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  • Management of Neuropathy
    Neuropathy can have a major impact on one’s quality of life, hence incorporating daily management techniques along with treatment can be very helpful. These can be: Dietary changes to include healthy well-balanced meals rich with nutrients and vitamins to fulfill any deficiencies. Quitting alcohol and tobacco use can have immense benefits for the heart, kidney and liver. Loss of excessive body weight is known to greatly improve mobility and health. Daily exercise to strengthen weak muscles is…
  • Neuropathy Tests and Diagnosis
    A clinical examination is essential to the diagnosis of neuropathy. This will include a thorough medical history (social habits, alcohol/tobacco use, risk of infections, family history etc.), physical exam, and a neurological exam to test the reflexes of the motor and sensory nerves. If suspected of any specific diseases, a blood test may be ordered for diabetes, vitamin deficiency, liver and kidney function etc. In addition, scans such as CT or MRI may be done to investigate the cause of…
  • Prevention of Neuropathy
    Lifestyle changes can prevent risk factors that are likely to induce neuropathy; these include smoking and alcohol cessation, avoiding exposure to toxins, losing weight, eating healthy and correct vitamin deficiencies. If you have a known chronic kidney, systemic or autoimmune disease, make sure to keep it under check. For diabetics, tight control of blood sugar level and daily foot care can be very advantageous. Early recognition and treatment of neuropathy can slow down progression and even…
  • Types of Neuropathy
    Types and Complications of Neuropathy There are numerous types of neuropathies identified, based on the types of nerves damaged. There are 3 types of nerve fibers that can be affected and most doctors will use these terms to describe the diagnosis: Motor: these are nerves that control muscle movement e.g. walking, talking, holding etc. Sensory: these are nerves that transmit sensations e.g. pain, touch, temperature etc. Autonomic: these are nerves responsible for regulating unconscious…
  • Signs and Symptoms of Neuropathy
    The types of nerves affected reflect the symptoms and signs experienced by the patient. Motor Sensory Autonomic Weakness Tingling Sweat excessively or not at all Cramps Numbness Difficulty swallowing Spasms Pain (shooting or stabbing) Nausea and vomiting Difficulty walking or moving Sensitivity to touch (burning sensation) Dizziness or fainting Loss of balance and coordination Difficulty sleeping due to pain Diarrhea or constipation Loss of reflexes Sensation of wearing…
  • Causes And Risk Factors of Neuropathy
    Injury is the most common cause of nerve trauma from accidents, falls, medical procedures, recurring pressureon a nerve etc. Other causes for nerve injury include slipped discs, broken bones, arthritis, carpal tunnel syndrome, ligament/tendon problems etc. Diabetes is the foremost cause of polyneuropathy seen in 60-70% of diabetic patients. Studies show that high blood sugar levels slowly damage the nerves and the blood vessels that supply the nerves with oxygen. Poor glycemic control is the…
  • Neuropathy
    Overview of Neuropathy
    Neuropathy (also known as Peripheral neuropathy) is a condition wherein the nerves of the body are damaged (from injury or disease) and thus fail to function normally. This affects the communication between the nerves and the brain. It is a fairly common condition and can affect people of all ages. It is however, more common in men and the elderly, and those with a family history of inherited neuropathy. Peripheral neuropathy is not a single condition but an umbrella term for several disorders…
  • A partially visible counsellor sitting with a person with outstretched hands
    Can Counselling Help Persons With Parkinson's?
    Persons with Parkinson's are not just affected by motor and cognitive behaviour symptoms but also emotional difficulties. Clinical Psychologist Shanaya D’souza and Health Psychologist Shibani Khanna explain the need and benefits of seeking counselling help for the mental health issues.  Parkinson’s disease is a progressive disorder which develops when the brain cells which produce the neurotransmitter dopamine begin to degenerate. Apart from the visible motor symptoms that make everyday…
  • The Dilemma of Palliative Sedation
    There is a lot of confusion on Palliative Sedation and there has also been a lot of debate on the ethical concerns around this. We unpack the concept of Palliative Sedation and when it is appropriate to consider.   One of the central goals of Palliative care is the relief of suffering and pain. Many terminal patients despite being on heavy medication for symptom control have intolerable pain possibly from their underlying disease or adverse effects of their treatment towards the end…