Functional dry needling with electrical stimulation for nerve pathway retraining.
Gabapentin and similar medications reduce the sensation of symptoms. They do not address the underlying nerve function or the balance and strength deficits that come with neuropathy over time.
It started as tingling or numbness at the feet. Manageable, mostly a nuisance. Over time the burning became more consistent. Nights are harder because the sensations are louder when everything else is quiet.
The concern about falling is real. The ground does not feel entirely solid anymore. Uneven surfaces, steps without a rail, dark rooms: these have become things you are cautious about in a way you were not before.
The medication helps some. It takes the edge off. But it has not slowed the progression, and the day-to-day confidence in your footing has not come back. That independence, moving around without thinking twice about it, is what most people actually want restored.
The body maintains balance using three sensory inputs working together: vision, the inner ear, and the sensory receptors in the feet and joints that report what the ground is doing. This third system is called proprioception.
Neuropathy damages the nerve fibers responsible for that ground-level feedback. When the feet cannot reliably report where they are in space, the other two systems have to compensate. When they cannot compensate fully, falls happen.
Medication does not restore that feedback. But the nervous system has some capacity to adapt when it is trained to. Strengthening the muscles around the joints, retraining balance responses, and using targeted nerve stimulation can improve function even when the underlying nerve damage is not fully reversible. The body learns to work with what remains.
The evaluation identifies what is contributing to instability and where functional improvement is most achievable. Treatment builds from there.
Stimpod NMS460 nerve retraining
The Stimpod delivers targeted electrical stimulation to peripheral nerves to support nerve conduction and promote functional recovery. This is distinct from standard TENS or pain management devices and is used specifically for peripheral neuropathy.
Strength and balance assessment
Identifying specific strength deficits and measuring balance performance under different sensory conditions allows for a targeted program, not a generic fall prevention protocol.
Balance training and gait analysis
Progressive balance challenges retrain the neuromuscular system to compensate for reduced sensory input from the feet. Gait analysis identifies movement patterns that increase fall risk and are addressable with targeted work.
Gradual activity reintroduction
Rebuilding confidence alongside physical capacity. The program progresses at a pace matched to actual improvement so that activity levels increase without increasing fall risk. The goal is durable independence, not just symptom reduction.
Functional dry needling with electrical stimulation for nerve pathway retraining.
20 minutes, 1-on-1 with a doctor, to see if the way we work makes sense for your situation.
Book a Free ConsultationOr call (609) 845-3585