Surgical Decompression for Diabetic Neuropathy in the Foot

Exclusion Criteria

• •Other types of diabetes mellitus (gestational, drug-induced, etc.)
• •Other cause of neuropathy than diabetes such as vasculitis, amyloidosis, toxic neuropathy, HIV, renal failure, alcohol abuse, etc. Pure entrapment neuropathy without evidence of DSP
• •Symptomatic lumbosacral spine disease
• •Symptomatic lower extremity vascular disease
• •Previous foot ulceration or amputation. Other contraindications to surgery such as significant ankle edema, venous stasis, morbid obesity, or previous surgery/injury which would be incompatible with appropriate wound healing
• •History of Peripheral Arterial Disease
• •HbA1c \> 8.0 - Adults lacking capacity to consent, pregnant women, prisoners, non-English speakers who require an interpreter, and those unwilling or unable to participate in the full study follow-up