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Medical Forum / Diseases and Disorders / Diabetes / January 2004Nerve Decompresson Surgery for Peripheral neuropathy
Just spoke with a lady who recently had nerve decompression surgery for peripheral neruopathy with good results. Since I'm newly diagnosed with diabetes (nov/03/T2) and my pn is recent I'm considering having it done. Anybody have any comments? Allan dx'd 11/03 T2 > Just spoke with a lady who recently had nerve decompression surgery > for peripheral neruopathy with good results. Since I'm newly [quoted text clipped - 4 lines] > dx'd 11/03 > T2 Just a question. Is this lady diabetic? Possible comment later. Al. > > Just spoke with a lady who recently had nerve decompression surgery > > for peripheral neruopathy with good results. Since I'm newly [quoted text clipped - 8 lines] > > Al. Yes, T2 diagnosed about 10 years ago and takes insulin. >>> Just spoke with a lady who recently had nerve decompression surgery >>> for peripheral neruopathy with good results. Since I'm newly [quoted text clipped - 10 lines] > > Yes, T2 diagnosed about 10 years ago and takes insulin. In that case, I would look into it very carefully and optimistically. Since your lady friend has PN because of the beast, and you do, sounds at the worst to be hopeful. I got serious PN in feet and fairly bad in fingers, so I am going to do a web-search. btw Are you in the UK? I am, and the NHS might not cover me. Al. I hand ulnar nerve decompression surgery (both arms--six weeks apart) and then was diagnosed diabetic a few months later. I didn't know I was diabetic when I had the surgery. I think the surgery may have triggered the diabetes. I still get the tingling in my arms when under stress or having problems with the BG. I don't regret having the surgery, though. I had an excellent doctor and it was very successful. My hands are working like new again. For an artists, that's kinda important. c > >>> Just spoke with a lady who recently had nerve decompression surgery > >>> for peripheral neruopathy with good results. Since I'm newly [quoted text clipped - 19 lines] > > Al. > I hand ulnar nerve decompression surgery (both arms--six weeks apart) > and then was diagnosed diabetic a few months later. I didn't know I > was diabetic when I had the surgery. I think the surgery may have > triggered the diabetes. That is possible, afaik. But in view of the fact that t2 sometimes goes undetected for over a decade before a complication brings it to light, I suspect you were diabetic for a long time. I assume you are t2? I think I remember that, otherwise I just made a fool of myself. It wouln't be the first time lol >I still get the tingling in my arms when > under stress or having problems with the BG. Yes, the bg has more to do with it than bp, again afaik. > I don't regret having > the surgery, though. I had an excellent doctor and it was very > successful. My hands are working like new again. For an artists, > that's kinda important. Yeah, it must be so. The only art-form I do is/was large-format photography, but I can't even cock the shutter now, let alone depress the air-release. Al. > > I hand ulnar nerve decompression surgery (both arms--six weeks apart) > > and then was diagnosed diabetic a few months later. I didn't know I [quoted text clipped - 6 lines] > remember that, otherwise I just made a fool of myself. It wouln't be the > first time lol N,o you are probably quite correct. A lot of the damage from hypoglycemia starts long before the person finally develops frank diabetes. To the extent that certain conditions are now being looked at as indicators of the future development of T2. > >I still get the tingling in my arms when > > under stress or having problems with the BG. > > > Yes, the bg has more to do with it than bp, again afaik. It seems to be so. Raised bg does seem to affect pain levels in any kind of neuropathic damage. > > I don't regret having > > the surgery, though. I had an excellent doctor and it was very [quoted text clipped - 5 lines] > > Al. Sorry to hear that, Al. I think you are quite right in looking into this possiblilty of help. Who knows, it might just do the trick for you? I bet ANY improvement would be a bonus. Annette >>> I hand ulnar nerve decompression surgery (both arms--six weeks >>> apart) and then was diagnosed diabetic a few months later. I [quoted text clipped - 38 lines] > > Annette I have done a small amount of web-searching and the surgery IS available on the NHS, and they do not accept anything unless it is well-tested. As far as diabetes is directly concerned, I found only one NHS team I trust, but for the complications, neuropathy in this instance, I do trust them. So I think, despite my spam-trigger being on a knife-edge, this looks genuine and possibly helpful to me. Al. how did surgery trigger your DM?? dave I think the surgery may have triggered the > diabetes. The physical trauma of two general anethesia surgeries, being prescribed Zyprexa, the shock to my body etc. I was probably glucose intolerant before the surgery (or diabetic for all I know) and the series of events triggered my body into full diabetes. Zyprexa has been strongly linked to diabetes. They now have a black box warning that anyone at risk should be screened for it and watched closely. I think the surgeries so close together were just the proverbial straw that broke tha camel's back. Regardless, I'm now diabetic and have to deal with it. c > how did surgery trigger your DM?? > > dave > > I think the surgery may have triggered the > > diabetes. "Al Hardy" <a.hardy2@ntlworld.com> wrote in message > In that case, I would look into it very carefully and optimistically. Since > your lady friend has PN because of the beast, and you do, sounds at the [quoted text clipped - 4 lines] > > Al. Negative on UK, I live in California. > Just spoke with a lady who recently had nerve decompression surgery for > peripheral neruopathy with good results. Since I'm newly diagnosed with > diabetes (nov/03/T2) and my pn is recent I'm considering having it done. > Anybody have any comments? Never heard of such a thing. I do know that after my leg vein problem was diagnosed, and the subsequent swelling went down, my pain decreased. One theory is that the swelling compressed my nerves.  SignatureType 2 http://users.bestweb.net/~jbove/ > > Just spoke with a lady who recently had nerve decompression surgery for > > peripheral neruopathy with good results. Since I'm newly diagnosed with [quoted text clipped - 4 lines] > diagnosed, and the subsequent swelling went down, my pain decreased. One > theory is that the swelling compressed my nerves. Julie, I live in California and the Doctor that does it lives in the Woodland/Davis area. I did a search on the web for nerve decompression surgery and came up with several hits regarding facilities that perform it as well. For what it's worth, I'll post the Doctors info. If you wish, I can physically mail it to you or anyone else the 4 page document regarding nerve decompression surgery or copy it with my flatbed scanner and email the jpegs to you. ---------------------------------------------------------------------------- --------- Tracy Ferragamo, D.P.M, Physician & Surgeon of the Foot 619 Lincoln Ave. Woodland, CA 95695 Tel & Fax: (530) 666-6000 ---------------------------------------------------------------------------- ------------------------ -Allan A few links I found regarding the procedure http://www.georgiafootdoctor.com/diabeticneuro.htm http://www.universityfootcare.com/qst.html > A few links I found regarding the procedure > > http://www.georgiafootdoctor.com/diabeticneuro.htm > > http://www.universityfootcare.com/qst.html In reading posts here and elsewhere on the 'net, the foot doctor link contradicts a lot of what I've read about DPN. Many people note improvement with neuropathy when their BG is under good control and many have said that it's went away. The information on the georgiafootdoctor page seems like it might scare someone into undergoing surgery that is very possibly not necessary. Just a thought... "Timmy" <noone@nowhere.net> wrote in message > > In reading posts here and elsewhere on the 'net, the foot doctor link > contradicts a lot of what I've read about DPN. Many people note improvement > with neuropathy when their BG is under good control and many have said that > it's went away. The information on the georgiafootdoctor page seems like it > might scare someone into undergoing surgery that is very possibly not > necessary. Just a thought... Timmy, I've suffered with DPN for the last 5 months, it's onset was quick and have only found marginal relief with neruotin and keeping a sharp control on my BG. I agree the information seems a bit scary and the person I spoke about who underwent the surgery received negative feedback from her diabetic doc when when she asked him about it. This Friday I will see my doc and get her opinion regarding nerve decompression surgery. Allan DX 11/03 T2 DPN > "Timmy" <noone@nowhere.net> wrote in message > > [quoted text clipped - 18 lines] > DX 11/03 > T2 DPN Let us know what you learn. I have DPN too and only really have noticed it after diagnosis (9/15/03) and lowering my BG. I looked into neurotin but my doc and endo didn't seem like they wanted me to get on it; perhaps my DPN is not so serious as to warrant it. It is uncomfortable though, especially at night. I found relief through pain pills that I get off the street. I know that's not kosher but they provide excellent relief and allow the insomnia that's come with diagnosis much more managable. Thing is, you can't take them all the time because of risk of becoming dependant. But, two or three times a week is enough to get some rest and relief. Sometimes desperate means call for desperate measures. Don't try this at home kids; try it at a friends house! "Timmy" <noone@nowhere.net> wrote in message > Let us know what you learn. I have DPN too and only really have noticed it > after diagnosis (9/15/03) and lowering my BG. I looked into neurotin but my [quoted text clipped - 7 lines] > means call for desperate measures. Don't try this at home kids; try it at a > friends house! It amazes me the difference of opinion from one doc to another. But then again, I was supposedly diagnosed with prostate cancer once and was ready to undergo a painful prostate biopsy before getting a second opinion from another doc who re-examined me and found a normal prostrate with normal PSA levels. That was 3 years ago and I am still doing fine in that area. As far as the neurontin is concerned, it may have contributed to the 50 percent decline in DPN symptoms but then again maybe the lower BG level was the reason. At the start my A1c was 14.7 when I was originally diagnosed, now it's somewhere in the 7 to 9 range. My next A1c will be at the end of February. I'm sure both played a part but the simple fact is I still have it and it prevents me from wearing socks with shoes and keeping my feet on top of the covers at night. I was getting extra relief with sodium naproxen, it helped ease the pain but had to discontinue it's use due to blood tests indicating liver problems due to long term use of it for my ankylosing spondylitis. (arthritis) I have a script for vicodin, although it seems to dull the pain, it doesn't stop the burning, just makes it tolerable. Allan DX 11/03 T2 DPN I am guessing but I never received help from the drugs some have reported as a help. I also respond to high blood sugar quickly. I have always had good blood flow in the extremities. I suspect there are different components to the extremity pain problems. From posts it seems there is a direct effect by blood glucose and maybe an effect cased by reduced blood flow. Only a guess but plausible. I have long noted the different problems and things that helped some. Anyone have any ideas? Guy I am very curious, just where they would operate to relieve PN in the feet? I didn't think diabetic PN was caused by nerve compression (pinched nerve). It would seem to me than any nerve compression that would cause PN like symptoms of the feet would the sciatic nerve, which would be very different from PN. TerryR Type 2 > Just spoke with a lady who recently had nerve decompression surgery for > peripheral neruopathy with good results. Since I'm newly diagnosed with [quoted text clipped - 4 lines] > dx'd 11/03 > T2 |
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