Modern Possibilities of Diagnosis and Treatment of Diabetic Polyneuropathy
Polyneuropathy in patients with diabetes mellitus is characterized by damage of the peripheral sensorimotor and autonomic nervous system, which can be accompanied by severe pain syndrome. Chronic pain syndrome in the feet in the situation of diabetes is mixed. In its development there are involved maladaptive, neuroplastic, chondroplastic andpsychoplastic mechanisms leading to the formation of nociplastic pain. The understanding ofthe prevailing mechanisms of pain chronization in each case allows to implement complex personalized approach to treatment and to choose the most safe and cost-effective methods of prevention and rehabilitation. The article deals with modern methods of diagnosis and assessment of the diabetic polyneuropathy severity, which determine the algorithm of such patients treatment.