Peripheral Neuropathy: Causes, Treatments, and What You Need to Know

When your peripheral neuropathy, a condition where nerves outside the brain and spinal cord get damaged. Also known as nerve damage, it often shows up as tingling, burning, or numbness in your hands and feet. It’s not just a nuisance—it can make walking, holding objects, or even sleeping hard. About 20 million people in the U.S. have it, and diabetes is the top cause. But it’s not just diabetes. Chemotherapy, alcohol abuse, vitamin deficiencies, and even some medications can trigger it too.

One big reason people don’t get help early is because they think it’s just aging or tired feet. But diabetic neuropathy, a specific type of nerve damage from high blood sugar can get worse fast if ignored. It doesn’t just hurt—it can lead to foot ulcers, infections, and even amputations. Then there’s neuropathy pain, the sharp, shooting, or electric-like discomfort that doesn’t respond to regular painkillers. That’s why antidepressants and antiseizure drugs are often used—they don’t treat depression or seizures here, they calm overactive nerves. And while opioids are sometimes prescribed, they’re risky and rarely the best long-term fix.

What you eat matters. Low B12 or folate? That’s a common cause. So is heavy drinking. Fixing the root issue—whether it’s controlling blood sugar, stopping alcohol, or taking supplements—can slow or even reverse some damage. Physical therapy helps too. Simple balance exercises, proper footwear, and avoiding barefoot walking can prevent falls and injuries you might not even feel.

There’s no magic cure, but there are real, practical steps. You’ll find posts here that break down how certain meds like antidepressants can help—or hurt—your nerves. You’ll see what actually works for pain relief, what to watch out for with supplements, and how to avoid mistakes that make things worse. Whether you’re newly diagnosed or have lived with this for years, the info below is focused on what you can do today to feel better tomorrow.