Physical Activity and the Best Treatment

Much has been written about the effects of exercise and health in general. But what you may not know is there are good studies showing improvements in many health parameters with regular physical activity.

Not too long ago, the American College of Sports Medicine made the statement that adults should be very physically active seven days a week. Not unexpectedly, some in the popular media attacked this as ‘totally not doable by most adults’.

But the fact is, the more sedentary our lives become, the worse our health becomes. For example, we know that metabolism slows with as little as 90 minutes of continued sitting at your desk. As your metabolism slows, you become much more efficient at making fat than you do burning it.

And as a regular reader you know that poor metabolism can lead to the development of neuropathy, type II diabetes, or more serious illnesses.

So this means you can boost your metabolism with a workout at the gym or a stroll in the morning—and eat properly—but sitting all day without moving will negatively impact your health.

Typically, inactivity will make neuropathy and chronic pain worse. So what’s the solution?

In simple terms, it’s important to get as much physical activity as you possibly can. In times of illness, or recovering from surgery or accidents, this may simply mean getting from bed to bathroom more often. As recovery continues, it’s imperative that you push and move as much as possible.

For patients who suffer from peripheral neuropathy of the feet, using bicycles and similar low-impact equipment can be very beneficial.

But whatever you do, make sure you are doing it often enough! Even just five minutes an hour can really add up at the end of your day.

Not only will you feel better, but you will improve the chances of a better neuropathy and pain treatment outcome!
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*As frustrating as it may be at times, we encourage you to learn as much about your underlying condition and treatment options as possible. Even if it’s not 100% clear on what the underlying cause, the good news is proven strategies now exist for effectively treating many forms of  #pain & #neuropathy.

Join us for more in depth help, #neuropathytreatmentsthatwork and learn lots more about #fibromyalgia & #neuropathy HERE

*You can also call or text our team at 781-659-7989 Just BE SURE to leave your full name, time zone and concerns.

#neuropathydr #ndgen #neuropathytreatmentsthatwork #neuropathytreatment #neuropathy #stopchronicpain

Physical Activity and the Best Neuropathy Treatment is a post from: Neuropathy Doctors and Physical Therapists| Neuropathy | Neuropathy Treatments | Neuropathy Doctors | Neuropathy Physical Therapists

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Fibromyalgia or Neuropathy?

In both fibromyalgia and in neuropathy, patients often experience tingling, numbness, and significant amounts of pain. This is not at all surprising, since recent research suggests that many fibromyalgia patients actually have small-fiber neuropathy.

We have long suspected this, however, since one of our observations many years ago was that many fibromyalgia patients respond very well to our neuropathy treatment programs, with some specific modifications. That’s why, right now, effective treatment depends so much upon the skill as well as the time and interest of the clinician.

And the reason for this should be very obvious. Once we understand as much as we possibly can about what may be underneath your symptoms, then we can begin the most effective treatment plan possible.

One of the most common things we see as doctors every day is how deeply rooted lifestyle and personal habits are linked to so many health problems. Fibromyalgia and neuropathy are no exception.

pain 200x300 Fibromyalgia or Neuropathy—Which is it?

In both fibromyalgia and in neuropathy, patients often experience tingling, numbness, and significant amounts of pain.

In both fibromyalgia and in many cases of neuropathy, patients are frequently overweight and in poor physical condition. Now, as you might expect, this is not at all uncommon. Often times this “deconditioning” has been present for years.

Contributing factors to this include things such as poor diet, and, yes, even health problems like underlying thyroid disease and possibly more serious disorders. So the best approach for both doctors and patients while attempting to calm pain is to look deeply for underlying causes.

And this goes double for those patients who suffer neuropathy or fibromyalgia and related chronic pain conditions! If you are serious about getting real professional help we invite you to reach out to us personally using the contact info below.

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*As frustrating as it may be at times, we encourage you to learn as much about your underlying condition and treatment options as possible. Even if it’s not 100% clear on what the underlying cause, the good news is proven strategies now exist for effectively treating many forms of #fibromyalgia #pain & #neuropathy.

Join us for more in depth help, #neuropathytreatmentsthatwork and learn lots more about #fibromyalgia & #neuropathy HERE

*You can also call or text our team at 781-659-7989 Just BE SURE to leave your full name, time zone and concerns.

                                                          #neuropathydr #ndgen #neuropathytreatmentsthatwork #neuropathytreatment #neuropathy #stopchronicpain

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Shot Gunning

“Shot Gunning” is a term applied in medicine when multiple therapies are used all at the same time. In pain neuropathy and pain treatment this can sometimes create additional problems.

As I’m sure you are aware, peripheral neuropathy can be a very frustrating condition to treat. One of the most frustrating things for both doctors and patients alike is where no clear neuropathy treatment plan is identified.

To avoid shot gunning we advise every therapy, every medication you take must be part of an overall treatment strategy.

Even if that strategy is a trial to see what works best for you! This is why those patients who become the most proactive in their personalized pain and neuropathy treatment programs always do the best.

So as frustrating as it may be at times, I encourage you to learn as much about your underlying condition and neuropathy treatment options as possible.Even if it’s not 100% clear on what the underlying cause of your peripheral neuropathy is, the good news is proven strategies now exist for effectively treating many forms of #pain & #neuropathy.

Join us for more in depth help, #neuropathytreatmentsthatwork and learn lots more about diabetic and other forms of #neuropathy HERE

*You can also call or text our team at 781-659-7989 Just BE SURE to leave your full name, time zone and concerns.

#neuropathydr #ndgen #neuropathytreatmentsthatwork #neuropathytreatment #neuropathy #stopchronicpain #habits #powerofhabit

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Simple Steps to Better Foot Care

As you probably know, peripheral neuropathy most commonly afflicts the feet first. And most adults suffer from some type of foot problem as well. But there really are some simple steps to better foot care you can begin to do today!

How well do you take care of your feet?

Initially, better foot care comes something as a shock to most patients. Too many of us ignore our feet until we have a painful or debilitating disorder like neuropathy.

You see, foot pain and neuropathy is much more than pain, tingling and numbness.

Often times there are changes in sensation which affect your balance and your ability to walk normally. Commonly, the shape of your feet will change due to muscle weakness over time or after an injury. This why some of the orthotics you see above can be so very helpful.

There are also changes in skin texture. Patients with peripheral neuropathy and foot pain often find their feet become cold. Cracking of the skin becomes more common. Unfortunately, infections like toenail fungus can happen too. Foot ulcers can be devastating and lead to amputation or worse.

So let’s talk about some of the simple things that you can do on a daily basis to help proper foot care.

The first thing you can do is to make sure that your shoes fit properly. Do not ignore things such as overgrown toenails, which can affect proper shoe fit. If you’re diabetic, your nails should be professionally trimmed by a podiatrist at least once per month.

Next, consider using either light wool, silk or microfiber socks. These socks do not trap moisture, which can make infections and perspiration problems worse.

Finally, be very careful in your choice of bath and shower soaps. Be sure to thoroughly dry and visually inspect the tops and bottoms of your feet every day! There are natural products such as those containing Tea tree oil, which are beneficial in helping prevent athlete’s foot and common fungal infections.

In terms of care, we commonly advise use of our #NDGen, #wearablelaser and #orthotics all of which you can see in our clinics or HERE In Our Self-Care Store

Take better care of your feet every day, ask for our help early on and do not let issues go untreated or fester. and foot pain as well as #neuropathytreatment success will also be easier!

Join our conversation on Facebook by clicking HERE!

Call or text the main office for personalized help anytime at all: 781-659-7989

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Treating Diabetic Neuropathy

One of the most difficult and frustrating things doctors and patients do together is treating diabetic neuropathy As you probably know, diabetes as well as #diabeticneuropathy, is on the rise. The reasons for this are many however it is widely agreed the most common cause is sugar and carbohydrate intake and the accompanying increase in BMI or body mass index otherwise known as weight gain.

Unfortunately, this is one neuropathy problem, especially in the early stages that is not treated aggressively enough. Too many patients are simply told to “lose a little weight”, get more exercise etc. without any meaningful specifics.

Worse yet, very common hospital-based diabetic nutrition programs are still far too high in carbohydrates, as are some very famous diet programs.This also includes some programs still prescribed by nutritionists who treat diabetics. In our opinion, this has perpetuated problems with weight control in diabetes.

We also see people eating so-called healthy diets, which are loaded with natural “sugars”. This commonly includes diets rich in fruits and grains. The most important thing to realize in the treatment of diabetes and its cousin metabolic syndrome is that carbohydrates in your diet must be significantly controlled.

This means that carbohydrates need to be restricted to approximately 15g-20g per meal or snack unless you are on insulin*. This often means no more than a half a slice of bread per meal with no other carbs, minimizing starchy vegetables, and eliminating sugars. The ONLY times to add more without going crazy is if you will be engaging in HEAVY exercise within the hour.

Now this also means you will need to work with your doctors and nurses to adjust your medication dosages, especially, if you are insulin-dependent. *Do not make these suggested changes without your doctor’s knowledge or consent.

Getting very strict about carbohydrate control and realizing that conventional nutrition approaches may not be enough to manage your weight, #diabetes, but most especially your chronic pain & neuropathy goes a long way towards helping you regain control of your health, and thus your life.

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Join us for more in depth help, #neuropathytreatmentsthatwork and learn lots more about diabetic and other forms of #neuropathy HERE

*You can also call or text our team at 781-659-7989 Just BE SURE to leave your full name, time zone and concerns.

**You can also download our free dietary guidelines (some patients report losing 50 pounds or more) HERE

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The Importance of Having a Pain and Neuropathy Treatment System

Having a pain and neuropathy treatment system provides for more measurable results!

One of the most frustrating things for patients and doctors alike is not having adequate treatment plans for patients who suffer from peripheral neuropathy and chronic pain.Too often, a haphazard approach is taken both by patients and their professionals early on, and the net result is failure, or possibly worsening of the underlying pain and neuropathy. When specific formulas are followed, you know what to expect, and how to measure your progress. Having a pain and neuropathy treatment system provides for more measurable results!

For example, most patients who suffer from diabetic neuropathy know when they keep their fasting blood sugars within a healthy range, their neuropathy reacts much better. Conversely, when blood sugars are out of control due to poor dietary systems the net result is worsening of their neuropathy. And the same holds true for other facets of treatment. For example having a personal system for regular, and scheduled exercise as well as stretching and rest can make a profound difference.

The timing of dietary supplements, and even medications can make a big difference. We know for example that regularity, in terms of time of day and spacing of dosages can make a huge difference for many.We also know that when treating with our homecare pain and neuropathy treatment systems at specific times makes a huge difference and leads to bigger improvements in quality of life.

So if you find yourself not progressing as much as you would like, work more on a system and game plan for yourself. Remember no two patients are the same. Some trial with your Doctors first is necessary to find out what works best for you. But the good news is having a treatment system to follow provides for more measurable pain and neuropathy treatment results!

Join our conversation on Facebook today by clicking HERE!

Want to Learn More? Go HERE

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Pain, Anxiety and Depression

One of the things that is perhaps universal amongst all who suffer from chronic pain and neuropathy is the manifestation of both anxiety and depression.

Unfortunately, neither pain, anxiety and depression receive the attention they often deserve. What you may not know is that part of the development of anxiety and depression is commonly the result of nervous system reactions. These feeings when attended to may actually protect us from further harm. These feelings are very common, and suffered by most neuropathy patients.

But seldom are they talked about honestly and openly with family or clinicians. Yes, quite frankly, this is a mistake.

There ARE a couple simple things you can do immediately that will help. First of all, realize there’s often lots you can control about your health—and some things you can’t. Resign yourself to that fact once and for all. Meditate or pray on this one if need be, as it really helps! It’s one of the great paradoxes of life—however, once accepted as fact, it can make a tremendous difference in your level of mental health and well-being.

And for everything you can change, such as your diet, lifestyle, mental health habits, attitude, et cetera: accept one hundred percent responsibility right now!

Along these lines, there are several other things I suggest to explore. Number one, make sure you have as simple and low stress a lifestyle as you possibly can. Be sure to discuss your feelings quickly, honsestly and openly with your partner, adult children or supportive friends in a position to help. Where these are unavailable, talk with your doctor first, then a trusted friend, clergy member, or social worker!

With severe depression including thoughts of suicide, you need professional guidance immediately! Ask for help, (Call 911) and make sure you get it NOW!

I have seen many patients make extensive progress on the road back to health by simply practicing everything we’ve said in the last three paragraphs.

I have also written extensively about designating enough “Me” time. *It’s a mistake to neglect yourself above others—and this includes parents, relatives, and children.

Above all, recognize you are not alone. I’m firmly convinced that so often sensitization of our nervous system to all the changes that peripheral neuropathy and chronic pain can bring commonly can result in anxiety and depression. Not surprisingly, effective in-clinic treatments first often help turn pain, anxiety & depression around quickly.

This is also why I am convinced EVERY neuropathy and chronic pain patient should own an at home self-treatment kit. Better self-care with less medication can be life-changing to say the least.

You find much more about this as well as our books and other self-help products here at http://neuropathydr.com!

Need Personalized Help or Referrals? Call or Text Our Main Team 781-659-7989 (Leave your name and concerns)

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Stress and Pain

As a reader, you already understand the relationship between stress and pain. You probably already know to that inflammation and “inflammatory states” caused by stress and diet, even at microscopic level, can cause a whole host of human illnesses, ranging from arthritis to cancer and heart disease.

The more inflammation we suffer, the more pain and disease we can endure. This is also why we are continually writing about easily correctable factors such as diet, certain supplements, adequate water intake, etc.

A key component of health is stress management. Stress is something that all human beings deal with on a daily basis. Some of us are confronted with enormous periods of stress and remain healthy.

But we all have our limits. Sooner or later, our bodies experience breakdown. And if we already suffer from a painful condition like peripheral neuropathy, stress makes it worse. But why is this so?

We know that inflammatory diets, such as those high in sugar, can aggravate pain, as can our environments, physical activity, and a many other external factors.

Well, scientists have finally made the connection between stress and pain.

A research team at Carnegie Mellon Institute in Philadelphia has discovered that stress significantly affects our body’s ability to regulate inflammation.

Not only can stress affect hormone production, but it can affect the way our immune cells and immune system response to attacks by things like viruses.

And, everybody knows, inflammation causes pain.

For example, how bad does a sunburn or deep scratch hurt? When you look at these, you notice the swelling, redness ,and sometimes extreme discoloration. These are all signs of inflammation.

If we are relatively healthy, our bodies will respond relatively quickly. Within two weeks we never knew anything happened.

But what happens if you can’t control inflammation properly?

That scratch or sunburn may worsen, or could develop a serious complication like an infection. We all know how badly they can hurt.

So, when inflammation is not regulated properly internally, our pain levels will increase; we are more predisposed to everything from the common cold to more significant illness and disease. The longer this goes on, the worse it becomes.

It’s been said that the first step to improvement is knowledge, so next time we’ll talk more about some more practical stress management techniques for those who suffer from many forms of pain and, of course, peripheral neuropathy.

Join us for more information HERE

Pain, Neuropathy, and Stress? is a post from: Neuropathy | Neuropathy Doctors | Neuropathy Treatment | Neuropathy Treatments | Neuropathy Physical Therapists

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Carpal Tunnel Syndrome

Most people have heard of carpal tunnel syndrome. What you might not know is that carpal tunnel syndrome is only one of a family of ailments in the upper limbs known as entrapment neuropathies. The other entrapment neuropathies are not as well-known in the mainstream as carpal tunnel syndrome (CTS), so often those who suffer from nerve symptoms in their forearms and hands frequently jump to conclusions without having an accurate diagnosis.

An entrapment neuropathy, also called nerve compression syndrome, occurs when a nerve is wedged or “pinched” against a bone, inflamed muscle. Aside from the median nerve (the one associated with CTS) there are two main nerves that help to control your arm and hand: the radial nerve and the ulnar nerve. Both are susceptible to compression, and the results can be painful!

Entrapment occurs under a number of conditions, most commonly:

  • When there is an injury originating at your neck or a disease of the cervical spine
  • When your elbow has been injured due to fractures or improper use
  • When your wrist has been injured due to fractures or Guyon canal alignment problems
  • An aneurysm or thrombosis in your arteries
  • Factors commonly associated with peripheral neuropathy, such as diabetes, rheumatism, alcoholism, or infection

Your radial nerve runs the length of your arm, and is responsible for both movement and sensation. Radial neuropathy usually occurs at the back of the elbow, and can present itself with many of the common symptoms of neuropathy such as tingling, loss of sensation, weakness and reduced muscle control (in this case, often difficulty in turning your palm upwards with your elbow extended).

A number of palsies affect the radial nerve, such as:

  • Saturday night palsy (also called Honeymooner’s palsy), where your radial nerve is compressed in your upper arm by falling asleep in a position where pressure is exerted on it by either furniture or a bed partner
  • Crutch palsy, where your nerve is pinched by poorly-fitted axillary crutches
  • Handcuff neuropathy, wherein tight handcuffs compress your radial nerve at your wrists

Two main conditions affect the ulnar nerve: Guyon’s canal syndrome and cubital tunnel syndrome. Guyon’s canal syndrome is almost exactly the same in symptoms as carpal tunnel syndrome (pain and tingling in the palm and first three fingers), but involves a completely different nerve. Guyon’s canal syndrome is caused by pressure on your wrists, often by resting them at a desk or workstation, and is frequently experienced by cyclists due to pressure from the handlebars.

Nearly everyone has experienced cubital tunnel syndrome: it’s the “dead arm” sensation we’ve all felt when we wake up after sleeping on top of our arm! Sleeping with your arm folded up compresses the ulnar nerve at your shoulder, causing it to effectively “cut off” feeling to your arm. As you probably know from experience, this sensation is unsettling but temporary.

Diagnosis for all compression neuropathies is fairly consistent: We’ll examine your arms for signs of neuropathy, and will likely ask you to perform several demonstrations of dexterity.  If we suspect you may have an underlying condition,lab tests may be recommended. To pinpoint the specific location of a compression, we may also suggest MRI.

Similar to carpal tunnel syndrome, most cases of compression neuropathy are mild. Good self care for mild cases involves ice, rest, and a change in habits of motion or stress that are causing the symptoms. Otherwise, professional care in office as well as at home is often indicated.

If you suffer from a compression neuropathy or have questions about this or any other kind of neuropathy, call us ASAP. As with any neuropathy, don’t wait! The sooner you get an accurate diagnosis, the more conservative options for treatment you’ll have.

Join the conversation at Beating Neuropathy!

References:

http://www.mdguidelines.com/neuropathy-of-radial-nerve-entrapment
http://emedicine.medscape.com/article/1285531-overview
http://emedicine.medscape.com/article/1244885-overview
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2599973/?tool=pmcentrez

Entrapment Neuropathy: More Than Just Carpal Tunnel! is a post from: Neuropathy | Neuropathy Doctors | Neuropathy Treatment | Neuropathy Treatments | Neuropathy Physical Therapists

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Eating More Frequently May Manage Neuropathy & Weight Easier?

On the surface, a statement like that might seem wrong. After all, isn’t eating at the root of weight gain, obesity, and its complications? To a point, yes. This is especially true when we consume far more calories in one sitting then we need, and load our meals with carbohydrates and poor-quality fats. So eating more frequently may manage neuropathy and my weight easier?

Eating more frequently will stimulate your metabolism—or, how efficiently you burn versus store fat, keep your blood sugar more even, and actually help keep you warmer.

What I tell all my neuropathy patients—and, indeed, every patient—is to try to eat something not more than three hours apart.

But a little-known fact is that when we eat less frequently, we become much more efficient at storing fat rather than burning it. This is not to say periodic fasting isn’t helpful. Turns out it actually is.

So what does this have to do with managing peripheral neuropathy?

The bottom line is, eating more frequently will stimulate your metabolism—or, how efficiently you burn versus store fat, keep your blood sugar more even, and actually help keep you warmer. For patients who suffer from peripheral neuropathy, all of these things are crucial.

But this does not mean you can eat anything you want. What we do know is that by consuming relatively low amounts of carbohydrates in our meals, along with periodic low carb snacks, we become much more efficient metabolically. *Now, if you are an insulin-dependent diabetic, some of what I say here will not apply, so please be careful and work with your Doctor here.

What I tell all my patients is to try to eat something low carb (low carb meal or if a snack  some almonds, cashews, half a banana or apple, small salad with olive oil, small chia bar for example) not more than three hours apart. For example, you will start your breakfast with something like a protein shake, or a small serving of steel-cut oatmeal with a little added fat like Earth Balance, perhaps some berries. Approximately three hours later, you’ll have six to 10 almonds, or perhaps another lean, low-carbohydrate snack if nut allergies are a problem.

Again, this points out the need to work with well-trained neuropathy treatment professionals to truly manage your peripheral neuropathy and, indeed, your health in general.

What are some of your favorite snacks? Join the conversation on our Facebook page!

Learn so much more or schedule an evaluation HERE.

Eating More Often May Manage Neuropathy and My Weight Easier? is a post from: Neuropathy Doctors and Physical Therapists| Neuropathy | Neuropathy Treatments | Neuropathy Doctors | Neuropathy Physical Therapists

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