The PODdoctors with Dr. Dauphinee and Dr. Hussain

The PODdoctors: Diabetic Neuropathy: What role does Nerve Decompression play?

April 7, 2021

Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, fellowship trained foot and ankle surgeon, start season two of The Pod Doctors podcast talking about diabetic neuropathy and what role nerve decompression plays into it. They discuss what they typically see with patients who have diabetic neuropathy and the various ways to treat it from conservative therapy to surgery.


“I think that’s the restriction nowadays. People are like it’s diabetic neuropathy. There’s no treatment aside from treating the diabeties which is not true.” - Dr. Raafae Hussain [05:33]


“That study is going to be remarkable. It’s going to be groundbreaking, and it already is. And I think the repercussions of it are hopefully that people will take another look at the option of surgical decompression in diabetic neuropathy as something for pain relief, but also sensory restoration and to prevent wounds. I think it can do all of those things.” - Dr. Damien Dauphinee [54:44]


Top Takeaways:

  • What is neuropathy
  • What role does nerve decompression play into neuropathy
  • Typical symptoms for patients with diabetic neuropathy
  • What is the double crush theory
  • What are some conservative therapy before surgery
  • The different levels of release through surgery and treatment plans
  • Why it’s important to take prescribed supplements
  • What is a sham surgery
  • How can a sham surgery be used for the painful diabetic neuropathy patient


What You Will Learn:


  • [00:39] Intro
  • [02:29] What is neuropathy
  • [07:51] What they see in patients with diabetic neuropathy
  • [10:32] What is double crush theory
  • [17:23] Conservative therapy options
  • [28:04] Different levels of surgery
  • [39:14] What is restless leg syndrome
  • [40:32] Why it’s important to take the prescribed supplements
  • [44:44] Slight symptoms vs sever symptoms
  • [49:25] What is a sham surgery



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Book Mentioned: Saving Limbs, Saving Lives: Advanced Treatments for Preventing Amputations in Diabetic Populations by Dr. Damien Dauphinee

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