The Use Of Physical Therapy Rehabilitation Centers

Explain, that diabetes is the most common cause of neuropathy. Peripheral neuropathy is the most common form of diabetic neuropathy. Your feet and legs are often affected first, followed by your hands and arms.

The nervous system consists of a complex network of nerve cells and fibers which transmit impulses between the different parts of the body. Diabetic neuropathy is a nerve disorder caused by diabetes where high blood glucose levels cause chemical changes in nerves, impairing their ability to transmit signals. It also damages the blood vessels which carry oxygen and nutrients to nerves. This nerve damage can lead to problems with every other body system, resulting in numbness, tingling sensations, limb pain, indigestion, diarrhea, constipation, dizziness, bladder infections, impotence, weakness and depression. Approximately 60% of diabetics are diagnosed with some form of neuropathy (Diabetes United Kingdom,

7. Examine your feet. Diabetes-related nerve damage can mean that you might have minor injuries to your feet that you can’t feel. This can lead to infections and other complications. Check the soles of your feet daily. Put lotion on them at night to keep the skin in good condition. Wear comfortable shoes that fit correctly. Ask your doctor to examine your feet whenever you have an office visit.

Diabetic Peripheral Neuropathy (DPN) is one of the most common microvascular complications in diabetes and can result in foot ulceration, ampuation and an impaired quality of life(Carrington AL, et al 2002,Boulton AJ,et al 2004). The reported prevalence of diabetic peripheral neuropathy ranges from 16% to as high as 66%2 and its prevelance is believed to increase with the duration of diabetes and poor glucose control.(Boulton AJ.et al 2000) It’s accounts for 50–75% of non-traumatic amputations in diabetic patients.(Holzer SE, et al 1998, Boulton AJM, 1998,Malay DS, et al 2006)

Physical Therapists help people who have suffered an injury and have suffered impairment. They help develop a plan that helps bring back mobility into the part of the body, help relieve pain, and they prevent the risk of permanent physical disability. In specifically they help people with problems that are a result from a back or neck injury which include: sprains, strains neurological disorders, sports related injuries and any other condition.

One of the most common complications of diabetes is diabetic neuropathy. In fact, between 60 to 70 percent of people with diabetes have some form of neuropathy according to the National Institute of Diabetes and Digestive and Kidney Diseases. If someone you love has neuropathic diabetes they may be experiencing pain, tingling, or numbness (loss of feeling) in the hands, arms, feet and legs. And they could even have nerve problems in every organ system, including the digestive tract, heart and sex organs. The type of pain he or she feels depends on the type of neuropathy they have. There are four classifications of diabetic neuropathy — peripheral neuropathy, autonomic neuropathy, proximal neuropathy and focal neuropathy — and each affects different parts of the body in a different way.

One of the most common long-term complications of diabetes mellitus is painful neuropathy. Diabetic neuropathy is estimated to affect about 60-70% of all diabetes patients and can lead to foot ulcers, amputations, and decreased quality of life. The most common form is chronic peripheral neuropathy which results in pain and numbness in the extremities, usually described as a burning, tingling, or steady aching pain.1 Patients may also feel increased sensitivity to pain or experience paresthesia, a sensation of tingling, tickling, or prickling of the skin.1 According to current guidelines, intensive glycemic control is very important for the prevention and reduction of peripheral neuropathy and other microvascular complications.1,2 Medications used to help relieve nerve pain include duloxetine and pregabalin (Lyrica®), which are both approved by the U.S. Food and Drug Administration for use in diabetic neuropathy. Other drug classes commonly used are antidepressants, anticonvulsants, and opioids.3 Although there are many medications used for this condition, pain relief is often insufficient for patients. Treatment is difficult due to the complicated pathophysiology of pain transmission and the wide range of mechanisms of action of drugs used to treat pain. Therefore, there is a continued need for additional medication options for this chronic painful condition. Lacosamide is an anticonvulsant approved for use as monotherapy or adjunctive therapy for partial-onset seizures.

In our case we are dealing with diabetic peripheral neuropathy that results from nerve damage due to the high blood glucose levels diabetics. About 60 to 70 percent of people who have had diabetes for many years have some form of nerve damage, but not everyone has symptoms. (Inzucchi, 2012) Common types of diabetic neuropathy are those that affect the limbs along with the

Diabetic foot ulcer (DFU) is a major complication of diabetes mellitus [2]. Non-healing ulceration usually progress to amputation in spite of standard care. DFUs result from interaction of ;neuropathy, peripheral vascular disease and foot deformity. 80% of diabetic persons with foot ulcers present with peripheral neuropathy which is the greatest risk of foot ulceration [3]. Neuropathy in DM shows variable degrees of autonomic, sensory, and motor functions changes[4]. Motor neuropathy causes atrophy of the foot muscles resulting in clawing of the toes, sensory neuropathy results in repetitive trauma to the foot, and autonomic neuropathy changes skin consistency so accelerating ulcer formation [5] .40 to 50% of all patients show ischemic manifestations with the most having neuroischemic ulcers, and only few of them has purely ischemic

First, we will talk about Peripheral neuropathy which is a medical term used to describe a whole series of disorders resulting from damage to the body's peripheral nervous system( Alexiadou and Doupis, 2012). According to research, Diabetic neuropathy is the common factor in almost 90% of diabetic foot ulcers ( Alexiadou and Doupis, 2012). Because even a slightly high blood sugar level can causes damage of some nerves. It will affected

Peripheral neuropathy is obviously one of the major complications of chronic diabetes, which affects the nerves and leads to loss of sensation, numbness, and pain in the legs, feet, or even hands. Sadly, peripheral neuropathy is likely to affect approximately 70% of people with diabetes. However, not all people who develop this type of complication experience serious pain.

Diabetic neuropathy is a nerve disorders caused by diabetes. Symptoms include pain, tingling, or numbness, loss of feeling in hands, arms, feet, and legs. Nerve problems can occur in every organ system. Diabetic neuropathies appears more common in people who have problems controlling their blood glucose, those with high levels of blood fat, high blood pressure and obese (Porth, 2015). Metabolic factors include high blood glucose, abnormal blood fat levels, and low insulin levels. Neurovascular factors are associated to damage to the blood vessels that carry oxygen and nutrients to nerves (Porth, 2015). Autoimmune factors that cause inflammation in nerves. Mechanical injury to nerves, for example, carpal tunnel syndrome (Porth, 2015). Inherited

My Journey and the Role of PTA Fist of all thank you for taking the time to read this essay! But most importantly I would like to thank you for taking the time to listen to what I have to say about my experience of the profession of Physical Therapy and the role of the PTA. During my journey of the profession, I observed inpatient and outpatient settings. My observations take place in the TIRR Memorial Hermann--Rehabilitation & Research hospital and the 1960 Family Practice Physical Therapy. Therefore, I am going to share my experience of inpatient and outpatient settings.

Diabetic neuropathy is defined as damage to nerves caused by diabetes. Nerve damage in the arms, legs, hands and feet caused by diabetes is referred to as diabetic peripheral neuropathy. While some patients may have extremely painful symptoms, others may be asymptomatic. If there is damage to the peripheral nerves, one might not be able to feel normally in their arms, hands, legs, and feet. In some cases, these parts may feel numb. Some may also have a needles and pins, or burning sensation. These symptoms are often worsened at night and can interfere with sleep. "Painful diabetic neuropathy symptoms exhibit a symmetrical 'stocking and gloves' distribution and are often associated with nocturnal exacerbation (Aslam, Singh, & Rajbhandari, 2014,

Diabetic neuropathy can occur with long-term diabetes, usually after several years of uncontrolled high blood glucose. Glucose proteins, called glycoproteins, form in the nerves primarily those in the legs and feet. When the nerves in the feet are damaged, the brain cannot recognize pain in that area. Nerve damage from diabetic neuropathy can lead to weakness in the muscles in the legs and feet. Since the muscles work as a system, neuropathy can lead to other foot problems, such as hammertoes, calluses, bunions, and other foot deformities. These deformities are dangerous because of the risk of infection. A simple blister from a tight shoe can spell disaster