Joint Pain

Is there any cure for neuropathic pain caused by diabetes? any way to ease the pain?

Neuropathic pain are numbness, tingling, burning type of pain experience in the legs feet and hands as a result of damage to the peripheral nerves such as in diabetes mellitus.

Public Comments

1. Diabetic neuropathy approaches 50% in most diabetic populations, many with painful symptoms. Neuropathic pain due to diabetes involves the peripheral nerves causing the tingling, etc. While the first goal of therapy is to relieve pain, goals should be realistic. Patients often hope for a “cure,” but this is not always possible. Complete pain relief may not be achieved with treatment. A more realistic goal is to decrease pain to a tolerable level. Successful treatment should improve ADLs (activities of daily living). This includes improved ability for patient self-care, and increased ability to socialize. Specific goals should include activities the patient wishes to resume with pain relief. Effective treatment usually combines nonpharmacologic methods with medication. Nonpharmacologic techniques are usually used as an adjunct to medication. Transcutaneous electrical nerve stimulation (TENS) is frequently used to augment pharmacotherapy. Skin electrodes applied on the skin near the affected nerve endings are used to transmit mild electrical impulses in an effort to block transmission of pain signals to the brain.5 Acupuncture has been used for diabetic neuropathy with some success.12 Other techniques include physical therapy, occupational therapy, biofeedback, relaxation therapy, meditation, and hypnosis. Pharmacotherapy is the mainstay for treating neuropathic pain. Medication from several different drug classes are used to treat neuropathic pain, including topical agents, tricyclic antidepressants, anticonvulsants, and nonopioid analgesics. The common underlying mechanism of action is reduction of neuronal hyperexcitability, either peripherally or centrally. In a sense, the nerve impulses are blunted. Carbamazepine is currently the only medication that carries an FDA- approved indication for neuropathic pain, specifically for trigeminal neuralgia. Clinical trials give some guidance on agent selection, but they do not predict which agent will relieve an individual patient’s pain. Patients should be informed of the need for sequential drug trials to determine the optimal agent for treating their neuropathic pain. Read more here:http://www.uspharmacist.com/oldformat.asp?url=newlook/files/feat/jun00pain.htm
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3. Lyrica is about the best medicine for this. http://www.carpal-tunnel-symptoms.com