
- With Mayo Clinic diabetes educators
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
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Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Nancy Klobassa Davidson and Peggy Moreland
Nancy Klobassa Davidson, R.N., B.S.N, C.D.E
Nancy Klobassa Davidson is a registered nurse who has worked in diabetes education for 17 years. She is a certified diabetes educator (C.D.E.) and is currently in graduate school working on a Master of Science in nursing (M.S.N.) and health care education.Nancy works with adults who have type 1, type 2 and other forms of diabetes. Nancy is coordinator of the Diabetes Unit's intensive insulin therapy program within the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn. Nancy has worked extensively with insulin pump therapy and continuous interstitial glucose sensing.
Peggy Moreland, R.N., M.S.N.
Peggy Moreland is a certified diabetes educator (C.D.E.) in the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn.Peggy graduated with a Master of Science in Nursing and Health Care Education from the University of Phoenix and is a member of the American Association of Diabetes Educators and the American Diabetes Association. A certified diabetes educator (C.D.E.), Peggy enjoys working with patients to set and achieve diabetes self-management goals.
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July 30, 2010
Pain relief difficult with neuropathies
By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Hi folks, this will complete my series on neuropathies of diabetes:
- Proximal neuropathy includes femoral, amyotrophy and radiculopathy neuropathies. These types of neuropathies can cause severe pain in the hip, thigh, trunk or buttock and usually begin on one side of the body. Proximal neuropathy weakens and decreases muscle size, making it difficult to move.
- Focal/cranial neuropathies will often come on suddenly and involve a single nerve. These types of neuropathies usually go away in a few weeks or months. Focal neuropathies include difficulty with focusing vision, double vision, eye ache, paralysis on one side of the face, and carpal tunnel syndrome.
Pain relief can be one of the most difficult parts of managing neuropathy and often several treatments or combinations of treatment are tried before adequate relief can be found. For some people the pain never seems to go away completely.
In some cases the pain is relieved when the nerves causing the pain burn out, but then other issues become a concern. For example, as in peripheral neuropathy where you aren't able to sense where you're placing your feet because you have no sensations/feeling, you have an increased potential for foot injuries and falls.
If you are suffering from neuropathy, what are ways you have found that help you deal with the pain and disabilities of neuropathy?
Regards,
Nancy
17 comments posted
April 14, 2012 7:42 p.m.
I have a recumbent, stationary bike. When I ride even 15 minutes a day, my feet are so much better. The weeks that I don't make time and ride at least every other day, my feet hurt (cramps, needle-like pain, tingling, and more). When I ride on a regular basis, my nights and falling asleep are so much better too.
- Cher
March 11, 2012 11:13 p.m.
Seriously, here's an option that many doctors don't know about. I have neuropathy in my left foot. Neurostimulation surgery creates vibration that covers up (or masks) the pain in my foot. You're given a remote unit that's used to control the intensity of the vibration.
- Tom
March 4, 2012 10:46 p.m.
I have been tested for diabetes but say I don't have. For the last five years my feet burn and hurt. Sleeping is a challenge. The bottom of my feet under my toes is numb and without feeling however, the rest of my foot is very sensitive. After reading the blog I am going back to my doctor for further tests.
- Barb
January 15, 2012 9:35 a.m.
Recently I have developed burning in my feet. The numbness started about a year ago. I now submerge my feet in a tub of cool water and soak them for 15 minutes usually. I get quite a bit of relief this way and am able to fall asleep.
- Susan
November 30, 2011 7:50 p.m.
you guys are amazing. I have neuropathy for over 7 years in both feet crawling up from my feet, ankles, now the calves. I have tried many medications including the lauded lyrica and Cymbalta. None of it worked, AT ALL. The only thing for me is high doses of gabapentin and 48 mg. dilaudid four times daily. I can not function at all becuase of this. I will also add here that I have 4 blown lumbar discs and arthritis in my back as well as the burning, stabbing and crushed glass sensation in the foot. They say I am on a high dosage of diaudid but it is the only thing that kept me in the work force for over five years with all that. I recently off on disability but dont know how long that will be approved. I blame the drug addicts for making it so difficult for those of us with Chronic pain that is never going away. We should have much more liberal access to these pain medications but no, we cant becuase the poor docs are now paranoid about prescribing due to the opiod addicted social problems caused by the addicts. thats my storry, ask for dilaudid or some dirivative of that for some relief. I guess I get down to about a 3 on pain measurement which is better than nothing. good luck all.
- Mary
August 6, 2011 2:27 p.m.
I have been diagnosed as having type II diabetes for about two years. My Blood sugar levels were semi controled A1C from 6.5-9. In May of this year I had a thalamic stroke. As a lingering result I have sever neuropathy and numbness in my right let (thigh to toes)and muscle spasums. My only relief is medication Zanaflex and gabapentin. Even with meds I have hyper-sensitivity that is not relieved by anything. I have tried soft compression with support stockings and small blankets. Due to the summer heat this can leave me sweating. I have been told that this may last at least a year and may never go away due to my stroke.
- Shirley
February 1, 2011 8:33 p.m.
It is just amazing to me to read about so many others who are suffering from this terrible condition! I was recently diagnosed with type II diabetes, AFTER the neuropathy symptoms began. OMG!!! The piercing pain and burning I experience in my feet is unbearable. My dr prescribed 3 - 500 mg Neurontin, 2 - 1000 mg Metformin and 1 - 5 mg Glipizide a day. My blood sugar is now under control and I've lost 24 lbs....yet, still I suffer, especially at night. Thankfully, we have a Christian-based "Compassionate Care Clinic" in our town who charge based on income. And Pfizer provides me with free Neurontin as part of their patient assistance program, as I have no insurance. Any and all suggestions to help me find relief are truly welcome! Please share what you've learned so we can all get a good nights rest for a change.
- NiceGaPeach
January 20, 2011 11:12 p.m.
My father-in-law has terrible neuropathy due to his diabetes. He uses injectable insulin and has several other medications for water retention, high blood pressure, etc. At first we found that Benedryl helped. Then we also found GLA helped (Gamma-linolenic acid). We bought him one of those foot baths and use eucalyptus, peppermint and menthol soaps and lotions. Lotions that contain THC have actually helped, although I don't know what the medical marijuana laws are in your state, it really did help. Finally though, he is on a low dose of a narcotic pain reliever called Lorcet (hydrocodone and tylenol) to help him sleep at night and we have bought him really high quality walking shoes, as he walks a couple miles every day to and from work. I'm sure if he quit smoking it would also help, so if any of you smoke - quit now before it gets any worse. The vapor cigarettes work if you want them to. We are trying to get him on Cymbalta - it is a good antidepressant, but it is also supposed to help with neuropathy. Best of luck to you all, I hope that you find relief as I cannot imagine how difficult it must be.
- Mindy
January 3, 2011 9:02 p.m.
I am a 48 year old female and suffer from severe pain in my feet and and mild pain in the last 2 fingers on each hand. This was diagnose as neuropathy by a neurologist and I was told it could be caused by my type II diabetes (my blood sugar was high, but is now under control), by low vitamin B12 (I guess about 10% of the population that has levels below 400 experience neuropathy.), or from Crohn's disease (a digestive disease which I've had for almost the last 38 years). Nerve conductivity in the legs was good..too good in my estimation! The pain in the feet is most problematic and sometimes feels like a shooting pain (lightening bolt) and other times as a burning sensation. As for things I've found to assist my existence..first I've bought sheepskin lined shoes.. I currently use the brand called "My Buddy" but I can't guarantee these are better than others. I found socks that are 99% polyester and 1% spandex and are not too tight. They may not be the best as a diabetic, but they sure help when you try to slide them on sore feet! Another thing I use is a sheepskin rug. (I recently found one at Sam's Club, but I'm sure there are other places you can purchase them.) I place this across the foot of my bed. Before this, my feet had to hang off the side of the bed. For those of you who can't stand to have the jeans or slacks brush across the top of your feet, while at home, roll up the pant legs so they don't touch! I hope this helps someone. I'm open to any
- Mary
November 17, 2010 7:42 a.m.
Donna, I am going through the same thing right now, the pain from the cramps is unbelievable. I am searching for answers and relief. If I find it I will post here. Please I know now I am not the only one out there with this problem. If anyone has the answer please please let us know. I am begining to loss the abillity to walk, I have a eleven year old at home, I need answers fast.
- dee
November 11, 2010 2:10 a.m.
If Lidocaine Patch(Lidoderm) helpful to relief my foot pain?
- JJ
September 14, 2010 6:52 p.m.
I developed periferal neurapathy about 10 years ago. I was recently diagnosed diabetic. I have wondered if the neurapathy can come that long before the diabetes. My diabetes is controlled now and I am losting weight which is good. Have problems with foot pain..burning and so on....
- jackie
September 11, 2010 11:41 a.m.
I am a type 2 diabetic on insulin. Recently I have had 3 episodes where my lower leg and foot cramp up so bad that the pain makes me vomit and is severe for hours. The first 2 times, I thought it was caused from shooting insulin directly into my vein on accident, but the last time I hadn't done that and it happened. It wasn't as constant but it was as painful. Is there anyone that knows an immediate relief from this or a preventative. I just want to shoot myself and put myself out of misery when this happens.
- Donna
September 5, 2010 1:20 a.m.
I am 40 and have just discovered that I have peripheral neuropathy. I am not diabetic. Bloodwork was normal except for I am anemic. No thanks to my doctor he seems to have no clue. It has hit me so fast. I am told I need to see a neurologist asap from a friend who is a nurse. I don't know what to do. I have no insurance. My financial situation is the worst I have been in. We have to move do to it. My husband has many health troubles so he hasn't worked steady in three years. I am scared. I don't know for sure what has brought this on. I am worried about my heart now and strokes am diabetes. I have never had anything to serious so this is worrying me and no money or health insurance to do anything about it or have a bunch of tests and pay for medications. I am in such pain that I can't stand myself. What should I do about seeing a neurologist? Am I in serious trouble with this? Is a neurologist really neccesary? Can a regular doctor do the same things and tests? What should do I need to have done and be checked? What tests? A neurologist is to expensive. I need other options. I don't like the medications they suggest taking either for the pain. i don't like how they have affected my husband. Please help. Any options and what should I be concerned about and have checked?
- Shannon
August 14, 2010 8:52 a.m.
I HAVE NEUROPATHY IN MY SHOULDERS DOWN TO THE TIPS OF MY FINGERS, AND FROM MY HIPS TO MY FEET. I DONT GET THE BURN SENSATION BUT I GET THE SWELLING AND ALOT OF PAIN. A NEW DRUG CALLED METANX AND A PAIN PILL CALLED NORCO HAS GIVEN SOME RELIEF,, BUT THE BEST ADVICE FOR ANYONE WOULD BE TO MAKE SURE YOU HAVE A ONE ON ONE RELATIONSHIP WITH YOUR MAKER,, HE IS THE ONLY ONE THAT IS GOING TO BE ABLE TO HELP YOU THE WAY THAT WE NEED... 38YRS OF TYPE 1 ,,, I KNOW ALITTLE BIT. THANKS
- LONNIE
August 13, 2010 5:32 a.m.
that's nice !! hey i was suffering from backache from last several year's. Have tried lots of things but there's no effect..
- Pankaj
August 3, 2010 12:17 a.m.
I have a painful neuropathy in my left hand after a hemorrhagic stroke in 2006. I've discovered that a super-soft glove (chenille) used only when the discomfort is unbearable, provides relief. I do try to go without the glove whenever possible, so that the glove will remain effective.
- Sally
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