Diabetic Peripheral Neuropathy
Diabetes is a complex, lifelong condition requiring strict control of blood glucose levels. With or without strict blood glucose control, diabetes can be associated with severe pain in the extremities. Patients usually describe the pain as a burning sensation, as if their feet or hands are “on fire.” Just as diabetes is a progressive condition, so is the pain associated with diabetes. To control the neuropathic pain associated with diabetes, anti-convulsants and anti-depressants are commonly used in low doses. Typical anti-convulsants used include Neurontin or Lyrica. Typical anti-depressants used include Elavil, Doxepin, Effexor, and Cymbalta. Your physician may discuss other medications with you. An alternative to medications is spinal cord stimulation, discussed elsewhere in this website. When oral therapy has failed, spinal cord stimulation can provide dramatic pain relief for a diabetic suffering from painful peripheral neuropathy.
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