Make your own free website on Tripod.com

What is Peripheral Neuropathy? Education & Support for Australian Sufferers.

Educational Material continued on page 2.

Home | Go to Page 3 | Educational Material continued on page 2.

 Treatment for diabetic neuropathy focuses on managing diabetes, slowing the progression of neuropathy, relieving pain and managing complications.
 
  Slowing the progression of diabetic neuropathy- Tight and stable glycemic (blood sugar) control is the gold standard for slowing the progression of diabetic neuropathy.  It may even cause an improvement in existing diabetic neuropathy symptoms.
 
  Relieving Pain- Providing effective pain relief is a challenging task requiring that you work with your doctor to identify realistic pain relief goals.  Many groups of medications are used in the treament of neuropathic pain: tricyclic anti-depressants, anticonvulsants, analgesics and selective serotonin and norepinephrine reuptake inhibitors.  Effectiveness of these medications varies.  Talk to your doctor about what will work for you and the possible side-effects.
 
 Managing complications- Specific treatments exist for many of the complications of neuropathy.
 
* Urinary tract problems- Alprim 300mg, and behavioural techniques such as timed urination.
* Digestive problems-Gastroparesis can usually be helped by eating smaller more frequent meals, reducing fiber and fat in the diet, and for many people eating soups and pureed foods. Diarrhoea, constipation and nausea may be helped with dietary changes and medications.
* Low blood pressure (orthostatic hypotension)-This is often helped with lifestyle measures such as avoiding alcohol, drinking plenty of water and standing up slowly.  Several medications also may be used to treat orthostatic hypotension, or drinking raw beetroot juice.
* Sexual dysfunction- Sildenafil, (viagra) or Cialis (see webpage below) can improve sexual function in some men, but these medications aren't effective or safe for everyone, especially if you have untreated hypertension or a heart condition.  Women may be helped with vaginal lubricants and estrogen creams.
 
Adhering to prevention Strategies:
 
  Control of blood sugar- Tight and stable glycemic control.  You should work with your primary care physicians and nutritionists to develop a realistic diet for lowering blood glucose.
 
  Diligent Foot care- Examin your feet daily, any bacterial or fungal infections require prompt medical attention. Well-fitting shoes help prevent foot sores and trauma.  Shoes for men like 'Instride' with a wide fitting and plenty of room for toes.
  Keep active-remain as active as possible, walk or ride a bicycle for 2 kilometers per day, don't exercise in humid conditions, don't walk in uncomfortable shoes. If you can't walk try to get a exercise bicycle, and ride it daily under supervision of an Exercise Physiologist.
  Regular check ups- you should work with your primary physician to try and control your medical condition/s. Consult and work if possible with a Endocrinologist, Neurologist, Psychiatrist and/or a Pain Specialist.  When warranted, work with a physical and occupational therapist to maintain and build your muscle strength.

---------------------------------------------------

Spinal Cord Stimulation Surgery:

http://www.tamethepain.com/chronic-pain/spinal-cord-stimulation-neurostimulation/about/

http://www.fpm.anzca.edu.au/resources/professional-documents/documents/PM9%202011.pdf

https://www.tga.gov.au/alert/medtronic-deep-brain-stimulation-and-spinal-cord-stimulation-devices-multiple-models

---------------------------------------------------------------

*"Drugs Used for treat Nerve Pain",

https://www.vicpain.com.au/pain-medication/

http://www.webmd.com/pain-management/tricyclic-antidepressants-for-chronic-pain

http://www.lyrica.com

http://www.science.gov/topicpages/p/pregabalin+reduces+neuropathic.html

http://www.medicinenet.com/gabapentin-oral/article.htm

http://www.mydr.com.au/medicines/cmis/cymbalta-capsules

http://www.csl.com.au/s1/cs/auhq/1196562765747/Web_Product_C/1196562642959/ProductDetail.htm

                                    --------------------------

http://www.bpac.org.nz/BPJ/2008/December/docs/bpj18_methadone_pages_24-29.pdf

http://www.nps.org.au/publications/health-professional/nps-radar/2011/december-2011/oxycodone-with-naloxone

http://www.differencebetween.net/science/difference-between-oxycontin-and-oxycodone/

----------------------------------

USA Vietnam Service & Agent Orange

http://www.publichealth.va.gov/exposures/agentorange/conditions/peripheral_neuropathy.asp

------------------------

Do NOT combine Tramadol and Antidepressant medications:  The life threatening effect is called;
                                         "SEROTONIN  syndrome"

https://en.wikipedia.org/wiki/Serotonin_syndrome

http://www.mdedge.com/ccjm/article/120386/neurology/serotonin-syndrome-preventing-recognizing-and-treating-it

-----------------------------

*Appropriate FOOTWEAR worth considering,

https://www.myfootdr.com.au/our-services/diabetic-footcare/

http://www.bfspedorthics.com.au/services/therapeutic-footwear/

https://www.homyped.com.au/diabetes-footcare/

http://drcomfort.com.au/shoes/men-s-shoes/double-depth.html

-----------------------------------------

Brisbane Private Pain Specialists-

http://www.wapm.com.au/pain-management/specialist-profiles.php?id=5

http://www.axxon.com.au

----------------------------------

*Pain Management,

https://www.acufinder.com/Acupuncture+Information/Detail/Treating+Peripheral+Neuropathy+with+Acupuncture+and+Chinese+Medicine

----------------------------------

*Australian Pain Management Association,

http://www.painmanagement.org.au

http://www.chronicpainaustralia.org.au/

http://www.painaustralia.org.au/

Stronger Pain Medications may be considered like;
 
*Tramadol, however consider the possibility of addiction and its withdrawal. effect Side, jerking muscles. Discuss these issues with your treating Specialists.
 
* Ketamin infusion pump works for some, again there can side effects?
  if you suffer with Asthma and some can hallucinate, again NOT everyone.

* Cymbalta (an antidepressant) is well worth considering, BUT can increase Blood Sugar Levels, cause irregular heart beat, tinnitus, increased anxiety (serotonin syndrome)
And interfere with Anticoagulants.
 
* Pregabalin (lyrica) works well, However its withdrawal effects are very vicious, and the side effects of Lyrica can include  'excessive weight gain'  and Ataxia.

All have to be weighed against their therapeutic value to YOU,   All drugs have side effects that DOESN'T mean you will encounter any of them, we are all individuals and react differently to prescription medicines.

Tai Chi, Yoga (including in sitting positions)

http://www.taichiproductions.com/products/Seated-Tai-Chi-for-Arthritis.html

*Yoga (standing & sitting positions),

http://www.yogawiz.com/askquestion/770/yoga-for-neuropathy-please-suggest-yoga-asanas-tha.html

--------------------------------------------------

Find an Australian Psychologist in your residential area;

The following Therapeutic Therapies are generally used for Anxiety/Depression, having said that fact, because Neuropathic pain causes rebound depression, readers may find these of use in their daily lives?

Cognitive Behaviour Therapy.

http://www.racgp.org.au/afp/2013/march/mind-body-therapies/

Emotional Freedom Therapy


*Mindfullness Mediation,

http://www.actmindfully.com.au/acceptance_&_commitment_therapy

http://www.actmindfully.com.au/index.asp?pageid=259

http://mindfulnessmeditationbrisbane.com/

------------------------------------------------------------------------------------------------------------------------

To read page 3, return to Menu at TOP of Page and click on "Go to Page 3".