Neuropathy Treatment in Delhi

Expert Diagnosis & Advanced Care

What is Neuropathy?

Our body is powered by an invisible messaging system—nerves. These little cables help the brain talk to muscles, skin, and organs. But when they’re injured or damaged, that conversation breaks down. This breakdown is what we call neuropathy.

Depending on which nerves are affected, you might feel:

Pain, tingling, or numbness (if it’s sensory nerves)

Muscle weakness or cramps (if motor nerves are involved)

Digestive troubles, sweating issues, or dizziness (if it hits the autonomic system)

Knowing the type of nerve affected helps us figure out the best way to tackle it.

Types of Neuropathy We Treat

Mononeuropathy
If a single nerve is affected or damaged, then we term it as mononeuropathy. It is often caused by compression, trauma, or localised inflammation.
Example: Carpal tunnel syndrome, Bell’s palsy.

Polyneuropathy
Damage to multiple nerves, typically symmetric and widespread. Often linked to systemic illnesses like diabetes or nutritional deficiencies.
Example: Diabetic polyneuropathy, alcohol-related neuropathy.

Mononeuritis Multiplex
Damage to two or more individual nerves in different areas of the body, often suddenly. Common in autoimmune conditions like vasculitis.
Example: Neuropathy in both the radial and peroneal nerves at different times.

Sensory Neuropathy
Affects nerves that transmit sensations such as touch, pain, and temperature. Symptoms often include burning, tingling, or numbness.

Motor Neuropathy
Involves nerves responsible for muscle control, leading to weakness, cramps, twitching, or even muscle wasting.

Autonomic Neuropathy
Affects nerves that control involuntary functions like heart rate, digestion, sweating, and bladder control.
May lead to dizziness, abnormal sweating, constipation, or urinary issues.

Mixed Neuropathy (Sensory-Motor)
Involves both sensory and motor nerves, commonly seen in diabetes and other systemic illnesses.

Diabetic Neuropathy
The most common cause of neuropathy affects multiple nerve types — peripheral, autonomic, proximal, and focal.

Peripheral Neuropathy
Refers to nerve damage outside the brain and spinal cord, especially in the limbs.

Proximal Neuropathy
Affects nerves in the thighs, hips, buttocks, or legs. Often seen in older adults with type 2 diabetes.

Focal Neuropathy
Sudden damage to a single nerve causing localised weakness or pain.

Compressive Neuropathy
Caused by prolonged pressure on a nerve (e.g., herniated disc, carpal tunnel, tarsal tunnel).

Chemotherapy-Induced Neuropathy (CIPN)
A common side effect of cancer treatment is numbness, burning, or weakness in the hands and feet.

Guillain-Barré Syndrome (GBS)
A rare, acute autoimmune neuropathy that causes rapid-onset muscle weakness and requires urgent medical care.

Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
A chronic autoimmune condition where the immune system attacks the myelin sheath around the nerves, leading to progressive weakness and sensory loss.

Inflammatory Neuropathy
Seen in autoimmune diseases or infections (e.g., lupus, HIV, hepatitis), often leading to both motor and sensory symptoms.

Nutritional Neuropathy
Caused by vitamin deficiencies, especially B12, B1 (thiamine), and niacin, often in malnourished individuals or chronic alcohol users.

Common Symptoms of Neuropathy

Neuropathy symptoms can vary widely depending on the type of nerves involved and the underlying cause. Some people experience mild discomfort, while others may face debilitating pain or loss of function. Recognising these signs early can help in timely diagnosis and treatment.

Below are some of the most common symptoms associated with neuropathy:

Numbness or Reduced
Sensation

A frequent early symptom, especially in the hands and feet. Patients often describe it as a “glove-and-stocking” pattern of numbness.

Tingling or Pins-and-Needles Sensation

Also known as paresthesia, this can be constant or intermittent and may worsen at night.

Burning or Sharp
Pain

Nerve damage often causes abnormal pain signals, resulting in sensations that may feel like electric shocks, burning, or stabbing.

Muscle Weakness or
Paralysis

Damage to motor nerves can lead to decreased strength, muscle twitching, or even muscle wasting over time.

Loss of Coordination
or Balance

Sensory nerve involvement can affect proprioception (awareness of body position), making walking difficult, especially in the dark.

Extreme Sensitivity to Touch (Allodynia)

Even light touch, such as bedsheets or clothing, may feel painful.

Autonomic
Symptoms

When autonomic nerves are affected, patients may experience:

Abnormal sweating
Digestive issues like constipation or diarrhoea
Dizziness or fainting due to blood pressure changes

Bladder control problems

Facial Weakness or Vision Changes

In cranial or focal neuropathies, symptoms can include drooping of the face (e.g., Bell’s palsy), difficulty swallowing, or blurred vision.

The pattern and progression of symptoms can offer important clues about the type and cause of neuropathy.

Some forms may develop gradually over the years, while others can appear suddenly and worsen rapidly.

How We Diagnose Neuropathy

Diagnosing neuropathy involves more than identifying symptoms — it requires uncovering the underlying cause, determining the type of nerves involved, and assessing the extent of nerve damage. Our neurology clinic in Delhi uses a step-by-step diagnostic approach to ensure accuracy and clarity in every case.

Here’s how the process typically works:

Detailed Medical History

We review your symptoms, onset, progression, medical history (such as diabetes, autoimmune conditions, or past infections), medications, lifestyle habits, and family history of neurological disorders.

Neurological Examination

A thorough physical exam helps assess:

Reflexes
Muscle strength and tone
Sensory response (to touch, vibration, temperature)

Coordination and balance
This step helps identify whether the damage is sensory, motor, autonomic, or mixed.

Nerve Conduction Studies (NCS)

These tests measure how fast and how well electrical signals travel through your nerves. It’s beneficial for detecting peripheral neuropathy, mononeuropathy, or demyelinating conditions.

Electromyography (EMG)

Often performed alongside NCS, EMG evaluates the electrical activity of muscles. It helps distinguish between nerve and muscle disorders, and can pinpoint the severity and location of nerve involvement.

Blood Tests

These are used to uncover systemic or treatable causes such as:

Diabetes or prediabetes
Vitamin B12 and folate levels
Thyroid function
Autoimmune markers
Kidney and liver function

Viral infections (HIV, hepatitis)

Imaging Studies

MRI or CT scans may be recommended if structural causes are suspected, such as nerve compression due to herniated discs, tumours, or spinal abnormalities.

Specialised Tests (If Needed)

In select cases, additional diagnostics may include:

Skin biopsy: to assess small fibre neuropathy
Lumbar puncture: for suspected inflammatory or autoimmune conditions
Genetic testing: if hereditary neuropathy is suspected
Autonomic function tests: to evaluate autonomic nerve involvement

Early and accurate diagnosis is the foundation for successful neuropathy management. Our multidisciplinary evaluation ensures no detail is overlooked, enabling a treatment plan tailored to your specific condition.

Neuropathy Treatment in Delhi – What We Offer

Treating neuropathy effectively involves more than just relieving symptoms — it requires a comprehensive plan tailored to the underlying cause, type of neuropathy, and the patient’s overall health.

Our Delhi-based neurology clinic follows a structured, evidence-based approach to ensure long-term relief and functional recovery.

Here’s what our treatment approach typically includes:

Addressing the Underlying Cause

The first step is always to treat or manage the root cause of the neuropathy. Depending on the diagnosis, this may involve:

Optimising blood sugar control in diabetic patients
Treating infections or inflammatory conditions
Correcting nutritional deficiencies
Discontinuing or adjusting neurotoxic medications
Managing autoimmune or systemic diseases

We aim to prevent further nerve damage and improve outcomes by stabilising the underlying condition.

Medications for Symptom Relief

We use medications that specifically target nerve-related pain and discomfort:

Anticonvulsants (e.g., gabapentin, pregabalin) to calm nerve signals
Antidepressants (e.g., amitriptyline, duloxetine) for pain modulation
Topical treatments like capsaicin cream or lidocaine patches
Pain relievers for acute flare-ups (used judiciously)

Medications are carefully chosen to minimise side effects and maximise comfort.

Physical Therapy and Rehabilitation

Neuropathy can lead to weakness, stiffness, or loss of balance. Our rehabilitation specialists design personalised plans to:

Improve muscle strength and coordination
Prevent joint stiffness and muscle atrophy.
Reduce fall risk and promote functional mobility.

Train patients in protective foot care (especially in diabetic neuropathy)

Lifestyle Modifications and Supportive Care

Long-term management includes:

Nutritional counselling (especially for B-vitamin support)
Smoking cessation and alcohol reduction
Regular exercise tailored to ability
Stress management techniques
Sleep hygiene strategies (as neuropathic pain often worsens at night)

Education and self-care play a crucial role in preventing complications and improving quality of life.

Advanced and Specialised Therapies (If Indicated)

For certain forms of neuropathy, additional interventions may be required:

Intravenous immunoglobulin (IVIG) or plasma exchange for autoimmune neuropathies like GBS or CIDP
Nerve blocks for localised pain relief
Neuromodulation techniques in selected chronic cases

Occupational therapy for regaining fine motor control

Treatment decisions are made collaboratively, based on severity, response to initial therapy, and patient goals.

Every neuropathy case is unique. Our goal is to reduce symptoms and restore function, improve daily activity, and slow or halt disease progression whenever possible.

Why Choose Us for Neuropathy Treatment in Delhi

Choosing the right specialist for neuropathy treatment is essential, especially when dealing with complex nerve conditions that require accurate diagnosis and personalised care.

Our neurology clinic in Delhi is equipped to handle the full spectrum of neuropathies — from mild symptoms to advanced and rare nerve disorders.

Here’s what sets our care apart:

Specialised Expertise in All Types of Neuropathy

We treat many neuropathies, including peripheral, autonomic, focal, and inflammatory types. Whether it’s diabetic neuropathy, chemotherapy-induced damage, or an autoimmune condition like CIDP or GBS, Dr. Shishir Pandey has the expertise to manage it.

Comprehensive Diagnostic Approach

Every patient undergoes a structured evaluation. We do this by using advanced tools like nerve conduction studies, EMG, autonomic testing, and relevant blood and imaging tests. This ensures that no potential cause or subtype is overlooked.

Evidence-Based, Personalised Treatment Plans

Our treatment approach is not one-size-fits-all. We tailor every plan to the patient’s unique presentation, underlying cause, and lifestyle, combining medical therapy, rehabilitation, and lifestyle counseling.

Multidisciplinary
Collaboration

We work closely with physical therapists, pain specialists, endocrinologists, nutritionists, and occupational therapists to provide coordinated care that addresses every aspect of the patient’s health and function.

Focus on Long-Term Management and Prevention

We provide ongoing support and monitoring for chronic or progressive forms of neuropathy. Our goal is symptom control, long-term stability, and improved quality of life.

Experienced Team and Patient-Centred Care

Dr. Shishir brings years of clinical experience and a deep commitment to patient care. We prioritise clear communication, patient education, and shared decision-making at every step.

Convenient Delhi Location with Modern Facilities

Our clinic is equipped with advanced diagnostics and is centrally located across Delhi for easy access. We offer a calm, professional environment for consultations, evaluations, and follow-ups.

Whether you’re experiencing early signs of neuropathy or dealing with a complex nerve disorder, we provide the expertise, technology, and support needed to manage your condition with confidence.

FAQs – Neuropathy Treatment in Delhi

What is the best treatment for neuropathy in Delhi?

The best treatment for neuropathy depends on the type and underlying cause. In Delhi, leading neurology clinics offer a combination of accurate diagnosis, medications, physiotherapy, and, when needed, advanced therapies like IVIG or nerve stimulation. Personalised care based on nerve testing is key to long-term relief.

Can diabetic neuropathy be reversed with treatment?

In early stages, diabetic neuropathy may be partially reversible with strict blood sugar control, vitamin supplementation, and neuropathic pain medications. However, in advanced cases, the goal is to prevent further damage and manage symptoms through ongoing diabetic neuropathy treatment in Delhi.

Which doctor should I consult for nerve pain and tingling in my hands and feet?

A neurologist is the best specialist for diagnosing and treating nerve pain, especially when symptoms like tingling, burning, or numbness persist. For comprehensive nerve pain treatment in Delhi, consult a neurologist experienced in managing peripheral and sensory neuropathies.

How is peripheral neuropathy diagnosed in Delhi clinics?

Peripheral neuropathy is diagnosed using nerve conduction studies (NCS), electromyography (EMG), and blood tests. Advanced neurology centers in Delhi may also perform autonomic testing, skin biopsies, or MRI scans based on symptoms and clinical suspicion.

Is there a permanent cure for chronic neuropathy?

There is no universal cure for chronic neuropathy, but many types can be well-managed. Patients can lead a functional life with early detection, targeted therapy, and lifestyle modifications. Clinics offering long-term chronic neuropathy treatment in Delhi focus on stabilising the condition and improving daily function.

What are the signs I should see a neurologist for neuropathy?

You should consult a neurologist if you have:

Persistent tingling or numbness
Burning pain in feet or hands
Muscle weakness or twitching
Loss of coordination or balance
Unexplained digestive or bladder issues

These could indicate sensory, motor, or autonomic neuropathy requiring medical evaluation.

How much does neuropathy treatment cost in Delhi?

The cost of neuropathy treatment in Delhi varies depending on the type of tests required and the treatment plan. Initial consultations and diagnostic tests like EMG/NCS are usually affordable, and many clinics offer package-based options for long-term care.

Are there specialised neuropathy clinics in Delhi?

Several neurology centers and specialised clinics offer expert neuropathy treatment in Delhi. These facilities provide advanced diagnostics, targeted therapies, and rehabilitation for all nerve disorders, from diabetic neuropathy to autoimmune conditions like CIDP.