Archive For The “Neuropathic Pain” Category

In Search of the Best Pain Clinic in L A: Working With Other Specialists, Part 2

By | January 23, 2013

In our continuing saga of Madame X and her right forearm and hand pain, I told the patient and the hand surgeon that while the distal radius and the carpus need to be stabilized I would recommend that the surgery be as quick and limited as possible to minimize any further nerve damage. I told […]

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Treatment of Peripheral Neuropathy in the Elderly

By | May 30, 2012

I would like to take a brief bake from our series on the Internet to report on the oldest patient yet to have a spinal cord stimulator trial (SCS) at Schlesinger Pain Centers. Diane (not her real name) is a 91-year-old woman with severe peripheral neuropathy affecting her lower legs and feet. Diane had previously […]

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In Search of the Best Pain Clinic in LA: Diabetic Peripheral Neuropathy, Later Treatment

By | February 15, 2012

As the disease progresses even at the best pain clinic in Los Angeles, control of DPN pain becomes more and more difficult. In severe cases of diabetic peripheral neuropathy, spinal cord stimulation (SCS) can produce dramatic results. Percutaneous trialing of between two and four electrodes allow us to easily separate those patients with DPN who […]

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In Search of the Best Pain Clinic in LA: Diabetic Peripheral Neuropathy, Early Treatment

By | February 13, 2012

Early in the course of the disease, the symptoms of diabetic peripheral neuropathy (DPN) are usually controlled easily by antidepressants such as doxepin and Cymbalta and antiepileptic agents such as Neurontin and Lyrica. The best pain clinic in Los Angeles would know that the avoidance of side effects can be as important as the relief […]

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In Search of the Best Pain Clinic in LA: Diabetic Peripheral Neuropathy, Complications and Comorbidities

By | February 12, 2012

The best pain clinic in Los Angeles would know that it is also important to look for unusual symptoms in patients with diabetic peripheral neuropathy. Gastrointestinal complaints, chest pain, arm pain or fatigue should be sought out, because patients with diabetic neuropathy are at increased risk of other manifestations and complications of their diabetes. Bloating […]

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In Search of the Best Pain Clinic in LA: Diabetic Peripheral Neuropathy, Signs and Symptoms

By | February 11, 2012

The earliest symptoms of diabetic peripheral neuropathy are numbness and tingling or pins and needles  usually beginning in the toes and the bottoms of the feet, which is most commonly experienced at night.  As we have said earlier it is important for the best pain clinic in Los Angeles to make the diagnosis of DPN […]

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In Search of the Best Pain Clinic in LA: Diabetic Peripheral Neuropathy, Etiology and Pathogenesis

By | February 10, 2012

Diabetic peripheral neuropathy (DPN) is caused by the accumulation of toxic byproducts of abnormal glucose metabolism in small nerves and small blood vessels. This abnormal metabolism is induced by elevated blood levels of glucose and occurs even at relatively low levels of hyperglycemia. In many of the early cases the patient may not even be […]

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In Search of the Best Pain Clinic in LA: Diabetic Peripheral Neuropathy, Introduction

By | February 9, 2012

In our search for the best pain clinic in Los Angeles diabetic peripheral neuropathy (DPN) is an interesting and useful discriminant for many reasons. As the most common form of peripheral neuropathy it is ubiquitous, not only in pain clinics across America, but in every primary care and internal medicine office in the nation. Moreover, […]

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