shade45

Q:

Neuropathy; Is it good to be walking when you have been diagnosed with neuropathy and how much, my pain seems to be getting worse, I take Gabapentin TID now with little relief. Shade45

Patty Bonsignore

A:

It is difficult to exercise with painful neuropathy and yet it’s very important to stay active, particularly when you have diabetes. With neuropathy, it’s best to do exercises that are non-weight bearing, such as swimming, water aerobics, rowing and chair exercises. If walking is the exercise you prefer, and easiest for you, then it is important to make sure your shoes fit correctly, and that you have comfortable, well-padded socks that wick away moisture. A podiatrist or a pedorthist (a professional trained in creating customized footwear), can help you determine whether your shoes are fitting correctly, as correctly fitted shoes are an easy and important way to prevent foot ulcers. Neuropathy can also affect balance and shift the way you bear weight on your feet. Alterations in weight bearing can put you at greater risk for falls and foot ulcers. If you are having problems with balance, ask for a referral for physical therapy. With regard to your nerve pain, when blood glucose control improves, nerve pain can actually worsen for several months. It is as if the nerves are “waking up.” Though this can be frustrating, increased pain can be a sign that the neuropathy is improving and will get better over time. Make sure to let your doctor know that the medication you are taking for pain is not currently working.

October 14, 2013 at 8:53 pm

4 replies

JanKay
JanKay 2014-06-04 00:15:09 -0500 Report

This article needs to have some alterations. A type 1 diabetic for over 50 years, my peripheral neuropathy passed the "pain" level quite a few years ago, and no matter how good my glucose control is, the nerves in my feet and lower legs will NEVER "wake up" and my neuropathy will NOT improve or "get better over time." For many years, I would not feel it if I stepped on a nail or something sharp. Walking more than I have to is not an option for me. This should have been made clear in this halfway-done article. We are not all type 2 diabetics.

GSimone
GSimone 2014-06-02 17:14:33 -0500 Report

Why not try acupuncture and Lyrica, if you can take it? Do your research on Lyrica. It slowly helped me while I was in the hospital.

Television1
Television1 2014-04-23 19:19:45 -0500 Report

thanks so much for that, I have trouble sleeping at night because my legs and feet go numb on me all the time, they also get very hot, no matter what the weather., and I wake up sweating like I had just walked out of a swimming pool.

lorider70
lorider70 2014-03-25 12:06:00 -0500 Report

As a type II since 1989 and not being diagnosed until after the neuropathy showed up; I can tell you that regardless of what you do or don't do; neuropathy will NOT always improve. In my case; I have been in "control" since the beginning and the neuropathy has just slowly gotten worse. I now walk with a cane always. Muscular weakness in legs has contributed to balance problems. Pain is a daily friend and I take Tramadol just to take the edge off a little. If you are one of the fortunate that has their complications improve or abate entirely; I am very happy for you and hope you continue to do well. Just wanted to let you know the facts so you don't generate false hope.