What Is Peripheral Neuropathy?
Peripheral neuropathy refers to damage or dysfunction of the peripheral nerves—the nerves outside the brain and spinal cord—that transmit signals between the central nervous system and the rest of the body. This condition can affect sensory, motor, or autonomic nerves, resulting in a wide range of symptoms such as numbness, tingling, pain, weakness, or changes in circulation and digestion.
Common Symptoms
Peripheral neuropathy symptoms often begin gradually and may worsen over time. Depending on which nerves are affected, you may experience:
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Numbness or reduced sensation
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Tingling, burning, or “pins and needles” sensations
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Sharp, stabbing, or electric shock-like pain
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Muscle weakness or cramping
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Poor coordination or balance
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Sensitivity to touch or temperature
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Changes in skin color or temperature in hands/feet
Symptoms may occur in one area or affect multiple regions, often starting in the feet or hands and progressing upward.
Causes and Risk Factors
Peripheral neuropathy has many potential causes. The most common include:
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Diabetes (diabetic neuropathy)
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Autoimmune diseases (e.g., lupus, rheumatoid arthritis)
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Vitamin deficiencies (especially B1, B6, B12, E)
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Chronic alcohol use
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Certain medications (e.g., chemotherapy, antibiotics)
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Infections (e.g., shingles, Lyme disease, hepatitis C)
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Trauma or nerve compression (e.g., carpal tunnel, herniated discs)
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Toxin exposure (e.g., heavy metals, industrial chemicals)
Identifying and addressing the root cause is critical to developing an effective treatment strategy.
Diagnosis at EASTSIDE LONGEVITY
We begin with a comprehensive medical history and neurological exam to evaluate reflexes, sensation, muscle strength, and coordination. Depending on the presentation, additional tests may include:
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Blood tests for vitamin levels, glucose, autoimmune markers, or toxins
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Nerve conduction studies (EMG/NCV)
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Imaging (MRI or ultrasound) if structural causes are suspected
By understanding the origin and severity of the neuropathy, we can tailor your care plan to improve outcomes and restore nerve function.
Treatment Options
At EASTSIDE LONGEVITY, we take a proactive approach to managing nerve damage, focusing on relieving symptoms, preserving function, and slowing disease progression. Our treatment options include:
Comprehensive Physical Examinations
In-depth assessments to determine the extent of nerve damage and guide treatment.
Targeted Musculoskeletal Injections
Precision therapies for pain relief and nerve support.
Chronic Condition Management
Ongoing support for conditions like diabetic neuropathy, aimed at preventing further nerve injury.
Neurofeedback Therapy
Non-invasive techniques to enhance nerve function and manage chronic pain.
Customized Mobility and Strengthening
xercises to maintain coordination and prevent muscle weakness.
For patients with diabetic neuropathy, we provide tailored support to optimize blood sugar control and recommend evidence-based nutritional strategies to promote nerve repair. Our goal is to help you maintain an active, pain-free lifestyle.
Ongoing Management and Prevention
Long-term care of peripheral neuropathy focuses on symptom relief and lifestyle adjustments that promote nerve health, such as:
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Controlling blood sugar levels (for diabetic patients)
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Avoiding alcohol and neurotoxic substances
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Regular physical activity to enhance circulation
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Monitoring foot health to prevent ulcers or infections
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Periodic reassessment to track nerve function and adjust treatments
We help each patient create a sustainable plan to reduce flare-ups, prevent complications, and improve daily quality of life.
Why Choose EASTSIDE LONGEVITY?
At EASTSIDE LONGEVITY, we take a whole-body approach to managing peripheral neuropathy. Dr. Marinkovich combines his expertise in internal and sports medicine to evaluate the full scope of contributing factors—metabolic, nutritional, structural, and autoimmune—and apply personalized solutions that are both proactive and practical.
We aim to restore comfort, mobility, and independence through evidence-based care and consistent follow-up.
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f you're experiencing numbness, tingling, burning pain, or weakness, don’t ignore these warning signs. Early evaluation and care can make all the difference.