Diabetic neuropathy resistant to treatment
Diabetic neuropathy resistant to treatment
Patient’s history
Elderly patient has been suffering from diabetes for many years with accompanying sensory symptoms of diabetic neuropathy. The neuropathic pain affected mainly dorsal part of the both feet and exacerbated in the evening, making it difficult to fall asleep.
Previous treatment
The patient was treated with gabapentin, pregabalin and anti-inflammatory drugs with only mild effect.
Treatment form Dr.Goczewski
The skin of the dorsum of the foot is innervated by a superficial peroneal nerve. The regeneration of both superficial peroneal nerves was done by injecting PRP around the nerves. The procedure was performed under ultrasound guidance.
Outcome
The treatment reduced the pain by 50%. It was enough for the patient to sleep normally at night.
