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It is necessary to pay attention to the hypovascular insufficiency of the lower limbs caused by atherosclerosis of the lower limbs, the possibility of peripheral neuropathy of the lower limbs, and the possibility of hypocalcemia.
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1. Cerebrovascular disease: people with underlying diseases, such as hypertension, diabetes, arteriosclerosis, and hyperlipidemia, may be the precursor of ischemic stroke, especially young and middle-aged men, long-term alcoholism, if this situation occurs and gradually appears when symptoms such as clumsiness and salivation appear, temporary ischemic attack usually occurs, that is, small stroke;
2. Vascular problems: especially for deep vein thrombosis, it is recommended to carry out vascular ultrasound of the lower limbs in time, as well as combined iliac arteriovenous vascular ultrasound examination;
3. Pelvic problems: pelvic space-occupying lesions will compress nerves and cause numbness in the toes;
4. Lumbar intervertebral disc herniation: mainly caused by intervertebral disc herniation, which compresses the spinal nerves.
Specific to diabetes, it is considered to be a cerebrovascular lesion, depending on the specific examination results.
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Diabetic patients have numb right foot, you must not be careless, you must go to a regular hospital for diagnosis.
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Foot numbness in diabetic patients is more common as a complication in patients with high blood sugar or suboptimal glycemic control. It is caused by peripheral vascular disease and neuropathy, and is caused by poor blood circulation. If the above symptoms occur, it should be carried out as soon as possible**, actively improve microcirculation, promote blood flow, and can be symptomatic oral drugs to nourish nerves and vasodilators.
It is recommended that patients take oral ginkgo biloba leaves, methylcobalamin tablets, vitamin B1 tablets, vitamin B2 tablets and other drugs for symptomatic conditioning, and can also use acupuncture, massage and other methods for conditioning**.
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Numbness in the right hand and foot may indicate mild cerebral infarction in the left hemisphere, including lacunar infarction. So first of all, we need to do a brain MRI, if the brain MRI is clearly a lacunar infarction. It is necessary to strictly control blood pressure, take atorvastatin calcium orally for a long time, and carry out hyperbaric oxygen if necessary.
If it is not a cerebral infarction, then the patient may be caused by cervical spondylosis. Cervical spondylosis requires cervical magnetic resonance imaging to make a definitive diagnosis, and after diagnosis, traction is mostly considered**. Diabetic patients with numbness in the feet should be aware of the possibility of diabetic peripheral neuropathy.
Diabetic peripheral neuropathy is most common in distal symmetrical polyneuropathy, which is mainly based on the involvement of sensorimotor nerves in the distal hands and feet, usually symmetrical, and the typical manifestations are glove or sock distribution, the lower limbs are more severe than the upper limbs, and the acral paresthesias appear first, which can be accompanied by hyperalgesia and pain. Later sensory loss may be accompanied by motor nerve involvement, atrophy of the small muscles of the hands and feet, sensory ataxia, and neuroarthropathy.
Therefore, if diabetes causes numbness in the feet, it is recommended to go to the hospital for treatment to clarify the symptoms.
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Diabetic foot numbness is mainly caused by diabetic peripheral neuropathy, which means that in the case of excluding other causes, diabetic patients have symptoms related to peripheral nerve dysfunction, clinical symmetrical pain and paresthesia, and the symptoms of the lower limbs are more common than those of the upper limbs, that is, the same feeling as wearing gloves and socks.
Early diagnosis and ** are the basic measures to prevent diabetic neuropathy, and the first measures to be taken are to control blood sugar, correct dyslipidemia, and control hypertension.
The second is to strengthen foot care, choose shoes and socks with good air permeability, soft quality, and fit the feet, and frequently check and remove foreign bodies in the shoes. Patients should wash their feet every day, the water temperature should not be too high, the feet are easy to dry and crack in autumn and winter, you can use a neutral moisturizer to evenly rub, and you can rub some talcum powder on your sweaty feet.
Thirdly, regular screening and condition evaluation should be carried out, and electromyography of the distal limbs should be checked at least once a year after the diagnosis of diabetes, and patients with a long course of diabetes or microvascular complications such as fundus lesions and kidney disease should be rechecked every three to six months.
The most important ways of diabetic numbness of hands and feet include dilating microvessels, increasing blood flow to the affected limbs, and improving the blood of the nerves, so that neurotrophic drugs can reach the lesion as soon as possible and repair the damage.
Nutritional nerve drugs can nourish nerves to repair damage, and vitamin B12 is commonly used.
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When diabetic patients have poor blood glucose control for a long time, they are prone to a variety of chronic complications, such as diabetic vascular disease, neuropathy, fundus lesions, diabetic nephropathy, etc. There are several possible causes of diabetic numbness in the hands and feet: 1. Diabetic peripheral neuropathy, when diabetic patients are complicated by peripheral neuropathy, they can have numbness, swelling and pain in the limbs, or a feeling like wearing gloves and socks, and diabetic peripheral neuropathy is the most common cause of numbness in the hands and feet of diabetic patients.
2. Cervical spondylosis, lumbar disc herniation, etc., when patients have cervical spondylosis, lumbar disc herniation and compression of nerves, symptoms of numbness in hands and feet can occur. 3. Cerebrovascular disease, when diabetic patients have insufficient cerebral blood supply or even cerebral infarction, they can also have symptoms of numbness in the hands and feet. 4. A small number of patients with carpal tunnel syndrome can also cause numbness in both hands when compressing the median nerve.
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Because this disease is diabetic foot, it is a peripheral neuropathy caused by squid saccharinism, so it can cause numbness in the feet and a taste without gloves.
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This phenomenon is a high blood sugar level and the blood sugar is not well controlled. If there are complications and the microcirculation is not good, I should go to the hospital to find a doctor, do an examination, and prescribe the right medicine. Keep your mouth shut and open your legs. It's going to be fine.
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If diabetic patients have simple numbness in the right foot, we need to see the orthopedic surgeon to screen whether it is due to lumbar spondylosis compression of the nerve caused by the numbness of the right foot.
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Diabetic patients with numbness in the feet are generally caused by high blood sugar concentration, which leads to nervous tension, resulting in nervous system damage. If you have diabetes, these conditions are relatively common, and it is recommended to use acupuncture**, but also to control blood sugar at a normal range by oral sulfonylureas or insulin injections.
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Diabetic numbness of hands and feet is often caused by nerve ischemia and hypoxia caused by high blood sugar, which can cause disabling and fatal diseases. In the case, Aunt Yao performed in the early stage of diabetic numbness of hands and feet**, and the effect was ideal, because the early lesions were reversible. Diabetic complications have functional impairment followed by organic changes; Some organic changes occur first, and symptoms appear later.
Diabetic numbness of hands and feet is a functional disorder in the early stage, and then there are organic changes in the nerves, so it is difficult to diagnose early, and the routine electromyography examination has not caused changes, but the symptoms are obvious at this time, and the psychological pressure of the patient is significantly increased.
Diabetic neuropathy early numbness of the hands and feet, in fact, is the damage of microvessels that affects the changes in nerve function, at this time, it is reversible, with the correct way, the numbness of the hands and feet disappears, which can reduce psychological pressure and increase confidence in overcoming the disease. It is now introduced that diabetic patients with numbness of hands and feet need to expand the tube, activate blood and nourish nerves in the early stage.
Ways to get numb in the hands and feet of diabetes include:
Tube dilation: dilates the microvessels, increases blood flow to the affected limb, and improves the blood flow to the nerves** so that neurotrophic drugs can reach the lesion as much as possible and repair the damage. Commonly used are Eis, Repanton, Nemodiping.
Activate blood: Improve blood viscosity, increase blood flow velocity, and allow more blood to flow to the lesion. When using traditional Chinese medicine to invigorate blood, it should be based on pharmacology, and at the same time, it should not violate the efficacy of traditional Chinese medicine prescriptions and cold, heat and cold.
Combined with the patient's current syndrome of cold, heat, deficiency and reality, appropriate drugs can be selected, such as Xuesaitong, Thrombosis, Danshen Injection, Lamp Huasu, Lamp Careful Injection, Safflower Injection, etc.
Nutritional nerve drugs: can nourish nerves, repair damage, commonly used adenosylcobalamin, vitamin B1.
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