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Neuropathic foot pain

Discussion in 'Diabetic Foot & Wound Management' started by Joanne, Jul 15, 2006.

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  1. Joanne

    Joanne Welcome New Poster


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    Other than using Amitriptyline/Gabapentin and well controlled Blood/Glucose levels. Can anyone recommend any other treatments for neuropathic pain?
     
    Joanne, Jul 15, 2006
    #1
  2. Admin2

    Admin2 Administrator Staff Member

    Admin2, Jul 15, 2006
    #2
  3. Craig Payne

    Craig Payne Moderator

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    Craig Payne, Jul 15, 2006
    #3
  4. John Spina

    John Spina Active Member

    A few things may help here:
    1.Try topical capsaicin.it is a counterirritant that depletes substance P(this is what can cause the pain)
    2.There are new orals for pain.Cymbalta is an antidepressant type med which is taken once daily.BE CAREFUL WITH THIS IF PATIENT HAS LIVER TROUBLE.
    3.Anodyne therapy is said to work.It increases blood flow to the area.
    4.AFG stablizers can be worn at night.Same principle...increase blood flow to area.
    5.You can even refer recalcitrant cases to doctors-i.e Dr.Lee Dellon-who will do a tarsal tunnel decompression.This is somewhat controversial as some docs feel that diabetic neuropathy is an extreme case of tarsal tunnel syndrome.
     
    John Spina, Jul 17, 2006
    #4
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