To the Editor.—
A physician from Massachusetts had a question regarding unremitting painful diabetic neuropathy (237:1986, 1977). In his answer Max Ellenberg, MD, did not mention the most recent development in the management of painful diabetic neuropathy, which is transcutaneous nerve stimulation.1 This has now been used for several years and has been extremely beneficial for painful neuropathy, especially diabetic neuropathy, with a very gratifying relief of pain even though not complete relief. The use of the stimulator has helped these patients tremendously.
Thorsteinsson G. Management of Painful Diabetic Neuropathy. JAMA. 1977;238(25):2697. doi:10.1001/jama.1977.03280260027010