Foot Neuropathy: Treatment Options

The treatment approach for neuropathy in the foot depends on the underlying cause and the severity of your symptoms. Here’s an overview of various treatment options:


  • Pain relievers: Over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can provide some relief. Prescription pain medications like opioids or antidepressants may be necessary for severe pain.
  • Anticonvulsants: Medications like gabapentin (Gralise, Neurontin, Horizant) and pregabalin (Lyrica), originally developed for epilepsy, are often effective in controlling nerve pain.
  • Antidepressants: Certain antidepressants like tricyclic antidepressants (TCAs) and duloxetine (Cymbalta) can help manage both pain and the emotional toll of neuropathy.
  • Alpha-lipoic acid: This supplement may help improve nerve function and reduce pain in some people.

Physical therapy:

Pain management treatments:

  • Transcutaneous electrical nerve stimulation (TENS): This uses low-voltage electrical currents to provide pain relief.
  • Acupuncture: This traditional Chinese medicine technique may help reduce pain and improve nerve function.
  • Massage therapy: Massage can help improve circulation and reduce muscle tension, which may offer some pain relief.

Other treatments:

  • Capsaicin cream: This topical cream contains the active ingredient in chili peppers and can provide pain relief for some people.
  • Blood sugar control: If your neuropathy is due to diabetes, controlling your blood sugar is crucial for preventing further nerve damage and improving existing symptoms.
  • Surgery: In some cases, surgery may be necessary to remove a tumor or relieve pressure on a nerve.
  • Foot care: Wearing proper footwear that fits well and provides support is essential for protecting your feet and preventing further damage. Regular foot care, including checking for injuries and infections, is crucial for people with neuropathy.

Alternative and complementary therapies:

  • Yoga, tai chi, and other gentle exercises can help improve balance, IV hydration therapy, flexibility, B12 shots, and overall well-being.
  • Nutritional supplements like vitamin B12, vitamin D, and omega-3 fatty acids may be beneficial in some cases.

It’s important to consult with your doctor to determine the best course of treatment for you. They will consider the cause of your neuropathy, your individual needs, and your medical history when developing a treatment plan.