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Peripheral Neuropathy Program

A more comprehensive approach to peripheral neuropathy care.

Burning, numbness, tingling, sensitivity, and balance problems can gradually change how you live. Our Peripheral Neuropathy Program starts with a comprehensive evaluation and a structured approach to care based on your symptoms, neurological findings, and how neuropathy is affecting your everyday life.

Is neuropathy changing how you live?

Peripheral neuropathy can affect people differently, but many patients describe changes in sensation, comfort, balance, and confidence in everyday activities.

  • Burning or aching in the feet or hands
  • Numbness or reduced sensation
  • Tingling or “pins and needles”
  • Sharp, electric, or shooting sensations
  • Unusual sensitivity to touch
  • Feet that feel unusually hot or cold
  • Feeling less steady or confident when walking
  • Difficulty feeling the floor beneath your feet
  • Symptoms that interfere with sleep or normal activities

If these symptoms sound familiar, the first step is understanding what is happening and whether our Peripheral Neuropathy Program may be appropriate for you.

Book a Consultation

Peripheral neuropathy affects more than just how your feet feel.

Peripheral nerves carry information between the brain and spinal cord and the rest of the body. When those nerves are not functioning normally, the result can be pain, numbness, tingling, changes in sensation, weakness, or problems with coordination and balance.

Peripheral neuropathy can have many possible causes, and not every patient experiences the same pattern of symptoms. That is why we believe treatment should begin with a careful evaluation rather than a one-size-fits-all recommendation.

Sensation

Burning, numbness, tingling, temperature changes, or unusual sensitivity.

Balance & Mobility

Changes in sensation can affect how confidently you stand, walk, and move.

Everyday Life

Sleep, exercise, travel, work, and normal activities can all become more difficult when symptoms persist.

A Comprehensive Neuropathy Evaluation

Treatment starts with understanding what we can measure.

Before recommending a treatment plan, our clinical team evaluates your symptoms and neurological function to establish a clearer picture of how neuropathy is affecting you.

Symptom & Health History

We review how your symptoms began, how they have changed, and how they are affecting your daily activities.

Sensory Testing

Testing may evaluate your ability to detect different types of sensation, such as touch, temperature, vibration, and position.

Reflexes & Neurological Findings

Your examination helps document how different parts of the peripheral nervous system are functioning.

Toronto Clinical Neuropathy Scoring

We use structured neuropathy scoring to establish baseline findings that can be documented and compared over time.

Balance & Function

When appropriate, we also consider how changes in sensation or nerve function may be affecting stability, walking, and everyday movement.

The goal is to move beyond simply describing how you feel and establish objective findings that can help guide your care.

A treatment plan built around your findings.

Peripheral neuropathy is not the same for every patient. After your evaluation, our clinical team reviews your findings and determines whether the Peripheral Neuropathy Program is appropriate for you.

If you are a candidate, we develop a structured treatment plan based on your examination findings, symptoms, functional concerns, and treatment goals.

A defined starting point

Your examination gives us baseline information rather than relying on symptoms alone.

A structured plan

If treatment is recommended, we explain the recommended course of care, visit schedule, and what the program involves before you begin.

Progress we can follow

Clinical findings can be reassessed during your program so we can compare where you started with where you are now.

Patient Story

Hear From One of Our Patients

“I didn't think I could ever feel this good again.”
CarlaPeripheral Neuropathy Patient

Hear Carla share her experience with peripheral neuropathy and her treatment at Carolina Advanced Medicine.

Could this program be right for you?

You do not need to know exactly what is causing your symptoms before contacting us. If you are experiencing persistent burning, numbness, tingling, unusual sensitivity, or changes in balance or sensation, start with a consultation.

Our team can learn more about what you are experiencing and explain the next step in determining whether a neuropathy evaluation may be appropriate.

Book a Consultation

Frequently Asked Questions

Symptoms vary, but common concerns include burning, numbness, tingling, unusual sensitivity, sharp or electric sensations, weakness, and changes in balance or coordination.

No. Diabetes is a common cause of peripheral neuropathy, but neuropathy can have a number of different causes. Your health history and clinical findings are important parts of determining the appropriate next step.

We review your symptoms and health history and perform structured clinical testing to better understand sensation, neurological function, and how neuropathy may be affecting everyday activities. We also establish baseline findings that can be compared over time.

The Toronto Clinical Neuropathy Score is a structured clinical assessment used to evaluate neuropathy-related symptoms and neurological findings. It gives our clinical team an additional way to document your starting point and monitor findings over time.

That begins with a consultation and clinical evaluation. After reviewing your symptoms and examination findings, our clinical team can explain whether the Peripheral Neuropathy Program may be appropriate for you.

The recommended course of care depends on your clinical findings and treatment plan. If treatment is recommended, we will explain the schedule and what to expect before you begin.

Start with a neuropathy consultation.

Talk with our team about what you're experiencing, get your questions answered, and learn whether a neuropathy evaluation may be an appropriate next step.