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Ironworks

Neuropathy Treatment

Peripheral neuropathy treatment in Rolesville, NC. Relief for diabetic neuropathy with medication, laser therapy and foot-care protocols. Ironworks.

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Do You Have Any of These Symptoms?

If any of this sounds familiar, you’re in the right place. Call us or request an appointment online, and we’ll take a look.

Burning, tingling, or shooting pain in the feet

Numbness that makes it hard to feel injuries or temperature changes

A "walking on cotton" sensation

Symptoms that are worse at night

Diabetes, chemotherapy history, or other known risk factors

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You’re Not Alone, and You Have Options

Neuropathy symptoms can be managed, and in some cases reversed.

Peripheral neuropathy is damage to the nerves in your feet and lower legs, causing burning, tingling, numbness, or shooting pain. The most common cause is diabetes, but neuropathy can also come from chemotherapy, alcohol use, B-vitamin deficiency, or unknown causes. Whatever the cause, the feet need expert attention, because neuropathy is a leading risk factor for foot ulcers.

How we treat it

Thorough neurological foot exam

Medications to reduce nerve pain (gabapentin, duloxetine, topicals)

Low-level laser therapy to reduce inflammation

Comprehensive diabetic foot protection program

Custom diabetic footwear and inserts

Coordination with endocrinology and primary care

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What to Expect at Your First Visit

A neuropathy visit assesses the extent of nerve damage, identifies treatable causes, and creates both a symptom-management plan and a protection plan for your feet.

Plan on 60 minutes. Bring a full medication list and any recent A1c results if diabetic.

Detailed history, including diabetes, medications, alcohol, and family history

Neurological foot exam: monofilament testing, vibration sense, reflexes

Vascular check to assess circulation

Discussion of medications for nerve pain and low-level laser therapy

Custom shoe and orthotic recommendations for protection

Education on daily foot inspection (critical for anyone with neuropathy)

Coordination with your primary care or endocrinologist for underlying cause management

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Why Choose Ironworks

Ironworks is Rolesville’s dedicated podiatry and advanced wound care practice, serving Wake Forest, Youngsville, and the surrounding communities with the specialized, personal care you shouldn’t have to travel to Raleigh or Durham to find.

Board-certified wound physician and podiatric surgeon with advanced training in foot and ankle medicine and surgery

In-office digital X-ray diagnosis and treatment in a single visit

Two specialties under one roof: foot and ankle care plus advanced wound healing

Same-day appointments for new patients with urgent issues

A local practice with small-practice attention: you'll see the same doctor each visit

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Frequently Asked Questions

Sometimes, particularly when caught early and when the underlying cause (poorly controlled diabetes, B12 deficiency, medication side effect) is addressed. Advanced nerve damage is harder to reverse, but progression can be slowed and symptoms managed effectively.

Reduced distraction, cooler body temperature, and changes in circulation when lying down all contribute. Many patients report nighttime burning and tingling that eases with walking or putting feet on a cool surface.

Alpha-lipoic acid, B-complex vitamins (especially B1, B6, and B12), and acetyl-L-carnitine have shown benefit in some studies. They’re most effective for diabetic neuropathy and generally safe, but don’t replace medical treatment.

Yes, moderate exercise actually helps neuropathy by improving circulation and blood sugar control. The key is protecting insensate feet: appropriate footwear, daily foot checks, and avoiding activities with high injury risk.

No, neuropathy itself doesn’t lead to amputation. The risk comes from developing foot ulcers that can’t be felt and become infected.

Ready to get started?

New patients are welcome, and most major insurance is accepted. Call us, request an appointment online, or stop by our Rolesville office. We’ll take care of the rest.

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