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Diabetes most commonly causes damage to the long nerves that supply the feet and lower legs, causing numbness, tingling and pain (diabetic polyneuropathy). Although these symptoms may also be present, the pain and weakness of proximal diabetic neuropathy often onset more quickly and affect nerves closer to the torso. [citation needed]
Peripheral neuropathy may be classified according to the number and distribution of nerves affected (mononeuropathy, mononeuritis multiplex, or polyneuropathy), the type of nerve fiber predominantly affected (motor, sensory, autonomic), or the process affecting the nerves; e.g., inflammation (), compression (compression neuropathy), chemotherapy (chemotherapy-induced peripheral neuropathy).
The diagnosis is considered in people who develop pain or numbness in a leg or foot with a history of diabetes. Muscle weakness, pain, balance loss, and lower limb dysfunction are the most common clinical manifestations. [7] Physical exam findings may include changes in appearance of the feet, presence of ulceration, and diminished ankle reflexes.
3. Step-Up. Why it rocks: Whether you're hiking or hauling it up a flight of stairs, this functional exercise builds the quad strength you need to tackle all sorts of daily activities. How to ...
Diabetes is the foremost cause in America today for neuropathic joint disease, [5] and the foot is the most affected region. In those with foot deformity, approximately 60% are in the tarsometatarsal joints (medial joints affected more than lateral), 30% metatarsophalangeal joints, and 10% have ankle disease. Over half of diabetic patients with ...
The mean age of onset since diagnosis of diabetes is fifteen years. The female:male ratio is 1.3:1. The female:male ratio is 1.3:1. Other diabetic complications such as nephropathy , neuropathy , retinopathy and hypertension are usually present.
While the exact cause is unclear, it is believed to be due to overuse. [1] [2] Risk factors include trauma, increased training, and a weak quadriceps muscle. [1] It is particularly common among runners. [3] The diagnosis is generally based on the symptoms and examination. [3]
Prevention of diabetic foot may include optimising metabolic control via the regulation of blood glucose levels; identification and screening of people at high risk for diabetic foot ulceration, especially those with advanced painless neuropathy; and patient education in order to promote foot self-examination and foot care knowledge.