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Diabetic Neuropathy Specialist

Advanced Pain Management

Ravi Panjabi, MD

Interventional Pain Management & Regenerative Medicine located in Castro Valley, CA, Fremont, CA & San Ramon, CA

Diabetic neuropathy, a potentially painful condition that can disrupt day-to-day life, affects as many as 50% of people with diabetes. Board-certified anesthesiologist and pain management physician Ravi Panjabi, MD, provides compassionate care for people with diabetic neuropathy at three Advanced Pain Management offices in Castro Valley, San Ramon, and Fremont, California. If you suffer from diabetic neuropathy, call the nearest office or request an appointment online today.

Diabetic Neuropathy

What is diabetic neuropathy?

Diabetic neuropathy is a serious complication of diabetes that causes nerve damage. Over time, high blood sugar levels can damage nerves throughout your body, but most often affects those that serve your legs and feet.

Aside from diabetes, other factors that can contribute to nerve damage include vitamin B12 deficiency, conditions like carpal tunnel syndrome, and lifestyle habits like smoking and drinking too much alcohol.

What are the symptoms of diabetic neuropathy?

Diabetic neuropathy can cause various symptoms based on the type and location of nerve damage. The severity of symptoms ranges from mild to seriously debilitating. Symptoms associated with different types of neuropathy include:

Peripheral neuropathy

The most common type of diabetic neuropathy, peripheral neuropathy first affects your feet and legs, then hands and arms. Symptoms of peripheral neuropathy include pain, numbness, and tingling.

Autonomic neuropathy

The autonomic nervous system controls functions you don’t consciously regulate, like your heart rate and digestion. Symptoms of autonomic neuropathy can include bowel or bladder problems, nausea and vomiting, and sexual dysfunction.

Proximal neuropathy

Proximal neuropathy affects the legs, thighs, hips, or buttocks, and sometimes the chest or abdomen. Symptoms include severe pain, muscle weakness, and difficulty rising from a seated position.


Mononeuropahty is damage to one specific nerve. Mononeuropathy can lead to symptoms like double vision, aching behind one eye, paralysis on one side of the face, and numbness, tingling, and weakness in the hands.

What does pain management for diabetic neuropathy entail?

There’s no known cure for diabetic neuropathy, but treatment can relieve pain and improve your functioning.

Advanced Pain Management doctors specialize in the latest techniques and technologies to help you find relief from painful diabetic neuropathy. 

Depending on your needs, pain management for diabetic neuropathy may include:

  • Medication management, including pain relievers and antidepressants
  • Physical therapy and behavioral therapy
  • Alternative therapies like on-site acupuncture and chiropractic care
  • Topical pain-relieving medications
  • Transcutaneous electrical nerve stimulation (TENS)

Your Advanced Pain Management physician follows up after any treatment to determine the effectiveness and tailor your pain management plan accordingly.

To find relief from painful diabetic neuropathy, call Advanced Pain Management, or book an appointment online today.