Neuropathy

Lower Extremity Neuropathy

Peripheral neuropathy occurs when the nerves that transmit signals between the brain, spinal cord, and legs become damaged. Common causes include diabetes, vitamin deficiencies, alcohol use, nerve compression, thyroid disease, and certain medications or chemotherapy. Symptoms often include burning, tingling, numbness, or shooting pain in the feet and lower legs, which can affect balance and increase the risk of injury or ulcers.

At Acacia Foot and Ankle Surgeons, we specialize in identifying the underlying cause of neuropathy and providing tailored treatment — from diagnostic nerve testing to advanced therapies that help reduce pain, improve nerve function, and protect your feet from complications.

What are Peripheral Neuropathy Treatments?

At Acacia Foot and Ankle Surgeons, we take a comprehensive, individualized approach to treating peripheral neuropathy and the burning, tingling, or numbness it can cause in the feet and lower legs. Our initial treatment options may include medications, vitamin therapy, compression therapy, and targeted nerve blocks to help reduce pain and improve circulation.

For patients whose symptoms persist, we also perform nerve decompression surgeries such as tarsal tunnel release and common peroneal nerve decompression to relieve pressure on affected nerves and restore sensation.

We are now proud to offer an advanced, minimally invasive option — Peripheral Nerve Stimulation (PNS) — a state-of-the-art treatment that has been highly successful in reducing chronic neuropathic pain and improving quality of life. PNS works by gently modulating nerve signals, helping patients experience lasting relief when traditional therapies have not provided sufficient benefit.

Peripheral Nerve Stimulation (PNS) — Advanced Pain Relief from Curonix

At Acacia Foot and Ankle Surgeons, we are proud to offer the Curonix Peripheral Nerve Stimulation (PNS) System, a breakthrough technology designed to relieve chronic nerve pain caused by peripheral neuropathy and other lower-extremity nerve conditions. This innovative therapy provides long-term pain control without the need for daily medication or invasive surgery.

The Curonix PNS system works by delivering very small electrical impulses directly to the affected peripheral nerves through a thin, flexible lead placed under the skin. These gentle pulses help normalize abnormal nerve signaling, reducing sensations of burning, tingling, and pain. Most patients describe the stimulation as a light, comfortable tingling that replaces their painful symptoms.

The treatment involves two phases:

Trial Phase (In-Office): A temporary lead is placed in the office under local anesthesia to test how well the stimulation relieves your symptoms.

Permanent Implant (Surgery Center or Hospital): If the trial provides meaningful pain reduction, a small, long-term implantable system is placed in a sterile surgical setting for lasting relief.

Curonix’s state-of-the-art system is designed for comfort, safety, and convenience, allowing patients to adjust their therapy using a small, wireless external controller. Many individuals treated with PNS report significant pain reduction, improved sleep, and increased mobility, often enabling them to reduce or eliminate chronic pain medications.

If you suffer from neuropathy-related foot or leg pain that has not improved with conventional treatments, Peripheral Nerve Stimulation with Curonix may be an excellent next step toward restoring comfort and quality of life.

What is Tarsal Tunnel Release?

Tarsal tunnel syndrome is a compression neuropathy of the tibial nerve as it passes through the tarsal tunnel in the ankle. Symptoms include pain, tingling, and numbness along the ankle and foot. Dr. Kaveh Panahi's expertise in nerve impingement allows for precise diagnosis and treatment options, which may include physical therapy, orthotics, and if necessary, surgical interventions to relieve pressure on the nerve. 

Tarsal tunnel syndrome, much like small fiber neuropathy, manifests with symptoms that can mimic each other, including burning, tingling, and pain in the foot. This resemblance often makes accurate diagnosis crucial for effective treatment. At Acacia Foot and Ankle Surgeons, we are equipped to differentiate these conditions through comprehensive evaluations. For tarsal tunnel syndrome, treatment options may include steroid injections which help reduce inflammation and relieve pressure on the nerve. Additionally, compression therapy is often recommended to support the affected area and reduce symptoms. These therapies, combined with our personalized approach to care, ensure that each patient receives the most effective treatment aimed at alleviating pain and improving foot function.

What Are The Comprehensive Care and Collaborative Treatment Plans?

At Acacia Foot and Ankle Surgeons, we believe in a comprehensive approach to neuropathy treatment. Dr. Kaveh Panahi collaborates with a team of specialists, including vascular surgeons, neurologists and pain management experts, to create personalized treatment plans that address both the symptoms and underlying causes of neuropathy. Our holistic approach ensures that every aspect of the patient’s health is considered, from metabolic control to physical therapy.

Schedule Your Consultation Today

If you’re experiencing symptoms of lower extremity neuropathy, don’t wait to seek professional help. Early intervention is key to managing symptoms effectively and improving quality of life. Contact Acacia Foot and Ankle Surgeons to schedule an appointment with Dr. Kaveh Panahi. Call us at (623) 439-2200 or book your visit through our convenient online portal. Let us help you take the first step towards recovery and pain-free living.