This is information from Podiatry Management Online Magazine service.
RE: Fosamax and Neuropathy? (From: Jeffrey Kass, DPM)
From: Elliot Udell, DPM
Kudos to Dr. Kass for mentioning the relationship between peripheral neuropathy symptoms and vitamin D deficiencies. In our practice, we have worked up a number of patients with severe peripheral neuropathy and found incidental findings of vitamin D deficiencies. In all cases, what motivated the ordering of the test was the finding of osteopenea in the met heads. When the patients were placed on vitamin D supplements (either over-the-counter or prescription grade), they had very rapid resolution of their neuropathic symptoms.
From: Elliot Udell, DPM
Kudos to Dr. Kass for mentioning the relationship between peripheral neuropathy symptoms and vitamin D deficiencies. In our practice, we have worked up a number of patients with severe peripheral neuropathy and found incidental findings of vitamin D deficiencies. In all cases, what motivated the ordering of the test was the finding of osteopenea in the met heads. When the patients were placed on vitamin D supplements (either over-the-counter or prescription grade), they had very rapid resolution of their neuropathic symptoms.
Hence, we now add a vitamin D 25 test as part of our work-up when we evaluate patients presenting with painful neuropathy. I want to caution readers not to interpret this as meaning that all cases of peripheral neuropathy are caused by vitamin D deficiencies, however, it should be on your differential diagnosis list when evaluating patients presenting with pedal symptoms of peripheral neuropathy.
Elliot Udell, DPM, Hicksville, NY
Elliot Udell, DPM, Hicksville, NY
Vitamin d deficiency is linked in so many health problems. That's why I won't be surprise with this article. Almost 3,000 genes has influenced by vitamin d that makes it one of the most important vitamin we ever need.
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