Skip to content
Refer a patient
Call (707) 980-6636Contact

Appointments (707) 980-6636
Referral fax (707) 980-6692

An anatomical model of the foot showing bones, muscles and nerves

Condition

Peripheral neuropathy specialists in the Bay Area

Peripheral neuropathy is damage to the nerves outside the brain and spinal cord. It often starts in the feet with numbness, tingling, burning pain or weakness, and it can also affect blood pressure, digestion and sweating. At INPM, neurologists look for the cause with in-office testing, such as skin biopsy and autonomic testing, and treat the symptoms.

What are the symptoms of neuropathy?

Symptoms depend on which nerves are damaged:

  • Sensory nerves: numbness, tingling, burning or stabbing pain, and pain from light touch. Symptoms usually start in the feet and can move upward.
  • Motor nerves: weakness, cramps or trouble with balance and grip.
  • Autonomic nerves: lightheadedness on standing, sweating changes, digestive or bladder problems.

Small fiber neuropathy affects only the smallest nerve fibers and typically causes burning or "pins-and-needles" pain in the feet and hands.

When should you see a doctor?

See a clinician if you have numbness, tingling or burning that does not go away, weakness, balance problems or falls, or neuropathy symptoms together with dizziness on standing or changes in sweating.

How is neuropathy diagnosed at INPM?

Your neurologist reviews your symptoms, medicines, health conditions and exposures, and examines your strength, reflexes and sensation. Blood tests can look for common causes, such as diabetes. When small fiber neuropathy is suspected, these in-office tests help:

What treatment options are available?

Treatment focuses on the cause, when one is found, such as better control of diabetes or avoiding a toxin, and on relieving symptoms like nerve pain. At INPM, options include:

  • Nerve blocks to relieve nerve pain
  • Medication management
  • Custom, evidence-based supplement stacks, including nerve support to help manage neuropathy and neuropathic pain

GeneSight® genetic testing may provide additional information to help guide medication selection and dosing when applicable.

Who treats neuropathy at INPM?

Where can you be seen?

Walnut Woods Professional Park on Lennon Lane in Walnut Creek, where the INPM office is locatedEast Bay

INPM Walnut Creek

301 Lennon Lane, Suite 203
Walnut Creek, CA 94598

(707) 980-6636

Wed and Fri
8:00 AM – 5:00 PM
Sat
9:00 AM – 3:00 PM
Directions to the Walnut Creek office
About the Walnut Creek office
The office building at 155 Glen Cove Marina Road in Vallejo, where the INPM office is locatedNorth Bay

INPM Vallejo

155 Glen Cove Marina Rd, Suite 100
Vallejo, CA 94591

(707) 980-6636

Mon, Tue and Thu
8:00 AM – 5:00 PM
Directions to the Vallejo office
About the Vallejo office

Questions

Frequently asked questions

Call the clinic(707) 980-6636How referrals workFax (707) 980-6692 or EPIC
01

What causes peripheral neuropathy?

There are many causes. Diabetes is one of the most common preventable ones; others include toxins such as alcohol, some medicines, infections like shingles, and immune conditions.

02

Why is neuropathy pain often worse at night?

Neuropathic pain can come from pain receptors firing on their own, without a trigger. Some people even feel pain from light touch, such as bedsheets, which can disrupt sleep.

Referral required

Start with a referral from your doctor

New patients are seen by referral. Your primary care physician can fax the referral to (707) 980-6692 or send it through EPIC, and our office will call you to schedule.

How referrals workCall (707) 980-6636
  • Referral fax (707) 980-6692
  • EPIC referral
  • We call you to schedule