End Neuropathy Today and Restore Your Comfort

Neuropathy is a frustrating condition to live with, and it’s often under-treated. Patients get a prescription and a shrug — sometimes a referral to a neurologist, sometimes just an instruction to “live with it” — and the burning feet, the tingling fingers, and the sense that balance isn’t quite right just become part of daily life. That isn’t how neuropathy has to be managed. At our Morganville clinic, we treat peripheral neuropathy with a combined approach — acupuncture, targeted physical therapy, chiropractic care when spinal contributors are involved, and lifestyle guidance — that consistently produces meaningful reductions in pain and improvements in function for the right patients.

We’re honest about what conservative care can and can’t do. Neuropathy driven by irreversible nerve damage won’t fully reverse. But even in advanced cases, pain reduction and functional improvement are almost always possible — and for earlier or nerve-compression-driven cases, the results can be dramatic.

Understanding neuropathy

Peripheral neuropathy is damage or dysfunction in the nerves outside the brain and spinal cord — the nerves that travel to the feet, hands, arms, and legs. When those nerves aren’t working correctly, symptoms show up in a few predictable patterns.

Common causes of neuropathy we see at our Morganville clinic:

• Diabetic peripheral neuropathy. The most common cause. Chronic high blood sugar damages the small blood vessels that supply peripheral nerves, typically producing a symmetric, stocking-glove pattern that starts in the feet.
• Idiopathic neuropathy. In a significant percentage of cases, no clear cause is identified even after workup. Management still helps.
• Chemotherapy-induced neuropathy. From certain cancer treatments. Often partially reversible after treatment ends.
• Vitamin deficiencies. Particularly B12, which is correctable with supplementation but only if identified.
• Autoimmune and inflammatory conditions. Certain rheumatologic and autoimmune conditions damage peripheral nerves.
• Compression neuropathies. Carpal tunnel at the wrist, tarsal tunnel at the ankle, ulnar nerve at the elbow — localized compression of a specific nerve produces symptoms in that nerve’s territory.
• Spinal contributors. Nerve-root compression in the lumbar or cervical spine can produce symptoms that mimic true peripheral neuropathy.

Identifying whether your neuropathy has a treatable driver — a B12 deficiency, a thyroid problem, an under-managed diabetes regimen, a compression at a specific location, or a spinal contributor — is the first step, and it shapes everything after.

Our multidisciplinary approach to neuropathy

Our team treats neuropathy with the modalities that the research most strongly supports, layered together.

Acupuncture. The cornerstone of our neuropathy program for most patients. Research supports acupuncture for pain reduction, improvement in nerve conduction parameters, and overall symptom severity in peripheral neuropathy — particularly diabetic peripheral neuropathy. A typical course runs eight to twelve sessions over two to three months, with maintenance sessions thereafter.

Physical therapy. Dr. Robert Perniola focuses on balance training, lower-extremity strength, gait work, and sensory reintegration exercises. For patients with compression components, nerve-gliding techniques help. Fall-risk reduction is explicitly part of the plan because falls in neuropathy patients have outsized consequences.

Chiropractic care. Dr. Rick Caban addresses the spinal contributors that often coexist with or mimic peripheral neuropathy. For patients whose symptoms are partially driven by lumbar or cervical nerve-root compression, restoring proper spinal mechanics can substantially improve the distal symptoms.

Lifestyle and medical coordination. Blood sugar control, vitamin status, and coordination with the patient’s primary care physician or endocrinologist. We don’t manage diabetes — but we partner closely with the physician who does, because the medical piece is essential.

What to expect on your first visit

Your first visit is a thorough evaluation aimed at understanding what type of neuropathy you have, how advanced it is, and what’s driving it. We ask about symptom onset, distribution, progression, and associated conditions (diabetes, prior chemotherapy, autoimmune history). The exam includes sensory testing with monofilament and vibration, reflex testing, strength testing, balance assessment, and a spinal screen to identify any nerve-compression contributors.

By the end of the visit, you know what we’re working with and what realistic expectations look like for your case. We build out a specific plan — usually combining acupuncture as the primary modality with targeted PT for function and balance — and treatment starts the same day.

The functional piece: balance and falls

One of the most important things we do for neuropathy patients is address the functional losses that come with the condition. Reduced sensation in the feet plus lower-extremity weakness creates real fall risk — and falls in neuropathy patients can mean fractures, hospitalizations, and loss of independence. Structured balance work, ankle and hip strengthening, and gait retraining reduce that risk meaningfully. This is often as important as pain reduction in the overall plan.

Coordinating with your physician

Neuropathy is typically a condition with a medical piece and a functional piece. Your primary care physician or endocrinologist handles the medical piece — blood sugar management, medications, workup for underlying causes. We handle the functional and pain-management piece with acupuncture, PT, and chiropractic. Both pieces matter, and neither fully replaces the other. With your permission, we share notes with your physician so your care is coordinated.

Realistic expectations and long-term management

We tell our neuropathy patients up front: this is typically a condition we manage well, not one we cure. That said, management done well produces meaningful quality-of-life improvements — less burning at night, better sleep, more confidence walking, reduced reliance on medication, fewer falls. For most patients, care transitions from an active treatment phase into an ongoing maintenance phase that preserves the gains and catches flare-ups early. For a deeper dive into our approach, see our article on neuropathy and nerve pain in Morganville.