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This Article Full Text Full Text (PDF) CME: Take the course for this article: Volume 66, Number 12, June 27, 2006 Data Supplement Correspondence: Submit a response Correspondence: View responses Alert me when this article is cited Alert me when Correspondence are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Chaudhry, V. Articles by So, Y. T. Search for Related Content PubMed PubMed Citation Articles by Chaudhry, V. Articles by So, Y. T. Related Collections Endocrine Peripheral neuropathy

Practice Advisory: Utility of surgical decompression for treatment of diabetic neuropathy

Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology

From the Johns Hopkins Outpatient Center (V.C.), Baltimore, MD; Lutheran Medical Office (J.C.S.), Fort Wayne, IN; Indiana University (J.K.), Indianapolis; and Stanford University (Y.T.S.), Stanford, CA.

Address correspondence and reprint requests to the American Academy of Neurology, 1080 Montreal Avenue, Saint Paul, MN 55116; e-mail: rsikka{at}aan.com

Surgical decompression at the site of anatomic narrowing has been promoted as an alternative treatment for patients with symptomatic diabetic neuropathy. Systematic review of the literature revealed only Class IV studies concerning the utility of this therapeutic approach. Given the current evidence available, this treatment alternative should be considered unproven (Level U). Prospective randomized controlled trials with standard definitions and outcome measures are necessary to determine the value of this therapeutic intervention.

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the June 27 issue to find the title link for this article.

Approved by the Therapeutics and Technology Assessment Subcommittee on October 23, 2005; by the Practice Committee on April 5, 2006; and by the AAN Board of Directors on May 4, 2006.

Disclosure: The authors report no conflicts of interest.

Received December 12, 2005. Accepted in final form March 16, 2006.

This article has been cited by other articles:

				P. J. Dyck, A. L. Dellon, V. Chaudhry, J. C. Stevens, J. Kincaid, and Y. T. So Practice advisory: utility of surgical decompression for treatment of diabetic neuropathy: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology, March 6, 2007; 68(10): 796 - 796. [Full Text] [PDF]

				D. R. Cornblath, A. Vinik, E. Feldman, R. Freeman, and A. J.M. Boulton Surgical Decompression for Diabetic Sensorimotor Polyneuropathy Diabetes Care, February 1, 2007; 30(2): 421 - 422. [Full Text] [PDF]

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