Painful diabetic neuropathy (PDN) occurs when prolonged high blood sugar levels damage peripheral nerves, leading to pain, burning, or tingling—most commonly in the feet, and in advanced cases, the hands. This condition is more prevalent in people with type 2 diabetes but can also occur in type 1 diabetes. The nerve damage disrupts normal signaling, causing abnormal sensations and discomfort, even in the absence of an injury.

Managing painful diabetic neuropathy starts with blood sugar control. Keeping levels stable can help reduce symptoms and slow nerve damage. Treatment may include: - Medications, such as gabapentin or pregabalin, which target nerve pain and improve comfort. - Lifestyle changes, including regular exercise, a balanced diet, and avoiding smoking, which can support nerve health and improve circulation. - Routine foot checks, since nerve damage can reduce sensation, increasing the risk of unnoticed injuries and infections.

For difficult-to-treat cases where chronic pain is the main issue, spinal cord stimulation (SCS) is an FDA-approved, medication-sparing option. SCS uses a small implanted device that delivers mild electrical pulses to the spinal cord, helping to interrupt pain signals and provide long-term relief when other treatments are ineffective.

Early intervention is key to preventing complications like chronic pain, infections, or ulcers. If you're experiencing persistent nerve pain, tingling, or burning sensations, early treatment can improve daily comfort and prevent worsening symptoms. Talk to our team to find the best treatment plan for you.