This is silvester at the next step foot and ankle , and im going to talk to you a little bit today about something that, for our neuropathy patients, has been a real game changer. Its really given us another powerful tool in being able to eliminate or significantly decrease the symptoms of painful peripheral neuropathy. Theres also significant evidence that this procedure, this treatment that we do, actually helps the nerves regrow helps the nerves to heal and become better. Its a matter of circulation.
In the nerve, its also a matter of opening the gates that how a nerve functions is that there are gates that allow electrical currents to pass down the nerve, and the nerve uses a lot of energy to keep those gates either open or closed, depending on what its trying to do. The anatomy of a nerve is such that if you took a nerve out of this young ladys back and down to her foot. If you spread that nerve out and magnified it at maybe 1000 times,.
The relative proportions of the nerve would be like a string the length of a football field. A nerve uses more energy than any cell in the body, so the nerve, being that long and that skinny, the nerves ability to heal itself and deliver energy to all those little gates all along that nerve is somewhat hampered. This treatment tends to restore that and helps the nerve heal. Its a very simple procedure, and Im going to show you this is the machine, its called the Neurogenx 4000.
Pro. it has an electrical current that goes into the nerve and helps fire the nerve repeatedly over a period of time. Our treatments last about 3045 minutes, depending on the severity of the patients symptoms. We do this with an integrated nerve block. Im going to show you where the nerves come down into your leg. Theres one right here, and this is called the common peroneal nerve. Were going to put one patch there. Theres a nerve right back here, and this is the tibial nerve, and that comes down right there, and.
Well put a patch there. all the nerves that innervate the bottom of the foot come through here, and this is called the tarsal tunnel and the plantar nerves. Then on the top of the foot theres also a deep peroneal nerve and there are also branches of the superficial peroneal nerve that are up here. Depending on where the symptoms are the worst, we kind of move the pads to try and treat the nerves that were involved with. If you dont have very many symptoms on the deep peroneal nerve, we do it up here at the superficial.
Peroneal nerve. The first pad goes over the common fibular nerve, the next one goes back here where the tibial nerve comes down into the leg and its kind of deep right there. Most of the time well treat the superficial peroneal nerve. Then, on the inside of the foot, the area of the tarsal tunnel. Now thats all set up for nerve treatment, and all we do is turn the machine on, and we just bring up the intensity until the patient feels it. It shouldnt.
Be uncomfortable, but you should be able to feel it when its working. its a fairly substantial current. The next thing that we do with this is either during or after the procedure, we give local anesthetic blocks into those nerves that are most badly affected by nerve disease. We determine that with our al examination. Those injections consist of just a longacting local anesthetic and so the patient leaves, they may be numb for a while or they may not feel any numbness. What happens is, the signal therapy followed.
With the local anesthetic therapy causes the nerve to be able to reestablish itself as far as the surrounding environment with nutritional support, vasodilation and really helps the nerves heal themselves. This has been, in about 80% of our patients who undergo this therapy, they have significant relief of their peripheral neuropathy. Its not a one time thing. We have to do it 13 times, and sometimes we extend it beyond that. 13 treatments in general, but sometimes we extend it beyond that. Thats electrical nerve stimulation.
Tingling Feet and Hands An Early Warning of Neuropathy
Tingling or numbness affecting your feet may seem like a trivial symptom of no real importance. However, in this tutorial, I will explain why this symptom may be very important with regard to your health in general and why you should not ignore it. Tingling hands, feet, or hands and feet is an extremely common and bothersome symptom. Such tingling can sometimes be entirely innocent and temporary. For example, it could result from pressure on nerves when your arm is bent under your head as you fall asleep. Or it.
Could be from pressure on nerves when you cross your legs for too long. in either case, the pins and needles effect which is usually painless is soon relieved by removing the pressure that caused it. In many cases, however, tingling in the hands, feet can be severe, occurring at irregular times or continuously day and night. It also can accompany other symptoms. such as pain,itching, numbness, and muscle wasting. In such cases, tingling may be a sign ofnerve damage.
Suchnerve damageis known by s asperipheral neuropathybecause it affects nerves distant from thebrainand spinal cord, often in the hands and feet. There are more than 100 different types of peripheral neuropathy. Over time, peripheral neuropathy can worsen, resulting in decreased mobility and even disability. In fact, diabetesis the number one cause of peripheral neuropathy, accounting for well over a third of cases. Indiabetic neuropathy, tingling and other symptoms often first develop.
In both feet and go up the legs, followed by tingling and other symptoms that affect both hands and go up the arms. About twothirds of people with diabetes have mild to severe forms ofnerve damage. In many cases, these symptoms are the firstsigns of diabetes. So here is the main point I want to make, tingling and numbness in the feet may be the first signs that you have a serious peripheral neuropathy and that you may have diabetes. Diabetes puts you at risk of heart attack, stroke, kidney failure, blindness and a long.
List of other serious complications. so that tingling you have could be your only warning sign of a serious complication developing elsewhere in your body. Dont ignore this symptom and please get a check up. Well I hope you have found this tutorial interesting. Do please remember to subscribe and that way you will be the first to see my next tutorial on leg health and venous disease. My name is Haroun Gajraj, thank you for watching.