How to Use the Michigan Neuropathy Screening Instrument

s/s: numbness, tingling, pain, stabbing; patients won’t feel pain or discomfort while walking and don’t compensate for plantar pressures by changing gait pattern to avoid injury. Note: a drop in shoe size heralds sensory neuropathy because patient doesn’t sense “snug” fit with usual shoe size due to loss of sensation and so goes to ... ................
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