1st and 2nd Visits
Upon arriving at our office, you will be warmly greeted by our friendly and professional staff. They will assist you in collecting your health information and initiating your patient file. The doctors will review this health information with you. Please have your health insurance card and photo id available at this visit.
After your patient file is ready, you will receive a brief 1-2 minute office orientation on your way to your exam room. Dr. Kibby or Dr. Matt will sit down and listen to you describe your problem. They will ask more specific questions regarding your health history and your current complaints. Following this consultation, you will receive a thorough and detailed examination, based on your problem area. If x-rays are needed, they will be taken at this time.
The doctor will then provide for you a brief verbal summary of the findings, as well as home care instructions. If appropriate, you’ll receive a brief treatment to reduce pain and inflammation, such as ice or heat packs with soothing electric muscle stimulation to begin the recovery process.
On the next visit, you will receive a detailed explanation of your exam and xray findings from your first visit. During this visit, most patients want the following questions answered: “What is my problem?”, “Can you fix it?”, “How long will it take?”, and “How much will it cost?”. We will answer those big questions for you, and others, to increase your understanding of your condition and the necessary treatment required.
On this day, you will receive your first full treatment, which will complete your second visit. Your treatments will gradually change as you show progress. As you check out at the front desk, the staff will schedule all of your recommended visits and review your insurance/financial responsibilities.
And then, we will start you on the road to recovery, so you can begin feeling better!
To schedule an appointment, call 410.721.5050.
Peripheral Neuropathy (PN) is a condition marked by nerve damage, commonly caused by diabetes and chemotherapy. However, in many cases, a definitive cause can not be identified. This nerve damage develops and often worsens over time. Typically, the feet and legs are involved more than the hands. PN can frequently interrupt sleep. Patients with PN experience pain, numbness, burning, tingling and loss of balance, sometimes to extreme degrees. Some patients describe the pain as "walking on razor blades" or "feeling like the feet are on fire". According to NIH, 60-70% of people with diabetes have some degree of neuropathy.
Vascular disease is the leading contributing factor. Diabetes adversely affects the small blood vessels, reducing blood supply to various part of the body. These patients can also suffer from problems in the eyes, kidneys, heart, and not surprisingly, the lower legs and feet. If left unaddressed, poor blood flow to the feet can result in ulcer formation that can be very difficult to heal.
Typical complications of PN include non-healing or slow-healing wounds, difficulty walking and loss of balance. Many patients become unable to sense an uneven surface when walking (increasing the risk of falling) or a hot surface when bathing or cooking (increasing the risk of burns). Some patients may become unable to drive because they can't feel if the foot is on the brake or accelerator.
Metabolic factors such as uncontrolled high blood glucose and blood lipids have been shown to cause PN. Various types of smaller nerves within the peripheral nerves can be involved, associated with various symptoms.
Typical medical treatment for PN are pain-reducing or anti-depressive drugs, such as Gabapentin, Neurontin, Lyrica, and Cymbalta. While these have shown short term reduction in pain, they can also produce adverse side-effects or lose their effect over time.
In any event, if you are searching for an alternative approach, one that focuses on restoring blood supply to the nerves with cold laser technology and other modalities/procedures tailored for PN, then call for an evaluation.
You will receive a Neuropathy Severity Assessment, conducted by the doctor. The process takes about 45 min. It includes a medical history review and assessing the amount of sensory damage in the feet across several nerve functions... cold vs heat, vibration, sharp vs dull and position sense. Your results on this assessment will provide a prognosis for your recovery and clinical data for treatment response monitoring.
Certainly, the earlier effective treatment is started, the better the chances are for improvement. So, if you are concerned that you may have Peripheral Neuropathy, call us at 410.721.5050 to get your evaluation scheduled.