January 28, 2015 Sweating Patterns and Possible Underlying Small-Fiber Neuropathy The British Journal of Dermatology TAKE-HOME MESSAGE The authors of this retrospective analysis included patients who underwent thermoregulatory sweat testing (TST), which examines whole-body sweating, and who had itching, burning, numbness, and tingling sensations. Because it is mediated by small nerve fibers, sweating may be […]
Larry Hand January 16, 2015 Physicians may be able to predict which patients with knee osteoarthritis (OA) will be subject to severe pain by determining whether meniscal lesions are contributing to neuropathic pain (NP) in the knee, according to an article published online December 14 in Arthritis Research & Therapy. Using magnetic resonance imaging (MRI) to make a diagnosis of […]
RESEARCH · December 11, 2014 TAKE-HOME MESSAGE The authors of this meta-analysis of six studies examined predictors of response to a capsaicin patch (Qutenza®) for post-herpetic neuralgia and HIV-associated neuropathy. Patients most likely to have a sustained (>50% decrease in mean pain intensity) or complete (pain intensity score ≤1) response were those with lower baseline […]
Pruritus: An Underrecognized Symptom of Small-Fiber Neuropathies Journal of the American Academy of Dermatology TAKE-HOME MESSAGE Questionnaire responses from 41 patients with a diagnosis of small-fiber neuropathies (SFN) revealed that 68.3% had pruritus. Symptoms were worsened by fatigue, sweating, stress, xerosis, and hot ambient temperature. In contrast, symptoms were alleviated by cold water. Patients reported […]
Larry Hand November 04, 2014 Misdiagnosis of chronic Lyme disease can cause delays in diagnosis and treatment for the actual conditions, according to a research letter published online November 3 in JAMA Internal Medicine. Christina Nelson, MD, MPH, from the Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado, write that chronic Lyme disease “is a […]
ORLANDO — A plant-based diet may help relieve diabetic nerve pain, according to a randomized trial presented here. by Kristina Fiore, Staff Writer, MedPage Today August 08, 2014 ORLANDO — A plant-based diet may help relieve diabetic nerve pain, according to a randomized trial presented here. In the 15-patient DINE study, patients with type 2 […]
Physical Medicine & Rehabilitation May 2014 Volume 95, Issue 5, Pages 832–839 Xingguang Zhang, MD Abstract Objective To investigate the effect of combination therapy of backward walking training and alpha-lipoic acid (ALA) treatment on the distribution of plantar pressure in patients with diabetic peripheral neuropathy (DPN). Design This study is a double-blinded, randomized controlled trial. […]
Journal of Bodywork and Movement Therapies April 2014 Volume 18, Issue 2, Pages 200–203 Vinicius T. Francio, DC, MS Summary Peroneal nerve palsy is the most common entrapment neuropathy in the lower extremity, and the presentation of foot drop is a frequent initial manifestation of this disorder. This condition can have a marked influence on […]
By James P. Meschino, DC, MS Dynamic Chiropractic – February 15, 2014, Vol. 32, Issue 04 In part 1 of this article, I outlined the key role played by various vitamins in the management of various types of neuropathies. In part 2, I address the important role of other important accessory nutrients that should also […]
By James P. Meschino, DC, MS Dynamic Chiropractic – January 15, 2014, Vol. 32, Issue 02 Doctors of chiropractic and other practitioners who routinely treat neuromusculoskeletal disorders and pain syndromes commonly encounter patients presenting with various types of neuropathies. Included on this list are diabetic neuropathy, compression and entrapment neuropathy, chemotherapy-induced neuropathy, post-traumatic neuropathy, inherited neuropathy […]
12.12.2013 by Nancy Walsh Staff Writer, MedPage Today Peripheral neuropathy is a more common manifestation of systemic lupus erythematosus (SLE) than has been previously appreciated, and often is a small-fiber neuropathy affecting the dorsal root ganglia, a large retrospective study found. In a 25-year study of 2,097 patients, 82 had SLE-specific peripheral neuropathy, which in […]
FDA Beefs Up Fluoroquinolone Warning by Michael Smith North American Correspondent, MedPage Today The risk of nerve damage that fluoroquinolone antibiotics carry may come on rapidly and perhaps be permanent, the FDA warned Thursday. The agency said it is requiring an update to the drug labels and medication guides for all systemic fluoroquinolones in order to […]
Thursday, 05/26/11 Podiatry Today Issue Number: Volume 24 – Issue 6 – June 2011 Author(s): Kerry Zang, DPM, Janna Kroleski, DPM, Shahram Askari, DPM, and Sanford Kaner, DPM In addition to reviewing diagnostic testing for small fiber neuropathy and current treatments, these authors discuss recent study results for low-level laser therapy. Diabetic neuropathy is the […]
David S.H. Bell, MD Disclosures South Med J. 2010;103(3):265-267. ABSTRACT AND INTRODUCTION Abstract Chronic metformin use results in vitamin B12 deficiency in 30% of patients. Exhaustion of vitamin B12 stores usually occurs after twelve to fifteen years of absolute vitamin B12 deficiency. Metformin has been available in the United States for approximately fifteen years. Vitamin B12 […]