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Re: Painful and numb feet

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LindLee

Your description of your mother's numbness of her feet and the

treatment by packing them in ice raises a danger signal. In your

mother's case, the presence of diabetes with numb feet makes a

diagnosis of diabetic neuropathy quite likely. Any neuropathy can be

associated with RLS and diabetic neuropathy is probably the commonest

type. Placing the feet in cool water has been used to allay the pain

of diabetic neuropathy, but packing them in ice is dangerous.

Typically, diabetics have small vessel disease (sclerosis) in their

legs and feet. Ice causes constriction of arteries and arterioles.

This decreases the blood flow to the foot which is frequently already

compromised because of the sclerotic vessels. Tissue damage could be

hastened by packing an ischemic (blood poor) foot in ice. You also

don't put a diabetic's foot in hot water because the heat increases

the local need for blood which the sclerotic vessels cannot supply.

The same warning as to hot and cold applies to any type of

arteriosclerotic disease of the extremities, diabetic or non-diabetic.

Dr. Levin

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