Entrapment of a nerve occurs when pressure is exerted from the surrounding tissue, causing damage and pain. This symptom is common in patients affected by diabetes. According to recent research, nerve entrapment is regularly associated with ulceration, infection, amputation, and early mortality in diabetic patients.
Based on this information, Dr. D. Scott Nickerson and Dr. Andrew Rader conducted a study to analyze the recurrence rate of ulcer formation after nerve decompression (ND) therapy. Nerve decompression involves “freeing” the nerve from the surrounding tissue, releasing the pressure and helping to restore sensation and nerve function. The researchers hoped to gain a better understanding on the stipulations of occult nerve entrapment in diabetic patients with limb complications.
At US Neuropathy Centers, the members of our advisory board are active members in the medical community. D. Scott Nickerson, MD, and coauthor of this cutting edge study, “Nerve Decompression After Diabetic Foot Ulceration May Protect Against Recurrence: A 3-Year Controlled, Prospective Analysis,” is board certified in orthopedic surgery with a special interest in neuropathy complications. This study, along with Dr. Nickerson’s continual work to minimize diabetic foot ulcer recurrence and amputations, will help pave the path to finding better treatment.
The study participants included 42 patients that suffer from diabetic sensorimotor polyneuropathy. These individuals were unable to control their pain through medication, palpable pulses, and had “at least one positive Tinel’s nerve percussion sign treated with unilateral multiple lower-leg external neurolyses.” The participants had all previously healed “at least one previous ipsilateral plantar diabetic foot ulceration (DFU).”
The participants were evaluated at 12 months after nerve decompression therapy and additionally at 3 years. Dr. Nickerson and Dr. Rader found that two individuals who received nerve decompression developed ulcers (4.8%), while nine individuals in the control group, who did not receive decompression, developed ulcers (21.4%). Based on statistical evidence, ulcer recurrence is 1.6 percent for individuals who receive nerve decompression, and 7 percent for nonoperational efforts. Both physicians believe the nerve decompression can greatly assist in protecting legs and feet in individuals affected by diabetic neuropathy, “even years after primary ulcer healing.”
US Neuropathy Centers’ physicians are dedicated to improving therapy and pain management associated with neuropathy. Dr. Nickerson is a highly respected innovator in his field, offering other physicians the opportunity to learn from his work on refining neuropathy care. For more information on Dr. Nickerson’s study, click the following link: http://www.japmaonline.org/content/104/1/66.abstract
If you are suffering from neuropathy, please do not hesitate to call us at US Neuropathy Centers.
The advice and information contained in this article is for educational purposes only, and is not intended to replace or counter a physician’s advice or judgment. Please always consult your physician before taking any advice learned here or in any other educational medical material.
@US Neuropathy Centers, 2018