“Doctor, I can’t go on living with
this peripheral neuropathy and all
this excruciating foot and leg pain!”

This is what we hear at the Bellevue Pain Institute every day, and we are excited to say that we offer a peripheral neuropathy treatment. For years now we have successfully helped hundreds of patients reduce or even eliminate the pain and symptoms associated with the diagnosis of peripheral neuropathy.

Symptoms of Peripheral Neuropathy:

  • Numbness and pain in the hands or feet
  • Cramping
  • Burning or electric shock-like pain
  • Difficulty sleeping due to leg and foot pain
  • Loss of balance or grip
  • Prickling and tingling sensations
  • feeling like your feet are wrapped in bubble wrap
  • or like your socks are balled up in your shoes
  • Pain that seems to come even from the sheets or covers on your feet at night, restless legs
  • night pain



Proper diagnosis is the first step in determining if you can be helped. The difference between the large and small fiber nerve damage is paramount to that determination. Nerve conduction tests, (NCV) and/ or electromyogram (EMG) tell us about large fiber damage. Large fibers are the nerves that control the actions of muscles and organs of your body. Sensory tests are used to reveal small fiber damage.

It Is In The Small Fiber Damage!

Michael Polydefkis, M.D., M.H.S., professor of neurology at the Johns Hopkins University School of Medicine in the June ‘11 issue of Brain, says that between 20-30% of all diabetics experience neuropathy, the painful tingling, burning and numbness in the hands and feet that reflects damage to the nerves and can lead to infections and amputations over time. Research has shown that the nerve cells’ long extensions, known as axons, regenerate more slowly in diabetics than non-diabetics and that the blood vessels are used by the nerve cells to grow into damaged areas.

Although no single cause has been established for the onset of peripheral neuropathy symptoms, statin drug use, diabetes, many types of chemotherapy, spinal stenosis, anti-fungal medications, auto-immune medications and heavy metal toxicity are among the list of commonalities of neuropathy sufferers.

Peripheral Neuropathy educational video from kevin polzin on Vimeo.