Nerve Injuries and Diabetic Neuropathy
Dr. Peter J. Bregman, DPM
Top Rated Podiatrist in Las Vegas
Patient Resources
Nerve problems can be caused by a disease such as Diabetes or can be from an injury to the leg or foot or even from failed surgeries. In cases where there is chronic painful nerve pain the usual treatments are really not going to be helpful and often have bad side effects.
Nerve Injuries and Diabetic Neuropathy
Nerve problems can be caused by a disease such as Diabetes or can be from an injury to the leg or foot or even from failed surgeries. In cases where there is chronic painful nerve pain the usual treatments are really not going to be helpful and often have bad side effects. Dr. Bregman has been lecturing and teaching and training on the subject of nerve problems for over 15 years and has operated on many hundreds of patients who had life altering nerve problems.
Dr. Bregman will likely perform an extensive neurologic/physical exam and then order the appropriate testing such as blood work, MRI and EMG/NCV (special nerve testing) as part of the diagnostic work-up.
Stim Wave nerve stimulator
- Simple procedure
- Trial in office
- Patient controlled
- Get off narcotics
- FDA approved
Once Dr. Bregman has completed his evaluation he may or may not peform some local anethesia blocks to help confirm the diagnosis.
Double Crush
This means that you may have more than one area along the spinal cord from the neck to the toes is a crush you can have many crushes which make the pain worse farther down to the foot.
Diabetics
Diabetics with neuropathy now have 2 avenues of treatment for neuroapthy other than medications with bad side effects. These include narcotics and drugs like Lyrica and Neurontin. These drugs are okay short term but not long term.
- Decompression Surgery- this can be done if there is a diagnosed compression that is actually the cause of the pain in Diabetics not from just having diabetic neuropathy.
- Peripheral Nerve Stimulator “The Stim Wave” as seen above this is a simple outpatient procedure and a trial can be done in the office to see if you are a good candisdate for the procedure
Stump Neuroma
This occurs anytime a nerve is cut and tries to grow back but grows back and causes more pain then you started with. This is seen most commonly in Morton’s neurectomy procedures. Dr. Bregman has patients traveling from all over to have him treat these problems.
Failed Tarsal Tunnel Surgery
This is a very difficult scenario and usually doing another tarsal tunnel release is unsuccessful. We now have a new solution which is the “Stim Wave” nerve stimulator. This can offer the patient a very simple way to provide great relief of pain.