We can relieve the pain and numbness with the Dellon Technique, developed by A. Lee Dellon, M.D., PhD., an accomplished Plastic Surgeon as well as a Professor of Plastic Surgery and Neurosurgery at the prestigious Johns Hopkins University School of Medicine, Baltimore, Maryland.
Neuropathy Decompression Surgery... (click here)
"I was in a lot of pain before surgery. My toes were also numb...I didn't realize when I wore sandals that I was injuring my foot. My foot feels great now and I would do it again if needed"
R.L. - Trenton
"Before surgery my foot had numbness and my toes tingled. Now my foot feels excellent - no problems. I would highly recommend Dr. Rockmore, and I do to all my friends."
T. Hartnett - Burlington
"...it would wake me from a sound sleep and I would walk the numbness off from anywhere, 1 hour to 3 hours in the early morning. Dr. Rockmore, I feel, did a great job. After surgery, I got the feeling back in my toes and foot."
P. Alexander - Mercerville
At the Neuropathy Testing and Treatment Centers, the cause of pain or numbness or weakness is investigated thoroughly. Only a thorough investigation can give an effective diagnosis and treatment plan. www.nervepainnj.com
The diagnosis, Neuropathy, is not enough. We identify if the problem is large fiber or small fiber. EMG can only identify large fiber problems. In addition, the painless quantitative sensory testing can monitor progress and response to treatment over time.
Dr. Rockmore is a member of the American Association of Peripheral Nerve Surgeons and the New Jersey Peripheral Nerve Surgery Restoration Team.
The team has special training in peripheral nerve surgery for painful conditions and neuropathy in the diabetic and non-diabetic patient.
Patients treated by Dr. Eric Rockmore have eliminated chronic pain and regained feeling in their feet. He trained at the Dellon Institute for Peripheral Nerve Surgery in 2006 under the supervision of the pioneer of the new procedures, A. Lee Dellon, MD.
Dr. Eric Rockmore also offers proven non-surgical naturopathic and homeopathic treatments that can reverse nerve damage.
If you suffer from pain in your legs and/or feet, request a consultation with Dr. Eric Rockmore today.
Info for Primary Care Physicians
There may be some optimism for patients with diabetes who suffer from peripheral neuropathy. By having yearly measurements made of the sensibility in your hands and feet, the earliest stages of neuropathy can be identified and appropriate changes in your diabetes management can be made. In certain cases, it may be found that areas are present in both your arms and legs that cause compression of your nerves. These sites of pressure on the nerves can be treated with surgery to restore sensation to your hands and feet.
Why would nerves in the diabetic be compressed?
Nerves begin in the spinal cord and extend into the fingers and toes. Along with this path there are anatomic areas of narrowing. These exist in everyone, and many are already known to you, such as your "funny bone" at the elbow and the carpal tunnel at the wrist. In the leg, there are similar tight places at the outside of your knee and the inside of your ankle called the tarsal tunnel. Although some people may have been born with structures that would make the tunnels more narrow and the nerves more likely to become pinched, like a smaller wrist or extra muscles that go through one of these tunnels, the diabetic has two unique reasons to make nerves susceptible to compression. Firstly, diabetics may develop swollen nerves due to the high blood sugars. Secondly, these swollen nerves travel through tight tunnels that are stiffening over time, also due to the high blood sugars. The combination of these effects can create severe compression points on specific peripheral nerves.
What are the symptoms of nerve compression?
You will feel buzzing, tingling or numbness in the areas that are supplied by that nerve. In the foot, the problem similar to carpal tunnel syndrome is called tarsal tunnel syndrome. It involves compression of the posterior tibial nerve in the bony tunnel on the inside of the ankle. This nerve supplies the entire bottom of the foot, including the heel. Compression of the posterior tibial nerve can result in numbness or tingling of the heel, the arch, the ball of the foot, and the bottom and tips of the toes. The loss of sensation in the feet can cause a loss of balance, a feeling of unsteadiness, and cause you to fall.
What type of surgery can be done?
The surgery to decompress the nerve does not change the basic, underlying metabolic (diabetic) neuropathy that made the nerve susceptible to compression in the first place. When the surgical decompression is done early in the course of nerve compression, restoration of blood flow to the nerve will stop the numbness and tingling, and permit strength to recover. When the decompression is done later in the course of nerve compression, and nerve fibers have begun to die, decompression of the nerve will permit the diabetic nerve to regenerate.
Introducing PSSD - Painless Nerve Testing
For the countless people who live with the pain, numbness, tingling, and reduced functionality due to nerve injury, PSSD or Pressure Specified Sensory Device™ testing signals a breakthrough inaccurate diagnosis. This revolutionary new technology is a pain-free means of testing nerve function in a way never before possible. Utilizing innovative computer technology, the PSSD unit enables accurate, non-invasive neurosensory and motor testing (NMT) without the pain associated with traditional electrodiagnostic testing.
The PSSD is a psychophysical diagnostic measuring device that interfaces with a computer to create a system of instruments which measure sensory and motor function. The PSSD requires the patient to make a complex psychophysical decision at the cortical level in order to provide information about the peripheral nervous system allowing early detection of nerve malfunction. The patient responds by pressing the button on a "joy buzzer" type indicator. The patient is touched with an instrument consisting of two prongs connected via a strain gauge to a laptop computer. The patient's ability to feel and distinguish the distance between the points is measured by the PSSD and shown graphically on a series of charts and graphs. The pressure threshold required to initiate a response is also precisely measured in g/mm2.
PSSD - Why and When
Patients from all backgrounds suffer pain from peripheral nerve injury due to compression neuropathy. PSSD's revolutionary new technology gives healthcare providers a new tool in the diagnosis of chronic nerve pain. PSSD is instrumental in the early detection of many nerve disorders, including tarsal tunnel syndrome and diabetic neuropathy.