Peripheral Neuropathy

Peripheral Neuropathy: Clear Answers & Evidence-Based Care in MIDLOTHIAN VA

The best results come from treating the underlying cause (e.g., diabetes, B12 deficiency) and combining symptom relief with physical therapy, balance training, and safe, non-drug modalities—so you move with confidence and hurt less.

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What Is Peripheral Neuropathy?

Peripheral neuropathy is nerve damage outside the brain and spinal cord. It often starts in the toes or fingers (“stocking-glove” pattern) with tingling, burning, numbness, or balance loss. Early diagnosis matters because nerves heal slowly.

#1 cause: Diabetes; others include chemo, B12 deficiency, autoimmune disease
20M+ Americans live with peripheral neuropathy (NINDS)
Goal: Slow progression, relieve pain, improve function & safety

Early Signs & Symptoms

Tingling, burning, pins-and-needles in feet/hands (often worse at night)
Numbness & reduced sensation—harder to feel the ground (higher fall risk)
Hypersensitivity—socks or bedsheets feel painful
Weakness—tripping, foot drop, grip difficulty
Balance problems—especially in dim lighting

Educational only; not a diagnosis. Please consult your clinician.

Close-up of feet with symptoms of peripheral neuropathy FYZICAL Bon Air

Common Causes (and Why Cause-Targeted Care Wins)

Toxic / Iatrogenic

Alcohol or heavy metals
Medication-induced (review with MD)
Chemotherapy agents (platinum, taxanes, vinca alkaloids)

Metabolic

Thyroid disorders
Diabetes (tight glucose control slows progression)
Vitamin B12 deficiency (reversible when treated early)

Autoimmune • Infectious • Mechanical

Lupus, RA, GBS
Shingles, Lyme, HIV, Hep C
Compression (spinal stenosis, carpal tunnel)

How Physical Therapy Helps Neuropathy (Hands & Feet)

Balance & Fall Prevention: task-specific gait drills, visual–vestibular strategies, obstacle training
Pain Reduction: non-invasive laser, gentle manual therapy, stretching, pacing
Strength & Endurance: progressive lower-extremity and hand programs, safe cardio
Real-life Function: stairs, transfers, community walking, hand dexterity

Patient example: A 63-year-old from Chesterfield with diabetic neuropathy reported nightly burning and frequent stumbles. After 6 weeks of balance retraining + home program + non-drug pain care, he reported fewer falls, better sleep, and confident outdoor walking.

“Peripheral neuropathy can range from inconvenient to disabling. Without treatment, symptoms usually get worse over time.” — Cleveland Clinic

Start Feeling Steadier this Month

Same-week evaluations in Midlothian–Bon Air. Personalized plans for pain relief and safer mobility.

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Why Choose FYZICAL Bon Air for Your Neuropathy Care?

Our specialized peripheral neuropathy treatment plan goes beyond simply managing symptoms. We use a multi-faceted, non-invasive approach designed to address the root cause of your pain and improve your quality of life. Unlike pain management that only masks symptoms, we help you truly heal and regain independence.

Patient receiving peripheral neuropathy therapy at FYZICAL Bon Air

Our Comprehensive Neuropathy Treatment Approach

Our team of nerve pain specialists uses cutting-edge techniques tailored to your unique condition. This may include advanced balance therapy, manual therapy to improve nerve health, and therapeutic exercises to strengthen muscles and improve circulation.

Patient doing lower leg resistance band therapy with physical therapist

Tingling, Numbness, or Burning in Your Feet?

Peripheral Neuropathy affects millions. Learn about symptoms, causes, and early treatment options.

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Burning Feet at Night

“It feels like my feet are on fire under the sheets.” We address night pain with a combined plan—graded exercise dosing, tissue desensitization, and adjunct modalities.

Numbness, Tingling & “Pins and Needles”

Loss of protective sensation raises fall risk. We use sensory re-education, footwear counseling, and gait/balance training to improve control.

Unsteady Walking & Falls

If you “furniture walk,” we can help. Vestibular & proprioceptive retraining reduces fall risk and restores confidence on stairs and uneven ground.

Peripheral Neuropathy FAQs

What causes peripheral neuropathy?

Answer: Diabetes is the most common cause; others include chemotherapy, B12 deficiency, autoimmune disease, infections, and nerve compression.

How is peripheral neuropathy diagnosed?

Answer: Clinical history and neuro exam plus labs (A1c, B12, thyroid); NCS/EMG when needed; imaging for compression.

What is the best treatment?

Answer: Cause-directed care (e.g., glucose control) + symptom relief (meds, topicals, non-drug modalities) + physical therapy (balance, strength, gait).

What can physical therapy do?

Answer: Reduce falls, improve strength and mobility, teach balance strategies, support pain management, and personalize home programs.

What can I do at home?

Answer: Daily foot checks, supportive footwear, gentle exercise, stress & sleep routines; avoid barefoot walking.

Is laser therapy a cure?

Answer: No. Photobiomodulation can help pain and inflammation as an adjunct. It’s part of a broader plan that addresses the cause and restores function.

Is laser therapy FDA-approved?

Answer: Yes, our Class IV laser technology is FDA-cleared for pain and inflammation management.

Peripheral Neuropathy Treatment Helps Restore Function

Balance & Fall-Prevention Therapy

Vestibular/proprioceptive retraining; step strategy & obstacle negotiation
Gait training for safer foot-clearance and confidence in the community
Home safety plan (lighting, rails, throw-rug strategy) to prevent stumbles

Strength, Mobility & Sensory Re-education

Targeted strengthening (ankle, hip, trunk) to stabilize gait
Graded sensory input to “wake up” awareness and improve foot placement
Footwear/orthotic guidance; skin checks and foot protection education

Who We Help and How FYZICAL Bon Air is Different

Seniors 50+ with Fall Risk

Unsteady in the kitchen or on stairs? Our rehab team blends gait training, step strategy practice, and home safety to keep you independent.

Diabetic Peripheral Neuropathy

We pair symptom relief with foot protection, footwear guidance, glucose-aware activity, and steady-state gait goals for real-world function.

Chemotherapy-Induced Neuropathy

Energy-paced planning, balance safety, and dexterity/hand function work—so you can cook, button, type, and walk with confidence again.

Your Care Journey at FYZICAL Bon Air

1) Evaluation

History & medication review; sensation testing; strength; TUG; DGI/FGA; fall-risk profile.

2) Personalized Plan

Integrated PT: balance, strength, sensory re-ed, footwear, and adjunct laser as appropriate.

3) Sessions

Typically 1–2×/week. Comfortable, paced to your energy (especially post-chemo). Home program included.

4) Progress & Outcomes

Typically 1–2×/week. Comfortable, paced to your energy (especially post-chemo). Home program included.

Access, Insurance & Convenience

Insurance & Medicare

Most plans accepted; Medicare welcomed. We’ll verify benefits for you.

Direct Access in Virginia

Many can start PT without a physician referral. If your plan needs one, we’ll coordinate.

Easy to Reach

We’re just 4 minutes from Route 288 & Robious Rd (Route 711) near Ruth’s Chris, Sheetz, Bruster’s, Huguenot Park, James River HS, and Chesterfield Towne Center. Extended hours available.

Trusted, Evidence-Informed Care

Authoritativeness: This page synthesizes guidance from major medical references:

Mayo Clinic — Diagnosis & treatment overview: mayoclinic.org
Johns Hopkins Medicine — Peripheral neuropathy: hopkinsmedicine.org
NINDS — Neuropathy fact sheet: ninds.nih.gov
Cleveland Clinic — Patient guidance: clevelandclinic.org

We avoid exaggerated claims. Non-drug modalities like laser are adjuncts for pain/inflammation relief and not cures.

Ready to Take the First Step?

Don't let nerve pain control your life any longer. Our Bon Air, VA experts are ready to help. Contact us today to start your journey toward recovery and a better quality of life.

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