Neuropathy is the loss of sensation, and it is the number one disease that affects the diabetic that leads to loss of limb.
Neuropathy is usually characterized by phases:
- Phase I of neuropathy is a tingling sensation in the plantar aspect (bottom) of the foot that may manifest as a feeling of bugs crawling or bees stinging, and this term is referred to as formication. This is a very important indicator that loss of sensation is happening.
- Phase II has the symptoms that come more frequently and are more intense.
- Phase III is characterized by a constant burning of the feet that causes disruptions in sleep. This phase usually requires medication such as pain pills or other medications such as Neurontin.
- Phase IV is characterized by moments of relief. The patient is falsely convinced that their disease is improving because there are moments of lack of pain; but really what is happening is that the condition is progressing into...
- Phase V, which is not total relief of pain but is a complete loss of sensation. This is the most dangerous phase and this is when ulcers develop.
New tests have been developed to measure the loss of sensation. Non evasive tests such as a Nerve Velocity Test can be performed which informs the physician of the amount of damage that has occured..
Vibratory threshold devices are also helpful in ascertaining whether or not loss of sensation is occurring. The Semmens-Weinstein monofilament is also a good screening device for loss of sensation on the plantar aspect of the foot.
Treatment
When these conditions of loss of sensation are detected usually a neurologist, specially trained podiatrists or family doctor can treat this type of condition. efense in the practitioner who treats the ulcerations that develop from this condition. It is important to seek out professional help before self-treatment.
