Monday, February 6, 2012

Diabetic Polyneuropathy


Diabetes leads to a number of physical and physiological changes, diabetic foot is one of them.Diabetic foot is an umbrella term used to describe a number of problems that a chronic diabetic may face in the feet.People with a long history of diabetes often complain that while walking, they feel 'cloud' like sensation under their feet, this is due to altered sensory nerve conduction.Pain under the heel, burning,tingling,numbness or even faulty body balance can all be a result  of 'diabetic polyneuropathy'. Polyneuropathy as the name suggests, is a condition which symbolises improper  electrical conduction through multiple nerves in the foot.Swelling,delayed healing of injuries,change in the shape of toes/ toe nails are common features that describe this condition.Simple wounds get infected and may also form gangrene if proper care is not taken.Prevention is better than cure when it comes to diabetic foot.Regular foot examination,maintenance of hygiene and regular exercise from early stage help in prolonging the initiation of the above signs and symptoms.Exercise of the foot helps in achieving required fluid movement and thus preventing many of the complications.Electrotherapy such as TENS can be used by your physio to regulate the nerve related issues.Lymphatic drainage,compression bandage and many such treatments may help in controlling the damage process depending on patient's condition and need.There are special use materials eg:diabetic socks,stockings etc.which can be prescribed by your physio as and when required.