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KMID : 1130920130170040251
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Journal of Korean Foot and Ankle Society
2013 Volume.17 No. 4 p.251 ~ p.256
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Diabetic Neuropathy
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Shim Jung-In
Chung Jin-Wha
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Abstract
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Neuropathy is a common complication of diabetes. It is characterized by a progressive loss of peripheral nerve fibers. Thedevelopment of the neuropathy is linked to poor glycemic control, age, and the duration of diabetes. Peripheral sensorypolyneuropathy is the most common type in neuropathy. Diabetic neuropathy is the most significant etiologic factorof the footulcer that may leads to amputation. Current treatments in diabetic neuropathy have no definitive effects on repair or reverse thedamaged nerve but only to relieve of symptoms, especially on pain. When the focal compressive neuropathy is combined withdiabetic neuropathy, the nerve would be more vulnerable and symptoms might get worse. Surgery is indicated fordecompression of an entrapped nerve, like posterior tibial nerve in tarsal tunnel, after failure of the initial conservative treatments.
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KEYWORD
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Diabetic Neuropathy, Polyneuropathy
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