Ann Intern Med. 2014;161:639-649, 674-675
There are many different causes of a painful condition called peripheral neuropathy. Symptoms can range from mild to severe and consist of pain, burning and numbness. If addition, the lack of feeling in the feet can also increase the risk of falling.
Whereas we don’t know the cause of many neuropathies, many times they are associated with diabetes, alcoholism, bariatric surgery, smoking and celiac disease.
Treating neuropathies can be frustrating for both the patient and physician. This study compared several deferent FDA approved drugs to see which one worked the best. They looked at anti-seizure medications like Neurontin and Lyrica, SRNI anti-depressants like Cymbalta and Effexor, Tricyclic antidepressants like amitriptyline and pain killers including narcotics. Whereas all of the treatments helped, there was not one that particularly stood out from the others. Costs and side effects were also taken into account.
It is also clear that micronutrient deficiencies are also often present with neuropathies and correcting deficiencies should also be considered when treating symptoms. Functional deficiencies (this means that even though the vitamins may be present in the blood, the body may not be able to utilize them) should be corrected and an exercise program should be started.
We not only offer micronutrient testing now in the office, but have offered both physical therapy and nutritional programs for years through our Kaizen Total Wellness programs