Today at Central Florida Foot and Ankle Specialists, PA, Dr. McNamara has gone beyond the standard of qualitative evaluation to diagnose poly-neuropathy. He provides his patients in Orlando with a directly quantitative measurement of epidermal nerve-fiber density and those nerves’ relative health quality.
Epidermal nerve fiber density (ENFD) evaluation is performed by Dr. McNamara, who acquires a 3 mm punch biopsy of skin from the outside of the ankle of the patient. This biopsy is then processed in a very specific manner and submitted to the scrutiny of a highly trained dermatopathologist. This process requires two weeks for results to be available. The end result is that a patient’s loss of small nerve fibers that are the cause of their numbness can be detected often well before a diagnosis of diabetes has been made. Furthermore, treatment for the regrowth of small nerve-fiber loss can be instituted, with prognostic indicators for success being given as well. If you have concerns about diabetes or numbness of feet and toes, you can contact Dr. McNamara at
Central Florida Foot and Ankle Specialists, PA at
407-228-2838.