Diabetic neuropathy is one of the most common complications of diabetes. It often manifests as numbness or pain in the hands and feet, often with pain in the feet being the most common. Due to the patient’s reduced sensation in the foot, the body’s self-protection mechanism does not work well, and when the foot is injured without being aware of it, coupled with the diabetic patient’s healing ability and the inherently poor blood supply, it often leads to ulcers and infections that do not heal over time and may have to be amputated. Previously, because there was no clear and effective treatment, some have calculated that in the United States, this alone could consume all of the U.S. medical budget regarding diabetes! In this country, when a diabetic patient visits a doctor for diabetic peripheral neuropathy, the vast majority of doctors will always advise you to take medication, even though it has little to no effect! Why at this point? First of all, the nervous system is a relatively specialized field, and non-neurologists are rarely able to perform a standardized neurological physical examination, while the peripheral nervous system is a marginal crossover between hand and foot surgery and neurosurgery, which is equally unfamiliar to many neurologists. Patients continue to be seen in the initial department because of diabetes. So it’s a strange phenomenon: doctors who can solve the problem don’t meet the patients, and patients don’t meet the doctors who can solve the problem. When your doctor diagnosed you with diabetic peripheral neuropathy, did he give you even the most basic physical examination of your peripheral nervous system? If not, then it’s worth considering the treatment plan he put in place for you. So, what is the regular treatment pathway for diabetic peripheral neuropathy? Let the specialist neurosurgeon at Shanghai Tong Ren Hospital tell you, firstly, basic treatment: strict control of metabolic disorders, such as hyperglycemia, hyperlipidemia, hypertension, hyperuricemia, etc., can slow down the development of chronic complications of diabetes. Lifestyle changes include quitting smoking, limiting alcohol, taking rest, and staying emotionally optimistic; wearing loose and soft shoes, avoiding contact with overheated and sharp objects, and preventing trauma. Next are some medications to relieve symptoms, such as improving circulation, activating blood circulation, and nourishing nerves. However, the appealing treatments can only relieve the symptoms and treat the symptoms but not the root cause. For patients with clear symptoms of peripheral nerve disease, surgery is the only effective treatment, and neurotrophic drugs can only be used as adjunctive treatment. 15 years ago, Professor Dellon of the Department of Neurosurgery at Hopkins University School of Medicine pioneered the application of peripheral nerve decompression to treat diabetic peripheral neuropathy, and has been tested in several clinical trials worldwide (including comparisons between patients themselves, such as those on the operated side and those who did not receive This has been supported by several clinical trials worldwide (including comparisons between patients themselves, such as ulceration/amputation of the operated side and the non-operated lower extremity several years after surgery), and to date approximately 40,000 patients have undergone the procedure throughout the United States and in 13 countries worldwide, with very satisfactory overall results. Many patients are often deterred by the thought of surgery, not realizing that this delays their condition and misses the best opportunity for treatment! At present, with the rapid development of medical technology, peripheral nerve surgery is a minimally invasive microsurgery, which takes less time (less than 2 hours for surgery plus anesthesia), less complications, less pain for the patient, faster recovery, and satisfactory postoperative results.