Dr. Barrett explains, “It is important to draw a distinction between ‘operating’ on peripheral neuropathy and ‘decompressing entrapped nerves’ in patients with this condition. This is important life-changing surgery for patients; more than 80% come back for treatment on their contralateral side.”

Dr. Barrett emphasized the importance of appropriate surgical training, noting that nerves in patients with diabetes are both larger and heavier, and are more susceptible to injury that those of the nondiabetic patient.


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 “The symptoms of diabetic peripheral neuropathy can be reversed with proper patient selection and subsequent peripheral nerve surgical decompression,” Dr. Barrett concluded. “Contrary to mainstream medical belief that patients with distal symmetrical peripheral neuropathy can only be treated palliatively with pharmacotherapy, these patients can have sensation restored, balance improved, and a significant prevention of reulceration with surgical decompression.”

References

1. Rankin TM, Miller JD, Gruessner AC, Nickerson DS. Illustration of cost saving implications of lower extremity nerve decompression to prevent recurrence of diabetic foot ulceration. J Diabetes Sci Technol. 2015;9(4):873-880.

2. Zhang W, Li S, Zheng X. Evaluation of the clinical efficacy of multiple lower extremity nerve decompression in diabetic peripheral neuropathy. J Neurol Surg A Cent Eur Neurosurg. 2013;74(2):96-100.

3. Tippett AW. Treating peripheral neuropathy.  Wounds. 2014;26(3):65-71.