Painful Diabetic Neuropathy

Painful diabetic neuropathy (PDN) is a type of nerve damage that occurs in people with diabetes. Elevated blood sugar levels over time can injure peripheral nerves, particularly in the feet and hands, causing chronic pain, tingling, numbness, or burning sensations.

Common Symptoms

Tingling, burning, or stabbing pain in the feet or hands
Numbness or reduced sensation that may affect balance
Sensitivity to touch, even light contact can be painful
Pain that may worsen at night, interfering with sleep
Difficulty walking or performing daily activities due to discomfort

Why It Happens

Prolonged high blood sugar damages nerves and the blood vessels that supply them. Over time, this leads to inflammation and malfunction of sensory nerves, which can result in chronic pain.

Diagnosis

Medical History Review – Our team will ask about your diabetes management, symptoms, and how the pain has progressed over time.

Neurological Exam – Tests are done to check reflexes, muscle strength, and sensitivity to touch, temperature, and vibration.

Nerve Conduction Studies (NCS) – These tests measure how well your nerves send signals and help pinpoint areas of nerve damage.
Electromyography (EMG) – This test evaluates muscle response to nerve stimulation and can help rule out other causes of nerve pain.

How We Treat It

While diabetic neuropathy can’t be reversed, our goal is to relieve pain and slow the progression. We use a combination of advanced interventional treatments and lifestyle support to help patients manage symptoms and improve function.

Treatment options may include:

Nerve blocks or spinal cord stimulation
Medications for nerve pain
Physical therapy
Nutritional guidance and diabetes management