Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Idiopathic Neuropathy

Discussion in 'General Issues and Discussion Forum' started by Dannii, Oct 22, 2009.

  1. Dannii

    Dannii Member


    Members do not see these Ads. Sign Up.
    Hello All,

    I have never posted before so please excuse any errors. I am looking for someone to shed some light on the following patient.

    82-year-old male presents with painful feet and hands, which have been problematic for 3 to 5 years and is worsening. Distal extremities feel numb and are hypersensitive. Medical history is that of hypertension, gout, depression and anxiety, intermittent vertigo, atrial fibrillation, a permanent pacemaker, zoster over the first division of the 5th nerve and a prostatectomy. A CT brain scan during vertigo attacks shows chronic ischaemic changes.

    Medications include: Cipramil, Coversyl, Rosuvastatin, Norvasc, Warfarin and Eplim. The patient is an ex smoker, reports he has never been more than a moderate drinker (2 glasses of wine daily) and that he has never been exposed to any industrial substances/chemicals which may be deemed hazardous to his health.

    This patient has had a neurology review which reports the lower extremities show increased tone and reflexes bilaterally. The plantars were withdrawn (I assume this means plantar sole reflex). There is decreased sensation over the R/foot and calf to pinprick with preserved proprioception. There is decreased power of the R/hip flexion, L/knee extension and dorsal flexion all are graded 4/5.

    So I’m not looking for a diagnosis but I am wondering if anyone has any suggestions for the symptomatic relief of the neuropathy, which may help the patient. Any takers?

    Thanks
     
  2. Graham

    Graham RIP

    Possible:

    sub acute combined degeneration of the chord secondary to Vit B deficiency,?

    Lou Gehrigs disease (Amyotrophic lateral sclerosis) I think?

    Seringomyelia?

    T/T for neuropathic pain - Lyrica seems to be the new boy on the block.

    Topical neurogen or capscasin p cream.

    Good luck
     
  3. Graham

    Graham RIP

    Other t'ts for neuropathic pain:

    Gabapentin - neurontin

    Amytriptyline

    Weed:bash:
     
  4. ontariogirl

    ontariogirl Welcome New Poster

    Wow, At 82 you might suggest a warm stone massage followed by a glen fiddich ...
     
  5. ontariogirl

    ontariogirl Welcome New Poster

    I wouldn't expect anything beneficial but psychological intervention at this point.
     
Loading...

Share This Page