Neuropathy and Nerve Pain

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Comprehensive Evaluation for Numbness, Tingling, Burning Pain, and Nerve Symptoms

Neuropathy can cause numbness, tingling, burning pain, electric shocks, weakness, imbalance, and reduced sensation in the hands or feet.

VerityMD Neurology evaluates neuropathy and nerve pain using clinical examination, medication review, lab review, EMG/NCV testing, and autonomic/small fiber testing when clinically indicated.

Symptoms We Evaluate

  • Burning feet

  • Numbness or tingling

  • Electric shock-like pain

  • Foot or hand pain

  • Imbalance or falls

  • Weakness or foot drop

  • Reduced sensation

  • Painful sensitivity to touch

  • Temperature sensitivity

  • Neuropathy symptoms despite normal testing

Conditions We Help Evaluate or Manage

  • Peripheral neuropathy

  • Diabetic neuropathy

  • Small fiber neuropathy

  • Large fiber neuropathy

  • Autonomic neuropathy

  • Carpal tunnel syndrome

  • Ulnar neuropathy

  • Radiculopathy

  • Chemotherapy-related neuropathy

  • Vitamin deficiency-related neuropathy

Services and How They Help

Neurology Consultation for Neuropathy

The evaluation reviews symptom pattern, distribution, pain quality, weakness, balance, diabetes, medications, alcohol exposure, vitamins, autoimmune history, chemotherapy, and prior testing.

How this helps:

  • Clarifies likely cause

  • Identifies treatable contributors

  • Determines whether EMG/NCV or small fiber testing is appropriate

EMG/NCV Testing

EMG/NCV evaluates large nerve and muscle function.

How this helps:

  • Detects large fiber neuropathy

  • Identifies nerve entrapment or radiculopathy

  • Assesses severity and pattern

Autonomic and Small Fiber Neuropathy Testing

Small fiber neuropathy can cause burning pain, tingling, sweating changes, dizziness, and temperature sensitivity even when EMG/NCV is normal.

How this helps:

  • Evaluates sudomotor and autonomic markers

  • Supports small fiber neuropathy assessment

  • Helps evaluate diabetic or autonomic neuropathy risk

Medication and Lab Review

Neuropathy may be affected by diabetes, thyroid disease, vitamin deficiency, kidney disease, autoimmune disease, medication effects, or toxins.

How this helps:

  • Identifies reversible contributors

  • Reviews medication side effects

  • Supports coordination with primary care

When Parkinson’s & Movement Disorders May Be Helpful

  • Burning pain, numbness, or tingling

  • Diabetes with foot symptoms

  • Imbalance with reduced foot sensation

  • Symptoms suggesting small fiber neuropathy

  • Weakness or foot drop

  • Need to separate neuropathy from radiculopathy

What to Bring or Have the Referring Office Send

  • Referral from PCP, specialist, or referring provider

  • Medication list, including over-the-counter medications and supplements

  • Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available

  • A1c and diabetes history if available

  • Prior EMG/NCV or autonomic testing

  • Relevant labs such as B12, thyroid, kidney, autoimmune, or metabolic testing if available

Important Note

This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.

Emergency Symptoms

Call 911 or go to the nearest emergency department for:

  • Sudden weakness, facial droop, trouble speaking, or new vision loss

  • Severe sudden headache or rapidly worsening neurological symptoms

  • Loss of consciousness, seizure, chest pain, or severe shortness of breath

  • New inability to walk or sudden severe dizziness with stroke-like symptoms

New Patient Referrals

VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.

Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.

We accept the following insurance

Client Stories

What Our Patients Say

★ ★ ★ ★ ★

My husband and I are very impressed with the care and professionalism of Dr. Mittal and his staff. Dr. Mittal took time to listen to us - to ask us questions - and to clearly explain the diagnosis and his treatment recommendations. We feel very fortunate - and relieved - to have this neurologist as a member of our care team.

Debby S
Debby S
★ ★ ★ ★ ★

Dr. Manoj Mittal thoroughly understands the complexities of my condition (involving my brain, neck, and nerves) and developed a comprehensive action plan. During my follow-up visit, he carefully assessed my progress to ensure I was staying on track. I had been neglecting a few aspects of my treatment, but he guided me back on course. My treatment involves a team of specialists, multiple surgeries, and personal effort, and I’m truly satisfied with the plan. For the first time in nearly a decade, I feel genuinely hopeful. Thank you, Dr. Manoj Mittal. A+

David A
David A
★ ★ ★ ★ ★

I was concerned about issues and I called their office. My appointment was not until January and after hearing my concerns, the staff had me scheduled on a Monday, which happens to be two days from when I called voicing my concerns. Nice job.

Bernie L
Bernie L
★ ★ ★ ★ ★

Dr. Manoj Mittal is an excellent neurologist. He listens carefully, explains everything clearly, and truly cares about his patients. My mom is under his care, and we are very grateful for his expertise and compassion. Highly recommend!

Zubaida R
Zubaida R
★ ★ ★ ★ ★

Saw Dr. Mittal and during the first visit he was able to order a few tests that helped diagnose my issue. During the appointment he spent a good amount of time with me and made me feel heard. He was then able to see me again on short notice to help direct me towards next steps, I am very grateful to him.

Melinda M
Melinda M
★ ★ ★ ★ ★

My 1st appointment with Dr. Mittal, was such a pleasure & surprise. The staff & Dr. Mittal were kind & not in such a hurry. The Dr. took a half hour with me, thoroughly explaining his thoughts & what was to come. Impressed is not a strong enough adjective! Thank you for being a true Doctor who cares.

Kriss H
Kriss H