Peripheral neuropathy is an umbrella term for conditions that damage the peripheral nerves, most often causing burning, tingling, or numbness that starts in the feet. Diabetes is the most common cause, but chemotherapy, vitamin deficiencies, and other conditions can also be responsible.
Neuropathy is typically managed rather than cured, but that management can be very effective: reducing pain, improving sleep, protecting balance, and slowing progression.
Common symptoms
- Burning or tingling that starts in the feet
- Numbness that affects balance
- Pain that’s worse at night
- Sensitivity to touch or temperature
How interventional pain physicians treat it
Interventional pain physicians typically address both the underlying drivers, in coordination with primary care, and the pain itself. Care may include:
- Medication management
- Nerve blocks
- Spinal cord stimulation
- Neuromodulation
Treatment is always determined by a physician based on individual evaluation. This page is general information, not medical advice.
Frequently asked questions
Can neuropathy be reversed?
Damaged nerves heal slowly and often incompletely, so treatment focuses on controlling symptoms and halting progression. Addressing underlying causes, such as blood sugar control in diabetes, is essential.
How does spinal cord stimulation help neuropathy?
A spinal cord stimulator delivers mild electrical signals that interrupt pain transmission to the brain. It is FDA-approved for painful diabetic neuropathy and can substantially reduce pain for well-selected patients.
Why is night pain so common with neuropathy?
With fewer distractions and changes in circulation and temperature at night, nerve pain often feels more intense. Evening-timed medications and specific treatments can improve sleep significantly.
Independent, physician-owned practices in the DxTx network provide this kind of care across 11 states. One call connects you to the practice closest to you.