Integrative Neuropathy Care in El Paso – How Chiropractors and NPs Team Up

Peripheral neuropathy is a common health issue that affects many people, especially those dealing with diabetes. It happens when nerves outside the brain and spinal cord get damaged. The result can lead to problems such as pain, numbness, or weakness, often in the hands and feet. In places like El Paso, Texas, where diabetes rates are high, folks often look for clear info on what this condition means for their daily life and how to manage it without always relying on pills.
What Is Peripheral Neuropathy?
Peripheral neuropathy involves damage to the peripheral nerves. These nerves carry signals between the brain, spinal cord, and the rest of the body. When they are hurt, signals can slow, distort, or be lost. This can make simple tasks hard, like walking or holding objects.
- Common types include peripheral (affecting the arms, legs, hands, and feet) and, sometimes, autonomic (affecting functions like digestion or heart rate).
- It often starts slowly and worsens over time if left untreated.
- In many cases, it links to diabetes because high blood sugar over the years harms nerves (American Diabetes Association, n.d.).
Symptoms of Neuropathy
Symptoms vary depending on which nerves are affected, but they often begin in the feet and legs before moving to the hands.
- Numbness or reduced feeling in the feet or hands
- Tingling, like pins and needles
- Burning, stabbing, or sharp pain
- Muscle weakness, especially in legs or arms
- Sensitivity to touch, where light contact feels painful
- Balance problems or trouble walking
- Curled toes (hammer toes) or foot issues
- In some cases, digestive problems, dizziness, or changes in sweating (West Texas Pain Institute, n.d.; Frontier Neurology, n.d.)
These signs can make everyday activities challenging and raise the risk of falls or injuries because people may not feel cuts or sores.
Main Causes, Especially Diabetes
The top cause in many adults is diabetes. High blood sugar damages nerves over time, leading to diabetic peripheral neuropathy. About 60-70% of people with diabetes develop some form of it (WebMD, 2025).
Other causes include:
- Injuries or trauma
- Infections
- Vitamin shortages
- Alcohol overuse
- Certain medicines or toxins
- Autoimmune issues
Diabetes stands out because poor blood sugar control speeds up nerve damage. Keeping levels stable can slow or prevent worsening (Cleveland Clinic, 2023).
How Neuropathy Gets Diagnosed
Doctors start by discussing symptoms and health history. They check for things like diabetes or other risks.
Tests may include:
- Nerve conduction studies to see how fast signals travel
- Electromyography (EMG) to test muscle electrical activity
- Blood tests for causes like vitamin levels or diabetes control
- Foot exams to check sensation and skin health
Early checks help catch it before big problems arise (Nonsurgical Spine Center, n.d.; Medicos Family Clinic, n.d.).
Traditional Treatments and Their Limits
Many start with medicines for pain, like certain antidepressants or anti-seizure drugs. These help some, but can cause side effects. Blood sugar control is key for diabetic cases to stop further damage.
For severe pain, options include injections or devices like spinal cord stimulators (West Texas Pain Institute, n.d.).
But meds alone don’t resolve the root issue or always improve function.
Non-Medication Approaches That Work Well
Many seek options beyond pills. These focus on better nerve health, less pain, and daily function.
Physical therapy stands out. It uses exercises to improve balance, strength, and nerve movement. Therapists teach ways to “glide” nerves for better blood flow and healing. This cuts pain, boosts coordination, and lowers fall risk (P3 Physical Therapy, n.d.).
- Dry needling or manual therapy for tight areas
- Guided exercises to rebuild habits
- Home plans for long-term gains
Laser therapy offers hope for patients with diabetes. It uses light to spark nerve repair and cut pain. Sessions target the feet, where symptoms hit hardest. While more studies are needed, many see relief (El Paso Feet, n.d.).
Other helpful steps:
- Wear supportive shoes or braces
- Use devices like TENS for electrical nerve stimulation
- Gentle stretches and posture fixes
Integrative Chiropractic Care: A Complete Option
Integrative chiropractic care combines adjustments with other natural methods. Chiropractors assess spine alignment because misalignments can compress nerves and worsen symptoms.
Spinal adjustments ease this pressure, improve nerve signals, and boost blood flow. This often reduces pain and tingling (Dr. Alexander Jimenez, n.d.-a).
Dr. Alexander Jimenez, a Doctor of Chiropractic (DC) and board-certified Family Nurse Practitioner (APRN, FNP-BC) in El Paso, brings a unique view. With decades in practice, he leads integrative clinics focusing on non-invasive care.
His observations show chiropractic helps diabetic neuropathy by:
- Correcting spinal issues to free nerves
- Pairing adjustments with functional medicine, like nutrition plans to control blood sugar and fight inflammation
- Using tools like electroacupuncture or decompression to provide better oxygen to nerves
Many patients report less pain and better mobility in weeks (Dr. Alexander Jimenez, n.d.-b; Jimenez, 2019).
Nurse practitioners (NPs) often team up in these settings. They handle overall health, such as blood sugar monitoring and supplements, while chiropractors focus on nerve function. This team approach improves quality of life without heavy meds.
Lifestyle Tips to Help Manage Neuropathy
Small changes support treatment.
- Keep blood sugar steady with diet and activity
- Exercise gently, like walking or swimming
- Eat anti-inflammatory foods
- Avoid alcohol and smoking
- Check feet daily for sores
- Join support groups for shared tips (Foundation for Peripheral Neuropathy, n.d.)
These steps reduce the risks of ulcers and falls.
Why Seek Care Early in El Paso
With high diabetes rates, local experts offer tailored help. Integrative methods like chiropractic and physical therapy offer non-invasive ways to feel better and function better.
Talk to a provider to find what fits. Early action often brings the best results.
References
American Diabetes Association. (n.d.). Peripheral neuropathy. https://diabetes.org/about-diabetes/complications/neuropathy/peripheral-neuropathy
Cleveland Clinic. (2023). Diabetes-related neuropathy: What it is, symptoms & treatment. https://my.clevelandclinic.org/health/diseases/21621-diabetic-neuropathy
Dr. Alexander Jimenez. (n.d.-a). Chiropractic care and recovery for diabetic neuropathy. https://dralexjimenez.com/chiropractic-care-and-recovery-for-diabetic-neuropathy/amp/
Dr. Alexander Jimenez. (n.d.-b). Injury specialists. https://dralexjimenez.com/
El Paso Feet. (n.d.). Laser therapy for diabetic neuropathy. https://elpasofeet.com/blog/laser-therapy-for-diabetic-neuropathy
Foundation for Peripheral Neuropathy. (n.d.). Support groups. https://www.foundationforpn.org/support-groups/
Jimenez, A. (2019). Peripheral neuropathy causes symptoms. https://www.elpasochiropractorblog.com/2019/09/peripheral-neuropathy-causes-symptoms.html
Nonsurgical Spine Center. (n.d.). 5 questions about peripheral neuropathy. https://nonsurgicalspinecenter.com/5-questions-about-peripheral-neuropathy/
P3 Physical Therapy. (n.d.). Nerve damage. https://p3ptpro.com/conditions/nerve-damage/
WebMD. (2025). Diabetic peripheral neuropathy treatments, symptoms, & causes. https://www.webmd.com/diabetes/peripheral-neuropathy-risk-factors-symptoms
West Texas Pain Institute. (n.d.). Peripheral neuropathy. https://www.westtexaspain.com/services/peripheral-neuropathy
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The information herein on "Integrative Neuropathy Care in El Paso for Diabetics" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
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