Stop Waiting for It to Get Worse If you’ve been telling yourself, “It’s not that bad yet,”  this is your Radiant Health Month reminder: Neuropathy rarely stays “mild” forever. For many people, it starts as an occasional nuisance—tingling at night, a little numbness in the toes, a burning sensation after a long day, or feeling slightly unsteady on stairs. And because symptoms can come and go, it’s easy to downplay them. But here’s the problem: neuropathy can progress quietly.

Your Shoes Matter More Than You Think If you’re dealing with neuropathy, what’s on your feet can make a huge  difference—often more than people realize. When sensation is reduced (numbness) or distorted (burning/tingling), the feet lose some of their natural “feedback system.” That feedback is what helps you balance, detect pressure points, and notice small injuries early. The wrong shoes can quietly amplify all of that—leading to more pain, more instability, and a higher ris

Prediabetes and Neuropathy: Yes, It Can Start Before Diabetes When most people hear the word neuropathy , they assume it only happens after “years of uncontrolled diabetes.” That’s a common belief—and it’s one of the reasons many people wait too long to get evaluated. But here’s what surprises a lot of patients: Neuropathy can start during prediabetes. Meaning: you can have nerve symptoms before  you ever receive a diagnosis of diabetes. If you’ve been told you’re “borderline

Neuropathy at Night: Why Symptoms Get Worse When You Lie Down If you’ve ever said, “I’m okay during the day, but at night my feet burn,”  you’re describing one of the most common and frustrating patterns in peripheral neuropathy. Nighttime neuropathy can disrupt sleep, drain your energy, and make you feel like your body is working against you—right when you’re supposed to be resting and recovering. The good news is that there are real reasons this happens, and there are pract

Can Neuropathy Improve? What “Reversible” Really Means If you’ve been told you have neuropathy—or you suspect you might—one question usually rises to the top: “Can this get better?” It’s a fair question, and it deserves a real answer. Neuropathy can feel scary because it involves the nerves, and many people assume nerve problems are automatically permanent. The truth is more nuanced: Some neuropathy can improve significantly. Some can stabilize and stop progressing. Some may

Tingling, Burning, or “Pins and Needles”: Is It Neuropathy or Something Else? That sudden “pins and needles” sensation in your feet or hands can be unsettling. Some people describe it as buzzing, zapping, crawling, or a burning warmth that shows up out of nowhere—often at night, when you’re trying to sleep. If you’ve been Googling symptoms and seeing the word neuropathy , you’re not alone. Here’s the truth: tingling and burning can absolutely be neuropathy—but it can also com

Why Your Feet Feel Numb (And What You Can Do About It) If you’ve ever stood up and thought, “Why do my feet feel asleep?” —you’re not alone. Numbness in the feet is one of the most common early signs of peripheral neuropathy, and it’s also one of the most commonly ignored symptoms. Many people brush it off as “getting older,” “poor circulation,” or “just being on my feet all day.” But numbness is your body’s way of sending a message: your nerves may be under stress.  The soon

Adding Value Without Adding Time: Simple In-Office Neuropathy Solutions You don’t need a high-tech lab or expensive equipment to deliver standout neuropathy care. In fact, many of the most impactful tools in your private practice are simple, affordable, and easy to implement immediately —no extra staff or hours required. In a direct-pay model, value is measured not by how many procedures you bill for, but by how much clarity, relief, and direction you provide. That’s how you

Building Trust with Neuropathy Patients Who Feel “Dismissed” Neuropathy patients are often emotionally bruised before they ever walk through your door. Many have been told “it’s all in your head,” or that “nothing more can be done.” They’ve tried medications, bounced between specialists, and seen their pain minimized or ignored. Your practice can be where that cycle ends. As an independent or direct-pay physician, you have a powerful opportunity: to be the first provider who

The Language of Healing: How We Talk About Pain Matters Peripheral neuropathy doesn’t just affect nerves—it affects identity, confidence, and hope. How we, as physicians, talk about pain and healing  can either deepen a patient’s despair or offer a path forward. In your independent or direct-pay practice, you’re not rushing through a 7-minute visit. You have time to be intentional. And in that space, the words you choose become a powerful therapeutic tool. Pain Is Interpreted

Breaking the Cycle of Frustration: Setting Realistic Expectations for Recovery Patients with peripheral neuropathy often arrive in your office frustrated, discouraged, and skeptical. Many have tried “everything”—medications, supplements, foot creams, and conflicting advice from a rotating cast of doctors. They’re not just looking for relief. They’re looking for a reason to believe recovery is possible. In your independent or direct-pay practice, you have the time and freedom

How a Simple Questionnaire Can Streamline Neuropathy Diagnoses When you treat peripheral neuropathy in a private or direct-pay setting, time is one of your greatest assets. But even with longer visits, efficiency still matters—especially if you want to deliver precise, high-value care  from the first appointment. A simple, well-designed neuropathy intake questionnaire can help you: Uncover root causes faster Identify overlooked symptoms Track progression and response to treat

Empowering Neuropathy Patients with Education—Not Just Meds By the time a neuropathy patient walks into your office, they’ve likely tried multiple medications, received vague explanations, and been told “you just have to live with it.” They’re tired of scripts. They’re hungry for clarity, direction, and hope. In a private, direct-pay practice, you have a unique opportunity to do what the system rarely does: educate your patients into empowerment.  This is how you go from “pro

Enhancing Neuropathy Care with Collaborative Referrals (PT, Chiro, Nutrition) You’re doing the clinical work: identifying peripheral neuropathy early, educating patients, and offering drug-free solutions. But what if you could multiply your results —and your patients’ success—by tapping into a collaborative care network? For independent physicians, building trusted referral relationships with physical therapists, chiropractors, and nutrition professionals isn’t just about net

5 Ways to Show Neuropathy Patients You Truly Understand Their Pain By the time a patient with peripheral neuropathy walks into your office, they’ve likely seen multiple providers. They may have been told their pain is “just aging,” their numbness is “in their head,” or their burning feet are “nothing to worry about.” What they haven’t heard often enough is: “I believe you—and I can help.” In your private or direct-pay practice, you have the time, flexibility, and clinical fre

When EMG Isn’t Enough: Expanding Your Neuropathy Workup It’s a common story: a patient has classic neuropathy symptoms—burning, tingling,...

B12, B6, and Folate: Lab Markers Every Clinician Should Monitor Peripheral neuropathy doesn’t always begin with diabetes or chemotherapy....

How to Talk to Patients About "Normal" Tests and Ongoing Symptoms One of the most frustrating situations for both physician and patient...

How to Distinguish Between Small Fiber and Large Fiber Neuropathy Not all neuropathy is the same and differentiating between small fiber...

Genetic Clues in Idiopathic Neuropathy: When to Refer and When to Test What happens when a patient presents with classic neuropathy...