Neuropathy Treatment in New Delhi

Small-fibre and diabetic neuropathies commonly cause night-time burning and pins-and-needles in the feet. Glucose optimisation plus specific neuropathic pain medicines usually reduce sleep-disrupting symptoms within weeks.

NCS with EMG is recommended when numbness, weakness or pain suggests peripheral nerve disease, or when the cause is unclear. It confirms pattern, severity and whether demyelinating immune neuropathy is possible.

Early neuropathy often improves when blood sugar is tightly controlled. Established axonal loss may not fully reverse, but pain, ulcer risk and progression can still be reduced with structured care.

Vitamin B12 deficiency is a common, treatable cause in India. Your neurologist may also check folate, vitamin D and metabolic panels before starting long-term pain medication alone.

Simple painkillers often fail for nerve pain. Medicines such as duloxetine, amitriptyline, gabapentin or pregabalin — chosen for your sleep, mood and kidney function — work better for burning neuropathic pain.

Rapidly ascending weakness, facial droop with limb weakness, breathing difficulty or new bladder or bowel failure needs emergency assessment for Guillain–Barré syndrome or spinal cord compression.

Yes — long-term heavy alcohol use damages peripheral nerves and often coexists with poor nutrition. Reducing alcohol and correcting deficiencies are essential parts of the treatment plan.

After starting treatment, review in four to six weeks to adjust pain medicines and glucose or vitamin plans. Stable patients typically return every three to six months or sooner if symptoms worsen.