Neuropathy

Neuropathy develops when damaged nerves interfere with the signals between your brain and body, leading to symptoms like pain, numbness, tingling, weakness, and balance problems. At Twin Creeks Orthopedics and Regenerative Clinic in Allen, Texas, our experienced team works to identify the root cause early and help you find relief. Schedule your consultation today by booking online or calling our office. Our services are covered by most insurance including Medicare.

We also proudly serve the cities of Allen, McKinney, Plano, Frisco, Princeton, Anna, Melissa, Prosper, Celina, Van Alstyne, Wylie, Murphy, Richardson, Garland, Dallas, and Rockwall.

What is peripheral neuropathy?

Peripheral neuropathy is the most common type of neuropathy and occurs when nerves outside the brain and spinal cord become damaged or irritated, affecting sensation and movement.

What are the common symptoms of peripheral neuropathy

• chronic pain in the fingers, hands, ankles, feet, and/or toes
• burning sensation
• numbness/tingling
• pins/needles
• "walking on bricks"
• "ants crawling up"
• restless legs especially at night
• weakness
• balance problems/falls

What issues does neuropathy cause?

Neuropathy can cause a range of issues, depending on the type of nerves affected, including:

• Sensory nerve damage that leads to tingling, burning sensations, numbness, and pain, especially in your hands and feet
• Motor nerve damage that causes muscle weakness, cramps, and difficulty with coordination or balance
• Autonomic nerve damage that affects involuntary functions, leading to abnormal blood pressure, digestive problems, or excessive sweating

In severe cases, neuropathy can cause loss of sensation, making injuries harder to notice and increasing the risk of infections, falls, and other complications.

What causes neuropathy?

Several factors can contribute to nerve damage, including:

Diabetes

Prolonged high blood sugar and inflammation can harm nerves and affect their function.

Infections

Conditions like Lyme disease, shingles, and HIV can directly damage nerves by triggering inflammation. 

Autoimmune diseases

Diseases like lupus, rheumatoid arthritis, and Guillain-Barré syndrome can trigger the immune system to attack its own nerve tissue.

Vitamin deficiencies

Nerve function can be impaired if lacking essential vitamins, particularly B vitamins.

Alcoholism

Chronic alcohol use can lead to nerve damage due to poor nutrition and toxic effects.

Medications and toxins

Certain chemotherapy drugs and exposure to heavy metals can harm nerves.

Compression or injury

Nerve damage can result from accidents, repetitive motion, or compression injuries like carpal tunnel syndrome or pinched nerve in the neck or lower back.

Poor circulation

Reduced blood circulation, as seen in peripheral vascular disease, can deprive nerves of the oxygen and nutrients they need to stay healthy.

Unknown causes (idiopathic neuropathy)

In some cases, no clear cause is identified despite presence of neuropathy symptoms.

How is neuropathy diagnosed?

We will:

• Thoroughly review your medical history and symptoms
• Perform a comprehensive physical exam and order advanced nerve testing if needed
• Review all relevant information and test results
• Create a personalized treatment plan based on your specific needs

How is neuropathy treated?

While nerve damage may not always be fully reversible, many patients experience meaningful relief with proper care. Treatment is focused on managing symptoms, addressing underlying cause(s), supporting nerve function, and preventing further nerve damage. The common strategies for the treatment of neuropathy include:  

• Medications: pain relievers, anticonvulsants (i.e. Gabapentin), or antidepressants to help manage discomfort
• Lifestyle changes: maintaining healthy blood sugar levels, a balanced diet, and regular exercise to slow progression
• Physical therapy: strengthening exercises to reduce discomfort and improve mobility 
• Nerve stimulation therapy: techniques like TENS (transcutaneous electrical nerve stimulation) to provide relief
• Platelet-rich plasma (PRP) therapy: healing proteins derived from your blood to reduce pain, numbness, and tingling
  
• Surgery: maybe recommended if there is nerve compression

How do WE treat neuropathy?

Our neuropathy care program focuses on supporting circulation and nerve health through non-surgical, individualized treatment plans based on a comprehensive medical evaluation. Many patients seeking care have previously tried different treatment modalities, including medications, that provided limited relief or were discontinued early due to side effects. Our approach emphasizes personalized, non-surgical options aimed at reducing symptom intensity, improving functional comfort, and supporting daily activities without reliance on long-term prescription pain medications. Treatment recommendations are tailored to each patient and adjusted over time based on clinical findings and individual response, recognizing that outcomes vary depending on underlying conditions and overall health.

If you’re experiencing chronic pain, persistent numbness, tingling, balance issues, or weakness, book your appointment at Twin Creeks Orthopedics and Regenerative Clinic today by phone or online, or call our office to schedule your consultation. Our services are covered by most insurance including Medicare.