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Motor Neuropathy Care- Long Term Strategies are Key

If you are a regular NeuropathyDR® blog reader, you know that we tend to focus on the latest developments and research in treating neuropathy pain.  With peripheral neuropathy, though, pain is only one component.  This week, we’re going to talk about how neuropathy can affect your muscles, also called motor neuropathy.

There are essentially three kinds of motor neuropathy.  The first is the overall weakening effect of the muscles, especially in the extremities, which often accompanies peripheral neuropathy.  This can occur because the nerves which control motor function in the muscles have become damaged, or—in the case of a compression neuropathy—constricted.  The second kind is called multifocal motor neuropathy, and takes place when the immune system itself begins to attack the nerves, as can happen after a series of infections or after an illness.  The third kind is Hereditary Motor Sensory Neuropathy, which, as the name suggests, is genetic in nature.  Hereditary Motor Sensory Neuropathy, or HMSN, occurs when there is a naturally-occurring deterioration in the nerves that control the muscles, causing the muscles to not be used, become weak, or even atrophy.

Motor neuropathy usually starts in the hands and feet, and can affect the full extension of fingers and toes.  In addition to the dexterity problems this obviously causes, it often also has a visual appearance of “clawlike” fingers.  The condition is degenerative, getting worse over a period of months and years.  Twitching and spasms can also happen in affected limbs.  While motor issues associated with peripheral neuropathy usually accompany pain, tingling, and numbness, multifocal motor neuropathy involves no pain (only the motor nerves are affected).  Generally, none of the varieties of motor neuropathy are life-threatening, although they can absolutely impact your comfort and quality of life if you suffer from them.

When we met our patient Robert, he complained of a steady and declining loss of strength in his feet, which he had experienced over the past 4 years.  Robert had had cancer during that time, culminating in having his prostate removed.  His motor neuropathy caused Robert to have trouble walking or standing for long periods, and he even had trouble feeling his feet on some occasions.  He also complained of shooting pain, tingling, and soreness in his feet, all typical calling cards of peripheral neuropathy.  Since in cases of multifocal motor neuropathy, the sensory nerves are usually unaffected, Robert’s pain and numbness ruled that out.  Sure enough, when we performed a battery of tests, we found that Robert’s sensation to vibration was all but gone in several places on his feet.

fallinggirl 200x300 Motor Neuropathy Care Long Term Strategies are Key

Motor Neuropathy is Characterized by Weakness of The Muscles

Robert did not respond with the typical level of relief we usually see after treating a patient with electro-stimulation.  Over the course of three treatment sessions, Robert’s level of strength and comfort in his feet did not change in any meaningful way.  While this is unusual, it highlights an important theme: neuropathy is a complex problem with many symptoms and manifestations, and NO single therapy technique or tool—even those with a very high rate of success—can stand on their own as a complete treatment.

We designed a treatment for Robert intended to produce more long-term benefit, as his short-term progress was not substantial.  Motor neuropathies require an extensive MULTI-MODAL level of treatment, sometimes pharmaceutical and sometimes homeopathic, and usually involving some level of regular exercise and controlled diet.  Robert is currently improving steadily, and is seeing his NeuropathyDR® clinician as prescribed to monitor his condition and progress.

If you suffer from weakness or pain in your limbs, you may have peripheral neuropathy.  If so, we are here to help!  Contact NeuropathyDR® right away and we will help you find the best course of treatment for your specific symptoms.  We can even put you in touch with a specially-trained NeuropathyDR® clinician who can help you develop a therapy plan that will get results.

http://www.ninds.nih.gov/disorders/multifocal_neuropathy/multifocal_neuropathy.htm

http://www.ninds.nih.gov/disorders/multifocal_neuropathy/multifocal_neuropathy.htm

 

A lot of people hear that there is no cure for neuropathy, and they get discouraged. Not Susan…

A lot of people hear that there is no cure for neuropathy, and they get discouraged.  They resign themselves to the idea that they will live with their symptoms forever, and might never find relief.  One of our favorite things is being able to dispel this misconception and let someone know that NeuropathyDR® has the means to lessen their pain and improve their life.   “No cure” isn’t the same thing as “no help!”

A great example of a patient we have been able to help with the NeuropathyDR® methodology is Susan.  Susan is a diabetic in middle age who has suffered for more than twenty years with neuropathy symptoms.  Most prominently, Susan has tingling and severe pain in her feet, with the same problem less severely in her hands and arms.  Susan’s pain was so bad that she had trouble telling hot from cold, and even experienced trouble walking.

When she came to us, Susan was taking prescription-strength Advil several times a week for the pain in her hands and feet.  Medication has its place, and can be effective in some cases, but it is too often the first—and last—course of action people with neuropathy are given.  NeuropathyDR® takes a different approach.  We use newer, non-pharmaceutical methods that have been proven to reduce pain and numbness in cases like Susan’s.  We are pleased to report that after applying the NeuropathyDR® protocols, Susan’s symptoms subsided drastically and her quality of life began to improve by leaps and bounds.

footCMT 200x300 A lot of people hear that there is no cure for neuropathy, and they get discouraged. Not Susan...

Welcome relief at the hands of highly trained NeuropathyDR professionals!

Especially in the short term, we want to help reduce the overall level of chronic pain and restore any mobility that might be lost.  In a case like Susan’s, the NeuropathyDR® protocols target three specific areas of treatment:

  • Specifically-directed manual therapies to correct aberrant motion or misalignment in areas of the spine and pelvis, as well as addressing the soft tissue contractures in the neck, legs, feet, arms, and hands.
  • Our NeuropathyDR® nutrition protocol, consisting of a daily regimen of combined nutrients that have been proven to be supportive of the nervous system in slowing the progression of neuropathy and healing damage.
  • Finally, the application of ReBuilder neuro-stimulation in the affected areas.  We use a waveform treatment in the office and at home that opens up nerve pathways to let them heal.

Susan came back for a round of treatments with us three times a week for five weeks, for a total of fifteen treatments.  Following each treatment, Susan reported that the level of pain and tingling had subsided by two-thirds or more!

After applying the NeuropathyDR® protocol, Susan noticed a terrific improvement in her lifestyle.  In her own words, her energy level tripled, and the inflammation and pain in her feet had reduced by ninety percent.  Our objective tests, going by a round before and after the treatments, showed that Susan’s range of motion without pain had also increased, and her ability to sense heat, cold, and vibration had drastically improved.  Perhaps the biggest lifestyle-boost of all, Susan experienced much less pain when walking after applying the NeuropathyDR® methods for five weeks.

We followed up with Susan three months after her treatments with us, and she was continuing to do extremely well.  She has been diligent about keeping up her assigned home-care treatments, and she visits her clinician as-needed for checkups.  Since Susan has struggled with symptoms of diabetic neuropathy for more than twenty years, this kind of progress makes her a real success story!

If you have neuropathy symptoms, whether they are similar to Susan’s or a completely different kind, we are here to help!  Remember; never wait when it comes to neuropathy—the sooner we establish there is a problem, the more a clinician will be able to help you!  Contact us, and we can put you in touch with a NeuropathyDR® clinician who is specially trained to treat you.

Neuropathic Nutrition!

One main factor in many cases of peripheral neuropathy is diet.  You probably know that neuropathy is linked to diabetes and other conditions where daily intake of sugars and nutrients is important, but your diet can also influence the condition of nerves in more direct ways, such as in cases where a nutritional deficiency is causing neuropathic damage.

One of the most common links between neuropathy and nutrition is a deficiency in B vitamins, particularly vitamin B-12.  Fight neuropathy by eating foods like meat, fish, and eggs that are all high in B vitamins.  If you are a vegetarian or vegan, don’t worry!  There are many kinds of fortified cereals that contain substantial amounts of B vitamins as well (in addition to supplements, which we’ll talk about in a moment).

The Mayo Clinic recommends a diet high in fruits and vegetables for people who suffer from neuropathy.  Fruits and vegetables are high in nutrients that have been shown to be effective treating neuropathy.  Additionally, if you suffer from diabetes, fresh produce can mellow your blood sugar levels.  If numbness or pain in your extremities is severe, keep pre-cut fruit and vegetables at the ready, so you don’t have to worry about the stress involved with preparing them! Just be careful of too much fruit sugars. This means a serving is 1/2 apple, banana, etc. Most non-starchy vegetables like greens and asparagus especially are great for most of us.

Foods that are high in Vitamin E are also good for neuropathy, according to neurology.com.  A deficiency of Vitamin E can happen in cases where malabsorption or malnutrition are taking place, such as the case with alcoholic neuropathy.  Breakfast cereals, whole grains, vegetables and nuts are all excellent sources of vitamin E.

Lean proteins are also an important part of a healthy diet for people with neuropathy.  Saturated fats and fried foods increase risk of diabetes and heart disease, in addition to aggravating nerve decay from lack of nutrients.  A variety of foods—skinless white-meat poultry, legumes, tofu, fish, and low-fat yogurt—are good sources of lean protein.  If you suffer from diabetes, lean proteins also help to regulate blood sugar levels.  Fatty fish such as salmon, tuna, mackerel, and sardines are good for maintaining levels of Omega-3 acids, healthy fats the body needs but cannot produce on its own.

For specific types of neuropathy, research shows that specific antioxidants may help slow or even reverse nerve damage that has not existed for too long a time.  For HIV sensory neuropathy, Acetyl-L-Carnitine has demonstrated good results, and Alpha lipoic acid is being studied for its effects on diabetic nerve damage.  Consult your NeuropathyDR® clinician for the latest research before beginning any supplementation or treatment, even with antioxidants.

diabeticmeter 300x225 Neuropathic Nutrition!

Use Tools Like Journaling and Blood Sugar Monitoring Every Day...

So what are the best ways to monitor what you are eating?  The easiest way is to keep a food journal.  Record everything you eat at meals, for snacks, and any vitamin supplements you might be taking.  Your journal will help you and your NeuropathyDR® clinician determine if your diet could be a factor in your neuropathy symptoms!  As a bonus, food journaling is a great way to be accountable for your overall nutrition, as well as to help avoid dietary-related conditions other than neuropathy.  If you have a goal for weight loss, weight gain, or better overall energy, those are other areas in which keeping a food journal can help!  Other ways to monitor what you eat include cooking at home as opposed to going out to restaurants, keeping a shopping list instead of deciding what groceries to buy at the store, and consulting a nutritionist or qualified NeuropathyDR® clinician about the best ways to meet your specific needs.

Dietary supplements can also help manage neuropathic symptoms and nerve degeneration.  Supplementing B Vitamins, particularly vitamin B-12, can help regulate your nutrient levels and prevent neuropathy symptoms.  Supplementing with fish oil can help replenish Omega-3 fatty acids, which are important if you suffer from type-II diabetes. Many other types of supplements can be beneficial if you suffer from neuropathy; consult your NeuropathyDR® clinician for specific recommendations.

Contact us if you have any questions about proper eating when it comes to your neuropathy.  We can help you find the information you need and put you in touch with a NeuropathyDR® clinician who can help you with this and other neuropathy-related questions!

 

http://www.mayoclinic.com/health/peripheral-neuropathy/DS00131/DSECTION=lifestyle-and-home-remedies

http://www.foundationforpn.org/livingwithperipheralneuropathy/neuropathynutrition/

http://www.livestrong.com/article/82184-foods-fight-neuropathy/

http://www.livestrong.com/article/121841-nutrients-neuropathy/

 

Entrapment Neuropathy: More Than Just Carpal Tunnel!

Entrapment Neuropathy:  More Than Just Carpal Tunnel!

Last week we talked about carpal tunnel syndrome (CTS), one of the most common forms of neuropathy affecting a single nerve (mononeuropathy).  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 CTS, and so people who suffer from nerve symptoms in their forearms and hands frequently jump to conclusions.  NeuropathyDR® is here to help set the record straight!

An entrapment neuropathy, also called nerve compression syndrome, occurs when a nerve is wedged or “pinched” against a bone, inflamed muscle, or other internal mechanism in your arm.  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

    mail 41 Entrapment Neuropathy: More Than Just Carpal Tunnel!

    Peripheral neuropathy is not a condition forgiving of delayed treatment. The longer you wait, the more severe and long-lasting (potentially permanent) your nerve damage can be.

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: your NeuropathyDR® clinician will examine your arms for signs of neuropathy, and will likely ask you to perform several demonstrations of dexterity.  If your clinician suspects you may have an underlying condition, nerve or blood tests may be recommended.  To pinpoint the specific location of a compression, your clinician may also suggest MRI or x-ray scans.

Similar to carpal tunnel syndrome, most cases of compression neuropathy are mild. Treatment for these mild cases involves ice, rest, and a change in habits of motion or stress that are causing the symptoms.  For more severe cases, your clinician may prescribe painkillers or anti-inflammatories, and in extreme cases, a surgical solution is sometimes justified.

If you suffer from a compression neuropathy or have questions about this or any other kind of neuropathy, NeuropathyDR® can help!  Contact us, and we can answer your questions and put you in touch with a NeuropathyDR® clinician in your area who has been specially trained to treat any symptoms you might have.  As with any neuropathy, don’t wait!  The sooner a condition is diagnosed, the more options for treatment your clinician will have.

 

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

 

Neuropathy and Exercise

If you suffer from neuropathy, you know that the pain, muscle control problems, and overall health complications can make even everyday activities harder to manage.  For some, the prospect of exercising while suffering from neuropathy will seem not only unrealistic but an almost ironic misplacement of priorities.  Exercise is important for everyone, though, and in sufferers of neuropathy, can help control blood sugar and actually slow down the progression and symptoms of the condition!

Exercising regularly greatly decreases anyone’s risk of diabetic neuropathy, and has been shown to control symptoms and deterioration in sufferers by elevating overall blood flow to the limbs and controlling cardiovascular atrophy.  Depending on your specific type of neuropathy, areas affected, and the extent of the damage, you will have to adjust conventional workout routines to accommodate the condition.  Ask your NeuropathyDR® clinician if you have questions, and be sure to consult them before beginning any workout program.  Your clinician will inspect your feet and legs for signs of potential problems, and will help you make sure your shoes are properly fitted so as to avoid neuropathy-related injuries.

Additionally:

  • Use silica gel or air midsoles
  • Use polyester or polyester/cotton blend socks to keep your feet dry
  • Avoid any workout clothes that rub against your skin in the same area.

Ann Albright of the Division of Diabetes Translation in Atlanta cautions that neuropathy patients will want to steer clear of most repetitive or weight-bearing exercise, such as running, walking, or extensive weight training (although some sources advocate weight training as beneficial, in moderation).  So which exercises are the most beneficial while reducing risk?

mail4 Neuropathy and Exercise

Don't Neglect Stretching and Core Activities...

Swimming is one of the best exercises, as it is an activity adaptable to any age, fitness level, or degree of neuropathy symptoms.  Swimming is also a full-body, “no-impact” workout, and so is less harmful to your joints, legs, and feet than most other forms of exercise, without sacrificing circulation (ask any lap swimmer and they’ll tell you—swimming has no problem getting your heart rate up!)  As such, it is highly recommended for almost anyone.

Bicycling, rowing, and use of a stationary bicycle are other excellent, low-impact activities that can be safely integrated into a neuropathy treatment program. Some organizations have even developed exercise programs for senior citizens suffering from neuropathy, incorporating a heavy emphasis on seated exercises.

If you don’t have regular access to facilities or equipment for more extensive exercise, there are some basic exercises you can do almost anywhere that can help your neuropathy!  Here are some to try:

  • For your hands, touch the pad of your thumb with your index finger, running the finger down to the base of your thumb. Then, repeat the movement with the index, middle, ring, and little fingers. Do this exercise several times.
  • For your legs and feet, straighten one knee and point your foot.  Flex your ankle five times, then circle your foot five times in each direction, clockwise and counterclockwise.
  • To increase balance, try this exercise: from a standing position, rise up slowly on your tiptoes, and then rock backward onto your heels. Keep your knees straight, but try not to lock them.

    foot Rx Neuropathy and Exercise

    Gentle massage & manual stimulation in the clinic helps speed recovery...

Additional precautions are vital for neuropathy patients to observe.  After every workout session, patients should remember to check their feet and any relevant extremities for blisters, irritation, or sores. These could be vulnerable to infections, which themselves could elevate risk for amputation.

It is important for neuropathy sufferers to be mindful of their heart rate and blood pressure.  Especially if you suffer from autonomic neuropathy, which can greatly increase risk of heart failure or cardiac arrest, be aware of your limitations when it comes to safe exercise.  Don’t worry—there’s a way for everyone to exercise safely.  If you have any doubts, consult your NeuropathyDR® clinician to review your workout plan.

Finally, be sure to monitor your body temperature.  Neuropathy sufferers are at high risk when it comes to overheating, since some types of neuropathy can reduce the body’s ability to temperature-control.  Consult your clinician if sweating seems overly profuse or the opposite, less than normal.

If you have any questions about exercising with neuropathy, contact us!  We can answer your questions and help put you in touch with a NeuropathyDR® clinician who can help you in person.  Have a great workout!

 

http://www.ehow.com/how-does_5162775_exercise-peripheral-neuropathy.html

http://journal.diabetes.org/diabetesspectrum/98v11n4/pg231.htm

http://www.livestrong.com/article/99573-exercise-peripheral-neuropathy/

http://www.health.com/health/condition-article/0,,20189334,00.html

http://www.health.com/health/condition-article/0,,20188832,00.html

 

Neuropathy and Exercise

If you suffer from neuropathy, you know that the pain, muscle control problems, and overall health complications can make even everyday activities harder to manage.  For some, the prospect of exercising while suffering from neuropathy will seem not only unrealistic but an almost ironic misplacement of priorities.  Exercise is important for everyone, though, and in sufferers of neuropathy, can help control blood sugar and actually slow down the progression and symptoms of the condition!

Exercising regularly greatly decreases anyone’s risk of diabetic neuropathy, and has been shown to control symptoms and deterioration in sufferers by elevating overall blood flow to the limbs and controlling cardiovascular atrophy.  Depending on your specific type of neuropathy, areas affected, and the extent of the damage, you will have to adjust conventional workout routines to accommodate the condition.  Ask your NeuropathyDR® clinician if you have questions, and be sure to consult them before beginning any workout program.  Your clinician will inspect your feet and legs for signs of potential problems, and will help you make sure your shoes are properly fitted so as to avoid neuropathy-related injuries.

Additionally:

  • Use silica gel or air midsoles
  • Use polyester or polyester/cotton blend socks to keep your feet dry
  • Avoid any workout clothes that rub against your skin in the same area.

Ann Albright of the Division of Diabetes Translation in Atlanta cautions that neuropathy patients will want to steer clear of most repetitive or weight-bearing exercise, such as running, walking, or extensive weight training (although some sources advocate weight training as beneficial, in moderation).  So which exercises are the most beneficial while reducing risk?

mail4 Neuropathy and Exercise

Don't Neglect Stretching and Core Activities...

Swimming is one of the best exercises, as it is an activity adaptable to any age, fitness level, or degree of neuropathy symptoms.  Swimming is also a full-body, “no-impact” workout, and so is less harmful to your joints, legs, and feet than most other forms of exercise, without sacrificing circulation (ask any lap swimmer and they’ll tell you—swimming has no problem getting your heart rate up!)  As such, it is highly recommended for almost anyone.

Bicycling, rowing, and use of a stationary bicycle are other excellent, low-impact activities that can be safely integrated into a neuropathy treatment program. Some organizations have even developed exercise programs for senior citizens suffering from neuropathy, incorporating a heavy emphasis on seated exercises.

If you don’t have regular access to facilities or equipment for more extensive exercise, there are some basic exercises you can do almost anywhere that can help your neuropathy!  Here are some to try:

  • For your hands, touch the pad of your thumb with your index finger, running the finger down to the base of your thumb. Then, repeat the movement with the index, middle, ring, and little fingers. Do this exercise several times.
  • For your legs and feet, straighten one knee and point your foot.  Flex your ankle five times, then circle your foot five times in each direction, clockwise and counterclockwise.
  • To increase balance, try this exercise: from a standing position, rise up slowly on your tiptoes, and then rock backward onto your heels. Keep your knees straight, but try not to lock them.

    foot Rx Neuropathy and Exercise

    Gentle massage & manual stimulation in the clinic helps speed recovery...

Additional precautions are vital for neuropathy patients to observe.  After every workout session, patients should remember to check their feet and any relevant extremities for blisters, irritation, or sores. These could be vulnerable to infections, which themselves could elevate risk for amputation.

It is important for neuropathy sufferers to be mindful of their heart rate and blood pressure.  Especially if you suffer from autonomic neuropathy, which can greatly increase risk of heart failure or cardiac arrest, be aware of your limitations when it comes to safe exercise.  Don’t worry—there’s a way for everyone to exercise safely.  If you have any doubts, consult your NeuropathyDR® clinician to review your workout plan.

Finally, be sure to monitor your body temperature.  Neuropathy sufferers are at high risk when it comes to overheating, since some types of neuropathy can reduce the body’s ability to temperature-control.  Consult your clinician if sweating seems overly profuse or the opposite, less than normal.

If you have any questions about exercising with neuropathy, contact us!  We can answer your questions and help put you in touch with a NeuropathyDR® clinician who can help you in person.  Have a great workout!

 

http://www.ehow.com/how-does_5162775_exercise-peripheral-neuropathy.html

http://journal.diabetes.org/diabetesspectrum/98v11n4/pg231.htm

http://www.livestrong.com/article/99573-exercise-peripheral-neuropathy/

http://www.health.com/health/condition-article/0,,20189334,00.html

http://www.health.com/health/condition-article/0,,20188832,00.html

 

Neuropathy and Exercise

If you suffer from neuropathy, you know that the pain, muscle control problems, and overall health complications can make even everyday activities harder to manage.  For some, the prospect of exercising while suffering from neuropathy will seem not only unrealistic but an almost ironic misplacement of priorities.  Exercise is important for everyone, though, and in sufferers of neuropathy, can help control blood sugar and actually slow down the progression and symptoms of the condition!

Exercising regularly greatly decreases anyone’s risk of diabetic neuropathy, and has been shown to control symptoms and deterioration in sufferers by elevating overall blood flow to the limbs and controlling cardiovascular atrophy.  Depending on your specific type of neuropathy, areas affected, and the extent of the damage, you will have to adjust conventional workout routines to accommodate the condition.  Ask your NeuropathyDR® clinician if you have questions, and be sure to consult them before beginning any workout program.  Your clinician will inspect your feet and legs for signs of potential problems, and will help you make sure your shoes are properly fitted so as to avoid neuropathy-related injuries.

Additionally:

  • Use silica gel or air midsoles
  • Use polyester or polyester/cotton blend socks to keep your feet dry
  • Avoid any workout clothes that rub against your skin in the same area.

Ann Albright of the Division of Diabetes Translation in Atlanta cautions that neuropathy patients will want to steer clear of most repetitive or weight-bearing exercise, such as running, walking, or extensive weight training (although some sources advocate weight training as beneficial, in moderation).  So which exercises are the most beneficial while reducing risk?

mail4 Neuropathy and Exercise

Don't Neglect Stretching and Core Activities...

Swimming is one of the best exercises, as it is an activity adaptable to any age, fitness level, or degree of neuropathy symptoms.  Swimming is also a full-body, “no-impact” workout, and so is less harmful to your joints, legs, and feet than most other forms of exercise, without sacrificing circulation (ask any lap swimmer and they’ll tell you—swimming has no problem getting your heart rate up!)  As such, it is highly recommended for almost anyone.

Bicycling, rowing, and use of a stationary bicycle are other excellent, low-impact activities that can be safely integrated into a neuropathy treatment program. Some organizations have even developed exercise programs for senior citizens suffering from neuropathy, incorporating a heavy emphasis on seated exercises.

If you don’t have regular access to facilities or equipment for more extensive exercise, there are some basic exercises you can do almost anywhere that can help your neuropathy!  Here are some to try:

  • For your hands, touch the pad of your thumb with your index finger, running the finger down to the base of your thumb. Then, repeat the movement with the index, middle, ring, and little fingers. Do this exercise several times.
  • For your legs and feet, straighten one knee and point your foot.  Flex your ankle five times, then circle your foot five times in each direction, clockwise and counterclockwise.
  • To increase balance, try this exercise: from a standing position, rise up slowly on your tiptoes, and then rock backward onto your heels. Keep your knees straight, but try not to lock them.

Additional precautions are vital for neuropathy patients to observe.  After every workout session, patients should remember to check their feet and any relevant extremities for blisters, irritation, or sores. These could be vulnerable to infections, which themselves could elevate risk for amputation.

It is important for neuropathy sufferers to be mindful of their heart rate and blood pressure.  Especially if you suffer from autonomic neuropathy, which can greatly increase risk of heart failure or cardiac arrest, be aware of your limitations when it comes to safe exercise.  Don’t worry—there’s a way for everyone to exercise safely.  If you have any doubts, consult your NeuropathyDR® clinician to review your workout plan.

Finally, be sure to monitor your body temperature.  Neuropathy sufferers are at high risk when it comes to overheating, since some types of neuropathy can reduce the body’s ability to temperature-control.  Consult your clinician if sweating seems overly profuse or the opposite, less than normal.

If you have any questions about exercising with neuropathy, contact us!  We can answer your questions and help put you in touch with a NeuropathyDR® clinician who can help you in person.  Have a great workout!

 

http://www.ehow.com/how-does_5162775_exercise-peripheral-neuropathy.html

http://journal.diabetes.org/diabetesspectrum/98v11n4/pg231.htm

http://www.livestrong.com/article/99573-exercise-peripheral-neuropathy/

http://www.health.com/health/condition-article/0,,20189334,00.html

http://www.health.com/health/condition-article/0,,20188832,00.html

 

Neuropathy and Exercise

If you suffer from neuropathy, you know that the pain, muscle control problems, and overall health complications can make even everyday activities harder to manage.  For some, the prospect of exercising while suffering from neuropathy will seem not only unrealistic but an almost ironic misplacement of priorities.  Exercise is important for everyone, though, and in sufferers of neuropathy, can help control blood sugar and actually slow down the progression and symptoms of the condition!

Exercising regularly greatly decreases anyone’s risk of diabetic neuropathy, and has been shown to control symptoms and deterioration in sufferers by elevating overall blood flow to the limbs and controlling cardiovascular atrophy.  Depending on your specific type of neuropathy, areas affected, and the extent of the damage, you will have to adjust conventional workout routines to accommodate the condition.  Ask your NeuropathyDR® clinician if you have questions, and be sure to consult them before beginning any workout program.  Your clinician will inspect your feet and legs for signs of potential problems, and will help you make sure your shoes are properly fitted so as to avoid neuropathy-related injuries.

Additionally:

  • Use silica gel or air midsoles
  • Use polyester or polyester/cotton blend socks to keep your feet dry
  • Avoid any workout clothes that rub against your skin in the same area.

Ann Albright of the Division of Diabetes Translation in Atlanta cautions that neuropathy patients will want to steer clear of most repetitive or weight-bearing exercise, such as running, walking, or extensive weight training (although some sources advocate weight training as beneficial, in moderation).  So which exercises are the most beneficial while reducing risk?

mail4 Neuropathy and Exercise

Don't Neglect Stretching and Core Activities...

Swimming is one of the best exercises, as it is an activity adaptable to any age, fitness level, or degree of neuropathy symptoms.  Swimming is also a full-body, “no-impact” workout, and so is less harmful to your joints, legs, and feet than most other forms of exercise, without sacrificing circulation (ask any lap swimmer and they’ll tell you—swimming has no problem getting your heart rate up!)  As such, it is highly recommended for almost anyone.

Bicycling, rowing, and use of a stationary bicycle are other excellent, low-impact activities that can be safely integrated into a neuropathy treatment program. Some organizations have even developed exercise programs for senior citizens suffering from neuropathy, incorporating a heavy emphasis on seated exercises.

If you don’t have regular access to facilities or equipment for more extensive exercise, there are some basic exercises you can do almost anywhere that can help your neuropathy!  Here are some to try:

  • For your hands, touch the pad of your thumb with your index finger, running the finger down to the base of your thumb. Then, repeat the movement with the index, middle, ring, and little fingers. Do this exercise several times.
  • For your legs and feet, straighten one knee and point your foot.  Flex your ankle five times, then circle your foot five times in each direction, clockwise and counterclockwise.
  • To increase balance, try this exercise: from a standing position, rise up slowly on your tiptoes, and then rock backward onto your heels. Keep your knees straight, but try not to lock them.

Additional precautions are vital for neuropathy patients to observe.  After every workout session, patients should remember to check their feet and any relevant extremities for blisters, irritation, or sores. These could be vulnerable to infections, which themselves could elevate risk for amputation.

It is important for neuropathy sufferers to be mindful of their heart rate and blood pressure.  Especially if you suffer from autonomic neuropathy, which can greatly increase risk of heart failure or cardiac arrest, be aware of your limitations when it comes to safe exercise.  Don’t worry—there’s a way for everyone to exercise safely.  If you have any doubts, consult your NeuropathyDR® clinician to review your workout plan.

Finally, be sure to monitor your body temperature.  Neuropathy sufferers are at high risk when it comes to overheating, since some types of neuropathy can reduce the body’s ability to temperature-control.  Consult your clinician if sweating seems overly profuse or the opposite, less than normal.

If you have any questions about exercising with neuropathy, contact us!  We can answer your questions and help put you in touch with a NeuropathyDR® clinician who can help you in person.  Have a great workout!

 

http://www.ehow.com/how-does_5162775_exercise-peripheral-neuropathy.html

http://journal.diabetes.org/diabetesspectrum/98v11n4/pg231.htm

http://www.livestrong.com/article/99573-exercise-peripheral-neuropathy/

http://www.health.com/health/condition-article/0,,20189334,00.html

http://www.health.com/health/condition-article/0,,20188832,00.html

 

Neuropathy and Exercise

If you suffer from neuropathy, you know that the pain, muscle control problems, and overall health complications can make even everyday activities harder to manage.  For some, the prospect of exercising while suffering from neuropathy will seem not only unrealistic but an almost ironic misplacement of priorities.  Exercise is important for everyone, though, and in sufferers of neuropathy, can help control blood sugar and actually slow down the progression and symptoms of the condition!

Exercising regularly greatly decreases anyone’s risk of diabetic neuropathy, and has been shown to control symptoms and deterioration in sufferers by elevating overall blood flow to the limbs and controlling cardiovascular atrophy.  Depending on your specific type of neuropathy, areas affected, and the extent of the damage, you will have to adjust conventional workout routines to accommodate the condition.  Ask your NeuropathyDR® clinician if you have questions, and be sure to consult them before beginning any workout program.  Your clinician will inspect your feet and legs for signs of potential problems, and will help you make sure your shoes are properly fitted so as to avoid neuropathy-related injuries.

Additionally:

  • Use silica gel or air midsoles
  • Use polyester or polyester/cotton blend socks to keep your feet dry
  • Avoid any workout clothes that rub against your skin in the same area.

Ann Albright of the Division of Diabetes Translation in Atlanta cautions that neuropathy patients will want to steer clear of most repetitive or weight-bearing exercise, such as running, walking, or extensive weight training (although some sources advocate weight training as beneficial, in moderation).  So which exercises are the most beneficial while reducing risk?

mail4 Neuropathy and Exercise

Don't Neglect Stretching and Core Activities...

Swimming is one of the best exercises, as it is an activity adaptable to any age, fitness level, or degree of neuropathy symptoms.  Swimming is also a full-body, “no-impact” workout, and so is less harmful to your joints, legs, and feet than most other forms of exercise, without sacrificing circulation (ask any lap swimmer and they’ll tell you—swimming has no problem getting your heart rate up!)  As such, it is highly recommended for almost anyone.

Bicycling, rowing, and use of a stationary bicycle are other excellent, low-impact activities that can be safely integrated into a neuropathy treatment program. Some organizations have even developed exercise programs for senior citizens suffering from neuropathy, incorporating a heavy emphasis on seated exercises.

If you don’t have regular access to facilities or equipment for more extensive exercise, there are some basic exercises you can do almost anywhere that can help your neuropathy!  Here are some to try:

  • For your hands, touch the pad of your thumb with your index finger, running the finger down to the base of your thumb. Then, repeat the movement with the index, middle, ring, and little fingers. Do this exercise several times.
  • For your legs and feet, straighten one knee and point your foot.  Flex your ankle five times, then circle your foot five times in each direction, clockwise and counterclockwise.
  • To increase balance, try this exercise: from a standing position, rise up slowly on your tiptoes, and then rock backward onto your heels. Keep your knees straight, but try not to lock them.

Additional precautions are vital for neuropathy patients to observe.  After every workout session, patients should remember to check their feet and any relevant extremities for blisters, irritation, or sores. These could be vulnerable to infections, which themselves could elevate risk for amputation.

It is important for neuropathy sufferers to be mindful of their heart rate and blood pressure.  Especially if you suffer from autonomic neuropathy, which can greatly increase risk of heart failure or cardiac arrest, be aware of your limitations when it comes to safe exercise.  Don’t worry—there’s a way for everyone to exercise safely.  If you have any doubts, consult your NeuropathyDR® clinician to review your workout plan.

Finally, be sure to monitor your body temperature.  Neuropathy sufferers are at high risk when it comes to overheating, since some types of neuropathy can reduce the body’s ability to temperature-control.  Consult your clinician if sweating seems overly profuse or the opposite, less than normal.

If you have any questions about exercising with neuropathy, contact us!  We can answer your questions and help put you in touch with a NeuropathyDR® clinician who can help you in person.  Have a great workout!

 

http://www.ehow.com/how-does_5162775_exercise-peripheral-neuropathy.html

http://journal.diabetes.org/diabetesspectrum/98v11n4/pg231.htm

http://www.livestrong.com/article/99573-exercise-peripheral-neuropathy/

http://www.health.com/health/condition-article/0,,20189334,00.html

http://www.health.com/health/condition-article/0,,20188832,00.html

 

Neuropathy and Exercise

If you suffer from neuropathy, you know that the pain, muscle control problems, and overall health complications can make even everyday activities harder to manage.  For some, the prospect of exercising while suffering from neuropathy will seem not only unrealistic but an almost ironic misplacement of priorities.  Exercise is important for everyone, though, and in sufferers of neuropathy, can help control blood sugar and actually slow down the progression and symptoms of the condition!

Exercising regularly greatly decreases anyone’s risk of diabetic neuropathy, and has been shown to control symptoms and deterioration in sufferers by elevating overall blood flow to the limbs and controlling cardiovascular atrophy.  Depending on your specific type of neuropathy, areas affected, and the extent of the damage, you will have to adjust conventional workout routines to accommodate the condition.  Ask your NeuropathyDR® clinician if you have questions, and be sure to consult them before beginning any workout program.  Your clinician will inspect your feet and legs for signs of potential problems, and will help you make sure your shoes are properly fitted so as to avoid neuropathy-related injuries.

Additionally:

  • Use silica gel or air midsoles
  • Use polyester or polyester/cotton blend socks to keep your feet dry
  • Avoid any workout clothes that rub against your skin in the same area.

Ann Albright of the Division of Diabetes Translation in Atlanta cautions that neuropathy patients will want to steer clear of most repetitive or weight-bearing exercise, such as running, walking, or extensive weight training (although some sources advocate weight training as beneficial, in moderation).  So which exercises are the most beneficial while reducing risk?

mail4 Neuropathy and Exercise

Don't Neglect Stretching and Core Activities...

Swimming is one of the best exercises, as it is an activity adaptable to any age, fitness level, or degree of neuropathy symptoms.  Swimming is also a full-body, “no-impact” workout, and so is less harmful to your joints, legs, and feet than most other forms of exercise, without sacrificing circulation (ask any lap swimmer and they’ll tell you—swimming has no problem getting your heart rate up!)  As such, it is highly recommended for almost anyone.

Bicycling, rowing, and use of a stationary bicycle are other excellent, low-impact activities that can be safely integrated into a neuropathy treatment program. Some organizations have even developed exercise programs for senior citizens suffering from neuropathy, incorporating a heavy emphasis on seated exercises.

If you don’t have regular access to facilities or equipment for more extensive exercise, there are some basic exercises you can do almost anywhere that can help your neuropathy!  Here are some to try:

  • For your hands, touch the pad of your thumb with your index finger, running the finger down to the base of your thumb. Then, repeat the movement with the index, middle, ring, and little fingers. Do this exercise several times.
  • For your legs and feet, straighten one knee and point your foot.  Flex your ankle five times, then circle your foot five times in each direction, clockwise and counterclockwise.
  • To increase balance, try this exercise: from a standing position, rise up slowly on your tiptoes, and then rock backward onto your heels. Keep your knees straight, but try not to lock them.

Additional precautions are vital for neuropathy patients to observe.  After every workout session, patients should remember to check their feet and any relevant extremities for blisters, irritation, or sores. These could be vulnerable to infections, which themselves could elevate risk for amputation.

It is important for neuropathy sufferers to be mindful of their heart rate and blood pressure.  Especially if you suffer from autonomic neuropathy, which can greatly increase risk of heart failure or cardiac arrest, be aware of your limitations when it comes to safe exercise.  Don’t worry—there’s a way for everyone to exercise safely.  If you have any doubts, consult your NeuropathyDR® clinician to review your workout plan.

Finally, be sure to monitor your body temperature.  Neuropathy sufferers are at high risk when it comes to overheating, since some types of neuropathy can reduce the body’s ability to temperature-control.  Consult your clinician if sweating seems overly profuse or the opposite, less than normal.

If you have any questions about exercising with neuropathy, contact us!  We can answer your questions and help put you in touch with a NeuropathyDR® clinician who can help you in person.  Have a great workout!

 

http://www.ehow.com/how-does_5162775_exercise-peripheral-neuropathy.html

http://journal.diabetes.org/diabetesspectrum/98v11n4/pg231.htm

http://www.livestrong.com/article/99573-exercise-peripheral-neuropathy/

http://www.health.com/health/condition-article/0,,20189334,00.html

http://www.health.com/health/condition-article/0,,20188832,00.html

 

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