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Neuropathy / Nerve Pain

Neuropathy and Nerve Pain Treatment in Marlton and Collingswood, NJ

Nerve pain (neuropathy) can feel difficult to describe and even harder to ignore. It may burn, tingle, sting, stab, shock, numb, crawl, or feel painfully sensitive to touch.

Some people experience these sensations in the feet or hands, while others have nerve pain that follows a specific pathway through the back, neck, arm, leg, head, or surgical area.

At Peak Spine & Sports Medicine, our team evaluates whether neuropathy or nerve pain is coming from a damaged peripheral nerve, irritated spinal nerve root, diabetic neuropathy, prior surgery, nerve compression, Complex Regional Pain Syndrome, occipital neuralgia, or another focal pain source. When pain comes from a specific nerve, structure, or pathway, treatment should target that source.

We provide opioid-free, interventional pain care in Marlton and Collingswood, NJ, with a focus on careful diagnosis, targeted treatment, and quality of life. Care is led by Dr. Milind Patel and Dr. Jill Kalariya, double board-certified pain management physicians, with support from Brian Brown, PA.

Our concierge, white-glove model gives patients a more personal and organized experience, with thorough consultations, clear communication, thoughtful treatment planning, and a team that helps reduce the burden of navigating pain care.

To schedule a neuropathy or nerve pain consultation in Marlton or Collingswood, NJ, call Peak Spine & Sports Medicine at (833) 377-7325 or request an appointment online. Telehealth consultations are available when appropriate. We serve patients in Marlton, Collingswood, Cherry Hill, Medford, Moorestown, Mount Laurel, Voorhees, Philadelphia, and nearby communities.

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What Is Neuropathy?

Neuropathy refers to nerve damage, irritation, dysfunction, or abnormal nerve signaling.

Peripheral neuropathy affects nerves outside the brain and spinal cord. These nerves help control sensation, movement, balance, and certain automatic body functions. When nerves are damaged or irritated, they may send abnormal pain signals, lose normal sensation, or stop working as well as they should.

Neuropathy may affect one nerve, several nerves, or many nerves throughout the body. It may be widespread, such as neuropathy in both feet, or more focal, such as pain from a specific injured or compressed nerve.

Neuropathy may involve:

  • Peripheral nerves
  • Sensory nerves
  • Motor nerves
  • Autonomic nerves
  • Spinal nerve roots
  • Focal nerve branches
  • Chronic nerve pain pathways

Since nerve pain can come from many causes, an accurate diagnosis matters. A patient with diabetic neuropathy needs a different plan than a patient with lumbar radiculopathy, occipital neuralgia, post-surgical nerve pain, CRPS, or focal peripheral nerve irritation.

Nerve pain often feels different from muscle, joint, or inflammatory pain.

Patients may describe symptoms as burning, tingling, numb, sharp, stabbing, electric, shooting, crawling, freezing, or painfully sensitive. Some feel pain even when something lightly touches the skin. Others feel numbness, weakness, imbalance, or reduced awareness of where the feet or hands are in space.

Symptoms may include:

  • Burning pain
  • Tingling
  • Numbness
  • Pins and needles
  • Electric shock-like pain
  • Shooting pain
  • Stabbing pain
  • Painful sensitivity to touch
  • Cold or hot sensations
  • Weakness
  • Cramping
  • Balance problems
  • Foot pain at night
  • Hand or foot numbness
  • Pain that travels along a nerve pathway
  • Difficulty walking, sleeping, working, exercising, or completing daily activities

Neuropathy may worsen at night for some patients, especially when symptoms affect the feet or legs. Others notice pain while walking, standing, driving, lifting, or in certain spine positions, depending on the nerve involved.

Neuropathy and nerve pain can develop for many reasons.

Some cases are related to diabetes, metabolic conditions, vitamin deficiencies, autoimmune conditions, infections, toxins, medications, chemotherapy, alcohol use, trauma, compression, surgery, or hereditary conditions. Other cases are related to the spine, such as radiculopathy from a herniated disc or spinal stenosis.

Possible causes may include:

  • Diabetes
  • Peripheral neuropathy
  • Diabetic neuropathy
  • Nerve compression
  • Radiculopathy
  • Sciatica
  • Herniated or bulging discs
  • Spinal stenosis
  • Foraminal narrowing
  • Prior spine surgery
  • Peripheral nerve injury
  • Post-surgical nerve pain
  • Complex Regional Pain Syndrome
  • Chemotherapy-related neuropathy
  • Vitamin deficiencies
  • Autoimmune or inflammatory conditions
  • Alcohol-related nerve damage
  • Trauma or injury
  • Entrapment neuropathies
  • Occipital neuralgia

Some patients have more than one source of nerve pain. A patient may have diabetic neuropathy in the feet along with lumbar spinal stenosis, or peripheral neuropathy along with radiculopathy, or post-surgical nerve pain with scar-related irritation. The treatment plan should be based on the full pattern, not a single label.

Peripheral neuropathy affects nerves outside the brain and spinal cord.

It often affects the feet and legs first, but it may also involve the hands, arms, or other areas. Patients may feel burning, tingling, numbness, stabbing pain, weakness, balance changes, or reduced sensation that makes walking less reliable.

Peripheral neuropathy may be related to diabetes, injury, vitamin deficiencies, medications, chemotherapy, autoimmune conditions, infections, toxins, alcohol use, kidney disease, or other medical conditions.

Peak Spine & Sports Medicine can help evaluate painful peripheral neuropathy and determine whether interventional pain options may support comfort and function. When the neuropathy is related to another medical condition, ongoing care with the appropriate medical provider remains important.

Diabetic neuropathy is nerve damage that can occur in people with diabetes.

It commonly affects the feet and legs, though it may also affect the hands or other areas. Symptoms may include burning, tingling, numbness, stabbing pain, balance changes, sensitivity, or reduced feeling in the feet.

Patients with diabetic neuropathy often need a broader medical plan that includes diabetes management, foot care, monitoring for wounds or infections, and coordination with primary care, endocrinology, podiatry, or other specialists when appropriate.

Peak Spine & Sports Medicine focuses on the pain management side of diabetic neuropathy. For selected patients with painful diabetic neuropathy, the team may discuss non-opioid medication coordination, nerve pain evaluation, spinal cord stimulation evaluation, or other targeted options depending on the full clinical picture.

Radiculopathy and neuropathy can feel similar, but they are not the same.

  • Radiculopathy begins at a spinal nerve root. This often causes pain, numbness, tingling, or weakness that travels from the neck into the shoulder, arm, hand, or fingers, or from the lower back into the buttock, hip, leg, foot, or toes.
  • Peripheral neuropathy affects nerves outside the spine. It may cause symptoms in a more widespread or symmetrical pattern, such as burning, tingling, or numbness in both feet or both hands.

Some patients have both. For example, a patient may have diabetic neuropathy in both feet and a lumbar nerve root problem causing sciatica on one side. A careful evaluation helps determine which pain source to treat first.

Diagnosis begins with a careful conversation and physical exam.

The Peak Spine & Sports Medicine team asks where symptoms occur, whether they are constant or intermittent, whether pain travels, what the pain feels like, what makes symptoms worse, what improves them, and which treatments have already been tried.

The evaluation may include:

  • Medical history review
  • Diabetes or metabolic history review
  • Prior injury or surgery review
  • Medication and treatment history
  • Physical exam
  • Strength testing
  • Sensation testing
  • Reflex checks
  • Walking and balance assessment
  • Spine movement testing when radiculopathy is suspected
  • Evaluation for focal nerve sensitivity
  • Review of prior imaging
  • Discussion of prior nerve testing when available

Imaging may be recommended when symptoms suggest a spine-related nerve source, such as radiculopathy, spinal stenosis, disc herniation, or foraminal narrowing. Nerve conduction studies or EMG may be reviewed or recommended when symptoms suggest peripheral neuropathy, nerve injury, nerve compression, or a more complex pattern.

Your provider will work to identify whether nerve pain is widespread, focal, spine-related, diabetic, post-surgical, injury-related, or related to another condition.

Why Choose Peak Spine & Sports Medicine for Neuropathy and Nerve Pain?

Peak Spine & Sports Medicine was built around a simple standard: this should be the kind of pain management practice we would want our own family members to visit.

Patients come to our Marlton and Collingswood offices because they want more than a quick visit and another prescription. Our team takes time to understand where nerve pain is coming from, how it affects daily life, what has already been tried, and which activities the patient wants to return to.

For one patient, the priority may be sleeping without burning foot pain. For another, it may be walking farther, driving comfortably, using the hands more confidently, working at a computer, traveling, exercising, or reducing severe nerve flares.

Peak Spine & Sports Medicine offers:

  • Concierge, white-glove pain management care
  • A non-opioid approach to pain care
  • Focal pain evaluation and targeted treatment planning
  • Ivy League-trained professionals
  • Double board-certified pain management physicians
  • Cutting-edge interventional techniques and technology
  • Advanced spine, joint, nerve, and musculoskeletal pain evaluation
  • Image-guided procedures when appropriate
  • Peripheral nerve pain evaluation
  • Radiculopathy and sciatica evaluation
  • Diabetic neuropathy pain evaluation
  • Neuromodulation evaluation for selected chronic nerve pain patterns
  • Telehealth consults when appropriate
  • A helpful staff that works to reduce the burden on patients
  • Insurance access for eligible PPO/POS patients with out-of-network benefits

Care is led by Dr. Milind Patel and Dr. Jill Kalariya, double board-certified pain management physicians who perform advanced interventional procedures in the outpatient surgery center. Brian Brown, PA, supports conservative care, diagnostic workups, imaging coordination, therapy recommendations, and follow-up planning.

Our practice is selective with insurance because the model is built around quality, time, and individualized care. Peak Spine & Sports Medicine primarily works with PPO and POS plans with out-of-network benefits and does not participate with EPO, HMO, Medicare, or Medicaid plans.

Visit our Why Us page to learn more.

How Are Neuropathy and Nerve Pain Treated?

Treatment depends on the cause of nerve pain, the nerves involved, symptom severity, medical history, imaging or nerve testing findings, prior treatment response, and patient goals.

Some patients need medical management through a primary care physician, endocrinologist, neurologist, podiatrist, rheumatologist, or another specialist. Others may benefit from interventional pain care when a focal nerve pathway, spine-related nerve source, or chronic nerve pain pattern can be identified.

Treatment may include:

  • Medical coordination for underlying causes
  • Non-opioid medication coordination when appropriate
  • Outside physical therapy referral
  • Balance and gait support when appropriate
  • Home safety and fall-risk discussion when appropriate
  • Epidural steroid injections when spinal nerve inflammation is involved
  • Nerve root/selective nerve blocks for radiculopathy
  • Nerve blocks for selected focal nerve pain
  • Occipital nerve blocks for selected headache or scalp nerve pain patterns
  • Sympathetic blocks in selected CRPS cases
  • Trigger point injections when muscle guarding overlaps
  • Spinal cord stimulation in selected chronic nerve pain cases
  • DRG stimulation in selected focal neuropathic pain patterns
  • Peripheral nerve stimulation when a localized nerve target is identified
  • Referral to another specialist when broader neurologic or medical care is needed

The right plan depends on the source of nerve pain. A patient with diabetic peripheral neuropathy needs a different approach than a patient with lumbar radiculopathy, occipital neuralgia, CRPS, post-surgical nerve pain, or focal peripheral nerve irritation.

Nerve Blocks for Neuropathy and Nerve Pain

Nerve blocks may be considered when symptoms suggest that a specific nerve or nerve group is contributing to pain.

A nerve block places medication near a targeted nerve. It may provide temporary relief and useful diagnostic information. For some patients, a nerve block can help clarify whether a specific nerve pathway is involved. For others, it may help reduce pain enough to support movement, sleep, therapy, or daily function.

Nerve blocks may be discussed for selected patients with:

  • Focal nerve pain
  • Occipital neuralgia
  • Certain headache patterns
  • Post-surgical nerve pain
  • CRPS-related pain patterns
  • Peripheral nerve irritation
  • Pain following a specific nerve distribution

A nerve block is not the right treatment for every neuropathy patient. It is most useful when the pain pattern points to a defined nerve target.

Epidural Steroid Injections and Selective Nerve Root Blocks

When a spinal nerve root becomes irritated or compressed, patients may develop radiculopathy, sciatica, or pain that travels into an arm or leg. This may happen because of a herniated disc, spinal stenosis, foraminal narrowing, degenerative disc disease, bone spurs, or inflammation around a nerve root.

These treatments are different from treatment for widespread peripheral neuropathy. They are used when the evaluation supports a spine-related nerve source.

Neuromodulation for Chronic Nerve Pain

Neuromodulation may be considered for selected patients with chronic nerve pain that has not improved enough with conservative care, injections, procedures, or prior treatments.

Spinal cord stimulation uses an implanted device that delivers controlled electrical impulses near the spinal cord to change how pain signals are processed. It may be considered for selected chronic nerve pain patterns, failed back surgery syndrome, painful diabetic neuropathy, or persistent arm or leg nerve pain.

DRG stimulation targets the dorsal root ganglion and may be considered for selected focal neuropathic pain patterns, such as pain concentrated in a specific region of the foot, ankle, knee, groin, hip, or leg.

Peripheral nerve stimulation may be considered when a localized peripheral nerve target is identified.

Neuromodulation is not the first step for most patients. It may be discussed after careful evaluation of the diagnosis, prior treatments, imaging or testing, functional goals, and readiness for an implantable therapy. Temporary trials are often used before permanent implantation is considered.

When Does Neuropathy or Nerve Pain Need Prompt Medical Evaluation?

Some nerve pain symptoms should be evaluated promptly.

Patients should seek urgent medical care when nerve pain is associated with:

  • Progressive weakness
  • New foot drop
  • Difficulty walking
  • Worsening balance
  • Loss of bowel or bladder control
  • Numbness in the groin or saddle area
  • New confusion, trouble speaking, facial drooping, or vision loss
  • Fever with severe spine pain
  • Rapidly worsening symptoms
  • Severe pain after trauma
  • New wounds, ulcers, infection, or color changes in the feet
  • Sudden severe headache or neurologic symptoms

Most neuropathy is not an emergency, but sudden or progressive neurologic changes should not be ignored.

The cost of neuropathy or nerve pain treatment depends on the evaluation, imaging or diagnostic needs, treatment plan, procedures recommended, facility, insurance benefits, and medical necessity requirements.

Peak Spine & Sports Medicine primarily serves patients with PPO or POS insurance plans that offer out-of-network benefits. Operating out-of-network for most plans enables us to provide a more personalized model with longer visits, tailored treatment plans, and comprehensive education, without the pressure to rush care.

Many patients find that out-of-network care with PPO or POS plan benefits is more accessible than expected. Our team can review benefits, explain the process, and help determine if our practice is the right fit.

Peak Spine & Sports Medicine does not participate with EPO, HMO, Medicare, or Medicaid plans. This enables our office to accommodate new and existing patients promptly.

Patients visit Peak Spine & Sports Medicine in Marlton and Collingswood from Cherry Hill, Medford, Moorestown, Mount Laurel, Voorhees, Philadelphia, and surrounding areas because they want high-level interventional nerve pain care without an opioid-first approach.

Peak Spine & Sports Medicine does not use opioids as a shortcut for pain care.

Neuropathy and nerve pain may involve damaged peripheral nerves, irritated spinal nerve roots, diabetic neuropathy, post-surgical nerve pain, CRPS, nerve compression, or other chronic nerve pathways. Long-term opioid reliance can make care more complicated without identifying which nerve, structure, or pathway is driving the most treatable symptoms.

Our practice focuses on education, careful diagnosis, and targeted interventional procedures when appropriate. For the right patient, nerve pain care may include medical coordination, non-opioid medication coordination, image-guided injections, nerve blocks, epidural steroid injections, selective nerve root blocks, neuromodulation evaluation, or referral when another specialist is needed.

The purpose is to help patients move better, sleep better, reduce severe nerve pain when possible, and return to daily life with more clarity and support.

Schedule a Neuropathy or Nerve Pain Consultation in Marlton or Collingswood, NJ

Meet Dr. Jill Kalariya , Dr. Milind Patel and Brian Brown PA-C at Peak Spine & Sports Medicine in Marlton, NJ

For neuropathy or nerve pain treatment in Marlton and Collingswood, NJ, contact Peak Spine & Sports Medicine at (833) 377-7325 or schedule a consultation online today. Our team will help determine whether the pain pattern, goals, and insurance benefits make our concierge interventional pain model the right fit.

We proudly serve patients in Marlton, Collingswood, Cherry Hill, Medford, Moorestown, Mount Laurel, Voorhees, Philadelphia, and surrounding communities.

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Neuropathy and Nerve Pain Marlton, NJ – FAQs

Neuropathy, also called peripheral neuropathy, happens due to nerve damage or dysfunction. Typically, it starts to affect the finer body parts like your fingers and toes first. As it gets more severe, other areas can experience the symptoms, too. If you have neuropathy, the areas it affects experience sensations like:

  • Numbness
  • Tingling
  • Sharp or burning pain
  • Touch sensitivity
  • Muscle spasms or cramps
  • Weakness or loss of muscle control
  • Sweating too much or too little
  • Sexual dysfunction

It’s called peripheral neuropathy because it affects your peripheral nerves, which are all nerves outside your central nervous system. Your peripheral nervous system includes sensory nerves, motor nerves, and autonomic nerves. Autonomic nerves are nerves that you don’t think about much because they control automatic functions like your heart rate and breathing.

By far, the leading cause of neuropathy is diabetes. When you have too much glucose (sugar) in your blood for an extended period of time, it starts to damage various tissues of your body, including your nerves. Fortunately, managing your diabetes effectively can reduce or even eliminate symptoms of neuropathy.

Aside from diabetes, neuropathy can develop as the result of a number of other health conditions and events. You can develop neuropathy from:

  • Traumatic injuries
  • Cancer
  • A vitamin B12 deficiency
  • Hypothyroidism
  • Chemotherapy
  • Radiation therapy
  • Alcoholism
  • Vasculitis
  • Autoimmune disorders
  • Infections
  • Hormone imbalances

Peak Spine & Sports Medicine helps you explore the possible reasons why you’re experiencing numbness, tingling, pain, or weakness. In some cases, neuropathy develops without a known or identifiable cause. In any case, the Peak Spine & Sports Medicine team finds a relief strategy that targets your symptoms.

To manage your neuropathy symptoms, the team at Peak Spine & Sports Medicine creates an individualized treatment plan. For cases of neuropathy that come from underlying conditions like diabetes, managing the underlying condition is usually the most successful way to reduce neuropathy symptoms.

Still, there are plenty of treatment options available to manage your discomfort and weakness or discoordination. Medications like antidepressants and antiseizure medications work within the brain to alter pain signals traveling from your peripheral nerves. Nutritional counseling at Peak Spine & Sports Medicine can help correct any nutritional imbalances contributing to your symptoms.

If more conservative measures don’t control your neuropathy symptoms, Peak Spine & Sports Medicine offers implanted spinal cord stimulators.

If you experience weakness or a loss of coordination from your neuropathy, Peak Spine & Sports Medicine might suggest taking part in physical therapy.

Neuropathy symptoms require individualized and strategic treatment. Schedule an appointment over the phone or online at Peak Spine & Sports Medicine today.

Neuropathy may be caused by diabetes, nerve compression, injury, surgery, vitamin deficiencies, autoimmune conditions, infections, toxins, chemotherapy, alcohol use, hereditary conditions, or other medical issues.

Yes. Neuropathy can affect sensation and position awareness, especially in the feet. This may make walking, stairs, and balance more difficult.

Diagnosis may include a symptom review, physical exam, neurologic testing, medical history review, imaging when spine-related nerve pain is suspected, and nerve testing such as EMG or nerve conduction studies when appropriate.

Yes. Peak Spine & Sports Medicine is an opioid-free pain management practice. The team focuses on diagnosis, education, targeted interventional procedures, non-opioid medication coordination when appropriate, and referral to other specialists when needed.

Nerve pain should be evaluated urgently if it is associated with progressive weakness, foot drop, difficulty walking, worsening balance, loss of bowel or bladder control, saddle numbness, fever, trauma, new wounds or infection in the feet, or sudden neurologic symptoms.

Patients receive specific post-procedure instructions based on the treatment performed. In many cases, patients may be advised to avoid standing water, including pools, hot tubs, baths, lakes, or oceans, for one to two days after the procedure, or as directed by the clinical team. Showers may be allowed sooner depending on the procedure and aftercare instructions.

Some patients benefit from physical therapy focused on balance, strength, mobility, gait, posture, or functional restoration. Peak Spine & Sports Medicine does not provide physical therapy in-house, but the team may refer patients to outside providers when appropriate.

In many cases, yes. Telehealth consults may be available to review symptoms, discuss prior imaging or treatment, and determine whether an in-person exam or procedure consultation is appropriate.

Peak Spine & Sports Medicine accepts insurance and primarily works with PPO and POS plans that have out-of-network benefits. The practice does not participate with EPO, HMO, Medicare, or Medicaid plans. The team can help determine whether benefits may apply.