Providing Diabetes Care in Tulsa

Neuropathy Treatment Clinic of Oklahoma

Neuropathy & Pain Management located in Tulsa, OK

One of the most common complications of diabetes is nerve damage (neuropathy) that, among other issues, can lead to debilitating pain, abnormal sensations, and eventual loss of feeling in your legs and feet. Dr. Liphard D’Souza is a board-certified neurologist who specializes in diabetic neuropathy. He sees patients at Neuropathy Treatment Clinic of Oklahoma in Tulsa and is well-known for effectively decreasing neuropathy symptoms and reducing your risk of developing worsening nerve damage. Schedule a visit with Dr. D’Souza today. Call the office or book your appointment online.


What is diabetic neuropathy?

Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. It’s related to high blood sugar (glucose) levels associated with diabetes, which can injure nerves throughout your body.

It most often causes damage to nerves in your legs and feet but may also affect nerves associated with your digestive system, heart, blood vessels, and urinary tract.

What are the symptoms of diabetic neuropathy?

Diabetic neuropathy consists of four main types: mononeuropathy, radiculoplexus neuropathy, autonomic neuropathy and peripheral neuropathy. You may not notice or feel anything different until the disease has done considerable damage to your nerves. The good news is that you can prevent this from happening by managing your diabetes properly.

Here’s a quick look at the symptoms for each kind of diabetic neuropathy:

Peripheral neuropathy

The peripheral nerves of the body make up a complex network that connects the brain and the spinal cord to the internal organs, skin and muscles. Peripheral neuropathy damages these nerves, which causes pain, prevents normal sensation in the legs and arms, impairs muscle movement and disrupts communication between the brain and other organs in the body.

Symptoms may include:

  • Reduced ability to feel pain or temperature changes
  • Tingling or burning sensation
  • Sharp pains or cramps
  • Loss of balance and coordination

Autonomic neuropathy

The autonomic nervous system regulates many different functions of the body, including bowel movements, urination, digestion, heart rate, blood pressure and temperature. Damage to the nerves of this system interrupts the signals between the organs and the brain. Depending on the location of the damaged nerves and the organ(s) involved, autonomic neuropathy may cause:

  • Frequent urinary tract infections or urinary retention or incontinence
  • Constipation or uncontrolled diarrhea
  • Slow stomach emptying (gastroparesis), causing nausea, vomiting, bloating, and loss of appetite
  • Difficulty swallowing
  • Changes in the way your eyes adjust from light to darkness
  • Increased heart rate at rest

Radiculoplexus neuropathy (diabetic amyotrophy)

This type of neuropathy is predominantly a motor condition that affects the lumbosacral plexus, a network of nerves in the lumbar region of the body. Diabetic amyotrophy usually develops in older patients with Type 2 diabetes. Some of the symptoms are:

  • Severe pain in your hips, thighs, or buttocks
  • Weak and shrinking thigh muscles
  • Difficulty rising from a sitting position
  • Abdominal swelling


This term refers to damage to a nerve outside the spinal cord and the brain. It often strikes without warning and causes severe pain. Additionally, it can occur in any area of the body, such as:

  • Shin or foot
  • Lower back or pelvis
  • Front of the thigh
  • Chest or abdomen

With the help of the diabetes care specialists at Neuropathy Treatment Clinic of Oklahoma, you can manage your condition effectively and help prevent diabetic neuropathy from getting worse.

What is the treatment for diabetic neuropathy?

Dr. D’Souza takes a patient-centered, multifaceted approach to treating diabetic neuropathy. He may recommend increasing your physical activity, physical therapy focused on restoring balance, and techniques for improving your diabetes control.

To address the pain and nerve dysfunction associated with neuropathy, Dr. D’Souza often recommends combined electrochemical therapy (CET). This highly effective treatment uses anesthetic nerve blocks and gentle electrical signals applied to the affected region to significantly reduce symptoms in 87% of patients who undergo the therapy.

Our clinic delivers quality diabetes care, utilizing CET as a treatment for patients with diabetic neuropathy. Dr. D’Souza, our board-certified neurologist, uses the state-of-the-art neoGEN system of electric stimulation, combined with local anesthetics, to provide relief from neuropathy pain.

You can expect only the finest care from our clinic. During your initial appointment, we take a full medical history and assign a neuropathy score. We will review the lab test results and provide you with an overview of our treatment plan, and answer any questions you may have about CET. If you qualify as a candidate for our program, our diabetes care specialists will customize a treatment plan based on the extent of the nerve damage in your body and your level of pain.

What is diabetes?

Diabetes is a disease that impairs the body’s ability to process blood sugar or glucose. According to the American Diabetes Association, at least 30.3 million adults in the United States have this condition.

Diabetes consists of three major types: Type 1, Type 2 and gestational diabetes.

People with Type 1 or juvenile diabetes do not produce insulin, a hormone that enables cells to use glucose. Those suffering from this condition need to take artificial insulin every day just to stay alive.

Type 2 diabetes affects how the body uses insulin. Though the body can still produce this hormone, the cells are unable to respond to it effectively.

Gestational diabetes develops during pregnancy. It causes high blood sugar, which could affect the health of both the mother and the child.

Why is managing diabetes important?

While diabetes itself has no cure, you can treat it and keep it in check.

By following essential care tips for diabetes, such as exercising regularly, following a balanced meal plan, monitoring your blood sugar levels regularly, taking medications as prescribed and keeping your appointments with your doctor, you can prevent complications from this disease. When left unchecked, diabetes can lead to serious health problems, including diabetic neuropathy.

Schedule your visit with Dr. D’Souza today to receive the quality diabetes care you need. Call the office or book your appointment online.