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Neuropathies

Integrative Neuropathy Care in El Paso for Diabetics

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

An athlete experiences neuropathy symptoms.

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

Post Disclaimer *

General Disclaimer, Licenses and Board Certifications *

Professional Scope of Practice *

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.

Blog Information & Scope Discussions

Welcome to El Paso's Premier Wellness and Injury Care Clinic & Wellness Blog, where Dr. Alex Jimenez, DC, FNP-C, a Multi-State board-certified Family Practice Nurse Practitioner (FNP-BC) and Chiropractor (DC), presents insights on how our multidisciplinary team is dedicated to holistic healing and personalized care. Our practice aligns with evidence-based treatment protocols inspired by integrative medicine principles, similar to those on this site and on our family practice-based chiromed.com site, focusing on naturally restoring health for patients of all ages.

Our areas of multidisciplinary practice include  Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols.

Our information scope is multidisciplinary, focusing on musculoskeletal and physical medicine; wellness; contributing etiological viscerosomatic disturbances within clinical presentations; associated somato-visceral reflex clinical dynamics; subluxation complexes; sensitive health issues; and functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist follows their professional scope of practice and licensure jurisdiction. We use functional health & wellness protocols to treat and support care for musculoskeletal injuries or disorders.

Our videos, posts, topics, and insights address clinical matters and issues that directly or indirectly relate to our clinical scope of practice.

Our office has made a reasonable effort to provide supportive citations and has identified relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.

For further discussion on how this information relates to specific care plans or treatment protocols, please ask Dr. Alex Jimenez, DC, APRN, FNP-BC, or contact us at 915-850-0900.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez DC, MSACP, APRN, FNP-BC*, CCST, IFMCP, CFMP, ATN

Email: coach@elpasofunctionalmedicine.com

Multidisciplinary Licensing & Board Certifications:

Licensed as a Doctor of Chiropractic (DC) in
Texas & New Mexico*

Chiropractic Licenses:
Texas DC License #: TX5807, Verified: TX5807
New Mexico DC License #: NM-DC2182, Verified: NM-DC2182

Nurse Practitioner Licenses:
Texas APRN License #: 1191402, Verified: 1191402 *
New Mexico CNP License #: 90560, Verified 90560
Florida APRN License #: 11043890, Verified: APRN11043890 *
Colorado License #: C-APN.0105610-C-NP, Verified: C-APN.0105610-C-NP
New York License #: N25929, Verified N25929
Georgia APRN License #: GAA-NP005701

Multi-State Advanced Practice Registered Nurse (APRN*) Texas & Multi-States 
Multi-state Compact APRN License by Endorsement (43 States)
Compact Status: Multi-State License: Authorized to Practice in 43 States*
Nursing Licensure Compact: Updated Here

DEA Registration: (Drug Enforcement Agency Registered) 
All medical (MDs) and family practice providers (FNP-APRN) are registered and licensed to offer various levels of medication.
Verify Providers Here

License Verification Link: Nursys License Verifier
* Prescriptive Authority Authorized (DEA Registered Providers). Call if Required

Board Certification:

ANCC FNP-BC: Board Certified Nurse Practitioner*

Education:
Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
Degree Granted. Master's in Family Practice, MSN Diploma (Cum Laude)


Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
(Board Certified: Family Practice Nurse Practitioner—Multistate)*
(Licensed Nurse Practitioner & Chiropractor - Multistate)*
Clinical Director
DC & FNP License (Review Above)
Digital Business Card
NPI: 1205907805

Dr. Maria Cardenas, MD
(Board Certified: Internal Medicine)
(Licensed Medical Doctor)
Medical Director, Clinical Director & Collaborative Physician
NPI # 1164426748
MD License #: J2933

 

Licenses and Board Certifications:

MD: Medical Doctor
DC: Doctor of Chiropractic
APRNP: Advanced Practice Registered Nurse 
FNP-BC: Family Practice Specialization (Multi-State Board Certified)
FNP-BC: Family Practice Across Life Span (Neonatal to Geriatrics)
RN: Registered Nurse (Multi-State Compact License)
CFMP: Certified Functional Medicine Provider
MSN-FNP: Master of Science in Family Practice Medicine
MSACP: Master of Science in Advanced Clinical Practice
IFMCP: Institute of Functional Medicine
CCST: Certified Chiropractic Spinal Trauma
ATN: Advanced Translational Neutrogenomics

 

Family with Primary Care Focus (Family Nurse Practitioner or FNP)

  • The Family Nurse Practitioner (FNP) promotes, maintains, and restores health for individuals and families across the lifespan. FNPs also identify health risks, promote wellness, and diagnose and manage acute and chronic illness.
  • The FNP focuses on comprehensive primary care, promoting healthy lifestyles for patients across the lifespan in settings such as private practice, physician offices, and community health centers.

 

Memberships & Associations:

TCA: Texas Chiropractic Association: Member ID: 104311
TNA: Texas Nurse Association: Member ID: 06458222
TNP: Texas Nurse Practitioner Association ID: 2025091511
AANP: American Association of Nurse Practitioners: Member ID: 2198960
ANA: American Nurses Association: Member ID: 06458222 (District TX01)

 

Primary Taxonomy Selected Taxonomy State License Number
No 111N00000X - Chiropractor NM DC2182
Yes 111N00000X - Chiropractor TX DC5807
Yes 363LF0000X - Nurse Practitioner - Family TX 1191402
Yes 363LF0000X - Nurse Practitioner - Family FL 11043890
Yes 363LF0000X - Nurse Practitioner - Family CO C-APN.0105610-C-NP
Yes 363LF0000X - Nurse Practitioner - Family NY N25929
Yes 363LF0000X - Nurse Practitioner - Family NM

90560

Yes 363LF0000X - Nurse Practitioner - Family GA GAA-NP005701

 

Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
(Board Certified: Family Practice Nurse Practitioner—Multistate)*
(Primary Care Across Lifespan—Neonatal / Pediatric / Adult / Geriatrics)
(Licensed Nurse Practitioner & Chiropractor - Multistate)*
Clinical Director
Digital Business Card
NPI: 1205907805

 

Dr. Maria Cardenas, MD
(Board Certified: Internal Medicine)*
(Licensed Medical Doctor)*
Medical Director, Clinical Director & Collaborative Physician
NPI # 1164426748
MD License #: J2933

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