Ron50 wrote:I tried dry needling, I've also tried endep,lyrica,neurontin,norspan & fentanyl patches and targin (oxycodone and naloxone) none of them helped. I did not have any of the platinum drugs as chemo just 5fu enhanced with levamisole. My neuropathy was dxed by a neurologist via nerve conductivity tests. He said I had moderate to severe motor sensory peripheral neuropathy of both feet and legs. He did not know what caused it and refused to treat it. I have had it for most of my 20 years of survival . Ron.
I was a physical therapist by profession before frail health side-lined me. I employed both wet and dry needling to individuals troubled by discomforting neuropathy - and saw fairly good results overall.
Wet needling involves use of topical analgesics (lidocaine) and / or Botox applied to the tips of the needles. Dry needling is as the name implies - no added medication, just the thin acupuncture type needle.
Dry and wet needling are based on the principles of acupuncture. Fine/thin bore needles are inserted superficially under the dermal layer to points in the foot and lower leg using reflexology charts and Eastern Chinese Medicine references. There is absolutely no pain involved. No risk of infection (as the needle is superficially inserted, similar to a TB test).
A helpful means of tempering neuropathy is to provide purposeful input into the sensory nervous system of the feet and lower legs where affected. Purposeful incoming stimuli has the effect of lowering the abberant mis-firing of the damaged sensory nerve fibers. This can include:
1. Walking. The act of walking provides sensory input into the feet through weight-bearing and the repetitive rhythm of step sequencing. Many members in this forum (noteably Lee) provide anecdotal evidence of the value of walking in quieting neuropathy.
2. Wearing of light compression knee high socks. Wearing Lycra knee high socks or light compression anti-emboli socks (10-12 mg HG). The effect is analogous to swaddling a crying infant. Firing sensory nerves are calmed by the constant pressure.
3. Use of a roller pin for the feet. Roller pins (that look like old fashioned pins for rolling bread dough) can be found through Amazon and Relax the Back. These pins have small projections or roughened surfaces. The concept is to roll the surface of the foot forward and backward over the roller pin, mobilizing the plantar surface of the foot.
4. Warm water contrast bath. Fill a plastic tub with cool water and a second plastic tub with warm/hot water. Alternate placing each foot in the warm basin for 2 minutes with placing in the cool basin for 1 minute - as tolerated. The alternating vasodilation and vasoconstriction serves to break-up the errant sensory nerve firing and to re-establish normalicy of the autonomic nervous system.
Neuropathy can be an ongoing source of distress that can adversely impact quality of life. Best wishes in finding a means to ease your discomfort.
susie0915 wrote: I think I'll try dry needling. Do you think acupuncture would be helpful as well?