Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지

Diabetic Neuropathy

당뇨 신경병증

  • Shim, Jung-In (Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, Catholic University of Korea) ;
  • Chung, Jin-Wha (Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, Catholic University of Korea)
  • 심정인 (가톨릭대학교 의과대학 여의도성모병원 정형외과학교실) ;
  • 정진화 (가톨릭대학교 의과대학 여의도성모병원 정형외과학교실)
  • Received : 2013.10.30
  • Accepted : 2013.11.12
  • Published : 2013.12.15
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Abstract

Neuropathy is a common complication of diabetes. It is characterized by a progressive loss of peripheral nerve fibers. The development of the neuropathy is linked to poor glycemic control, age, and the duration of diabetes. Peripheral sensory polyneuropathy is the most common type in neuropathy. Diabetic neuropathy is the most significant etiologic factor of the foot ulcer that may leads to amputation. Current treatments in diabetic neuropathy have no definitive effects on repair or reverse the damaged nerve but only to relieve of symptoms, especially on pain. When the focal compressive neuropathy is combined with diabetic neuropathy, the nerve would be more vulnerable and symptoms might get worse. Surgery is indicated for decompression of an entrapped nerve, like posterior tibial nerve in tarsal tunnel, after failure of the initial conservative treatments.

Keywords

References

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