Randomized controlled trial shows durable relief of refractory painful diabetic neuropathy symptoms with the spinal cord stimulation device out to 18 months.
Although four classes of medications and several nontraditional therapies may help reduce pain due to diabetic neuropathy, opioids are not recommended, the American Academy of Neurology notes.
Over the past two decades there has been a significant increase in the number of adults in the United States with small fiber neuropathy, but in many cases, no cause can be determined.
The most common cause of distal symmetrical polyneuropathy, next to that of diabetes, is alcohol intake, which is almost never evaluated, warn two endocrinologists.