Managing Neuropathy · With Dr. Tom Biernacki
Understand it.
Manage it.
Protect your feet.
Clear explanations. Practical foot care. Better questions for your next appointment. Find your starting point and take the next step with confidence.
Education for people living with neuropathy—and the people who care for them.

One step at a time
A clearer path
through neuropathy.
Learn the terms and prepare your questions.
Make foot protection part of everyday life.
Explore care options and useful product features.
Find your starting point
What would help you today?
Understand
Symptoms & causes
Make sense of burning, tingling, and numbness—and learn why an evaluation matters.
Explore symptoms →Explore
Treatment options
Understand the goals of treatment and the questions worth asking before you choose.
Understand your options →Protect
Daily foot care
Build a practical routine for checking your feet and preparing for your care visits.
Build your routine →Education with a human voice
Meet Dr. Tom Biernacki.
Dr. Tom Biernacki, DPM, is a Michigan podiatrist and foot-health educator. Managing Neuropathy brings together plain-language learning, practical resources, and thoughtful questions to discuss with your own care team.
More about this resource →Start with the essentials
Bring better questions
to your next visit.
You do not need all the answers before an appointment. A few notes about your symptoms, medicines, and priorities can help you get the conversation started.
Use the appointment worksheet →Useful tools, thoughtful choices
Support for everyday decisions.
Daily foot-check checklist
A simple, printable reminder to support the routine you discuss with your clinician.
Open the checklist →Product guidance
Learn what we look for, how recommendations are evaluated, and where products have limits.
Our approach to products →A newly diagnosed guide
Organize what you know, what you want to ask, and what to discuss at your follow-up.
Take the first step →For our Michigan neighbors
Looking for care
close to home?
Learn about visiting Balance Foot & Ankle in Howell or Bloomfield Township.
Practice details and scheduling are available through Michigan Foot Doctors.
Every guide, by what you need
Where to go next.
The whole library, grouped the way the site is meant to be used.
Understand it
What the symptoms mean, and what is causing them.
- Peripheral neuropathy symptoms
- Numb toes
- Numb feet
- Numbness on the top of the foot
- Numbness on the bottom of the foot
- Numbness in one foot
- Tingling in the feet
- Pins and needles in the feet
- Burning feet at night
- Cold feet
- Restless legs or neuropathy?
- Neuropathy in the feet
- Types of neuropathy
- Diabetic neuropathy
- Neuropathic pain
- Autonomic neuropathy
- Charcot-Marie-Tooth disease
- Vitamin B12 and neuropathy
- The nerve conduction study
Manage it
What treatment can and cannot do, and who to ask.
- Neuropathy treatment
- Medication for nerve pain
- Home remedies, assessed
- What makes it worse
- How to stop numbness
- Stopping night leg cramps
- Which doctor to see
- The seven-day claim
- Can it be reversed?
- Benfotiamine
- Exercises for numb feet
- Foot drop exercises
- Acupuncture, assessed
Protect your feet
The daily routine, and what is worth buying.
- The daily foot check
- The monofilament test
- Best shoes for neuropathy
- Slippers for indoors
- Neuropathy socks
- Creams for nerve pain
- Supplements, honestly assessed
- Magnesium for nerve pain
- Foot massagers and heat