Peripheral Neuropathy Evaluation & Treatment

“Peripheral neuropathy is a condition involving damage or dysfunction of the peripheral nerves, often causing numbness, tingling, burning pain, or weakness. It can affect daily activities, balance, and overall quality of life. With proper evaluation and a targeted treatment plan, many patients can manage symptoms effectively and improve function. I can help guide you toward relief and better nerve health.”

-Dr. Anatoly Pisman, MD

What is Peripheral Neuropathy?

Peripheral neuropathy refers to damage or irritation of the nerves outside of the brain and spinal cord. These nerves are responsible for transmitting signals related to sensation, movement, and function throughout the body.

It is a common form of nerve pain and pinched nerves and differs from conditions like radiculopathy, which originate from nerve root compression in the spine. Peripheral neuropathy often affects the hands and feet and may develop gradually over time.

Common Causes

Many cases of peripheral neuropathy develop gradually and may not have a single obvious cause at first. Patients often notice subtle changes like tingling or numbness that slowly become more persistent over time. In everyday life, factors such as diet, underlying health conditions, medications, and long-term habits can all play a role. Identifying the root cause is an important part of treatment, as addressing it early can help prevent further nerve damage and improve overall outcomes.

Symptoms of Peripheral Neuropathy

Symptoms of peripheral neuropathy often begin subtly and can vary from person to person. Many patients initially notice mild tingling or numbness that may come and go, but over time these sensations can become more constant or bothersome. Because nerves affect both sensation and movement, symptoms may impact balance, coordination, and everyday tasks, making early recognition important for preventing progression.

Symptoms often begin gradually and may worsen over time if left untreated. Early recognition is important for effective management.

When to See a Doctor

Medical evaluation is recommended if you experience persistent numbness, tingling, or weakness, especially in the hands or feet. Symptoms that worsen over time or interfere with daily activities should be assessed promptly. Early diagnosis can help identify underlying causes and prevent further nerve damage.

Diagnosis & Testing

Diagnosis begins with a detailed review of symptoms, medical history, and risk factors. A physical examination evaluates sensation, strength, reflexes, and coordination. In many cases, EMG/NCV testing is used to assess nerve function and determine the extent of nerve damage. Blood tests or imaging may also be recommended to identify underlying causes.

Non-Surgical Treatment Options

Treatment focuses on managing symptoms, addressing underlying causes, and preventing progression. This may include lifestyle modifications, nutritional support, and medications to control nerve pain.

Physical therapy can help improve strength, coordination, and balance. In some cases, supportive treatments such as trigger point injections may be used to relieve associated muscle discomfort. A personalized treatment plan helps improve function and quality of life.

Peripheral neuropathy may also be evaluated alongside related nerve conditions such as carpal tunnel syndrome or other forms of nerve compression, depending on symptom patterns.

What to Expect at Your Visit

During your visit, your symptoms, medical history, and lifestyle factors will be carefully reviewed. A physical examination will assess nerve function, coordination, and areas of sensory change. Diagnostic testing may be recommended if needed. Based on your evaluation, a customized treatment plan will be created to manage symptoms, improve nerve function, and support long-term health.