What Is Diabetic Nerve Pain?
If you have diabetes and shooting, burning, pins and needles pain in your feet or hands, you could have painful diabetic peripheral neuropathy—also known as diabetic nerve pain. It is a common complication of diabetes. The most common cause is poorly controlled blood sugar over time. Diabetic nerve pain can take years to develop. In the early stages, you may have no signs at all, and then only start to feel a tingling or numbness in your feet. As it progresses, you may also feel the pain in your hands and it is often worse at night. This means that your nerves may be damaged for a long time before you experience painful symptoms. Nerve damage can’t be reversed, but controlling your blood sugar can help prevent further damage. Talk to your doctor if you experience any symptoms of diabetic nerve pain. Symptoms of diabetic nerve pain These are some of the most common symptoms of diabetic nerve pain: Shooting Burning Pins and needles Numbness Electric shock-like Throbbing Tingling Stinging Stabbing Radiating Sensitivity to touch How is diabetic nerve pain different from other pain? There are two types of pain—muscle pain or nerve pain. Both types of pain are your body’s way of telling you that something is wrong but each has its own cause, symptoms, and management. Muscle pain is a "protective" form of pain. It is caused by something specific like an injury or inflammation. The nerves in the injured muscle or joint send electric signals to the brain as a warning that damage has occurred and the activity you’re doing is causing harm. If you limit or stop the harmful activity, muscle pain can get better over time. Nerve pain is a "non-protective" form of pain. It occurs when your nerves are damaged by an injury or disease, such as diabetes. Your nerves send extra el Continue reading >>
Diabetes And Foot Problems
Foot problems are common in people with diabetes. You might be afraid you’ll lose a toe, foot, or leg to diabetes, or know someone who has, but you can lower your chances of having diabetes-related foot problems by taking care of your feet every day. Managing your blood glucose levels, also called blood sugar, can also help keep your feet healthy. How can diabetes affect my feet? Over time, diabetes may cause nerve damage, also called diabetic neuropathy, that can cause tingling and pain, and can make you lose feeling in your feet. When you lose feeling in your feet, you may not feel a pebble inside your sock or a blister on your foot, which can lead to cuts and sores. Cuts and sores can become infected. Diabetes also can lower the amount of blood flow in your feet. Not having enough blood flowing to your legs and feet can make it hard for a sore or an infection to heal. Sometimes, a bad infection never heals. The infection might lead to gangrene. Gangrene and foot ulcers that do not get better with treatment can lead to an amputation of your toe, foot, or part of your leg. A surgeon may perform an amputation to prevent a bad infection from spreading to the rest of your body, and to save your life. Good foot care is very important to prevent serious infections and gangrene. Although rare, nerve damage from diabetes can lead to changes in the shape of your feet, such as Charcot’s foot. Charcot’s foot may start with redness, warmth, and swelling. Later, bones in your feet and toes can shift or break, which can cause your feet to have an odd shape, such as a “rocker bottom.” What can I do to keep my feet healthy? Work with your health care team to make a diabetes self-care plan, which is an action plan for how you will manage your diabetes. Your plan should inclu Continue reading >>
Tweet Diabetes often means that there is a greater risk of a foot condition becoming serious so it’s important to let your doctor know if you have symptoms of any of the foot conditions in this guide. It’s important not to dismiss a foot problem as mild as each of the problems listed has the potential to be serious when diabetes is present. When contacting your doctor about any of these conditions, ensure the health team, including receptionist know that you have diabetes. Causes of diabetic foot problems There are a range of different foot complications which may each have different causes but there are some causes that are common to a number of foot problems. Poorly fitting shoes can lead to rubbing of skin causing blisters and corns and shoes that don’t leave enough room for all the toes may increase the chance of bunions or hammer toes occurring. Walking barefoot raises the risk of suffering a foot wound or, particularly in hot weather, burns. Having neuropathy can significantly increase the risk of a foot condition occurring as you may not sense when your feet are becoming aggravated or damaged. Having poor blood circulation can also lead to a number of foot problems. Preventing foot problems There are a number of ways you can reduce the chances of developing a foot problem, which include: Wearing shoes that fit well Avoiding walking bare foot Keeping feet clean Keeping feet moisturised Importantly – checking your feet for signs of damage on a daily basis Athlete's foot (tinea pedis) A fungal infection of the foot characterised by a rash between the toes which may be itchy and cause dry, flaky skin. Athlete’s foot can lead to fungal infection of the toenails and may cause skin on your feet to crack which can lead to infection and therefore can be a seriou Continue reading >>
Diabetic Nerve Pain
Tweet Diabetic nerve pain is a syndrome that affects people with diabetes. This type of nerve pain can affect both type 1 and type 2 diabetes sufferers. Nerve pain, also known as neuropathic pain, is a result of one of the complications of diabetes, called peripheral neuropathy, or diabetic neuropathy. Why does diabetic nerve pain occur? Diabetic nerve pain most commonly occurs when a person with diabetes has prolonged spells of high blood sugar levels. It is thought that high blood glucose affects the nerves by damaging the blood vessels which supply them. High blood pressure, in addition to hyperglycemia, also has a detrimental effect on the nerves. Smoking and alcohol are also known to increase the risk of nerve pain occurring. Where does diabetic nerve pain typically occur? Diabetic nerve pain usually occurs in peripheral regions or extremities, such as feet and legs, hands and arms. Neuropathic foot pain is one of a number of conditions affecting the feet which are termed as problems of ‘the diabetic foot’. For this reason, people with diabetes are advised to undergo a foot examination once each year. A foot exam can help in two ways, by helping to diagnose new problems, such as diabetic neuropathy or circulation problems and it can also help to spot further complications of the foot such as wounds, blisters and a joint disorder known as charcot arthropathy or charcot foot. What are the symptoms of diabetic nerve pain? Diabetic nerve pain symptoms can include: Prickling or tingling feelings A burning sensation Sharp, stabbing or shooting pains in the aforementioned areas. These can range from mild to extreme. In serious cases the whole area may become numb. A condition known as dysesthesia can develop, in some people, which affects one’s sense of touch causin Continue reading >>
Symptoms Of Diabetic Peripheral Neuropathy
Diabetic peripheral neuropathy is a condition caused by long-term high blood sugar levels, which causes nerve damage. Some people will not have any symptoms. But for others symptoms may be debilitating. Between 60 and 70 percent of people with diabetes have some form of neuropathy, according to the National Institute of Diabetes and Digestive and Kidney Diseases. Peripheral neuropathy, the most common form of diabetic neuropathy, affects the legs, feet, toes, hands, and arms. Many people do not know that they have diabetes. People unaware of their diabetes may not know what’s causing some of the unusual sensations they’re experiencing. Nerve damage is the result of high levels of blood glucose over long periods of time. It isn’t entirely clear why high glucose levels damage nerves. A number of factors may play a role in nerve fiber damage. One possible component is the intricate interplay between the blood vessels and nerves, according to the Mayo Clinic. Other factors include high blood pressure and cholesterol levels and nerve inflammation. Diabetic peripheral neuropathy usually first appears in the feet and legs, and may occur in the hands and arms later. A common symptom of diabetic peripheral neuropathy is numbness. Sometimes you may be unable to feel your feet while walking. Other times, your hands or feet will tingle or burn. Or it may feel like you’re wearing a sock or glove when you’re not. Sometimes you may experience sudden, sharp pains that feel like an electrical current. Other times, you may feel cramping, like when you’re grasping something like a piece of silverware. You also may sometimes unintentionally drop items you’re holding as a result of diabetic peripheral neuropathy. Walking with a wobbly motion or even losing your balance can res Continue reading >>
Diabetic Nerve Pain: 10 Foot Care Tips To Protect Yourself
Diabetes can mean double trouble for your feet. First, diabetes can reduce blood flow to your feet, depriving your feet of oxygen and nutrients. This makes it more difficult for blisters, sores, and cuts to heal. And second, the diabetic nerve damage called peripheral neuropathy can cause numbness in your feet. When you can't feel cuts and blisters, you're more likely to get sores and infections. If you don't notice or treat the sores, they can become deeply infected, and lead to amputation. Diabetic peripheral neuropathy can also cause sharp pain in your feet. You may become excruciatingly sensitive to the lightest touch, like the sheets on your bed. Fortunately, a little TLC goes a long way in preventing foot problems from diabetes. Look over both feet carefully every day, and be sure you check between all of your toes. Blisters and infections can start between your toes, and with diabetic neuropathy, you may not feel them until they've become irritated or infected. If a physical challenge keeps you from checking your own feet, ask a family member to help. Wash both of your feet briefly each day with warm -- not hot -- water. You may not be able to feel heat with your feet, so test the water with your hands first. Avoid soaking too long in water, since waterlogged sores have a harder time healing. Dry your feet right away, and remember to dry gently between all of your toes. It's an investment worth making. Even the slightest rubbing or misfit shoe can cause a blister that turns into a sore that becomes infected and never heals. Buy better-fitting shoes, or try different socks, even at the most minor signs of redness or irritation, since you may not be able to feel when it's getting worse. Before buying or putting on the shoes check your shoes for rough seams, sharp e Continue reading >>
Print Overview Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar (glucose) can injure nerve fibers throughout your body, but diabetic neuropathy most often damages nerves in your legs and feet. Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in your extremities to problems with your digestive system, urinary tract, blood vessels and heart. For some people, these symptoms are mild; for others, diabetic neuropathy can be painful, disabling and even fatal. Diabetic neuropathy is a common serious complication of diabetes. Yet you can often prevent diabetic neuropathy or slow its progress with tight blood sugar control and a healthy lifestyle. Symptoms There are four main types of diabetic neuropathy. You may have just one type or symptoms of several types. Most develop gradually, and you may not notice problems until considerable damage has occurred. The signs and symptoms of diabetic neuropathy vary, depending on the type of neuropathy and which nerves are affected. Peripheral neuropathy Peripheral neuropathy is the most common form of diabetic neuropathy. Your feet and legs are often affected first, followed by your hands and arms. Signs and symptoms of peripheral neuropathy are often worse at night, and may include: Numbness or reduced ability to feel pain or temperature changes A tingling or burning sensation Sharp pains or cramps Increased sensitivity to touch — for some people, even the weight of a bed sheet can be agonizing Muscle weakness Loss of reflexes, especially in the ankle Loss of balance and coordination Serious foot problems, such as ulcers, infections, deformities, and bone and joint pain Autonomic neuropathy The autonomic nervous system controls your hea Continue reading >>
Nerve Damage (diabetic Neuropathies)
What are diabetic neuropathies? Diabetic neuropathies are a family of nerve disorders caused by diabetes. People with diabetes can, over time, develop nerve damage throughout the body. Some people with nerve damage have no symptoms. Others may have symptoms such as pain, tingling, or numbness—loss of feeling—in the hands, arms, feet, and legs. Nerve problems can occur in every organ system, including the digestive tract, heart, and sex organs. About 60 to 70 percent of people with diabetes have some form of neuropathy. People with diabetes can develop nerve problems at any time, but risk rises with age and longer duration of diabetes. The highest rates of neuropathy are among people who have had diabetes for at least 25 years. Diabetic neuropathies also appear to be more common in people who have problems controlling their blood glucose, also called blood sugar, as well as those with high levels of blood fat and blood pressure and those who are overweight. What causes diabetic neuropathies? The causes are probably different for different types of diabetic neuropathy. Researchers are studying how prolonged exposure to high blood glucose causes nerve damage. Nerve damage is likely due to a combination of factors: metabolic factors, such as high blood glucose, long duration of diabetes, abnormal blood fat levels, and possibly low levels of insulin neurovascular factors, leading to damage to the blood vessels that carry oxygen and nutrients to nerves autoimmune factors that cause inflammation in nerves mechanical injury to nerves, such as carpal tunnel syndrome inherited traits that increase susceptibility to nerve disease lifestyle factors, such as smoking or alcohol use What are the symptoms of diabetic neuropathies? Symptoms depend on the type of neuropathy and which Continue reading >>
Diabetic Neuropathy Symptoms
The symptoms of diabetic neuropathy depend on what type of neuropathy you have. Symptoms are dependent on which nerves have been damaged. In general, diabetic neuropathy symptoms develop gradually; they may seem like minor and infrequent pains or problems at first, but as the nerves become more damaged, symptoms may grow. Don’t overlook mild symptoms. They can indicate the beginning of neuropathy. Talk to your doctor about anything you notice—such as any pain, numbness, weakness, or tingling—even if it seems insignificant. Your pain may mean the control of your diabetes could be improved, which will can help slow down the progression of your neuropathy. Pain and numbness are also important warning signs to take very good care of your feet, so you can avoid wounds and infections that can be difficult to heal and even raise risk for amputation. 1 Peripheral Neuropathy Symptoms Peripheral neuropathy affects nerves leading to your extremities—the feet, legs, hands, and arms. The nerves leading to your feet are the longest in your body, so they are the most often affected nerves (simply because there’s more of them to be damaged). Peripheral neuropathy is the most common form of diabetic neuropathy. Peripheral neuropathy symptoms include: Pain Burning, stabbing or electric-shock sensations Numbness (loss of feeling) Tingling Muscle weakness Poor coordination Muscle cramping and/or twitching Insensitivity to pain and/or temperature Extreme sensitivity to even the lightest touch Symptoms get worse at night. 2, 3 Autonomic Neuropathy Symptoms The autonomic nervous system is in charge of the "involuntary" functions of your body. It keeps your heart pumping and makes sure you digest your food right—without you needing to think about it. Autonomic neuropathy symptoms i Continue reading >>
Sensitive Feet And Diabetes: Why My Feet Hurt?
What is nerve damage from diabetes? Diabetic neuropathies are nerve damage caused by diabetes. Neuropathy is one of the most common long term complications of diabetes. It can occur anywhere in the body, and in any organ. Symptoms such as numbness, tingling, and loss of protective sensation can be found in the hands, arms, fingers, feet, legs, toes, and lips. You may also have symptoms of nerve damage in the digestive system (gastroparesis), in the heart, or in sexual organs (erectile dysfunction, or vaginal dryness). In this article, we will be mainly looking at peripheral neuropathy in the feet, also commonly known as sensitive feet. What are sensitive feet? Patients complain about numbness and tingling in their feet and toes, or elsewhere, with a frequency that is more often than in similar reports of other diabetes complications they experience. It’s no wonder these patients with diabetes have complaints of neuropathy symptoms. Other than the tingling sensation or the numbness usually associated with neuropathy, those who have it complain about how much it hurts to put their socks and shoes on. The skin is sensitive to touch, to a point where one can’t even brush up against anything. It is likened to an over-sensitivity and mild pain that is uncomfortable. If it goes on day in and day out, it can be frustrating. Sometimes, a person with diabetes may also get other related foot problems, such as plantar fasciitis. This condition affects the heel of the foot, and can be extremely painful. You will find it too sore to walk with plantar fasciitis. Even without heel problems, the generalized foot pain and soreness can become severe. It has been found that as many as 60 to 70% of people with diabetes have neuropathy somewhere in their body. The longer you have diabete Continue reading >>
Diabetic Neuropathy—the Agony Of Da Feet
[Editor’s note: In recognition of American Diabetes Month, Harvard Health Publications is collaborating with MSN.com on its Stop Diabetes initiative. Today’s post, published on World Diabetes Day, is the first of several focusing on this all-too-common disorder.] People tend to think of diabetes as a silent, painless condition. Don’t tell that to the millions of folks with diabetes-induced tingling toes or painful feet. This problem, called diabetic neuropathy, can range from merely aggravating to disabling or even life threatening. It’s something I have first-hand (or, more appropriately, first-foot) knowledge about. High blood sugar, the hallmark of diabetes, injures nerves and blood vessels throughout the body. The first nerves to be affected tend to be the smallest ones furthest from the spinal cord—those that stretch to the toes and feet. Diabetic neuropathy affects different people in different ways. I feel it as a tingling in my toes. Moving my feet and wiggling my toes helps the tingling disappear for a while. Others have it much worse. Diabetic neuropathy can cause a constant burning feeling in the feet; sharp pain that may be worse at night; and extreme sensitivity to touch, making the weight of a sheet unbearable. It can be sneaky, too, and completely rob the feet of their ability to sense pain. The truly scary thing about diabetic neuropathy is a 10-letter word we usually associate with horrific accidents or Civil War battlefields—amputation. When sensory nerves in the feet become damaged, a blister, cut, or sore can go unnoticed, allowing time for the wound to become infected. Infections that cause tissue to die (gangrene) and that spread to the bone may be impossible to treat with cleansing and antibiotics. Diabetes accounts for about 70,000 lo Continue reading >>
What Can I Do For Numb, Painful Feet And Legs?
My husband was diagnosed with diabetes almost a year ago. At first he was experiencing numbness in his feet. Over the past few months, he began having pain as well, sometimes as far up his leg as his calf. What can we do to help these symptoms? I have read that vitamin E and even flaxseed oil are good for the circulation. Would those be helpful? Continue reading >>
Diabetes And Foot Problems Treatment And Complications
Diabetes and foot problems facts Two main conditions, peripheral artery disease (PAD) and peripheral neuropathy, are responsible for the increased risk of foot problems in people with diabetes. Symptoms and signs of diabetic foot problems arise due to the decreased sensation from nerve damage as well as the lack of oxygen delivery to the feet caused by vascular disease. Diabetic foot problems also include bunions, corns, calluses, hammertoes, fungal infections, dryness of the skin, and ingrown toenails. These problems are not specific to diabetes, but may occur more commonly due to the nerve and vascular damage caused by diabetes. Treatment depends on the exact type of foot problem. Surgery or even amputation may be required for some cases. Gangrene (dry gangrene) is tissue death due to absence of blood circulation. It can be life threatening if bacterial infection develops (wet gangrene). Many diabetes-related foot problems can be prevented by good control of blood sugar levels combined with appropriate care of the feet. How can diabetes cause foot problems? Both type 1 and type 2 diabetes cause damage to blood vessels and peripheral nerves that can result in problems in the legs and feet. Two main conditions, 1) peripheral artery disease (PAD), and 2) peripheral neuropathy are responsible for the increased risk of foot problems in people with diabetes. Peripheral artery disease (PAD), sometimes referred to as peripheral vascular disease (PVD), means that there is narrowing or occlusion by atherosclerotic plaques of arteries outside of the heart and brain. This is sometimes referred to as "hardening" of the arteries. Diabetes is a known risk factor for developing peripheral artery disease. In addition to pain in the calves during exercise (medically known as intermitte Continue reading >>
Tips For Treating Diabetic Nerve Pain
Diabetes can cause long-term problems throughout your body, especially if you don’t control your blood sugar effectively, and sugar levels remain high for many years. High blood sugar can cause diabetic neuropathy, which damages the nerves that send signals from your hands and feet. Diabetic neuropathy can cause numbness or tingling in your fingers, toes, hands, and feet. Another symptom is a burning, sharp, or aching pain (diabetic nerve pain). The pain may be mild at first, but it can get worse over time and spread up your legs or arms. Walking can be painful, and even the softest touch can feel unbearable. Up to 50 percent of people with diabetes may experience nerve pain. Nerve damage can affect your ability to sleep, decrease your quality of life, and can also cause depression. Damaged nerves can’t be replaced. However, there are ways that you can prevent further damage and relieve your pain. First, control your blood sugar so the damage doesn’t progress. Talk to your doctor about setting your blood sugar goal, and learn to monitor it. You may be asked to lower your blood sugar before meals to 70 to 130 milligrams per deciliter (mg/dL) and your blood sugar after meals to less than 180 mg/dL. Use diets, exercise, and medications to decrease your blood sugar to a healthier range. Monitor other health risks that can worsen your diabetes, such as your weight and smoking. Ask your doctor about effective ways to lose weight or quit smoking, if necessary. Your doctor might suggest trying an over-the-counter pain reliever, such as acetaminophen (Tylenol), aspirin (Bufferin), or ibuprofen (Motrin IB, Advil), which are available without a prescription but can cause side effects. Use a low dose for a short time to control your symptoms. Other options exist for stronger Continue reading >>
How Can Diabetes Affect The Feet?
People with diabetes are prone to foot problems caused by prolonged periods of high blood sugar. There are two main foot problems, each of which can have serious complications. Diabetes is a disease where the body cannot produce insulin or cannot use it effectively. Insulin is the hormone that is responsible for helping the cells take in sugar to use for energy. When this does not happen properly, the levels of sugar in the blood can become too high. Prolonged periods of high sugar levels in the blood can wreak havoc on many areas of the body, including the feet. Diabetic foot problems The two main foot problems that affect people with diabetes are: Diabetic neuropathy Over time, diabetes can cause nerve damage that makes it hard for people with diabetes to feel sensation in their extremities. The condition also makes it difficult for a person to feel an irritation on their foot or notice when their shoes are rubbing. This lack of sensation and awareness leads to an increase in the risk of cuts, sores, and blisters developing. Peripheral vascular disease Diabetes leads to changes in the blood vessels, including arteries. In peripheral vascular disease, fatty deposits block these vessels beyond the brain and heart. It tends to affect the blood vessels leading to and from the extremities, reducing blood flow to the hands and feet. Reduced blood flow can lead to pain, infection, and slow healing wounds. Severe infections may lead to amputation. Symptoms Symptoms may vary from person to person and may depend on what issues a person is experiencing at the time. Symptoms of diabetic foot problems can include the following: loss of feeling numbness or tingling sensation blisters or other wounds without painful skin discoloration skin temperature changes red streaks wounds with Continue reading >>