Peripheral Neuropathy

Peripheral neuropathy is a disorder that affects the nerves outside the brain and spinal cord, causing pain, numbness, tingling, or weakness in the hands and feet.

Peripheral neuropathy doesn't just affect your nerves—it touches every part of your life, every part of you. It's a persistent companion, often an unwelcome one, and we understand how it can make you feel alone and misunderstood. But we want you to know you're not alone.

Our team is made up of highly skilled professionals who are not only experts in the field of nerve pain, but also compassionate listeners who truly care about your well-being. Our goal is to help you manage your pain, regain your strength, and rediscover the joys of living that neuropathy may have overshadowed.


The basics

Peripheral neuropathy is a medical condition that affects the nerves outside the brain and spinal cord, causing pain, numbness, tingling and weakness. It can be caused by diabetes, alcoholism, infections, medications, and genetic disorders, and can affect people of all ages, but it's more common in older adults. The condition can impact a person's quality of life, making everyday activities like walking, driving, and holding objects difficult.

Prognosis for peripheral neuropathy varies depending on the underlying cause. It's important to seek medical attention if experiencing symptoms to ensure proper diagnosis and treatment. Some cases may be reversible with treatment, while others may require ongoing management to minimize symptoms and improve quality of life.

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The presentation of peripheral neuropathy can vary depending on the type of nerve affected and the underlying cause of the condition. Common symptoms that may be experienced include:

  • Numbness or tingling, often in the hands and feet
  • Burning or stabbing pain
  • Weakness or muscle atrophy
  • Loss of balance and coordination
  • Sensitivity to touch, temperature or vibration
  • Digestive problems
  • Bladder or bowel problems
  • Changes in blood pressure or heart rate
  • Sexual dysfunction

The symptoms of peripheral neuropathy can range from mild to severe and can have a significant impact on a person's daily life. It is important to seek medical attention if you are experiencing any of these symptoms to determine the underlying cause and receive appropriate treatment.

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Therapies & treatments


Medications are often prescribed to help manage the pain associated with peripheral neuropathy. Examples include anticonvulsant medications such as gabapentin and pregabalin, and antidepressant medications such as tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs), which are used to treat chronic pain.

Prescription Creams

Prescription creams containing medications such as lidocaine, capsaicin, or amitriptyline can be applied topically to help relieve pain and discomfort associated with peripheral neuropathy.

PENS Procedure

PENS stands for percutaneous electrical nerve stimulation. It is a minimally invasive procedure that involves the insertion of small needles near the affected nerves to deliver electrical stimulation, which can help to reduce pain and improve nerve function.

Lidocaine Patches

Lidocaine patches are a type of topical medication that can be applied directly to the skin to help relieve pain associated with peripheral neuropathy. They work by blocking the transmission of pain signals to the brain.

High-Dose Thiamine Therapy

Thiamine, also known as vitamin B1, plays a role in nerve health and function. High-dose thiamine therapy may be used to help alleviate pain and improve nerve function in individuals with peripheral neuropathy.

Alpha-Lipoic Acid

Alpha-lipoic acid is an antioxidant that has been shown to have neuroprotective effects and improve nerve function in individuals with peripheral neuropathy. It can be taken in supplement form.


Working with a nutritionist or registered dietitian can be particularly helpful in managing peripheral neuropathy. A nutritionist can help develop a personalized diet plan that is low in sugar and refined carbohydrates, which can help regulate blood sugar levels and reduce inflammation. They may also recommend foods rich in antioxidants, such as fruits and vegetables, to help promote nerve health and reduce oxidative stress. Additionally, they may suggest supplements such as vitamin B12 or alpha-lipoic acid to help alleviate neuropathic pain.


Physical therapy can help improve balance, strength, and flexibility in individuals with peripheral neuropathy. A physical therapist can develop a personalized exercise plan to address specific symptoms and promote healing.

Transcutaneous electrical nerve stimulation (TENS)

TENS therapy involves the use of a small device that delivers electrical impulses to the affected area through electrodes attached to the skin. This can help to reduce pain and improve nerve function.

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Self-care strategies

Practice good foot care

Peripheral neuropathy can cause numbness and tingling in the feet, making it important to inspect the feet daily for injuries or signs of infection. Proper foot care can help prevent foot ulcers and other complications.

Exercise regularly

Low-impact exercises such as walking, cycling, or swimming can help improve blood flow to the nerves and muscles, reducing pain and improving mobility.

Manage blood sugar levels

High blood sugar can damage nerves and worsen symptoms of peripheral neuropathy. It is important to work with a healthcare provider to manage blood sugar levels through diet, exercise, and medication as needed.

Quit smoking

Smoking can worsen nerve damage and circulation problems, increasing the risk of complications from peripheral neuropathy. Quitting smoking can improve overall health and reduce symptoms.

Practice stress management

Stress can exacerbate symptoms of peripheral neuropathy, so it is important to practice stress-reducing activities such as deep breathing, meditation, or yoga.

Use assistive devices

Devices such as canes, walkers, or orthopedic shoes can help improve balance and reduce the risk of falls or injuries.

Massage therapy

Gentle massage can help improve circulation and reduce pain and tension in the muscles, providing relief from peripheral neuropathy symptoms.

Warm baths

Soaking in warm water can help reduce pain and stiffness in the muscles and joints, improving mobility and reducing peripheral neuropathy symptoms.

Mind-body therapies

Mind-body therapies such as acupuncture, tai chi, and mindfulness meditation can help reduce stress, improve sleep, and reduce pain associated with peripheral neuropathy.


Eating a healthy and balanced diet can help reduce inflammation and promote nerve health, reducing the symptoms of peripheral neuropathy. It may be helpful to incorporate foods such as fruits, vegetables, whole grains, and lean proteins, while avoiding processed and sugary foods.

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Peripheral Neuropathy

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