Dear Dr. Roach: I have neuropathy in my left foot. It feels very hot on the bottom. My neurologist thinks it is from my sugar level, but I got my A1C down from 6.2% to 5.6% and do not have neuropathy in my right foot.
Medication for diabetic neuropathy is pretty effective at treating the pain and burning, but not as good for numbness and tingling. Red-light treatment, also called monochromatic infrared energy, is provided by LEDs rather than lasers. In theory, the light can stimulate blood flow and reduce inflammation.
Being a conservative doctor, I won’t recommend this therapy unless there is clear evidence of benefit from future studies. I will note that multiple burns have been reported, and government bodies have determined that red-light treatment is not a reasonable and necessary treatment for diabetic or nondiabetic neuropathy.
One of my readers also alerted me to new research at University of California San Diego, showing evidence that both electroconvulsive therapy and transcranial magnetic stimulation might work by restoring normal levels of cortical inhibition in the frontal lobes. The induced seizure activity relating to the treatment is responsible for the benefits seen through these therapies. It might be possible to achieve the same benefits with less-invasive treatments.
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