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Managing Neuropathy

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  • Symptoms
    • Numb Toes & Numb Feet
    • What Makes Neuropathy Worse
    • Peripheral Neuropathy Symptoms
    • Burning Feet at Night
    • Types of Neuropathy
    • Tingling in Feet
    • Autonomic Neuropathy
    • Diabetic Neuropathy
    • Foot Drop
    • Neuropathy in Feet
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    • Baxter’s Neuropathy
    • Radiculopathy vs Neuropathy
    • Alcohol-Related Neuropathy
    • Small Fiber Neuropathy
    • See all symptoms & causes →
  • Treatments
    • Home Remedies for Neuropathy
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    • Neuropathy Medication
    • The “Reverse It in 7 Days” Claim
    • Which Doctor Treats Neuropathy
    • How to Stop Numbness
    • See all treatment guides →
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    • Daily Foot Check
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Dr. Tom Biernacki, DPM, FACFAS

Dr. Tom Biernacki, DPM, FACFAS is a double board-certified foot and ankle surgeon (ABFAS and ABPM) and a Fellow of the American College of Foot & Ankle Surgeons. He is the founder of Balance Foot & Ankle in Howell and Bloomfield Township, Michigan, where peripheral neuropathy, diabetic foot risk and loss of protective sensation are part of his weekly clinic. His patient education videos have drawn more than 950,000 subscribers on YouTube. He writes Managing Neuropathy to put the explanation he gives in the exam room in front of the people who cannot get to one — including when a product is worth buying and when it is not.

Autonomic Neuropathy: Symptoms Beyond the Feet

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Autonomic Neuropathy: Symptoms Beyond the Feet — Managing Neuropathy

Autonomic neuropathy damages the nerves running blood pressure, digestion, bladder and sweating.

Categories Symptoms

Peripheral Neuropathy Medication: The Four Families

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Peripheral Neuropathy Medication: The Four Families — Managing Neuropathy

Ordinary painkillers barely touch nerve pain, which is why so many people conclude nothing works.

Categories Treatment

Foot Drop: Causes, the Bedside Test, and What Helps

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Foot Drop: Causes, the Bedside Test, and What Helps — Managing Neuropathy

Foot drop is a sign, not a diagnosis. Where along the nerve the interruption sits decides everything, and a thirty-second bedside test usually tells you.

Categories Symptoms

Peripheral Neuropathy Symptoms: The Complete List

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Peripheral Neuropathy Symptoms: The Complete List — Managing Neuropathy

Peripheral neuropathy produces sensory, motor and autonomic symptoms, and which set you have narrows the cause.

Categories Symptoms

Alpha-Lipoic Acid for Neuropathy: Evidence and Dose

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Alpha-Lipoic Acid for Neuropathy: Evidence and Dose — Managing Neuropathy

Alpha-lipoic acid has the most respectable evidence of any supplement sold for nerve pain, and one safety issue almost no retailer mentions: it can lower blood.

Categories Products

“Reverse Neuropathy in 7 Days”: What Is Actually Possible

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
“Reverse Neuropathy in 7 Days”: What Is Actually Possible — Managing Neuropathy

Nerve fibers regrow at roughly a millimetre a day, which puts a foot-length repair somewhere near a year.

Categories Treatment

What Kind of Doctor Treats Neuropathy? Who to See First

September 7, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
What Kind of Doctor Treats Neuropathy? Who to See First — Managing Neuropathy

Five specialties treat different parts of peripheral neuropathy, and starting with the wrong one costs months.

Categories Living With Neuropathy

Small Fiber Neuropathy: When the Nerve Test Is Normal

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Small Fiber Neuropathy: When the Nerve Test Is Normal — Managing Neuropathy

Small fiber neuropathy causes burning, electric pain and temperature changes while standard nerve conduction studies read normal.

Categories Causes

Tingling in Feet: What It Means, and When It Matters

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Tingling in Feet: What It Means, and When It Matters — Managing Neuropathy

Tingling in the feet is often the first sign a nerve is in trouble. A podiatrist-led guide to what the pattern means.

Categories Symptoms

Diabetic Neuropathy: The Four Types and Warning Signs

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Neuropathy: The Four Types and Warning Signs — Managing Neuropathy

Diabetes damages nerves in four distinct patterns, and only one of them is the numb feet everyone pictures.

Categories Causes
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Who writes this

Dr. Tom Biernacki, DPM, FACFAS is a double board-certified foot and ankle surgeon (ABFAS and ABPM) and a Fellow of the American College of Foot & Ankle Surgeons. He sees neuropathic feet every week in clinic in Michigan.

About this site and its author

Start here

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Managing Neuropathy

Plain-language guidance on nerve pain, numbness and foot protection, written by Dr. Tom Biernacki, DPM, FACFAS.

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© 2026 Managing Neuropathy · Written under the direction of Dr. Tom Biernacki, DPM, FACFAS