Sunday, August 14, 2011

Why are my toes tingling?

I see many diabetics in my practice, and many are very well informed about their process, and prognosis. However when we speak about foot problems and complications, frequently patients ask why their toes are tingling, burning, or sometimes feel numb. Other complaints include the complete opposite, such as hypersensitivity. Very often the answer to these questions is diabetic peripheral neuropathy (DPN).
DPN is one of the most common side effects of diabetes. The longer a person has diabetes, the more the risk of developing neuropathy. Some recent studies have shown that up to 60% of diabetics have neuropathy. What causes it? Elevated blood sugar causes chemical changes in the nerves. These changes do not allow the nerves to transmit signals effectively, causing decreased feeling, imbalance and instability of gait with increased risk in falling, and the ability to feel sensations different in different parts of the body, especially in your feet and toes.
In order to treat the symptoms, it is important for proper diagnosis. Ways your podiatrist can diagnose diabetic peripheral neuropathy include a monofilament test, nerve conduction studies, nerve biopsies, and quantitative sensory testing.
Treatment may include blood sugar control, oral prescription medications, topical medications, and even a product called Neuremedy which can be dispensed right in our office. Speak to one of our podiatrist to find out if this supplement is appropriate for you.
By seeing a podiatrist and getting a thorough exam, you can get help with diagnosing and treating diabetic peripheral neuropathy. Visit us at elmhurstfootdoc.com or stop in our office in Elmhurst, IL and speak to Dr. Arain or Dr. McNeill. Your tingling toes will thank you!