Our new protocol dramatically reduces patient symptoms, fosters independence.
Managing the patient with peripheral neuropathy in private practice can be one of the most frustrating clinical experiences for Primary Care Physicians and Neurologists alike. Until now, most treatments have focused only on symptom control, largely by way of pharmacotherapy, and glucose control in diabetic patients. Physical therapy alone often provides little lasting relief.
As you know, drug costs, as well as medication side effects have left us all wishing there were more that could be done for neuropathy patients. We have implemented a new program that provides a fresh approach to conservative care of the neuropathy patient. Relief is being found utilizing a multi-modality approach to patient care including:
- Light therapy
- Vibratory exercise / proprioceptive therapy
- Joint manipulation
- Sensorimotor integration
- Nutrition and diet education
- Oxygen therapy.
Plus, our use of clinically tested HealthLight
infrared light therapy along with additional soft tissue myofascial techniques allow patients to not only achieve lasting relief, but learn long term self management strategies.
Most patients can then be transitioned to home care with a successful clinical trial. Since most patients also suffer with strength and balance problems caused, at least in part by peripheral neuropathy, we have balance techniques to aid the patient in restoring their balance and confidence in their feet and legs.
What’s different about this program?
Whether due to diabetes, chemotherapy or metabolic disorders, neuropathic symptoms share common pathophysiology. Nerve tissues are highly vulnerable to damage from diseases that impair the body’s ability to transform nutrients into energy, process biochemical waste products, oxygenate neurons, or manufacture some components of cellular repair.
Diabetes mellitus is a major cause of peripheral neuropathy in the United States. About 60 percent to 70 percent of people with diabetes have mild to severe forms of neuropathy. Chemotherapy is another leading cause in our age advancing populations of patients in most communities.
Peripheral Neuropathy Treatment Program:
Our office is proud to offer a fresh approach to management of the symptoms associated with peripheral neuropathy. Our office’s treatment program starts with the clinical diagnosis skills of our doctor, utilizing both traditional physical medicine diagnostic tests as well as a qualitative sensory exam called the Toronto Clinical Scoring System which has been proven highly effective in the medical literature at diagnosing the presence and severity of peripheral neuropathy.
Why Oxygen Therapy?
Unlike muscles, your brain cannot store energy. It needs a steady flow of nutrients and oxygen to functions normally. Oxygen deficiency, as seen in most neuropathy patients has an added detrimental effect on the nervous system. By using oxygen in our therapies, we are fueling the nervous system for more healing potential. Our program includes the use of infrared and LED light therapy, which has been shown to “bio-stimulate” or “bio-modulate” tissues at the cellular level, including both superficial and deep nerve tissues.
Additionally, vibration is used with simple exercises to help stimulate the dorsal nerve columns (proprioception) and increase circulation to the lower extremities.Spinal and Extremity manipulation reduces the mechanical component of the peripheral neuropathy by reducing localized nerve irritation in the joints of the feet, ankle, knee and spine. Sensorineural stimulation stimulates the affected nerves through daily use at home.
What about Biomechanics and Exercise?
In most older patients, the lumbar and hip (piriformis) areas experience muscle spasms, blood flow is restricted through muscles resulting in reduced oxygen availability to the surrounding tissue, including nerve cells. Because muscles can use either oxygen or glucose metabolic pathways, they can recover quickly from a temporary reduction in the level of available oxygen.
Nerve cells, on the other hand, are limited to the Krebs oxidative reductive metabolic system and must take immediate defensive steps to survive. Our program provides the right combination of manual therapies and home exercise and self-care programs to ensure long-term improvement.
The Bottom Line: After just 6-9 weeks of care, most patients are discharged feeling significantly better and more confident in their ability to take care of themselves in all aspects of daily life. If you have peripheral neuropathy there may be a good chance of getting help with this therapy protocol.
To find out more:
Call our office at 760-761-4436 and have our staff schedule a FREE Peripheral Neuropathy evaluation for you. We are also members of the Neuropathy Treatment Centers of America, information about the national organization can be found at the website www.neurotca.com/gl92081