In pain management, it is important to determine the direction of the nerve pain that patients may be experiencing. Diabetic neuropathic pain and its symptoms can range from pain and numbness in your legs and feet. Nerve pain that radiates down the extremities is caused by spinal nerve compression. In the upper extremities, Carpal Tunnel Syndrome, Tennis Elbow, De Quervain Tendinosis, to name a few, could cause neuropathic pain that radiates up the arms.  Nerve pain that radiates up the extremities, beginning in the soles of the feet, is called Diabetic Neuropathy, which is set off by uncontrolled diabetes. The most common form of diabetic neuropathy is peripheral neuropathy that initially occurs in the lower extremities. Patients tend to experience a gradual onset of burning, numbness, tingling, and pins and needle sensations in their legs and feet. Over time, the sensations will ascend past their knees and into their hands. diabetic-neuropathic-pain The best treatment for Diabetic Neuropathic pain is a lifestyle change that consists of eating healthier meals (non-processed foods) and exercising daily. In the meantime, Gabapentin, or Lyrica, is effective in managing neuropathic pain. Please follow up with your primary care physician or general practitioner for insulin management and proper lab assessments. References: American Diabetic Association. (2019). Neuropathy. Retrieved from https://www.diabetes.org/diabetes/complications/neuropathy Joshya. (2019, October 12). Diabetic Neuropathy. [Diagram].
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