“Burning in the feet at night. Tingling in the hands while using the phone. Numbness when walking barefoot.” These may look small on the surface. When they repeat every day, they often point to a bigger issue — nerve damage or neuropathy. Our goal is to help you understand the problem early and choose the right neuropathy treatment in Panchkula.

Neuropathy means the nerves that carry signals between the brain, spinal cord, and body are not working well. It grows silently and is commonly mistaken for weakness or ageing. Global data suggests more than 20 million people live with peripheral neuropathy, and studies show up to 50% of people with diabetes will develop some form of neuropathy during their lifetime.NINDS Mayo Clinic

In Panchkula and the Tricity, we see neuropathy frequently because of rising diabetes, vitamin deficiencies, and stressful lifestyles. The encouraging part is that timely evaluation and lifestyle correction can slow or stop progression for many patients.

Types of Neuropathy

Neuropathy is not one single disease. Different nerves control different functions, so symptoms vary from person to person.

1) Peripheral Neuropathy

Affects feet, legs, hands, or arms. Common signs include tingling, burning pain, numbness, reduced reflexes, and poor balance.
Explore next: Peripheral Neuropathy: Common Causes Beyond Diabetes

2) Diabetic Neuropathy

Long-term high sugar damages nerves and small blood vessels. This often starts in the feet and can lead to wounds and infections if ignored. Up to half of all people with diabetes develop neuropathy at some stage.Mayo Clinic
Explore next: Diabetic Neuropathy: Early Signs Every Patient Should Watch For

3) Autonomic Neuropathy

Involves nerves that control organs like the heart, stomach, and bladder. Symptoms may include dizziness on standing, fast or irregular heartbeat, bloating, constipation, or urinary problems.

4) Focal and Cranial Neuropathy

Sudden, localized nerve issues affecting a specific nerve in the face, eye, or hand. May cause double vision, facial weakness, or wrist/hand weakness.

Early Warning Signs Most People Ignore

  • Tingling or “pins and needles” in feet or hands
  • Burning pain at night, sensitivity to touch (bedsheet pain)
  • Numbness that reduces the ability to feel heat, cold, or pain
  • Weak grip, dropping objects, difficulty buttoning shirts
  • Poor balance or frequent stumbling
  • Digestive issues, dizziness, bladder problems in some cases

Quote: “If your feet burn at night but feel numb during the day, it is not just tiredness. Your nerves are asking for attention.”

Explore next: When Tingling in Your Feet Means More Than Just Fatigue

Why Neuropathy Happens: Indian Context

While diabetes is the most common cause, India has a few additional risk factors that show up often in clinic:

  • Diabetes: chronically high sugar damages nerves and blood supply to nerves. India has one of the largest populations with diabetes.ICMR
  • Vitamin B12 deficiency: common with vegetarian diets, low dairy intake, or long-term acidity medicines.
  • Alcohol overuse: directly damages nerves and worsens deficiencies.
  • Thyroid and kidney disorders; autoimmune diseases; infections like shingles or HIV.
  • Medications: some chemotherapy, anti-HIV, and antibiotic groups.

Explore next: Vitamin Deficiency and Nerve Pain — The Hidden Link

How a Neurologist Diagnoses Neuropathy

The aim is not only to reduce pain but to identify the cause of nerve damage. We usually combine the following:

  • Neurological examination: reflexes, strength, sensation, balance
  • Nerve Conduction Studies (NCS): checks the speed and strength of nerve signals
  • Electromyography (EMG): measures muscle response to nerve signals
  • Blood tests: blood sugar, B12, thyroid, kidney functions
  • Imaging (MRI/CT): if we suspect a spine or nerve-compression cause

“Many people try painkillers or home remedies first. Unless we find why the nerve is weak, pain control alone will not stop the damage.” — Dr. Anurag Lamba

Treatment Options for Neuropathy in Panchkula

Most patients improve with a combination of medical care, lifestyle changes, physiotherapy, and, when required, advanced therapies.

1) Medical Management

  • Medicines to reduce nerve pain (for example, pregabalin, gabapentin, duloxetine) based on suitability
  • Strict sugar control in diabetes
  • Vitamin supplementation when deficiency is confirmed (for example, Vitamin B12)

2) Lifestyle Management

  • Quit alcohol and smoking
  • Regular exercise, walking, or yoga for better circulation
  • Balanced diet with whole grains, nuts, and green leafy vegetables
  • Daily foot checks for diabetics to avoid unnoticed cuts or infections

Explore next: Best Foods and Nutrients for Healthy Nerves

3) Physiotherapy and Rehabilitation

  • Strength training for weak muscles
  • Balance therapy to reduce fall risk
  • Electrical modalities in selected cases for pain relief

4) Advanced Options

  • Nerve blocks in severe pain situations
  • Electrical nerve stimulation where indicated
  • Team-based plans for complex or long-standing neuropathies

Why People in Panchkula Delay Treatment

  • Men relate burning feet to footwear or standing long hours
  • Women see hand weakness as household fatigue
  • Elderly people accept numbness as normal ageing
  • People with diabetes focus on sugar readings and ignore nerve health

Delay reduces the chance of reversing damage. Early evaluation is the simplest way to protect nerve function.

Explore next: Living with Neuropathy: Long-Term Care and Support Options

When Should You See a Neurologist?

  • Persistent tingling, burning, or numbness for more than two weeks
  • Frequent stumbling or poor balance
  • Non-healing foot wounds, especially in diabetes
  • Dizziness, digestive or bladder issues along with nerve symptoms

“It is better to visit once and rule out a serious cause than to wait and lose nerve function.”

Prevention Tips

  • Keep blood sugar in the target range
  • Check B12 and Vitamin D periodically if at risk
  • Limit alcohol and avoid smoking
  • Stay active and maintain a healthy weight
  • Annual foot and nerve checks for people with diabetes

Explore next: Simple Habits to Protect Nerve Health After 40

A Short Patient Story

Mr. S, 42, Panchkula: He ignored tingling in his feet for almost two years and blamed uncomfortable shoes. When he finally came for evaluation, he had diabetic neuropathy with a small foot wound that was not healing well. Treatment, physiotherapy, footwear changes, and better sugar control helped. He improved, but the case reminds us that early checks save time, money, and nerve function

Next Step

If you or a family member has ongoing symptoms, we can help with timely diagnosis and a personalized plan. Book an appointment with Dr. Anurag Lamba — Neurologist in Panchkula and take the first step toward protecting your nerve health.

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