Current And Emerging Insights On Treating Diabetic Peripheral Neuropathy

Peter Bregman, DPM, FAENS, FACFAS, and Pasquale Cancelliere, DPM

   What is important to know is that all lasers are not created equal and that wavelength is the key to laser treatment. Different wavelengths will treat different things. we are not sure we know what the “perfect” wavelength is to treat diabetic neuropathy. However, a recent study showed that low level lasers can have a positive effect on nerve compression and peripheral neuropathy.20 Time will tell but we believe cold laser therapy does have a place in our armamentarium in the treatment of neuropathy and we may even combine it with other treatments to provide synergistic results.

In Conclusion

It is safe to say there is no magic wand in the treatment of diabetic peripheral neuropathy. We have a lot of choices and more will surely come along. At the very least, we need to educate ourselves on the various treatment options available to treat the disease and its symptoms. We would encourage all of the readers to learn about peripheral nerve entrapments of the lower extremity and be able to identify them.

   Dr. Bregman is the Immediate Past President of the Association of Extremity Nerve Surgeons. He is in private practice at Achilles Foot and Ankle Specialists in Henderson, Nev.

   Dr. Cancelliere is the Assistant Podiatric Surgery Residency Director with the MetroWest Medical Center in Framingham, Mass. He is also in private practice in Framingham, Mass.

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