Peripheral neuropathy is a category, not a single diagnosis, and treatment only helps when it matches the type. Here is how the most common forms show up and how we respond to each.
| Type of Neuropathy | What It Often Feels Like | How We Approach It |
|---|---|---|
| Diabetic peripheral neuropathy | Burning or numb feet, often worse at night | Circulation-focused therapies plus nutrition support for blood sugar habits |
| Compressive neuropathy (including sciatic symptoms) | Shooting pain or pins and needles down a leg or arm | Spinal decompression and adjustments to relieve pressure at the nerve root |
| Chemotherapy-related neuropathy | Tingling hands and feet during or after cancer treatment | Gentle, non-invasive therapies aimed at circulation and comfort |
| Post-surgical neuropathy | Numbness or altered sensation near a surgical site | Careful evaluation, then therapies that support tissue healing and blood flow |
| Idiopathic neuropathy | Gradual numbness with no clear diagnosis yet | A deeper workup to look for contributing factors standard testing can miss |
Both paths have a role, and pretending otherwise would not serve you. This is the honest version of what each can and cannot do.
| Approach | What It Does | What It Does Not Do |
|---|---|---|
| Nerve pain medications (gabapentin class) | Calm overactive nerve signaling so symptoms feel quieter | They do not repair nerve tissue or improve the circulation nerves depend on, and drowsiness or brain fog are common trade-offs |
| Non-drug care at Integra Health | Works on circulation, inflammation, and mechanical pressure so nerves have a better environment to recover | It is not an overnight fix, and no therapy can revive nerve tissue that has fully died |
| A combined approach | Many patients keep prescribed medication while adding physical therapies, then revisit dosing with their physician as symptoms change | Medication decisions always stay with your prescribing doctor, never with us |
Nerve care only works when you can actually keep the appointments. We make that part simple for people who spend their week in downtown White Plains.
Driving, you are looking at about 12 minutes up the Bronx River Parkway to our office at 153 Broadway Suite 1 in Hawthorne, where patient parking is free. Taking Metro-North, the Harlem Line drops you at Hawthorne station, a short five minute walk away.
Evening appointments run until 7:00 pm on Monday, Wednesday, and Thursday, and Saturday morning slots cover anyone who cannot step away during the work week.
It depends on the stage. A neurologist confirms the diagnosis and manages medication, a podiatrist protects the feet, and a clinic like ours provides the non-drug side: circulation-focused therapies, decompression when a compressed nerve is the driver, and nutrition guidance. The strongest results usually come from co-management.
There is no single answer, because neuropathy has many causes. The most effective plan is the one matched to your type: pressure relief for compressive cases, metabolic and circulation support for diabetic cases. That is why we evaluate before we recommend anything.
A true B12 deficiency can itself cause neuropathy, and correcting it matters. Beyond that, vitamins support nerve health but are not a cure. We review nutrition as one piece of a broader plan, and we are not here to sell you a miracle supplement.
Honestly, it depends on the cause and how far it has progressed. Nerves that are damaged but still alive can often improve when circulation and pressure improve. Nerve tissue that has fully died does not regenerate. An evaluation tells us which situation you are in.
Yes, it is one of the most common conditions we see. We coordinate with your physician on the diabetes itself while our therapies and nutrition coaching address the nerve symptoms and the habits that influence them.
No referral is required. You can call (914) 747-9200 or book online, and our team will handle benefit verification and any records requests before your first evaluation.
The consultation and examination often are, while certain therapies may be classified as elective by some plans. We check your specific benefits first and lay out coverage, self-pay, and financing choices before treatment starts, so nothing lands on you unexpectedly.