Author/Editor		Meh, Duška
Title		Zdravljenje bolnikov z diabetično nevropatijo s fizikalnimi sredstvi
Translated title		Physical treatment of diabetic patients
Type		članek
Source		In: Kersnik J, editor. Kronična bolečina, sladkorna bolezen, depresija in preventivni program. Zbornik predavanj 4. Fajdigovi dnevi; 2002 okt 11-12; Kranjska Gora. Ljubljana: Združenje zdravnikov družinske medicine SZD,
Publication year		2003
Volume		str. 41-50
Language		slo
Abstract		Diabetic neuropathy is the most common and troublesome complication of diabetes mellitus. It may be silent and go undetected while exercising its ravages. It is a heterogeneous disorder that encompasses a wide range of abnormalities affecting proximal and distal peripheral sensory and motor nerves, symmetrical length dependent sensory neuropathy being most frequent abnormality. C- and A-delta fibres are affected, frequently subclinically, and psychophysical assessment of small nerve fibres is mandatory. The treatment of painful diabetic peripheral neuropathy is troublesome and limited by the range of effective treatments available. An optimal control of diabetes is important, and simple analgesics such as aspirin and paracetamol may be beneficial. Further relief of symptoms may be achieved with tricyclic antidepressants and anticonvulsants.. Physical techniques are unfortunately frequently in the background. In our study, transcutaneous electrical nerve stimulation was found a promising tool in treating painful diabetic neuropathies.
Descriptors		DIABETIC NEUROPATHIES SENSATION SENSATION DISORDERS TEMPERATURE SENSE PARESTHESIA CAUSALGIA HYPERALGESIA HYPESTHESIA TRANSCUTANEOUS ELECTRIC NERVE STIMULATION