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Symptom

Temperature Sensitivity

Trouble sensing hot and cold accurately

Feet that feel cold in a warm room, or an inability to tell hot from cold — a neuropathy symptom that's also a real safety risk for burns and injuries.

By Dr. Logan Swaim · Last updated June 5, 2026

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About Temperature Sensitivity

Many people with neuropathy notice their sense of temperature isn't what it used to be. Your feet might feel cold even in a warm room, or you may struggle to tell whether bathwater or a heating pad is too hot. Some people feel painful sensitivity to mild temperature changes. All of these point to the sensory nerves that carry temperature information being affected.

Temperature is sensed by specialized nerve fibers, and these are among the fibers most vulnerable to neuropathy. When they're damaged, the signals reaching your brain get distorted or blocked entirely. Poor circulation — common in neuropathy — also leaves the feet genuinely colder, compounding the problem.

Beyond the discomfort, blunted temperature sensation is a safety issue: people who can't feel heat properly are at real risk of burns and unnoticed injuries. Addressing the underlying nerve and circulation problems doesn't just improve comfort — it helps protect you. Our evaluation measures circulation and sensation so we know exactly what we're working with.

The Nervous System Map

What this can be connected to

Per the science of the nervous system plus the patterns we see clinically, temperature sensitivity is often associated with these regions or systems. Click any to read more.

When To Seek Medical Care

Talk to your doctor first if…

If you can't reliably feel hot or cold, take extra care with bathwater, heating pads, and hot surfaces, and check your feet daily for injuries. A circulation and sensory evaluation can identify how far the nerve changes have progressed.

Related Conditions

Conditions we commonly see this with

Care Approaches

Services that often help

Common Questions

About temperature sensitivity

Two things often combine in neuropathy: damaged nerves that misread temperature, and reduced blood flow that leaves the feet genuinely colder. We assess both during an evaluation.
It can be, because you may not notice burns or injuries. That's why we take it seriously, and why protecting your feet matters while the underlying issue is being addressed.

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What Neuropathy Patients Say

Real patients, verifiable on Google
I’m enjoying my treatments at roots , I wish I would have found them sooner . They have helped me so much . I have neuropathy and before I started going I could barely walk and was in so much pain. Now after a little over 4 weeks my pain is barely there and walking is so much better! Also getting adjustments from Dr Logan and it’s improved how I feel physically, and has helped my sleep and more. There are so many different areas they can help you in , give them a call I highly recommend them.

kimberly L.

Neuropathy Treatment
Everyone at Roots is super warm and inviting! There is a calming atmosphere and calming aroma the second you walk in. They are all about educating their patients! I have been going for about 3 months and I am feeling about 90% better! No more nerve pain as well as better sleep. Highly recommend!

Sabrina T.

Neuropathy Treatment
Nice to get to the root of my foot pain.

Kelly W.

Neuropathy Treatment
Dr. Logan Swaim, MS, DC

Who You'll See

Care led by a doctor who wrote the book on neuropathy

Dr. Logan Swaim, MS, DC co-directs The Roots Health Centers in Lakewood Ranch and is the author of The Truth About Reversing Neuropathy Now. Every neuropathy case at the clinic starts with his team's full evaluation — circulation, sensory response, and balance — before any care is recommended.

Meet Dr. Swaim →
Cover of The Truth About Reversing Neuropathy Now by Dr. Logan W. Swaim

Written by Our Clinical Director

The Truth About Reversing Neuropathy Now

Dr. Logan Swaim, MS, DC wrote the book on what actually helps neuropathy — why nerves degenerate, what “you'll have to live with it” misses, and the drug-free approach we use at the clinic every day.

Read about the book →

This page is educational, not medical advice. Always consult your medical doctor for serious health concerns; our care complements but doesn't replace primary medical care.

Visit The Roots Neuropathy

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Dr. Logan SwaimDr. Laura SwaimDr. Grayson Fox

Dr. Logan Swaim, Dr. Laura Swaim & Dr. Grayson Fox

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The Roots Neuropathy

a program of The Roots Health Centers

8209 Natures Way, Unit 115

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