Neuropathy Center:

Our office specializes in the diagnosis and treatment of peripheral neuropathy. We utilize the latest non-invasive diagnostic modalities to establish the severity of peripheral neuropathy. (www.sensorymanagement.com ) After the diagnosis of peripheral neuropathy is confirmed, treatment is initiated.

Treatment of Peripheral Neuropathy:
Our treatment protocol is designed to accommodate the patient's activities and lifestyle. Treatment of peripheral neuropathy may vary from one patient to another. This may include topical medication, oral medication, physical therapy modalities, Anodyne therapy, and/or surgical treatment.  (for more info on surgical treatment of painful diabetic peripheral neuropathy click here)

" One of the newest non-invasive treatments for peripheral neuropathy is Anodyne. "

What is Anodyne Therapy?
Anodyne Therapy is a FDA approved, non-invasive, drug free treatment system using monochromatic, near infrared photo energy (MIRE) administered to the affected area via tiny diodes. The device has been clinically proven to increase circulation, decrease inflammation, and reduce pain. The device can be used with implants, pacemakers, defibrillators and has no known drug interactions. Anodyne therapy is not recommended for patients who are pregnant or who have active cancer.

Has the FDA reviewed Anodyne?

In 1994, The FDA reviewed the 510 (K) information submitted by Anodyne and issued its approval letter. This letter states that the manufacture may claim that this product temporarily increases circulation and reduces local pain. The Anodyne Therapy System is a Class II, non-invasive medical device cleared for marketing by the FDA in 1994 for increasing circulation and reducing pain. The Anodyne device is covered under US Patent Number 5,358,503.

What happens when the Anodyne unit is used?

The diode array creates a comforting warm feeling under the pads. The photo energy (pad heat) dilates the blood under the vessels increasing circulation. The light (and heat) also reduces pain. Additionally, patients experience a decrease in local welling, decreased inflammation, decreased muscle spasm, decreased tension and muscle tightness, increased range of motion, increased lymphatic drainage and increased venous dilation and flow. Diabetic patients with peripheral neuropathy typically experience au increase in sensation to pressure and hot/cold.

How does Anodyne reduce pain and increase circulation?

The photo energy releases a free radical molecule called nitric oxide from the hemoglobin and possibly surrounding tissue. Nitric oxide is a signaling molecule that is known to relax smooth muscle cells found in the arteries, veins, capillaries and lymph vessels. When these muscles relax, they dilate the blood vessel, thus allowing increased circulation. Nitric oxide has been shown to be essential for wound healing even if chronic or traumatic. Scientific literature shows that nitric oxide promotes collagen synthesis, collagen synthesis, collagen fibril alignment, and angiogenesis. Nitric oxide is also a neurotransmitter.

Have increases in circulation associated with Anodyne ever been measured?

Yes. Tests have been conducted with a scientific instrument known as a scanning laser Doppler, which measures circulation at 1 to 2 millimeters (microcirculation). These tests demonstrate increases from 400% to 3200% after just a 30 minute Anodyne treatment. Please note that comparative increases in circulation using heat or ultra sound are substantially less than those observed with Anodyne.

Are there any known adverse side effects with using Anodyne therapy?

Not if used with manufacturer's instructions for use. The manufacturer, (or liability reasons, does not recommend its use where there is an active malignancy or for patients who ant pregnant since other modalities are likewise not recommended in these situations.

Note: diabetic patients should closely monitor their insulin levels during treatment as some patients require less insulin and may need to adjust their insulin dosage to prevent hypoglycemia.

How Does Anodyne Therapy Work?
During a therapy session, flexible pads containing 60 super-luminous infrared diodes that emit pulsed near-infrared irradiation, are placed on the affected area for 15-45 minutes. The pads are held in place by neoprene straps and Velcro. The patient sits or lies comfortably during the procedure. Patients often report a feeling of general warmth in the area of the pad. There is slight potential for a burn. Many patients report a near immediate reduction in pain following treatment.

Treatment typically consists of three therapy sessions per week for four weeks.

Learn More About Anodyne Therapy
Visit the official Anodyne Therapy website, www.anodynetherapy.com

Nerve Conditions:

www.dellon.com/onlineguide/ipns/index.html