Don’t Be Burdened by Neuropathic Foot Pain

Don’t Be Burdened by Neuropathic Foot Pain

Neuropathic foot pain is notorious for being difficult to overcome. Many people get frustrated as they try several treatments and still spend their days in pain. But don’t give up yet.

As a specialist in interventional pain management, David Lanzkowsky, MD, at Centennial Medical Group offers many advanced treatments that ease your pain by targeting the nerves responsible for your symptoms. Here’s what you need to know about peripheral neuropathy, its effect on your feet, and interventional treatments that relieve your pain.

About neuropathic foot pain

Neuropathy (nerve damage) can affect the peripheral nerves in your body. However, the most common types begin in your feet. We’ve helped many people overcome neuropathic foot pain caused by conditions such as:

Diabetic neuropathy

Diabetic neuropathy occurs when high blood sugar damages small blood vessels and nerves. Though diabetes causes several types of neuropathy, peripheral neuropathy affecting your feet is the most common. At first, you experience foot pain and tingling, but severely damaged nerves cause numbness.

Burning feet syndrome

Burning feet syndrome refers to having hot, burning, painful feet. You can develop burning feet from any of the possible causes of peripheral neuropathy, including:

Viral and bacterial infections may also cause peripheral neuropathy.

COVID neuropathy

The viral infection that causes COVID-19 damages peripheral nerves and causes foot pain. 


A neuroma occurs when a noncancerous mass develops on a nerve in your foot. The most common causes include foot conditions and diabetic neuropathy. 

Easing neuropathic foot pain

If you’ve already tried several treatments and still have foot pain, we can review your medical records, perform a physical exam, run diagnostic testing if needed, and recommend the best treatment.

For new patients, we complete a comprehensive exam and diagnostic testing. Then we begin your treatment with conservative therapies before progressing to interventional procedures.

Conservative treatments

Conservative medical care includes:

Treating the underlying condition

Treating the condition responsible for your pain stops the ongoing nerve damage and allows some nerves to heal. This step is critical if you have diabetic neuropathy. 

The only way to stop progressive diabetic neuropathy and foot pain is with diet, exercise, and medications that keep your blood sugar in the normal range. Daily self-care, such as checking your feet for signs of a problem, is also an essential part of treating diabetic neuropathy.

You can also improve all types of peripheral neuropathy through lifestyle approaches. For example, you may need to take supplements to treat nutrient deficiencies. Exercise also helps because it boosts blood flow, delivering healing oxygen to the nerves.


We may prescribe various oral and topical medicines that help relieve your foot pain. You may also need medications for any underlying conditions.

Transcutaneous electrical nerve stimulation (TENS)

Mild electrical stimulation from electrodes placed on your skin may reduce neuropathic foot pain by targeting nerves near the skin’s surface.

Interventional treatments

Interventional treatments include many techniques targeting the nerves causing your pain or carrying the pain signals to your brain. Here are a few examples:

Spinal cord stimulation (SCS)

Spinal cord stimulation uses an implanted device to deliver gentle electrical stimulation to specific nerves in your spinal cord. The stimulator blocks the pain signals traveling through the nerves to your brain so your brain doesn’t get the message, and your pain significantly decreases.

Because the pain messages from all peripheral nerves go through your spinal cord, SCS can relieve pain caused by any condition and coming from any part of your body, including your feet. 

Radiofrequency ablation

We perform radiofrequency ablation using a needle-like device that sends radiofrequency energy into the targeted nerve. Heat from the energy creates a wound on the nerve, effectively blocking pain signals and preventing them from reaching your brain.

Radiofrequency ablation can ease your pain for nine months and possibly up to two years, depending on how long it takes the nerve to regrow.

Nerve block

We inject a local anesthetic and steroid at the nerve causing your pain. The anesthetic provides immediate short-term pain relief while the steroid gives you longer-lasting relief by reducing nerve inflammation.

You can get relief from neuropathic foot pain at Centennial Medical Group. Call 702-839-1203 or request an appointment online today.

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