neuropathy, diabetic, foot

In this video, Dr. Anderson discusses the five neuropathy stages, the symptoms that can occur at each stage, and treatment options that are available throughout the journey.

Stage 1


In this stage, the patient is experiencing symptoms of neuropathy, but they are still very mild.

Stage 2-4


Many patients will experience the most pain here, along with the burning and tingling and it can become very hard to sleep. This is also where people typically begin taking medication for neuropathy.

Stage 5


At this point, the neuropathy has usually progressed to where the patient’s feet are numb and very weak. They aren’t in pain, but often have trouble standing or walking and don’t have the strength that they used to have. If the patient is diabetic, the risk of amputation goes up here, because the nerves are often dead.

The good news is that patients have an opportunity to decrease the risk of getting to stage 5 and also of amputation. During the middle stages, the nerves are still very much alive and that’s where nerve decompression surgery plays a very important role in the patient’s treatment. We can go in and open up these nerve tunnels that are being compressed and many times, we can reverse the symptoms of neuropathy and restless legs, drastically improving the patient’s quality of life.

To learn more, click here.

neuropathy, diabetic, foot

  1. December 9, 2017

    I too am diabetic & currently on dialysis. I have much numbness on the bottom of my feet but can still feel (in a mild sort of way) “touch”.

    My question is this…am I a candidate for treatment and every morning, everynight I stimulate my feet and legs with high intensity vibration is this good?….or doing nothing.

    please advise / Steven Lochhead

    • December 18, 2017

      Hi Steven! We have both surgical and non-surgical treatment options for patients with diabetic neuropathy. When we see you in person, we discuss treatment options with you depending on your specific situation and needs. For example, how much is your daily living affected? How much pain are you in? How is your sleep being affected? How is your balance and stability? The good news is that after treatment, we often see that patients experience improved nerve function and therefore, the risk of amputation is reduced in diabetic patients.
      To answer your question about the treatment you are currently using, without knowing what technology this is, we don’t have the evidence to support if this works or if it could be harmful or not. The non-surgical treatment we provide is called ESTIM, and it has a scientific basis behind it to support the results that we see. You can learn more about this in our most recent blogs about neuropathy. We would also love to see you in person, and help answer your questions and discuss treatment options would be best for your specific needs. Please give us a call to schedule!

  2. January 13, 2018

    My name is Roger and I have had this nasty disease since 2000.
    I am too far away from you to make the trip but was wondering if there
    are other states or doctors living in a state closer to Pennsylvania.

    I can handle the cramps but eating “dill pickles” when the cramp comes on.
    I’ve had ankle/foot problems since I was 6 years old but it had nothing to do with
    Diabetes.

    The “dill pickle” starts delivering instant relief for my feet or where ever the cramp starts; and within minutes the pain is gone.

    • January 17, 2018

      Hi Roger! Thank you for your question. We are glad to hear you’ve found a solution for the cramps you experience.
      The best way for us to provide you with a treatment plan, or recommendations for treatments to pursue, is to see you in person and perform a physical exam. We have advanced treatments for both neuropathy and restless leg syndrome, including surgical and non-surgical options. Regarding surgery, we go in to open up tight nerve tunnels, and we operate on the soleal sling which many others do not have experience doing. We do have many patients who travel in for treatment as they are not able to find these options locally. If you would like to schedule a free phone consult with one of our doctors to discuss your symptoms and possible treatments in more detail, we would be happy to set that up for you. Please feel free to give us a call to schedule! We would love to help.

  3. February 12, 2020

    My wife is having neuropathy (shooting pain numbness and tingling) due to medication received after a heart transplant. She was treated with chemo drugs to fight the rejection. It has been over 2 months since the medication was stopped and she still hasn’t gotten any better. Have you had experience with any positive outcomes treating patients at this type?

  4. February 23, 2020

    I have peripheral neuropathy.. I’ve got to the stage where I’m in extreme pain at night in left leg.. and I’ve noticed I’m finding it hard to eat.. (if that’s linked to the neurophy) I’ve only had over the counter pain relief.. no retesting to see if deterioration has occurred.. any advice would be appreciated

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