Peripheral neuropathy from diabetes damages nerves, causing pain, numbness, and weakness. The first step in treatment is controlling blood sugar to slow progression and reduce symptoms.

Medications like gabapentin, pregabalin, and duloxetine help manage nerve pain, while topical treatments such as capsaicin or lidocaine provide localized relief. Over-the-counter pain relievers may help, but stronger prescriptions are often needed.

• Non-medication approaches include physical therapy, target B12 lidocaine ankle blocks, and lifestyle changes like a healthy diet, exercise, and quitting smoking to improve circulation and nerve health.
• Injections and alternative treatment modalities are increasingly used to manage peripheral neuropathy, particularly when standard treatments like oral medications and lifestyle changes prove insufficient. These approaches focus on alleviating pain, reducing inflammation, and improving nerve function, offering targeted relief for individuals with neuropathy
• For severe cases, rarely, surgery may be considered. A combined approach offers the best relief and quality of life improvements.
• In our office: We provide comprehensive treatment of peripheral neuropathy
  • Custom molded orthotics for diabetic patient to improve proprioception and prevent ulcer formation
  • B12 peripheral /lidocaine/ dextrose/ dex combinations nerve hydrodisections (nerve blocks to the ankle and foot) can provide significant relief
• Neuroscan (Sudomotor) testing to assess the extent of damage.
• Physical therapy tailored to ankle and foot pain, improving priopioception of the foot and ankle stability, improving functional use of the ankle and foot.
• Transcutaneous electrical nerve stimulation (TENS)
• Qutenza (Capsacian) foot wraps each quarter have provided significant relief to these patients, minimizing pain and improving overall normal foot sensations.