Neuropathy Evaluation & Testing

What the neuropathy evaluation includes

The evaluation is a structured, objective baseline of your nerve health — not a quick look and a sales pitch. Here's what happens at the visit:

• One-on-one consultation — your history, your symptoms, your goals, and every question you bring
• Circulation assessment — because blood flow is the supply line your nerves depend on
• 16-point sensory exam — mapping precisely where sensation is reduced, altered, or absent
• Balance test — measuring how your nerves and brain are coordinating, a key fall-risk indicator
• Any necessary X-rays — when structure may be contributing to nerve compression
• Doctor's recommendations — a plain-English explanation of what we found and what we'd do about it

You leave with answers either way. If what we find suggests you need a different kind of provider, we say so and point you in the right direction.

If your tests came back “normal” but your symptoms are real

One of the most common stories we hear: burning, tingling, or numbness that's very real — but an EMG or nerve-conduction study that came back normal, and a feeling of not being taken seriously afterward.

There's often a physiological explanation. Standard nerve-conduction studies primarily assess large, fast-conducting nerve fibers. The small fibers that carry pain and temperature signals — the ones most involved in burning and tingling — aren't well captured by those tests, which is why small fiber neuropathy can go undetected on a normal EMG.

Our sensory and circulation testing looks at function from a different angle. It doesn't replace neurological workups — it complements them, and it frequently gives patients the first objective picture of what they've been feeling all along.

How progress gets measured after the evaluation

The baseline evaluation isn't a one-time event. If you begin care with us, the same objective measurements are repeated at progress re-exams, so improvement shows up as numbers you can see — sensation returning on the 16-point map, circulation readings changing, balance scores climbing — not just impressions.

That's also how we hold ourselves accountable. If the numbers aren't moving, we adjust the plan or have an honest conversation about it.