What Can Be Done for Diabetic Neuropathy in Your Feet?

People with diabetic neuropathy usually experience numbness, tingling or a painful sensation as if a whole swarm of bees were attacking their feet. This is due to the damage in the nerve endings, done by high blood sugar. These symptoms can actually occur in other parts of the body such as the legs, arms and hands as well, though the feet tend to be the areas affected by diabetic neuropathy the most. Special foot care is thus necessary for a diabetic's wellness.

Special Footwear

• Always wear comfortable sneakers or closed shoes. Try not to go barefoot or wear sandals. If possible, buy the highest-quality athletic shoes you can afford. A tiny blister on a diabetic's foot can lead to a severe infection and even amputation. A good pair of shoes should feel comfortable the first time you try them on. If they don't feel right, don't just assume that your feet will eventually get used to them. When it comes to socks, a cotton-and-synthetic blend is best, as it keeps the feet from sweating too much and blistering.

Nerve-Protecting Supplements

• Certain herbs and supplements have shown some promise in easing nerve pain or even reversing nerve damage. These supplements include gamma-linolenic acid, alpha-lipoic acid, bilberry and evening primrose oil. Make sure you consult with your doctor before taking them. Some of these supplements may cause side effects or affect blood sugar, which can be dangerous to take with some diabetes medications.

Capsaicin Cream

• Capsaicin cream contains a resinous compound derived from cayenne peppers, which can help reduce chemicals in the nerve cells that signal painful sensations. Apply it on your feet three or four times daily. It usually does not work right away but takes a few weeks for the pain to subside. Don't let your eyes or face come into contact with the cream, as it can cause severe burning. If possible, wear disposable gloves when handling it.

Increase Blood Flow to the Feet

• Better blood circulation in the feet can relieve numbness or neuropathic pain. There are several things you can do to improve circulation. A gentle foot massage, for example, is not only enjoyable and relaxing, but also stimulates blood flow and releases tension. Some simple movements can also bring forth the same results. While lying on your back, lift your legs up and slowly rotate your ankles several times. You may lift one leg at a time or use a wall to support your legs if this exercise is too difficult.

See a Podiatrist

• Since a diabetic's feet need extra care, it's wise to regularly visit a podiatrist or foot expert, who can run tests to check for nerve problems and keep your feet healthy. In addition, a podiatrist can give you useful advice about your shoes. For example, sometimes your shoes may need little adjustments with insoles or padding for a better fit. If possible, go to a podiatrist who specializes in caring for diabetics.

Nerve Damage Assessment

• You can request a free nerve-damage assessment kit from the Lower Extremity Amputation Prevention (LEAP) program online at www.hrsa.gov/leap. LEAP's foot-screening tools are easy to use and will help indicate if you have neuropathic problems in any areas of your feet.