Common foot & ankle concerns we treat
- Pain that limits walking, lifting, or sleep
- Stiffness, swelling, or reduced range of motion
- Sports injuries: acute or overuse
- Arthritis or post-traumatic joint changes
- Conditions other doctors couldn't resolve
Peripheral Neuropathy
Nerve damage causing numbness, tingling, or burning
Peripheral neuropathy is damage to the nerves of the feet and hands, producing numbness, tingling, or burning, with many possible causes that need evaluation. Same-day or next-week evaluations across eight LA-area offices.
See a specialist this week
Board-certified surgeons and podiatrists across eight Los Angeles area neighborhoods.
Book a visitOr call (323) 264-7600
What sets LAOSS apart
- Same- or next-day appointments at eight Los Angeles-area offices
- On-site imaging; PT coordinated with your in-network provider
- Conservative-first care, surgery only when needed
- Board-certified specialists, not generalists
Key takeaways
- Peripheral neuropathy is one of many foot & ankle conditions our specialists evaluate every day.
- Treatment starts with finding the cause (diabetes, vitamin deficiency, thyroid disease, medications), then controlling symptoms and protecting the feet.
- Nerve-pain medication, footwear changes, and regular foot care control symptoms for most patients; surgery is rarely part of the picture.
- On-site imaging at most offices and same-day appointments across eight Los Angeles-area locations.
What is peripheral neuropathy?
Peripheral neuropathy is damage to the nerves of the feet and hands, producing numbness, tingling, or burning, with many possible causes that need evaluation. Symptoms usually develop gradually, often starting in the toes and feet, so early evaluation matters.
Peripheral neuropathy is managed by finding and treating the cause (diabetes, vitamin B12 deficiency, thyroid disease, medication side effects, and alcohol use are among the most common) alongside medication for nerve pain (gabapentin, pregabalin, duloxetine) when symptoms disrupt sleep or daily life, plus balance work and protective foot care. Surgery is rarely part of treatment; the exception is a specific compressed nerve, such as tarsal tunnel syndrome, that testing confirms and a procedure can release.
Below, we walk through the anatomy involved, the symptoms and causes we most often see, how we diagnose peripheral neuropathy, and the full range of treatment options, from the simplest to the most involved.
Watch: Tarsal Tunnel Syndrome (Posterior Tibial Neuralgia)
This condition, also called TTS, affects the tibial nerve in the ankle. This nerve is a branch of the sciatic nerve. It passes from the leg down to the foot. Just below the bony bump on the inner side of the ankle, it passes through a small space called the tarsal tunnel. TTS is a compression of the nerve within this tunnel.
Inside the foot & ankle.
The foot and ankle have 26 bones, more than 30 joints, and over 100 ligaments and tendons. The plantar fascia spans the bottom of the foot, the Achilles tendon anchors the calf to the heel, and the ankle is a hinge that handles every step you take. Most foot and ankle problems trace back to overload, alignment, or footwear that doesn't match the way your foot is built.
Symptoms and causes of peripheral neuropathy
Common symptoms
- Numbness or tingling in the feet or hands
- Burning or shooting pain
- Balance problems
- A feeling of walking on cotton
Common causes
- Diabetes (most common)
- Vitamin deficiencies (B12)
- Alcohol use
- Medication side effects, autoimmune disease, or no identifiable cause (idiopathic)
How we diagnose peripheral neuropathy
You want answers, fast, and we're built to give them. Most patients leave their first LAOSS visit with a clear diagnosis and a written plan, not another referral chain.
Here's what your initial visit for peripheral neuropathy typically looks like:
- Detailed history: when it started, what makes it better or worse, what you've already tried
- Sensory testing: monofilament and vibration testing, plus balance and strength assessment
- Targeted work-up: lab tests (blood sugar, B12, thyroid) and nerve-conduction studies when the cause needs clarifying
- A written plan covering cause-directed treatment, symptom control, and foot protection, in plain English
Schedule your evaluation at the LAOSS office nearest you.
How we treat peripheral neuropathy at LAOSS
Once we've confirmed the diagnosis, the next step is matching the right treatment to your situation. We start with the least-invasive option that fits, and escalate only when it doesn't.
Conservative care
Step 1Cause-directed & symptom care
The priority is identifying why the nerves are affected, then controlling symptoms.
- Work-up for treatable causes: blood sugar, B12, thyroid, medications
- Nerve-pain medication (gabapentin, pregabalin, duloxetine)
- Balance and strengthening exercises when numbness affects stability
- Well-fitted, protective footwear and inserts
Surgical care
When neededFoot protection & rare procedures
Numb feet need surveillance, and a small subset of patients have a compressed nerve that can be released.
- Regular podiatric foot exams when sensation is reduced
- Professional nail and callus care to prevent wounds
- Nerve-release surgery only for a confirmed entrapment such as tarsal tunnel syndrome
Why experience matters.
Why experience matters
Foot & ankle care is highly technique-dependent. Volume, training, and judgment together determine the outcome you actually feel six months later.
- Precise diagnosis from imaging and exam
- Conservative-first care that avoids unnecessary surgery
- Surgical technique refined over thousands of cases
- On-site imaging + coordinated PT through your in-network provider
The LAOSS approach
Our foot & ankle specialists move stepwise: start with the least-invasive option that fits your situation, escalate only when it doesn't.
- Same-day imaging at most offices
- PT coordinated in your insurance network
- Board-certified surgeons performing the procedures themselves
- Direct access to your specialist between visits
Am I a candidate?
If most of these match your situation, an evaluation with a foot & ankle specialist is the next step.
You may be a candidate if
These signs typically point toward an in-person evaluation with a foot & ankle specialist.
- Pain or stiffness in the foot & ankle that lasts more than a few days
- Swelling, instability, or noticeable change in function
- Symptoms that limit walking, lifting, sleep, or work
- Previous treatment that didn't fully resolve the problem
- Imaging or exam findings that suggest an underlying issue
What evaluation includes
Your first visit is built to give you an answer the same day, not just another referral.
- Detailed history: onset, mechanism, what makes it better or worse
- Hands-on exam focused on the affected joint or region
- On-site imaging at most offices (X-ray, ultrasound)
- Clear plan with options ranging from conservative to surgical
- Same-day or next-day scheduling for any follow-up tests
ImportantSeek urgent evaluation for sudden severe pain, numbness, progressive weakness, or any sign of infection (fever, increasing redness or swelling).
Your foot & ankle recovery roadmap.
Recovery is rarely a straight line, but a clear plan with measurable milestones makes the path predictable.
- Days 0 to 14
Right after care
In the first two weeks we focus on protecting the foot & ankle, calming inflammation, and restoring basic motion.
- Activity modification with clear do/don't guidance
- Daily foot checks for cuts, blisters, or sores you may not feel
- Gentle range-of-motion within safe limits
- Follow-up scheduled to track healing
- Weeks 2 to 8
Rehabilitation
Targeted physical therapy rebuilds strength, mobility, and confidence in the foot & ankle.
- Progressive strengthening and neuromuscular work
- Manual therapy and soft-tissue treatment
- Sport- or job-specific movement re-training
- Coordinated PT through your in-network provider
- Months 2+
Long-term care
Once function is restored, the focus shifts to keeping you there, and catching any recurrence early.
- Return-to-activity plan with measured benchmarks
- Home program tailored to your sport or job
- Maintenance visits or imaging if symptoms change
- Direct line back to your specialist if needed
Risks & considerations
What to weigh before you decide.
We talk through the risks and benefits with every patient. Informed consent is a conversation, not a form.
General considerations
Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.
- Infection (rare with modern technique and prophylaxis)
- Bleeding or bruising at the treatment site
- Reaction to anesthesia or medications
- Need for additional procedures in some cases
Foot and ankle considerations
Some risks are tied to the structures we're treating in the foot & ankle. We discuss these in detail at your visit so you can weigh them against the benefits.
- Temporary stiffness or weakness during recovery
- Incomplete pain relief in a small percentage of cases
- Nerve or vessel irritation near the treatment area
- Need for follow-up therapy to fully restore function
Meet our foot & ankle doctors in the Greater Los Angeles area
At LAOSS, our foot & ankle specialists are board-certified and treat these problems every day. From minimally invasive arthroscopic techniques to joint replacement and arthritis management, our physicians bring decades of experience to every case. We have cared for Los Angeles patients since 2007, with one goal for each: less pain, better movement, and a return to the activities you love.
Care for peripheral neuropathy starts here
Don't let peripheral neuropathy be something you just power through. With same- or next-day appointments at multiple Los Angeles locations, you'll never wait weeks or months for answers. The same team handles your diagnosis, treatment, and recovery. From identifying the cause to controlling symptoms and protecting your feet, we plan it with you and coordinate each step.
Call or schedule online today to see a foot & ankle specialist in Los Angeles.
Common peripheral neuropathy questions
- Diagnosis starts with your history and a focused exam, including monofilament and vibration sensory testing. Because peripheral neuropathy has many causes, we often add lab work (blood sugar, vitamin B12, thyroid) and nerve-conduction studies when needed. Most patients leave the first visit with a clear assessment and a written plan.
Don't wait on pain.
Book a visit with a foot & ankle specialist at any of our eight Los Angeles-area offices.
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21 specialists · 8 offices
Greater Los Angeles
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