Diffuse Idiopathic Skeletal Hyperostosis
Diffuse idiopathic skeletal hyperostosis is a disease characterized by flowing calcification of paraspinal ligaments. The intervertebral discs, facet joints, and sacroiliac joints are most often unaffected. The disease is most common in the thoracic spine, followed by the cervical spine and finally the lumbar region. It may demonstrate calcification of extra-axial ligaments and tendons as well.
The underlying pathophysiology is not understood. DISH has a higher prevalence among diabetic patients than among people without diabetes. In fact, approximately 26% of patients with DM may eventually develop DISH.14 More specifically, it is commonly seen in association with type 2 diabetes, particularly in obese patients. It is thought by many to be exacerbated by hyperinsulinism and elevated growth hormone levels.
Patients complain of stiffness in the neck and back, with decreased range of motion. Pain is generally not a prominent symptom. Treatment consists of physical therapy and therapeutic exercise. There is no convincing evidence that adequate glycemic control delays the onset or improves the symptoms of this condition.
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When Should I Get My Leg Cramps Treated At The Emergency Department
Go to the emergency department if a leg cramp lasts longer than 10 minutes or becomes unbearably painful. Also go if a leg cramp happens after you touch a substance that could be poisonous or infectious. For example, if you have a cut in your skin that touches dirt, you could get a bacterial infection like tetanus. Exposure to mercury, lead or other toxic substances should also be reason to go to the emergency department.
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How Can Eating Too Much Sugar Cause Leg Cramps
Eating too much sugar can cause leg cramps because it can lead to dehydration.
A high sugar diet can also lead to dehydration, which can cause cramping. When you dont have enough fluids in your body, your muscles cant work properly and may cramp.
If you often experience leg cramps, its a good idea to cut back on sugary foods and drinks. You should also make sure youre staying hydrated by drinking plenty of water throughout the day.
What Are Muscle Cramps
Muscle cramps result from an involuntary contraction of the skeletal muscles and are a common symptom of dehydration, fatigue, poor circulation, and nerve compression. Muscle fatigue from improper conditioning or prolonged exercise is a common cause of muscle cramps. Other common causes include sitting in one place for a long period of time and vascular disorders, both of which decrease blood circulation to the muscles.
Leg cramps, sometimes called charley horses, are sudden and uncontrollable muscle contractions or spasms. They can occur with exercise or while sleeping and usually resolve just as quickly as they came. Thepain from muscle cramps can be intense, but can often be relieved with gentle stretching and massage.
Electrolyte depletion in the blood can also lead to muscle cramps. In rare cases muscle cramps can be a symptom of kidney disorders. The endocrine condition diabetes may be accompanied by cramping of muscles in the legs and arms, and hypoglycemia, or low blood sugar, can also cause muscle cramps. Depending on the cause, cramping may occur in one muscle or a group of muscles, and it may be accompanied by sharp pain and a hard visible lump in the muscle.
Muscle cramps may be a sign of dehydration and electrolyte imbalances, which can result in shock or coma and may be life threatening. Seek immediate medical care if you, or someone you are with, have symptoms of severe dehydration, such as loss of consciousness and no urine production.
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Look Into Topical Treatments And Medications
Topical treatments can help relieve diabetic leg pain with few side effects or drug interactions. Consider using lidocaine patches and capsaicin cream to alleviate your pain.
Although opioids are not suggested for diabetic leg pain, over-the-counter pain relievers may provide relief when pain flares up. Other medications to treat this type of chronic pain may include tricyclic antidepressants.
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Risk Factors For Diabetes Leg Pain
Summary
Diabetes patients who drink alcohol, have a vitamin deficiency, infection, autoimmune disease, and repetitive motion are at a higher risk of developing diabetic cramps in feet. Therefore, diabetes patients should avoid drinking alcohol and check their legs for infection.
Nearly half of the diabetes population experience neuropathy. It is common in people who face difficulty in managing their blood sugar levels. The common cause of diabetic neuropathy that leads to diabetes-related leg pain is uncontrolled blood sugar levels. In addition to this, the other risk factors that may lead to diabetes leg pain are:
- Vitamin deficiencies
- Gastrointestinal issues in some patients
- Sharp, shooting, and burning pain
Anyone, who suffers from diabetic leg pain, experiences these symptoms to different degrees. The symptoms follow a progression. The progression depends on the alert for the symptoms and taking actions to prevent the damage.
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Build Healthier Habits For Compounded Prevention
If you can only manage one change at a time , that is certainly better than nothing. But the most powerful prevention and treatment occurs when you use each of these strategies together.
Changing your diet and adding exercise will help you with weight management. Symptom management plus diet and exercise magnifies the effects of each one of those tools.
Change is hard. It may seem like an insurmountable obstacle. But every step you take to prevent further damage from diabetic peripheral neuropathy means a better quality of life.
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Warning Signs Of Diabetic Nerve Pain
If youre living with diabetes and have experienced a tingling, burning sensation in your hands or feet, you may be suffering from diabetic nerve pain.
Diabetic nerve pain or damaged nerves are a result of an injury or disease. The restriction of blood flow to the damaged nerves leads to the chronic, debilitating pain. Nerve pain can make doing the simplest things very painful.
Diabetes develops in children and adults typically as a result of the body not producing enough insulin. What is insulin? Its a hormone produced by your pancreas. The purpose of insulin is to help cells use glucose or sugar found in food to produce energy.
Now, if there is too much sugar in the blood, this can lead to complications, such as diabetes. Often times affecting the kidneys, heart, nerves and eyes. Diabetes affects as many as 29 million people in the U.S. More than 8 million people are either unaware or have yet to be diagnosed with the condition.
Patients with high blood sugar can experience a variety of health conditions, including diabetic nerve pain, often seen in the feet and legs first.
Here are the more common signs of diabetic nerve pain:
- Sensitivity to touch
- Tingling or stabbing pain
Dont be surprised if you experience difficulty standing or walking. You may also experience difficulty picking up a spoon or fork to eat your meal or drop items on a regular basis. Most of this is contributed to diabetic nerve pain.
Ossification Of The Posterior Longitudinal Ligament
Ossification of the posterior longitudinal ligament in the cervical spine is more common in diabetic patients15 and is more common in the Japanese population. The ligament may ossify in these patients and may lead to narrowing of the cervical spinal canal with resultant canal stenosis in some patients. It has also been seen in patients with DISH and in patients who consume high-salt levels and in patients who consume a great deal of meat products as well.
Patients often complain of a stiff neck and progressive reduction in neck movement over time. Management is directed at maintaining mobility with compromising the spinal canal. In severe cases, decompressive surgery is necessary, although this is unusual.
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Monitor The Leg Pain To Avoid Worsening
Addressing any form of leg pain is crucial for diabetes patients, even if the symptoms do not interfere with their daily routine. Frequent cramps and extreme pain are indications of worsening diabetic neuropathy. In such cases, diabetes patients should immediately consult with their doctors. They should discuss even mild leg pain as it can be a symptom of peripheral arterial disease. Diabetes puts you at a higher risk of developing PAD by blocking blood vessels in the legs.
What Is Type 2 Diabetes
Type 2 diabetes occurs when your blood sugar levels become elevated and you develop insulin resistance. During insulin resistance, your body is no longer able to effectively respond to insulin, making it unable to fully absorb and use the sugar from the from the food you eat for energy. As a result, that sugar then stays in your blood, and can eventually bring about a chronic condition that can lead to serious health issues if it is not treated and managed. However, when type 2 diabetes is caught and addressed early, this process is completely reversible, and many of the symptoms and complications can be avoided.
Infographic by Lauren Hunter
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What Does The Evidence Show About Vitamin D And Muscle Health
There is little doubt that vitamin D plays a role in muscle health, and there is growing evidence tying vitamin D deficiency to chronic and nonspecific musculoskeletal pain. Chronic musculoskeletal pain has begun to pose significant social and economic burdens as it has become a widespread and costly disorder.
In 2003, a study of 150 patients with pain of uncertain etiology found that 93% of them had vitamin D deficiency, with mean levels of 10.5 ng/mL. Another study found similar observations, where 71% of people with chronic pain were vitamin D deficient. Furthermore, other studies have found that vitamin D deficiency was explicitly linked to low back pain, which affects 577 million people worldwide.
Vitamin D deficiency has also been linked to muscle weakness and sarcopenia in aging populations. Sarcopenia, or low muscle mass, is associated with increased morbidity and mortality, and several studies suggest an association between low vitamin D and falls in the elderly.
One large study out of the Netherlands found that serum vitamin D levels below 10 ng/mL were significantly associated with two or more falls in those aged 65-75. They noted that falls were mediated by poor physical performance and that poor muscle function in those with low vitamin D levels was likely a contributing risk factor.
Ways Sugar Can Cause Pain
1. Linked to Blood Sugar DysregulationEating sugar causes blood sugar levels to rise and then drop quickly. When your blood sugar is not stable, it leads to mood swings, fatigue, painful headaches, and more cravings for sugar. Before long, you are in an endless loop of cravings, hunger, and more sugar intake. By ditching the sugar, you can end the rollercoaster ride of high to low blood sugar swings.
2. Linked to Heart Disease
Sugar causes blood sugar levels to rise and drop quickly
Eating too much sugar increases your risk of cardiovascular diseases such as a heart attack or stroke. And it appears that even if you eat a healthy diet, those of us eating more sugar are at a greater risk for cardiovascular disease, according to a study published in JAMA Internal Medicine. High-sugar diets stimulate fat production in the liver which is associated with heart disease furthermore, researchers have found that patients reporting chronic pain are at an increased risk of cardiac disease.
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Treatment For Diabetic Leg Pain
The best treatment for diabetic neuropathy is prevention. People with diabetes can reduce their risk of developing diabetic peripheral neuropathy through effective management of their blood sugar levels.
Even if they develop diabetic peripheral neuropathy, a person should aim to control their blood sugar levels as best they can.
The primary focus of treating diabetic peripheral neuropathy is pain management. In mild cases, a person may be able to take over-the-counter medications, such as ibuprofen or acetaminophen.
In moderate to severe cases, a healthcare professional may prescribe medication to treat the pain. These medications may include duloxetine or pregabalin .
In some cases, a doctor may prescribe opioid medications, such as tapentadol or tramadol.
Although medical treatments can help alleviate pain, there are several measures a person can take at home to help alleviate or reduce the effects of diabetic peripheral neuropathy.
The following are some of the best options for relieving leg pain at home.
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Why Does Diabetes Cause Leg Pain
People living with diabetes may experience several complications, especially if their blood sugar levels are not under control. A common complication of diabetes is diabetic neuropathy.
Diabetic neuropathy refers to nerve damage. Diabetic neuropathy can occur in different parts of the body. However, it is most common in the legs and arms.
When nerve damage occurs in these outer limbs, doctors call it diabetic
Can Too Much Calcium Give You Leg Cramps
Calcium levels in your muscles can cause twitches, cramps, and weakness. These are all signs that your calcium level is high. Decreasing your intake of dairy products and using vitamin D supplements may be necessary for someone with hypercalcemia. Your doctor may also recommend removing any existing tumors before they grow larger.
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