If you have something your doctor calls diabetic peripheral neuropathy (DPN), you are not alone.

    Of the estimated 20 million people in the United States with diabetes, 3 million struggle with DPN—and even patients with prediabetes and impaired glucose (blood sugar) tolerance may have symptoms. The older the person is, the longer he or she has had diabetes, and the less-controlled the disease, the greater chance of feeling pain because of damaged nerves.

    Fifty percent of patients with long-standing diabetes have numbness, burning, electrical sensations, stabbing, or shooting pain in their feet or legs—and it’s usually worse at night. While the pain is uncomfortable, the lack of sensation can have even worse consequences. If a person’s shoes fit improperly, are too tight, have rough spots inside, or rub when the person walks, the blisters, abrasions or cuts may not be felt. Because circulation is not as good as it is for people without diabetes, these wounds can become infected and very difficult to heal.

    These comprehensive tests can help rule out other potential causes for symptoms, and help your physician determine the most effective way of treating your neuropathy.

    Therapy to reduce pain may include:

1. Physical therapy to improve balance
2. TENS units (Transcutaneous Electical Nerve Stimulation)
3. Electrical muscle stimulators
4. Vitamin B12 injections
5. Various topical preparations
• Lidoderm patches
• Topical analgesic creams and lotions
6. Hyperbaric Oxygen Therapy

     Hyperbaric Oxygen Therapy is a very effective treatment for diabetic neuropathy. By driving oxygen deep into tissues, it reduces cell death and pain symptoms. Hyperbaric oxygen also stimulates the growth of new blood vessels, enabling the body to increase effective oxygen and nutrient delivery.