Severe diabetes pain – spinal cord stimulator ineffective – what to do?

Severe diabetes pain – spinal cord stimulator ineffective – what to do?

Some patients with diabetes and severe pains are in an unfortunate situation. To have diabetes and extreme pain in the feet, not being able to walk properly and waking up in the middle of the night due to pain.  You become rickety and the pain keeps increasing.

The patient speaking below has tried everything. Almost 10 different pain killers, prescribed by different pain specialists. Nothing helped and the pain was unbearable.

Eventually, when nobody could think of another solution, she was sent to the university center in Maastricht to measure and place a spinal cord stimulator. This is quite expensive by the way. It requires actual surgery, which can have a range of consequences, including possibility of complications such as infection. At first the stimulator seemed to have positive effects, but after several years it stopped working. The patient had an ineffective device in her body.

What is spinal cord stimulation (SCS)?

The center in Maastricht explains it as follows: With SCS a stimulation electrode is placed against the backside of the spine. The electrode is connected with a pulse generator, which initiates the desired pulses. The pulses block the transmission of pain stimuli through the nerves. When a significant pain decrease is experienced, the patient can have a permanent device implemented under the skin, which continuously gives these impulses.

Here is the story of our patient, in whose case this didn’t work:


Revisions of the spinal cord stimulator didn’t help

Despite 10 revisions of the spinal cord stimulator there were no improvements concerning pain sensations. The pain continued to be severe. And we’re talking about a hundred thousand in medical cost…

During revisions of the spinal cord stimulator, all sorts of technical measurements are conducted in the hospital, and the stimulator is adjusted based on those results. This is a time consuming job. Can you imagine going up and down to the hospital 10 times for this and still have no results… ?


After the spinal cord stimulator: a simple and cheap treatment protocol. A lot less pain and no side effects.

When nothing else worked, the patient opted for a different approach. Using a simple, cheap and effective treatment protocol the improvements finally became obvious… and without any side effects! The patient thought it was incredible that more doctors haven’t tried this simple treatments firs.

Innovation in pain treatment

Better pain relief with fewer side effects is possible. Taking risks and expensive interventions will still have their place, but try to decrease the pain first with pain relieving mechanisms that are already present in the body. The pain you feel is there because the mentioned pain relieving mechanisms aren’t producing sufficient amounts of endogenous pain relieving substances. However, one of the most important ones – palmitoylethanolamide – is available in the forms of capsules, cream or liposomal liquid.

Being an endogenous fatty acid amide, it is completely safe and stunningly effective. Moreover, palmitoylethanolamide also affects a receptor that regulates incretin and insulin.

Numerous studies during the past 60+ years proved that pain relief with natural substances without side effects is possible. It’s also possible to use simple topical creams that send pain-relieving substances into the nerves of the skin. The latest option regarding palmitoylethanolamide is the mentioned liposomal PEA liquid, whose unique delivery method greatly improves bioavailability and thus also efficacy, making PEA a viable option even for the people with lowered absorption capacities.

We believe that the time has come to try and treat patients with chronic pain with pain relievers that have (almost) no side effects first, instead of immediately going for the strong stuff that turns people into zombies or even worse – addicts.

Just use common sense. Use the pain relieving mechanisms that are already available in our bodies, as is the case with substances like PEA and alfa-lipoic acid, and calm the nerves of the skin with pain relieving creams. If there are no results, it’s still possible to add a low dose of classical pharmaceutical painkillers like gabapentin, amitriptyline or oxycodone. Research showed that the pain relieving abilities of these substances strongly increase by simultaneously taking a natural pain reliever like PEA.

However, reducing the amounts of harmful painkillers is sure to improve safety greatly.

Only in case of insufficient effects the choice should be made to increase the dose or choose expensive and intrusive spinal cord stimulators.


Neuropathic pain with diabetes: why natural treatment?

Perhaps you have heard your doctor say that, after several unsuccessful treatment attempts, that nothing further can be done. However, diabetic pain  can definitely be treated.

Italian and Spanish doctors often subscribe the body’s own substance palmitoylethanolamide. Why? Because this substance decreases the mild chronic inflammation in the nerves with diabetes patients and on top of that also relieves pain. This substance has been available in the United States as the supplement PEA.

On top of that, in counties like Germany and Switzerland they advise more vitamin D3. Why? Because many diabetes patients have too little of this important body’s own hormone in their blood, and this substance also has an anti-inflammatory effect. [1] Vitamin D3 is even used with psoriasis, a chronic skin condition. [2] Vitamin D3 inhibits inflammation via the Toll receptors, which are also found around the cells. [3]

The cocktail of alfa-lipoic acid and vitamin D3 should be used by every diabetes patient with pain in the feet. However, alfa-lipoic acid, PEA and vitamin D3 are not medicine, but supplements that are not marketed by large pharmaceutical industries. In our opinion, many patients are suffering from diabetes pain and diabetic polyneuropathy unnecessarily because they aren’t familiar with these supplements. Talk to your doctor about this.

The cocktail of these 3 and the pain relieving creams have no notable side effects and get many patients out of the pain zone!



[1] Moghaddami M, Mayrhofer G, Anderson PH, Morris HA, Van Der Hoek M, Cleland LG. |Efficacy and mechanisms of action of vitamin D in experimental polyarthritis. | Immunol Cell Biol.2012 Feb;90(2):168-77. doi: 10.1038/icb.2011.22. Epub 2011 Mar 29.

[2] O’Neill JL, Feldman SR. | Vitamine D analogue-based therapies for psoriasis. | Drugs Today (Barc). | 2010 May;46(5):351-60. doi: 10.1358/dot.2010.46.5.1473264.

[3] Choi B, Lee ES, Sohn S. | Vitamin D3 ameliorates herpes simplex virus-induced Behçet’s disease-like inflammation in a mouse model through down-regulation of Toll-like receptors. | Clin Exp Rheumatol. | 2011 Jul-Aug;29(4 Suppl 67):S13-9. Epub 2011 Sep 27.