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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
    • Tarsal Tunnel Syndrome
    • Baxter’s Neuropathy
    • Radiculopathy vs Neuropathy
    • Alcohol-Related Neuropathy
    • Small Fiber Neuropathy
    • See all symptoms & causes →
  • Treatments
    • Home Remedies for Neuropathy
    • Neuropathy Treatment
    • Neuropathy Medication
    • The “Reverse It in 7 Days” Claim
    • Which Doctor Treats Neuropathy
    • How to Stop Numbness
    • See all treatment guides →
  • Foot Care
    • Daily Foot Check
    • All daily foot care →
  • Guides
    • Best Shoes for Neuropathy
    • Best Shoes for Diabetics
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    • Diabetic Socks
    • Supplements for Neuropathy
    • Neuropathy Creams
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    • Alpha-Lipoic Acid
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    • See all product guides →
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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.

Neuropathy Treatment: What Works, and What Only Seems To

September 7, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Neuropathy Treatment: What Works, and What Only Seems To — Managing Neuropathy

Treatment for peripheral neuropathy divides into three categories that are constantly confused in marketing.

Categories Treatment

Neuropathy in the Feet: Causes, Symptoms and Treatment

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Neuropathy in the Feet: Causes, Symptoms and Treatment — Managing Neuropathy

Peripheral neuropathy starts in the feet because the longest nerves fail first. A podiatrist-led explanation of what the damage actually is.

Categories Causes

Burning Feet at Night: Why It Happens and What Helps

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Burning Feet at Night: Why It Happens and What Helps — Managing Neuropathy

Burning feet at night is usually small-fiber neuropathy, but one pattern points to circulation instead. How to tell them apart, and what actually helps.

Categories Symptoms

What Makes Neuropathy Worse

September 7, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
What Makes Neuropathy Worse — Managing Neuropathy

Some things accelerate nerve damage; others only make tonight louder. A podiatrist-led separation of what actually drives progression.

Categories Living With Neuropathy

Numb Toes and Numb Feet: What the Pattern Tells You

September 7, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Numb Toes and Numb Feet: What the Pattern Tells You — Managing Neuropathy

Where the numbness is, whether it is symmetric, and how fast it arrived narrow the cause far more than the sensation does.

Categories Symptoms

Best Shoes for Diabetics: The Medicare Benefit Explained

September 7, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Best Shoes for Diabetics: The Medicare Benefit Explained — Managing Neuropathy

Medicare covers a pair of shoes and three pairs of inserts each year for people with diabetes who qualify — and most never hear about it.

Categories Products

Home Remedies for Neuropathy: What Helps, What Does Not

September 7, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Home Remedies for Neuropathy: What Helps, What Does Not — Managing Neuropathy

Some neuropathies reverse completely once the cause is found; established diabetic nerve damage usually does not.

Categories Treatment

Diabetic Socks: What the Label Actually Means

September 7, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Diabetic Socks: What the Label Actually Means — Managing Neuropathy

“Diabetic sock” is a marketing category, not a regulated standard. A podiatrist-led guide to the six features that actually matter.

Categories Products

Foot Massagers for Neuropathy: Comfort and the Heat Risk

September 7, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Foot Massagers for Neuropathy: Comfort and the Heat Risk — Managing Neuropathy

A foot massager is a comfort device, not a treatment — and its heat function is the main way these injure feet that cannot feel temperature.

Categories Products

Neuropathy Cream: What Works and What to Avoid

September 14, 2026September 6, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Neuropathy Cream: What Works and What to Avoid — Managing Neuropathy

Capsaicin and lidocaine have real evidence; menthol rubs soothe without changing anything; nothing you can buy repairs a nerve.

Categories Products
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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

  • What the symptoms mean
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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