Diabetic neuropathy
High or unstable blood sugar is the most common cause of nerve damage in the feet and legs.
Drug-free nerve pain relief · San Francisco
Neuropathy Treatment in San Francisco, Without Medication or Surgery
Burning, tingling or numb feet and hands? Most medications only mask nerve pain. Our peripheral neuropathy program looks for why your nerves are struggling, then uses light therapy, nerve re-education and targeted nutrition to help them heal.
5.0 from 272 Google reviews
Led by Supreet Shah, DC
No referral needed
Approach
Treats the cause
Medication
None required
Procedures
Non-invasive
Care plan
In-office + at-home
Understanding nerve pain
What is peripheral neuropathy?
Peripheral neuropathy is damage to the nerves outside your brain and spinal cord, most often in the feet, legs and hands. Damaged nerves misfire. They send pain signals when nothing is wrong, or stop sending signals you need, like the feeling of the floor under your feet.
Left alone, neuropathy tends to progress. Lost sensation can hide cuts and blisters, and poor balance raises the risk of falls. The earlier it's treated, the more nerve function there is to protect.
Common neuropathy symptoms
Numbness
Tingling
Burning pain
Deep stabbing pain
Loss of feeling
Muscle weakness
Balance problems
Sensitivity to touch
Cramping
Night pain
Causes & types we treat
What causes peripheral neuropathy?
There's rarely just one cause. Finding yours is the first step of every treatment plan.
Chemotherapy-induced neuropathy
Numbness and tingling that start or linger after cancer treatment.
Poor circulation
Nerves starved of blood flow and oxygen can't repair themselves.
Autoimmune & chronic infection
Inflammation from autoimmune disease or long-term infections that irritates nerves.
Toxins & nutrient gaps
Exposure to pesticides and other toxins, or deficiencies that nerves depend on.
Idiopathic & genetic
Inherited nerve conditions, or neuropathy with no clear cause yet. We still look.
Our approach
Neuropathy treatment without medication
Pain medications quiet the signal but leave the damaged nerve behind. We work the other way around: improve the conditions your nerves need to heal, then help them work properly again.
Every plan starts with an evaluation of three areas, so we treat your neuropathy, not a template.
1
Structure
Your spine and joints, where nerves can be compressed or irritated on their way to your feet and hands.
2
Neurological
Which nerve fibers are affected and how severely, measured so we can track your progress.
3
Metabolic
Blood sugar, circulation and nutrition, the internal environment that decides whether nerves can repair.
The program
Our 4-part peripheral neuropathy treatment
Four therapies working toward four goals: a better healing environment, more blood flow to the nerves, stimulation of damaged nerves, and calmer pain signaling in the brain.
Infrared light therapy
Electromagnetic infrared (low-level light) therapy boosts circulation and energy to struggling nerves, an approach backed by peer-reviewed research.
Electrostimulation
"Nerve re-education": gentle electrical signals that wake up under-active nerves and help quiet pain.
Advanced nutrition therapy
Targeted nutrition to steady blood sugar, reduce inflammation and give nerves the building blocks to repair.
At-home therapy program
Daily infrared therapy at home plus one in-office visit a week, so progress continues between appointments.
Benefits of neuropathy treatment
- Less burning, tingling and numbness
- Better blood flow to the feet and hands
- Supports nerve healing, not just pain masking
- Steadier balance and walking
- Less reliance on pain medication
- Better sleep without night pain
- Healthier blood vessels and circulation
- Helps protect against foot wounds and complications
- Better mood and overall quality of life
Patient stories
Hear from neuropathy patients
Real people describe living with numbness and nerve pain, and what changed with treatment.
Neuropathy patient testimonial
A patient shares his experience with neuropathy treatment.
Neuropathy treatment results: patient story
A patient talks about her symptoms before and after care.
What to expect
Your path to relief
- Step 1
Neuropathy consultation
We listen to your story, review your history and medications, and test sensation, reflexes and balance.
- Step 2
Your custom plan
We explain what's driving your symptoms and build a plan around your cause, severity and goals.
- Step 3
Treat in-office & at home
Weekly in-office care plus a simple home program keep your nerves getting therapy every day.
- Step 4
Re-test & adjust
We re-measure along the way so you can see your progress, and adjust your plan as you improve.
How our neuropathy treatment compares
Medication has its place, and we work alongside your physician. Here's how the options differ.
| TruSpine program | Nerve pain medication | Wait and see | |
|---|---|---|---|
| Goal | Support nerve healing | Reduce pain signals | None |
| Looks for the cause | Yes | Not usually | No |
| Helps numbness & balance | That's the aim | Rarely | Often worsens |
| Common side effects | Minimal | Drowsiness, dizziness | Progression |
| Invasive | No | No | No |
When to see a doctor right away
Seek urgent medical care for sudden weakness or numbness, symptoms that spread quickly over days, loss of bladder or bowel control, or a foot wound that won't heal. These need immediate medical attention before any neuropathy program.
Neuropathy treatment FAQs
What is the best treatment for peripheral neuropathy?
The best neuropathy treatment depends on what's causing it. That's why we start with an evaluation of your structure, nerves and metabolic health. For many people, a combination works better than any single therapy: improving circulation with infrared light, stimulating nerves with electrostimulation, and correcting nutrition and blood sugar.
Can neuropathy be reversed?
Peripheral nerves can repair when the conditions are right, especially when treatment starts early. How much improvement is possible depends on the cause, how long you've had symptoms and how much nerve damage there is. Your evaluation gives you a realistic picture before you commit to a plan.
Can you treat neuropathy without medication?
Yes. Our program is drug-free and non-invasive. We don't ask you to stop any medication your doctor prescribed. Many patients find they rely on pain medication less as their symptoms improve, and any changes are made with their physician.
Do you treat diabetic neuropathy?
Yes. Diabetic neuropathy is the most common type we see. Alongside light therapy and electrostimulation, nutrition support to steady blood sugar is a key part of the plan, coordinated with the doctor who manages your diabetes.
Can you help neuropathy from chemotherapy?
Chemotherapy-induced peripheral neuropathy (CIPN) is a common reason patients come to us once their cancer treatment allows. We'll coordinate with your oncology team before starting.
Does neuropathy treatment hurt?
No. Infrared light therapy feels like gentle warmth, and electrostimulation feels like a light tingling or tapping. There are no needles, injections or surgery.
How long does neuropathy treatment take?
Nerves heal slowly, so plans usually run over several months, combining a weekly in-office visit with daily at-home therapy. We re-test along the way so you can see how you're progressing.
Do I need a referral to see a neuropathy specialist?
No referral is needed to book a neuropathy consultation at TruSpine. Bring a list of your medications and any recent lab work or nerve tests if you have them.
Get back on your feet, comfortably.
Book a neuropathy consultation and find out what's behind your symptoms, and what can be done about them.
Individual results vary. Our neuropathy program is designed to complement, not replace, care from your primary physician, endocrinologist or oncologist. This page is for informational purposes and is not medical advice.