Navigation Links
UT Southwestern launches study of surgical option for treating diabetic and other neuropathies
Date:7/10/2008

DALLAS July 10, 2008 UT Southwestern Medical Center plastic surgeons and specialists in diabetes, neurology, pain management and rehabilitation are launching a cutting-edge study of peripheral nerve surgery to alleviate long-standing pain and numbness in patients with diabetic neuropathy.

Neuropathy is nerve-related pain, often associated with diabetes. The risk of developing neuropathy increases the longer a person has diabetes, and it is estimated that up to 40 percent of diabetics have some form of neuropathy. UT Southwestern is one of a few U.S. medical centers, and the only facility in North Texas, to offer surgery on peripheral nerves, which originate from the spine.

"Patients with neuropathy are often told that the problem is irreversible and that they cannot be helped," says Dr. Shai Rozen, assistant professor of plastic surgery. "Diabetic neuropathy is a complex problem caused by multiple factors. We think pressure on nerves may be one component responsible for the symptoms in certain patients. This is very important to emphasize: Surgery may be helpful only in patients we suspect have pressure on their nerves in addition to their neuropathy and is not for all neuropathy patients."

About one-third of patients with diabetic neuropathy have overlying compression of certain nerves in the leg that may worsen the pain and cause loss of sensation at the bottom of the foot. Several studies have demonstrated that the nerves may increase in diameter in diabetic patients. In this study, UT Southwestern investigators are hoping to show that by releasing pressure from the specific nerves of these patients, pain may be decreased and sensation improved.

"The concept of nerve compression in diabetics is not new," Dr. Rozen said. "Carpal tunnel syndrome is a medical term used to describe compression of the median nerve at the wrist. It appears in approximately 2 percent of the general population, but in 15 percent to 30 percent of patients with diabetes. The treatment of choice in these patients, if conservative treatment has failed, is surgical nerve release."

In addition to pain, patients suffering from diabetic neuropathy have decreased sensation on the bottoms of their feet. Because they can injure their feet without noticing it, many develop ulcerations. About one out of every six patients with ulcers require amputations accounting for the nearly 100,000 amputations per year in the U.S. because of diabetes.

"If we are able to restore at least protective sensation that means patients will feel it if they hit something with their foot it may decrease the amount of ulcers and eventual amputations in this high-risk population," Dr. Rozen said.

Peripheral nerves supply sensation and are responsible for activating different muscles in the body. If these nerves are injured or compressed, they may be responsible for pain, loss of sensation, or even loss of function. Some of these problems may be helped by nerve surgery.

"Pain problems like these are not uncommon. The main problem is education and awareness among patients and physicians alike that there may be surgical solutions to some of these problems," Dr. Rozen said. "We all know patients who had surgery for a 'pinched' nerve in the back. The concepts are very similar relieve a nerve from pressure, repair it or even cut it in certain cases, and the pain may be relieved."


'/>"/>

Contact: Russell Rian
russell.rian@utsouthwestern.edu
214-648-3404
UT Southwestern Medical Center
Source:Eurekalert  

Related medicine news :

1. UT Southwestern: Hidden facial cheek fat compartments are key to youthful appearance
2. UT Southwestern surgeons complete first single-incision lap-band surgery in Texas
3. Fireflies glow helps UT Southwestern researchers track cancer drugs effectiveness
4. UT Southwestern faculty members named Howard Hughes investigators
5. UT Southwestern researcher: Supplemental breast ultrasound boosts cancer detection
6. UT Southwestern Medical Center receives grant from the Robert Wood Johnson Foundation
7. UT Southwestern testing new hybrid hearing device combining advantages of hearing aids, implants
8. UT Southwestern researchers investigate predictors for sickle-cell-anemia complications
9. UT Southwestern surgeons complete North Texas first single-incision gallbladder removal
10. UT Southwestern plastic surgeons deploy new carbon dioxide-based fractional laser
11. BMI criteria for obesity surgery should be lowered, UT Southwestern researchers suggest
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
UT Southwestern launches study of surgical option for treating diabetic and other neuropathies
(Date:2/5/2016)... ... February 05, 2016 , ... Stuart Bentkover, MD, FACS ... Designed to provide the most effective tattoo removal today, Dr. Bentkover is the only ... Developed by Cynosure, the PicoSure has been approved by the Food and Drug Administration ...
(Date:2/5/2016)... ... 05, 2016 , ... Colorize is a web theme package created ... next using Colorize's dynamic moving camera. Colorize is perfect for personal and web related ... environment with 1 to 5 focus points per scene, stage floor scene presets that ...
(Date:2/5/2016)... ... ... Health and wellness is a topic that should concern all Americans; however, ... an illness. Migraines are a severe form of a headache and often are accompanied ... the pain on their worst enemy, the feeling can last for many hours and ...
(Date:2/5/2016)... Ramsey, NJ (PRWEB) , ... February 05, 2016 ... ... Optimizing Primary Care for Patients with Rare Diseases, a continuing medical education (CME) ... conference is the first of its kind—and a first for ACCORD, whose mission ...
(Date:2/5/2016)... ... February 05, 2016 , ... KICVentures ( http://www.kicventures.com ) announced ... in New York City on Thursday, January 21, 2016. Kingsley R. Chin, ... alumnus of the varsity Columbia soccer program) spoke at the event, offering professional ...
Breaking Medicine News(10 mins):
(Date:2/4/2016)...  The Senior Care Pharmacy Coalition (SCPC) today ... Jason Chaffetz (R-UT) and Ranking Member ... , "Developments in the Prescription Drug Market," to ... about abusive pharmacy benefit manager (PBM) pricing practices. ... Member Elijah Cummings (D-MD) are diligent, serious lawmakers ...
(Date:2/4/2016)... , Feb. 4, 2016  Montoya Love is ... in the field of Pharmaceuticals. Montoya is the Regulatory ... Manufacturing and ... Becton Dickinson provides healthcare institutions, clinical laboratories ... throughout fifty countries across the globe. ...
(Date:2/4/2016)... Mettler-Toledo International Inc. (NYSE: MTD ) today announced ... highlights: , Sales in local currency increased ... Reported sales decreased 3% as currency reduced sales growth ... per diluted share as reported (EPS) were $4.44, compared ... was $4.65, an increase of 10% over the prior-year ...
Breaking Medicine Technology: