Neuropathy

Regular inspection of the feet is of paramount importance to prevent long term complications. Due to the numbness and loss of protective sensation, patients might notice infections and injuries of the foot. This can result in serious infections, amputations and even death. Good glycemic control is the mainstay of treatment in patients with diabetic neuropathy. Protective shoe gear which are custom made for the patient are utilized as well. Medications such as gabapentin and lyrica are often prescribed by your PCP which can help decrease the symptoms. 

Nutritional supplements can also be very useful in managing symptoms. Many diabetics also have concurrent nutritional deficiencies that should be addressed. Topical treatments are also utilized which can be very effective in recalcitrant cases. These creams are compounded by specialty pharmacies and are a mixture of different medications that all work differently to soothe the nerves. Surgical intervention is required in nerve entrapment cases. The impinged nerve is released surgically to restore its function and to provide relief. 

Alternative treatments that do provide short term pain treatment include topical options that do not have side effects and are a better option then OTC options.