Peripheral Neuropathy Treatment in Hyderabad
Burning feet at night. Tingling in the hands. Numbness that won't go away. Neuropathy is damage to the peripheral nerves — and it is treatable.
Peripheral neuropathy — damage to the nerves outside the brain and spinal cord — affects millions of Indians, with diabetes being the leading cause. Many patients dismiss the burning, tingling, or numbness as 'old age' or 'diabetes side effects' and suffer needlessly. Dr. Anand Karnam uses NCS (Nerve Conduction Studies) to accurately diagnose the type and severity of neuropathy, then provides targeted treatment to slow progression and relieve symptoms.
Key Points
- Peripheral neuropathy affects over 2% of Indians — diabetic neuropathy is the leading cause.
- Burning or tingling feet/hands that worsen at night is the classic presentation.
- A nerve conduction study (NCS) pinpoints exactly which nerves are damaged and how severely.
- Treating the root cause (diabetes, B12 deficiency, thyroid) halts progression and allows nerve recovery.
- Over-the-counter painkillers do not treat neuropathy — specific neuro-medications give far better relief.
50%
of long-term diabetics develop neuropathy
Source: ADA Guidelines
80%
improve with targeted treatment
Source: Clinical evidence
Neuropathy Symptoms — Are You Experiencing These?
Burning Sensation in Feet
A burning, hot, or on-fire sensation in the soles of the feet — often worse at night — is one of the most common presentations of diabetic and nutritional neuropathy.
Tingling or 'Pins and Needles'
Persistent tingling, like a limb that has 'gone to sleep', in the hands or feet. Does not go away when you move the limb. Often starts in the toes and fingers and spreads upward.
Numbness — Loss of Sensation
Reduced ability to feel heat, cold, pain, or touch in the feet. Patients often discover foot wounds without feeling them — a serious concern in diabetic neuropathy.
Muscle Weakness
In more severe neuropathy, the motor nerves are affected, causing weakness in the feet (foot drop), difficulty gripping, or generalised limb weakness.
Sharp, Shooting, Electric Pains
Electric shock-like pains, stabbing, or sharp shooting pains along the nerve path. Often unpredictable and significantly disrupt sleep and quality of life.
Neuropathy Treatment Approach
NCS (Nerve Conduction Study)
NCS objectively measures nerve function — conduction speed and signal amplitude — to identify which nerves are affected, how severely, and which type of fibres (motor vs sensory). Available in-house.
Finding the Underlying Cause
We investigate diabetes, B12 deficiency, hypothyroidism, chronic alcohol use, hereditary conditions, and rare immune causes — because treating the cause is the most effective treatment.
Neuropathic Pain Medications
Pregabalin, gabapentin, duloxetine, and amitriptyline are evidence-based options for neuropathic pain relief. We choose based on your specific symptoms, other medications, and side-effect profile.
B12 and Nutritional Correction
A significant proportion of neuropathy in India is caused by B12 deficiency — correctable with B12 injections or supplements. Recognising and treating this early prevents permanent nerve damage.
Foot Care and Prevention
In diabetic neuropathy, foot care education is critical — preventing wounds, ulcers, and infections that can lead to amputation. We provide structured foot care guidance at every visit.
Why Choose Sri Anand Hospital?
Treated by: Dr. Anand Karnam · DrNB (Neurology) · Nerve Disorders Specialist
"Neuropathy is one of the most under-diagnosed conditions I see. Patients have been living with burning feet for years, assuming it is normal ageing. It is not — and with the right treatment, most patients experience dramatic improvement within weeks."
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Sri Anand Child & Neuro Hospital · Open 24/7 · Chanda Nagar, Hyderabad