Peripheral Neuropathy

Does Foot Neuropathy Pain Take The Joy Out of Life?

Any of the following symptoms apply to you?

  • Pins and Needles
  • Numbness
  • Sharp Pain
  • Cramping
  • Tingling
  • Burning


Peripheral neuropathy affects nearly everything. It impairs feeling and sensation, causing pain or even complete numbness. You lose your sense of coordination and balance. Muscles may become weakened or even paralyzed. Unnoticed nicks and scrapes can worsen into dangerous foot ulcers.

The biggest cost, though, is in the day-to-day moments. If you can’t walk more than a few paces with pain, or can’t drive, or can’t work, your world gets a lot smaller.

Fortunately, that’s changing. New and advanced treatments available at our office are delivering incredible results for our patients.

What Is Peripheral Neuropathy?

Peripheral neuropathy is a problem of peripheral nerves. Peripheral nerves are the nerves that travel to your hands and feet. When the nerves are damaged, they don’t work properly. People with peripheral neuropathy have no feeling in their feet or abnormal feeling in their toes.

Causes of Peripheral Neuropathy

In the United States, the most common cause of peripheral neuropathy is diabetes. According to the American Diabetes Association, about 60% to 70% of people with diabetes will develop neuropathy

Other causes of peripheral neuropathy include:

  • Certain medications such as some chemotherapy drugs
  • Heredity – some people have a family history of peripheral neuropathy
  • Aging – peripheral neuropathy is more common as people age
  • Arthritis – certain type of arthritis, especially the lower back, such herniated disc, can cause peripheral neuropathy
  • Alcoholism – about half of all long term heavy drinkers develop peripheral neuropathy
  • Neurological conditions – some neurological conditions like spina bifida and fibromyalgia can cause peripheral neuropathy
  • Physical trauma – car accidents, falls, fractures, overuse injuries or repetitive movements can put a strain on peripheral nerves and either damage them in an instant or slowly degenerate them over time
  • Vitamin deficiency – such as vitamin B
  • Viral Infections – HIV, Herpes Zoster Shingles, Lyme disease, Epstein Barr
  • Biomechanical abnormality – example such flat feet with tarsal tunnel syndrome
  • Some autoimmune diseases (for example, Sjogren’s syndrome, SLE)
  • Chronic smoker with poor circulation
  • Hypothyroidism – fluid retention and chronic pressure on peripheral nerves
  • Idiopathic neuropathy – sometimes, the exact cause of peripheral neuropathy cannot be identified. In this case, you may have idiopathic neuropathy, which means the cause is unknown


Symptoms of Peripheral Neuropathy

The most common symptoms of peripheral neuropathy may vary from mild to severe and may include

  • Burning, numbness or tingling in your feet which may slowly spread up your legs
  • Shooting or stabbing pain in the toes
  • Pain during normal activities (for example, pain when a blanket comes on your feet)
  • Balance coordination problem or weakness
  • Abnormal sensation when wearing socks or gloves that are too small and tight
  • Often the pain can be so severe, it causes patients to not be able to sleep

If you find yourself feeling numbness or experiencing burning sensations in your feet, you may have peripheral neuropathy. If this is the case, we can help with peripheral neuropathy in Hicksville

Diagnosis and Treatment

Diagnosing the underlying causes of the condition is very important in proper treatment for peripheral neuropathy.

In other words, if diabetes is the main reason for causing the condition, controlling diabetes effectively will in turn, sometimes reduce or eliminate neuropathy symptoms.

Peripheral neuropathy is very common in patients with diabetes and very difficult to treat. Their symptoms tend to worsen over the time, keeping them from enjoying the activities they once used to.

Unfortunately, there is no known cure for peripheral neuropathy. The goal of treatments is to slow the progression of the disease, to maintain foot health and to decrease pain and improve the quality of life.

Many patients are told by their doctors they need to treat their condition with prescription medication or learn to live with the pain. But those are not the only choices available. We may recommended one or a combination of the following alternative treatment options: EPAT radial shockwave therapy or MLS laser therapy.

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There is a natural alternative therapy called Extracorporeal Pulse activation Technology or EPAT therapy. This therapy allows neuropathy patients to live the life they want with a reduction in nerve related pain.

EPAT therapy for neuropathy has shown to be very effective for speeding up the healing process and reducing pain more quickly than other methods. It is also known as Radial Shockwave therapy.

Unlike surgery or other forms of treatment, this approach is non-invasive and targets acoustic pressure waves into the injured tissue and nerve area to improve blood circulation and stimulates the body’s own metabolic processes to accelerate healing.

EPAT stands for Extracorporeal Pulse Activation Technology and it is an excellent way to treat diabetic and peripheral neuropathy without the side effects of medication and patients do not require any downtime between sessions.

How do doctor use EPAT to treat neuropathy?

We apply EPAT to treat the bottom of the foot first, then move up along peripheral nerve path to encourage blood flow to the feet.

Why consider EPAT?

Oral medications like Neurontin can help control symptoms, but they have side effects like drowsiness so a lot of people can’t take them, especially during the day. EPAT does not have any side effects and is regenerative technology

How EPAT works to reduce diabetic neuropathy or other neuropathy pain?

Recent clinical studies have been performed to see the effectiveness of treating neuropathy with EPAT. Even though it is not a cure, EPAT therapy inhibits nerve inflammation, improves nerve conduction, creates new stem cell formation and naturally reduces pain.

80% of neuropathy patient’s treated with the EPAT protocol have reported a significant improvement in neuropathy pain and symptoms. More importantly, there has never been a single patient who reported a worsening of their condition after being treated with EPAT

Patients love EPAT because it works! Their symptoms improve tremendously which allows them to function better and live a higher quality life. Many patients who have been treated with EPAT are able to reduce or even stop the use of their neuropathy medication. They even say they look forward to coming in for treatment because when they leave, they feel great.

MLS laser therapy causes vasodilation, which increases the blood flow to the feet. In turn, this decreases inflammation, decreases pain, and encourages the healing of peripheral nerve tissue, thus providing a non-medicated alternative for pain for neuropathy patients, and reducing the need for medications

Because neuropathy develops over time, it also takes several treatments to experience the most benefit. Our doctors recommend at least 12 treatments to the lower extremity, with each session taking about 15 to 30 minutes. Frequency of treatments is recommended at 2 times per week. The effects are cumulative, and so we expect to see increasing benefits as treatments continue.

Depending on your case and the cause of your peripheral neuropathy, Dr. Bhela will make a specialized custom treatment plan for you during your consultation. Call our office to ask about EPAT or MLS therapy during your evaluation!

How much does EPAT and MLS Laser treatment cost?

We can’t tell you here the exact cost of your therapy sessions because we create custom treatment plans based on the specifics of your neuropathy pain, so there is not a “one price fits all” quote. Please click the pricing page for consultation fee for EPAT and MLS treatment for neuropathy.

Links to more information:

If you want more details, please click on the following services, blogs, FAQs and video where you can learn more all about our EPAT and MLS Laser treatment.