Neuropathy treatment · St. Louis
Neuropathy Treatment in St. Louis, MO
Neuropathy treatment at our St. Louis clinic starts by finding what is starving the nerve: tiny-vessel damage, unstable blood sugar, or autoimmune, toxic and B12 causes. Circulation work, photobiomodulation, neuromodulation and metabolic correction are then matched to what your workup found.
A St. Louis clinic for nerves the pills gave up on, where burning, numb feet are looked into, not just medicated.
Right here in St. Louis
Regenerve is at 4477 Woodson Rd, Suite 104, next to Lambert Airport. It is a short, familiar drive from South City, the central corridor or North County, with on-site parking and an accessible, large-print office. Neuropathy care works as a program, not a single visit. So being easy to reach is not a small detail.
What is causing my numb or burning feet?
The question that matters is not how bad it is, but what is causing it. Numb or burning feet are a symptom. Gabapentin, pregabalin and duloxetine quiet the signal without touching the reason the nerve is starving. Most cases we see trace back to microvascular starvation, active glycation from unstable blood sugar, or autonomic and structural decay. Autoimmune, toxic or B12 causes often stack on top. The full list is at the 11 hidden drivers.
What treatment looks like once the driver is known
Circulation work, nerve-regrowth signaling, photobiomodulation, neuromodulation and metabolic correction, matched to what your workup actually found. It is all set out on advanced neuropathy treatments. Every patient leaves with a written plan in large print and plain language.
Why don’t neuropathy drugs heal the nerve?
A nerve starved of blood, cooking in high blood sugar or stripped of its coating does not recover on a symptom drug. It keeps breaking down. Correct the blood flow, the metabolism and the inflammation, and the nerve finally gets what it needs. The reasoning is at the science of nerve terrain rehabilitation.
Where to start
With the free Nerve Damage Score. It is five large-print questions and about two minutes. You get a plain-language report by email telling you which causes are most likely at work. Take it here.
Frequently asked questions
How far is Regenerve from the rest of St. Louis?
4477 Woodson Rd, Suite 104 sits beside Lambert Airport with on-site parking. It is a short drive from South City, the central corridor or North County alike.
Addresses, hours and directions are listed on our St. Louis Neuropathy Clinic — Location & Directions page.
Why do my feet burn worse at night?
Burning at night is typical of small-fiber damage. It often points to the cause more than to how severe it is. What the pattern means: small fiber neuropathy symptoms and testing.
Does alternative medicine help with neuropathy?
Some of it has real evidence and much of it does not. The difference matters when you are paying for it. Honest assessment: what the evidence actually shows.
What is the most successful treatment for neuropathy?
The one matched to what is actually damaging your nerve. Two people with the same diagnosis can need totally different treatment. A nerve starved of blood, a nerve damaged by high blood sugar and a nerve under autoimmune attack each respond to different things. Most of the lasting change comes from correcting the environment. That means steadying blood sugar, restoring nutrients, and managing thyroid and autoimmune problems where needed.
Do gabapentin and pregabalin cure neuropathy?
No. Gabapentin, pregabalin and duloxetine quiet the pain signal, but they do not touch the reason the nerve is starving. Medicine still has a place in managing symptoms, and pretending otherwise helps nobody. What we avoid is medicine as the whole plan, because a nerve starved of blood or sitting in high blood sugar keeps breaking down while the pain is quieted.
Can I have neuropathy if my blood sugar test was normal?
Yes. Many patients arrive believing they have had a full workup. What they actually had was a normal blood glucose and a prescription. A full workup looks at sugar handling well beyond a single fasting number. It also covers B12 and other nutrients, thyroid and autoimmune markers, kidney function and exposure history. The causes missed most often are common ones that are simply not on the standard panel.
Nearby: St. Louis City · Clayton · Ferguson · Illinois patients
Who we see from St. Louis
The clinic sits at the city’s northwest edge. So most St. Louis patients arrive having already been somewhere else first. That might be a primary care office, sometimes a neurologist, now and then a podiatrist who found nothing wrong with the foot itself. By the time someone reaches us, the question is rarely “what is this?” It is “why has nothing changed it?”
That history shapes how the first visit runs. We assume earlier work has been done, and we ask for it. We start by pinning down what has actually been ruled out, instead of repeating it. A great many patients arrive believing they have had a full workup. What they have had is a normal blood glucose and a prescription.
What tests are used to diagnose neuropathy?
“Idiopathic” is a conclusion that should be reached slowly. It is reached quickly far more often than it should be, because the standard panel stops well short of the common causes.
Testing that measures the nerve
Nerve conduction studies and electromyography test large fibers, the ones that carry strength and vibration. They are the right test for some cases and the wrong one for others. The burning, stinging pain most neuropathy patients describe comes from small fibers, and a standard nerve conduction study does not measure those at all. A normal result is often misread as a normal nerve.
When small-fiber damage is suspected, a skin biopsy with intraepidermal nerve fiber density measures it directly. It is the difference between being told nothing is wrong and being shown what is.
Testing that finds the cause
Proving that a nerve is damaged is only half the work. The other half is finding what is damaging it. That means sugar handling well beyond a fasting number, B12 and other nutrient levels, thyroid and autoimmune markers, kidney function, and exposure history. The drivers most commonly missed are not rare. They are simply not on the panel most patients get.
Why the label matters less than the mechanism
Two people can carry the same diagnosis and need totally different treatment, because the cause differs. A nerve starved of blood supply, a nerve damaged by high blood sugar over time, and a nerve under autoimmune attack all cause burning feet. And all three respond to different things. Treatment chosen from the label instead of the cause is a guess with a prescription attached.
This is what a proper idiopathic workup is for. It is the reason our first visit is longer than most.
Common questions
Do I need a referral to be seen?
No. You can book directly, and most patients here refer themselves. Bring any past nerve testing, lab work and a current medicine list. The medicine list matters more than people expect, because several common drugs affect nerve health.
I was told my nerve test was normal. Is that the end of it?
Not necessarily. Standard nerve conduction studies measure large fibers only. Small-fiber neuropathy is a common cause of burning feet with a fully normal study. See what small-fiber neuropathy looks like.
How long is the first appointment?
Plan on a long visit, not a short one. The point is to complete the history, examine the feet properly and decide which tests are truly needed. That cannot be done in fifteen minutes. The questions worth bringing are listed here.
How is neuropathy treated once the cause is known?
Nothing here is prescribed from a menu. Once the cause is clear, the plan is built from the treatments that target it. Each has a set way of being judged.
Correcting the environment
Steadying blood sugar, refilling nutrients, and managing thyroid and autoimmune problems where needed. This is unglamorous, and it is where most of the lasting change comes from, because a nerve cannot repair in conditions that are still damaging it.
Supporting repair directly
Circulation-directed therapy, whole-body infrared, and photobiomodulation where the evidence supports it for your case. We are clear about which of these have strong human trial data and which have thinner support.
Managing symptoms honestly
Medicine has a place, and pretending otherwise helps nobody. What we avoid is medicine as the whole plan. What gabapentin and pregabalin actually do, and the size of the effect the trials show, is worth knowing before deciding how big a role they should play.
Can peripheral neuropathy be reversed?
We cannot regrow a nerve that has been completely lost, and no one can. Advanced loss of nerve fibers is not fully reversible. That is why the timing of a workup matters more in this condition than in most. What is possible in an established case is stopping it from getting worse, getting back some function, and treating pain without relying fully on drugs that dull your thinking.
Anyone promising to restore a foot that has been numb for a decade is selling something. Realistic expectations are set out plainly. We would rather you read them before booking than after.
Visit Regenerve
4477 Woodson Rd, Suite 104, St. Louis, MO 63134
Minutes from St. Louis Lambert International Airport
info@regenerve.com
Find out what is driving your nerve pain
Take the free Nerve Damage Score — five large-print questions, a plain-language report by email. Then talk with our team about a plan to treat the cause.