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Nearly half of all diabetic patients suffer from DPN, or diabetic peripheral neuropathy, a painful nerve damage. But advances in medicine and new treatment options offer hope for those suffering from this condition.

DPN is often so painful that patients are unable to live normal lives. While there are no approved treatments that repair these nerves, there are many things patients can do to lessen the pain.

Dr. Sean Mackey, associate director of Stanford University's Pain Management Center, suggests a comprehensive program that incorporates physical, psychological, pharmacological and procedural treatment.

According to Mackey, who spoke at the American Medical Association's 24th annual Science Reporters Conference, physicians must work with patients in goal-oriented and paced activities that gradually build up their endurance and strength.

Psychological interventions are an important aspect of treatment because the pain associated with DPN causes many patients to fall into depression. Patients must also be taught skills in imagery, meditation and stress reduction to manage their perceptions of pain, he said. For more information, visit the American Medical Association's Web site at www.ama-assn.org. -NU

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