Diabetic neuropathy pain can be extremely troublesome.  While neuropathy occurs due to a systemic disease, diabetes is the most common cause.  Some people develop neuropathy without a known case, in which case the condition is referred to as idiopathic neuropathy.

Neuropathy symptoms vary depending on the severity of the condition.  Most symptoms reported include:Diabetic Neuropathy Treatment

  • Numbness and tingling in the feet
  • Cramping in the feet and toes – toes curl up at times
  • Pain that is shooting and burning in nature
  • Muscle weakness in the area affected

When neuropathy is associated with diabetes, medical treatment is often required.  Treating the underlying medical problem may relieve the painful neuropathy symptoms.  However, there are times when medical treatment does not help or there is no known medical cause for neuropathy.

A promising and highly effective technique known as the Dellon procedure has proved to show favorable results for patients with neuropathy that just doesn’t seem to go away.  The Dellon procedure involves cutting through the connective tissue in the leg and ankle in an effort to provide relief and take the pressure off the nerves.

The procedure began around 15 years ago and requires additional medical training.  Dr. A. Lee Dellon of Johns Hopkins University designed the procedure to provide patients with nerve compression in their lower extremities the same relief possible for those who receive help in their wrists from carpal tunnel release surgery.

Dr. Richard Jacoby, Medical Director of the Scottsdale Neuropathy Institute, has performed over 2500 Dellon Decompression Surgeries, and none of those patients has needed to go on to an amputation!

The procedure requires extensive training and only a handful of podiatric surgeons offer the surgery.  The procedure was presented in a recent publication of the Foot and Ankle International Journal stating that patients with neuropathy are being offered a new source of optimism.

Dr. Dellon trains his surgeons in this highly skilled technique in Baltimore and Tucson.  The procedure is gaining noticeability due to its favorable results, patient reports and promising data.

Patients have been told for decades that the diabetic neuropathy they experience is irreversible.  They have been told that there is no cure.  While the Dellon procedure does not boast a cure for the condition, it is recognized as a surgery that offers symptom relief.  In patients who have undergone this procedure, the reports of complete symptom elimination are common.treatment clinic for neuropathy

Recovery time following the Dellon procedure is short and recuperation is easy.  Patients report walking within one day following surgery, although a boot must be worn for a couple weeks so that the incision scars have time to heal.

In patients with diabetes, the wounds may take additional time to heal and some require physical therapy post-surgery to speed up the ability to resume normal mobility.

Dr. Richard Jacoby has been successfully treating diabetic and peripheral neuropathy for over 2 decades. He uses the most advanced nonoperative and operative treatment options, with the results being nothing short of phenomenal. As mentioned, he has done thousands of Dellon decompression procedures, while being able to treat tens of thousands without needing surgery.

Call (480) 994-5977 today for help at the best treatment clinic for neuropathy in the country!

rose-mcgowanActress Rose McGowan appears not to have lady luck on her side when it comes to her feet. McGowan suffered her third foot injury in less than 4 years; recently injuring one of her lower extremities. The 38-year-old was spotted wearing a black protective boot cast as she went shopping in Los Angeles. She was seen walking lightly on her injured foot on her way to the stores according to Dailymail.

She had suffered a broken foot on the way to the gym in 2008, running down the stairs to meet with her personal fitness trainer. “The doctor thought I was crying because I was in pain, but I told him it was because I have to go to Cannes and refuse to wear flats, said McGowan.  She then broke her toe in 2011 suffering a hairline fracture.

To better guard against pain and discomfort, it is important that proper footwear be worn.  A podiatrist like Dr. Rick Jacoby of Scottsdale Neuropathy Institute can make recommendations on finding shoes that fit you, as well as aid you with any foot pain you may be experiencing from wearing improper footwear.

The Importance of Proper Foot Support

Walking is an everyday function for both men and women, and in order to keep your body’s balance in order, you are going to need shoes that provide the proper kinds of support.

Poor foot support can cause pain and discomfort in the lower back, hips, knees, neck and shoulder. It also can lead to emotional stress, and physiological changes in the body. In order to avoid these problems, you must have proper foot support.

The arch is the most important part of the foot, which is where most of the support and balance of your feet lies. Proper foot support will help musculoskeletal issues, which causes inactivity or disability.

Shoes to Consider:

- Good heel and arch support
- Have proper length and width for your feet
- Avoid tight/cramped shoes
- Have many eyelets –will give feet better support when the laces are tied

If you have questions, please contact one of our two offices located in Phoenix and Scottsdale, Arizona. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read More on Proper Foot Support.

Feet are the foundation of the body, and just like the foundation of any structure, they must be stable and balanced in order to support the all of the body’s weight. If they are not, they could cause many problems.

Bad foot support can cause pain or discomfort in the lower back, hips, knees, neck, and shoulder. It can lead to much less obvious problems as well, like stomach aches and headaches. Issues with the feet can lead to emotional stress and physiological changes in the body, including fatigue, blood sugar problems, and adrenal stress. In order to avoid these issues, you must be sure to wear shoes that provide proper foot support.

Of all the different parts of the foot, the arch is the one that needs the most support. This vital structure handles most of the pressure exerted during movement–for each mile someone walks, the arch bears between 200,000 and 300,000 pounds of stress. Arch height varies greatly from one person to another, and changes as a person ages. Proper support can prevent many musculoskeletal problems that may cause inactivity or even disability.

When searching for footwear, one must remember to buy shoes that fit well and that properly support the feet. Otherwise, you could suffer from a slew of foot-related problems. If, for example, you buy shoes that are too tight, you could hinder the support mechanism in the foot that keeps the body standing upright. If this mechanism is not working correctly, you will soon begin to slouch when standing. This quickly causes discomfort throughout the entire body, especially the back, and if it is not corrected it may cause permanent posture issues and bone deformation.

When shopping for shoes, only buy those that provide good heel and arch support. Both the heel and arch areas need to be firm, but still flexible enough for walking. Also make sure the shoes you intend to buy are the proper length and width for your feet. Your feet and toes should not feel squished or cramped in the shoe, or (if it is an open-toed shoe) be hanging over its sides. Additionally, if you are looking for a laced shoe, be sure to buy one that has many eyelets. Laces help the shoes form to the feet, and having many eyelets allows the laces to better conform to your foot. Also make sure that the laces are tied correctly, as laces that are not pulled tightly and tied do not provide proper support.

Good foot health is vital to overall body health. If you do not care for your feet properly, you could suffer many short and long-term problems that will negatively affect your entire body. Wearing shoes that provide good foot support is an easy way to avoid these problems, and live comfortably.

There are several diseases, including diabetes, that can cause and contribute to symptoms associated with peripheral neuropathy.  Neuropathy is a general medical term designated for any disorder of the nerve that is outside the brain or spinal cord.  It is the peripheral nerves that carry information back and forth between the body and the brain, helping to control all voluntary and involuntary actions of the body. Peripheral Neuropathy Treatment

Diabetes is among the most common cause of neuropathy, and associated with diabetes is the chronic problem with obesity.  According to the National Center for Diabetes and Digestive and Kidney Diseases, approximately 70 percent of Americans who suffer from long-term diabetes have one or more forms of neuropathy.  This is a staggering statistic that requires attention from the medical community in order to address the root causes and problems associated with the condition.

Does Obesity Play A Role?

Neuropathies, in particular peripheral neuropathy, can develop as a result of diabetes.  Contributing factors of these two conditions are poor blood sugar control, obesity and high blood pressure.  Typically when a person with diabetes is overweight, other problems arise.  An obese person with diabetes is at a much greater risk of developing neuropathy because of the added weight and poor blood sugar.

A person who is overweight and has had diabetes for a prolonged period of time is at an even greater risk of developing peripheral neuropathy.  Research continues in determining the connection between peripheral neuropathy and obesity, but currently the common link is diabetes.  There is a greater impact of neuropathy on a person who Obesity and Neuropathyis overweight and there seems to be a link between diabetes and peripheral neuropathy.

Prevention is Critical

While there is no cure for peripheral neuropathy, there are steps a person can take to help prevent the onset of the condition, even if they are a long time sufferer of diabetes.  The most effective preventative measure is to keep the blood sugar levels within their target range.  Since obesity complicates diabetes management, it is critical for the condition to be addressed the right way.  Keeping blood sugar levels within an optimal range can help eliminate the complications and prevent neuropathy from showing up.

If you are unsure where to begin in the management of your blood sugar or are experiencing symptoms of neuropathy, it is necessary to see your doctor immediately to address the problems.  Starting now could save your life and relieve the symptoms you are having.

Scottsdale Neuropathy Institute has been helping individuals with neuropathy for over 20 years avoid pain, get out of pain, and get their lives back. Dr. Richard Jacoby has nonoperative and operative options to make life better for those with neuropathy, call (480) 994-5977 today to get started!

A person with diabetes is prone to foot problems.  Poor circulation, neuropathy and decreased sensitivity can all lead to problems in the lower extremities, including the foot and toes.  Proper foot care is essential for those with diabetes, in order to prevent problems later on in life.

Foot problems commonly occur in people with diabetes.  These problems can become serious if they are not cared for.  Nerve damage may result in a person not being able to feel cuts, abrasions or ulcers that develop on the foot.  Also, when there is damage to the nervous system, a person with diabetes may not be able to produce normal levels of oils and sweat that keep the skin lubricated.  Sores may develop easily as the skin becomes more susceptible to breaking down.

Diabetic Foot Care

Treatment at home or by a podiatrist is necessary for people who have been diagnosed with diabetes.  The foot is more prone to injury and should be examined daily for problems.  Proper examination starts at home and includes:

  • A thorough foot examination – daily.  If you have trouble looking at the bottom and sides of your feet on a daily basis, it is recommended that you seek care from a podiatrist who is experienced in seeing patients with diabetes. If you suspect an injury or witness an ulcer or wound that is not healing on your foot, seek medical attention right away.
  • Keep the nails trimmed.  Toenail trimming is essential for diabetic foot care and safety.  It is important to trim the nails straight across and file the edges to eliminate any sharp areas.  If you are unable to trim your toenails, a podiatrist can help you with this task.
  • Keep the paths clear.  This means that any obstacles that could cause you to trip in your home or porch need to be removed.  Loose cords, lamps, stands and overall clutter should be moved so that you are not at risk of falling or injuring your feet.
  • Wear proper shoes and footwear.  Footwear includes socks, slippers and shoes.  If you wear slippery socks in the house, you may be prone to injury.  Rubber bottomed socks are great for offering a no-slip surface while in the home.  Roomy shoes that do not rub against the sides of the feet are also recommended for people with diabetes.  The friction can contribute to wound development.
  • Blood sugar control. Your doctor can help you keep your blood sugar levels under control, which in turn lessen the risk of developing nerve damage. If you have questions about blood sugar and diabetic foot care, see your podiatrist today for a proper assessment.

Scottsdale Neuropathy Institute has been treating patients around the country for over 20 years, providing relief for peripheral and diabetic neuropathy. The treatments are often nonoperative, but at times a Dellon decompression may become necessary to prevent an amputation.

Dr. Richard Jacoby has won Phoenix Magazine’s Top Doc Award 4 times in the past 10 years. Call today to find out how SNI can help you! (480) 994-5977

pedicureA pedicure at a salon may be the way to go, by giving your feet a good foot rub or pretty toes  But, recent research suggests that pedicures might not be as safe and sanitary, as many of us like to think. Instead, it may actually lead to dangerous issues with your feet like toenail fungus.

Customers with conditions like diabetes or a weak immune system can put themselves at risk when dealing with the procedures, according to experts. “Fungus can get caught up in the motor of whirlpool basins, releasing it again every time the motor revs up,” said Esther Jonas, a podiatrist at Kelsey-Seabold, “The ones without the whirlpool effect are much safer, and adding a disposable liner offers double protection”.

There may be steps to avoid getting fungal toenails, but not step guarantees that this condition will never be a problem.  If you are suffering from fungal toenails you should seek the care of a podiatrist such as Dr. Rick Jacoby of Scottsdale Neuropathy Institute Dr. Jacoby will evaluate your condition and provide appropriate treatment options for your feet.

Toenail Fungus

Toenail fungus is a problem which affects many people and is hard to get rid of. Fortunately, there are several methods to go about treating toenail fungus.

Antibiotics & Treatments 

Lamisil – is the most commonly effective treatment for toenail fungus. It is available as an antibiotic Terbinafine tablet and cream. Terbinafine is a chemical component which kills fungal growth on the body.  Applying regular doses will gradually kill the fungal growth. It is important to keep the area clean and air free.

Talcum powder – applying powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well

To learn more about Toenail Fungus and alternative treatments, follow link below.

If you have questions, please contact one of our two offices located in Phoenixand Scottsdale, Arizona. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more on Toenail Fungus.

Toenail fungus is a frustrating and embarrassing problem for many people. It can be persistent and hard to get rid of. Thankfully, there are a number of options for treatment available.

The most effective treatment for toenail fungus is Lamisil. However, any anti-fungal treatment sold to get rid of athlete’s foot can also be used. In the ingredients list on products sold to kill fungal growth on the body, look for the ingredient terbinafine. Terbinafine is a chemical product that kills fungal growths. Using a product with terbinafine in it will essentially damage the cell membrane of the fungus organism. However, don’t expect immediate results. You will need to apply the medication regularly, and make sure to keep washing the affected area and drying it thoroughly. The fungus needs moisture, air and your skin to live.

Taking other precautions can also help with fungus. Use a powder such as talcum powder in the shoes to absorb sweat and moisture. It is also important to wear sandals or loose-fitting, open-toed shoes which will improve air-flow around the feet, keeping the feet dry. These kinds of shoes will also expose your feet to light, which is not favorable to fungus growth. Wearing socks that wick moisture and dry quickly will also help control fungus.

Although Lamisil and other medications containing terbinafine have been proven effective, they also cause a number of side effects which may be undesirable. If you decide that this kind of medication is not for you, there are a number of natural remedies to try. Applying alcohol, tea tree oil, hydrogen peroxide, or Vicks VapoRub to the nail regularly may solve the problem.

Your podiatrist might also recommend soaking your toenails in a gentle bleach solution. Anecdotal evidence suggests that vinegar and Listerine may also be effective when used as a soaking solution. These are simple treatments, but ones that require patience and consistency. There are also topical products available from your pharmacy which is manufactured especially for toenail fungus.

There are more immediate treatments for toenail fungus available using laser surgery. If you are looking for an immediate and quick removal of the toenail fungus, you will need to find a laser surgeon who can cut the growth out of your toenail. Don’t try to cut the toenail fungus out using toenail scissors or other kinds of scissors. Once you get rid of your fungus infection, you will need to throw out your old shoes to avoid reinfection.

david-gilbertDavid Gilbert underwent foot surgery on Friday as a result of the same foot problem he had during the 2011 season. After fracturing it twice, he will be repairing ligament damage to his right foot. This will cost Gilbert to miss the entire spring practice but hopes he will return for summer training. “As soon as I feel like I can come off the ball and stop a 300-pound lineman, or take on a double team-that’s when (I’ll return)” Gilbert commented.

It is important to carefully consider all treatment options before choosing a surgical treatment. If you are experiencing foot or ankle pain and are considering surgery, you should see a podiatrist like Dr. Rick Jacoby of Scottsdale Neuropathy Institute who understands how crucial foot surgery is before making adjustments and getting back into the game. With Dr. Jacoby’s help, your injury can be evaluated properly and the right treatment options can be provided for you.

When is Foot Surgery Needed?

Foot surgery is usually required in events where regular therapy has proven to be ineffective. Surgeons often use foot surgery as a last resort because of its invasive nature. In many cases physical therapy, medication, rest, exercise, and casts can help to heal a foot injury.

However, sometimes you may need to have surgery done without ever having an injury. Foot surgery can correct a birth defect or deformity or be used for reconstructive purposes. Foot surgery is designed to improve the quality of your feet and to help you return to your daily life.

In extreme cases where the foot cannot be saved, or is beyond repair and is hinders the health of nearby parts of the body, amputation may be a necessary. However the main goal is to save the feet,  making such options a last resort.

If you have questions, please contact one of our two offices located in Phoenix and Scottsdale, Arizona. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read the full article on Foot Surgery.

If noninvasive or less invasive procedures have failed you when it comes to problems with your feet, you may need to start thinking about getting foot surgery. There are many reasons why a person may need surgery on their feet, which include but are not limited to, problems with arthritis that have caused severe bone issues within your feet, deformities of the foot such as bone spurs and bunions, congenital malformations such as club foot and flat feet, and reconstruction to attend to injuries caused by accidents. Anyone of any age, race, or gender can undergo foot surgery if they feel the need to correct these problems and there are no limiting factors keeping people from getting their feet properly treated.

Depending on what needs to be done, there are many different types of surgeries to correct any issues you might have. For example, a bunionectomy is a procedure that will eliminate any growths on your feet, such as bunions, and have them removed via the surgery. If nerve pain and damage is what you are suffering from, then you may need to undergo procedures that will target the tissues that surround the painful nerve and potentially have them removed. If your bones need to be fused together or realigned, then surgical fusion of your feet is another option you might consider.

As mentioned before, many times when these issues are first discovered, other noninvasive or less invasive procedures are carrier out first before any surgery takes place. However, if all else fails, then surgery is the best option for you.

There are some obvious benefits to having surgery done on your feet. The first being that you will now be relieved of any pain in the foot or surrounding area, which means you can get back to doing activities you previously were unable to do. The second is that once you have completed your surgery, the problem will more often than not be gone forever, eliminating any recurring issues or pain.

Foot surgery techniques continue to advance yearly as better and more technologies become available for you. For example, endoscopic surgery is just one of the many advancements that have been made in the field of podiatric surgery. Many procedures are now able to take a less invasive route by using very small incisions and smaller, more refined instruments. On top of this, recovery time for surgeries has been significantly shortened leading to an overall positive advancement for all podiatric surgeries.

Diabetic Foot Care Simplified

Diabetes can cause great harm for your feet, especially if they are not regularly examined and cared for.  A diabetic foot with a small scratch, cut or wound can develop into serious health problems that lead to amputation or even death if not cared for properly.Diabetic Foot Treatment

Diabetes can cause nerve damage and cause the feet to lose their regular sensations to heat, pain or cold.  The disease contributes to a blood flow reduction to the extremities, including the feet, causing problems with circulation.  Reduced blood flow makes it more challenging for a wound to heal or an infection to be prevented.

Diabetes can cause a person to not feel sensation when they step on something that is sharp.  As a result, a foreign object may pierce the skin and the individual may not even know.  An infection may develop, which requires care but the affected individual is not aware of the wound.  This puts a person at risk for serious infection or even foot amputation in the most extreme cases. If that is the case you should see a diabetic neuropathy specialist right away.

There are several steps that one may take to prevent infection and problems with the feet.  Through adequate foot care, your risk of problems is greatly reduced.

  • Inspect the feet – be sure to examine the feet for cuts and wounds that have been let go and not cared for.  Check with your podiatrist if you witness a problem or if you are not able to properly examine your feet.

    Diabetic Neuropathy Treatment

    With proper foot care, diabetic foot ulcers are preventable

  • Wash the feet in luke warm water – using a mildly heated water and soap, cleanse the feet so that you remove any debris that could cause a cut or abrasion.
  • Trim your toenails or have them cut by a professional – if you trim your own toenails, make sure that the cut is straight across and the edges are filed so that there are no sharp areas.
  • Keep your feet warm with socks, but not too warm – socks must be clean and changed daily, and worn throughout the day for protection in the home.  Do not go outside in your socks.
  • Lotion your feet – never moisten the area in between toes to prevent fungal infection but keep your feet moistened with a mild lotion or cream.
  • Shake your shoes and keep them washed – since your feet may not always sense a pebble or object in the shoe, be sure to shake the shoe before putting it on your foot.  Careful inspection can prevent sores or blisters from occurring.
  • Get a foot exam – this is especially important if you have diabetes or are unable to see the bottoms of your feet.  Regular foot exams could save your life.

If you or a loved one is suffering from diabetic neuropathy and foot problems, let the Scottsdale Neuropathy Institute help you. Dr. Richard Jacoby, the medical director, has over 2 decades experiencing helping people with their pain, both nonoperatively and operatively.

Call the Institute today at (480) 994-5977. He treats patients from all over the country!

You are currently browsing the Scottsdale Neuropathy Institute blog archives.

Click Below to Download Dr. Jacoby's Book!

Dr. Jacoby Saved My Foot

Dr. Jacoby Discusses Neuropathy Testing

Dr. Jacoby Discusses What Test Results Mean

Dr. Jacoby Demonstrates a Neuropathy Examination

Dr. Jacoby Discusses Key Points of Neuropathy

About / Testing and Diagnostics / Treatment Options / Privacy Policy / Contact