Why Neuropathy Happens: More Than “Nerve Pain”

Nov 23, 2025 | Uncategorized | 0 comments

Why Neuropathy Happens: More Than “Nerve Pain”

Neuropathy isn’t just about the nerves. It’s about what’s happening inside the nerves—inside the cells themselves.

Many underlying causes can trigger neuropathy, including:

Metabolic Causes

  • Diabetes / prediabetes

  • Metabolic syndrome

  • Nutritional deficiencies (B12, folate, copper, B6, vitamin E)

  • Thyroid dysfunction

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Hereditary Causes

  • Charcot-Marie-Tooth (CMT)

  • Hereditary sensory autonomic neuropathies

  • Familial neuropathies that go undetected for years

Toxic & Medication-Related

  • Alcohol-related neuropathy

  • Chemotherapy-induced neuropathy

  • Heavy metal exposure

Autoimmune, Infectious, & Inflammatory Causes

  • Guillain-Barré variants

  • Chronic infections (Lyme, viral triggers)

  • Autoimmune small-fiber neuropathy

 

This is why a “one-size-fits-all” neuropathy approach doesn’t work.

    🔍 Our Neuropathy Workup: Find the REAL Cause of Your Symptoms

    At Whitehouse Family Medical, we perform one of the most complete neuropathy evaluations in East Texas, including:

    1. Detailed History & Symptom Pattern Mapping

    We determine whether your pattern fits:

    • small fiber

    • large fiber

    • autonomic neuropathy

    • mononeuropathy

    • polyneuropathy

    • metabolic vs hereditary vs toxic patterns

    2. Comprehensive Lab Testing

    Depending on your presentation, we can screen for:

    • B vitamin deficiencies

    • Thyroid disorders

    • Autoimmune markers

    • Diabetes/insulin resistance

    • Copper levels

    • Heavy metals

    • Inflammatory markers

    • Infectious triggers

    3. Functional Diagnostics (as indicated)

    • ABI (to assess microvascular contribution)

    • EMG/NCS (done in office)

    • Skin punch biopsy for small fiber neuropathy (when indicated)

    • Monofilament testing

    • Reflex and sensory mapping

    4. Differentiation of Mononeuropathy vs Polyneuropathy

    We help determine whether your symptoms are coming from:

    • a single compressed nerve (e.g., peroneal or radial), or

    • a systemic pattern affecting multiple nerves

    This step is crucial because treatment is completely different depending on the answer.

    5. Personalized Treatment Plan

    Treatment may include:

    • shockwave therapy (for mononeuropathies and entrapments)

    • metabolic support

    • advanced supplementation

    • nutritional strategies

    • IV therapy

    • detox therapies (if toxin-related)

    • referrals to neurology or further imaging if required

    Your plan is built around your specific root cause, not guesswork.

    Schedule now!

    Ready for answers? Schedule your neuropathy evaluation now and start feeling better with a plan built for you.

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    Thorne ALA

    Alpha-Lipoic Acid (ALA) is one of the most researched nutrients for supporting nerve health, improving tingling and burning sensations, and reducing oxidative stress that contributes to neuropathy. Many patients notice better comfort, improved nerve function, and less “electric” pain when ALA is added as part of a targeted neuropathy program. If you’re experiencing numbness, tingling, or unexplained nerve symptoms, this may be a simple, natural option that helps support your nerves from the inside out.
    Click below to learn why ALA is becoming a go-to therapy in our neuropathy workups and how it may help you feel better faster.

    Research on Alpha Lipoic Acid