLellis S, Burke TJ. Improved Foot Sensitivity and Pain Reduction in Patients with Peripheral Neuropathy after Treatment with Monochromatic Infrared Photo Energy-MIRETM. Journal of Diabetes and Its Complications. 2006;20(2):81-87.
  10. 10. Volkert W, Hassan A, Hassan M, et al. Effectiveness of Monochromatic Infrared Photo Energy and Physical Therapy for Peripheral Neuropathy: Changes in Sensation, Pain and Balance – A Multi-Center Chart Review. Physical and Occupational Therapy in Geriatrics. 2006;24(2):7-18.
  11. 11. Powell MW, Carnegie DH, Burke TJ. Reversal of Diabetic Peripheral Neuropathy with Photo Therapy (MIRETM) Decreases Falls and the Fear of Falling, and Improves
    Activities of Daily Living in Seniors. Age and Ageing. 2006;35(1):11-16.
  12. 12. Burke TJ. Infrared Photo Energy May Reduce Neuropathic Pain. Practical Pain
    Management. 2007;7(6):57-63.
  13. 13. Nather A, Sim YE, Chew LL, Neo SH. Anodyne Therapy for Recalcitrant Diabetic Foot Ulcers: A Report of Four Cases. Journal of Orthopaedic Surgery. 2007;15(3):361-4.
  14. 14. Mitchell, U. Use of Near Infrared Light to Reduce Symptoms Associated with Restless Leg Syndrome in a Woman: a Case Report. J Med Case Reports. 2010; 4:286.
  15. 15. Mitchell, U, Myrer JW, Johnson AW, Hilton SC. Restless Legs Syndrome and Near Infrared Light: An Alternative Treatment Option. Physiotherapy Theory and Practice. 2010, Oct 26.
  16. 16. Mak, M, Cheing, G. Immediate Effects of Monochromatic Infrared Energy on Microcirculation in Healthy Subjects. Photomedicine and Laser Surgery. 2012;30(2):1-8.
  17. 17. Hsieh, R, Liao, W, Lee, W. Local and Systemic Cardiovascular Effects from Monochromatic Infrared Therapy in Patients with Knee Osteoarthritis: A Double- Blind, Randomized, Placebo-Controlled Study. Evidence-Based Complementary and Alternative Medicine. 2012; Article ID 583016.
  18. 18. Ammar, T. Monochromatic Infrared Photo Energy in Diabetic Peripheral Neuropathy.
    International Scholarly Research Network (ISRN) Rehabilitation. 2012; Article ID 484307.
  19. 19. Ahmed, E, Maayah,M,Mohammad Abu Asi, Y. Anodyne Therapy Versus Exercise Therapy in Improving the Healing Rates of Venous Leg Ulcer. International Journal of Research in Medical Sciences. 2013;Aug;1(3):198-203.
    20. Ru-Lan Hsieh;Wen-Chung Lee. Short-term Therapeutic Effects of 890-Nanometer Light Therapy for Chronic LowBack Pain: A Double-Blind Randomized Placebo-Controlled Study. Lasers in Medical Science.2013, July 3.
  20. 21. Tarek AbdelRahman Ali Ammar. Monochromatic Infrared Photo Energy versus Low Level Laser Therapy in patients with Knee Osteoarthtitis. J Lasers Med Sci 2014;5(4):176-82