Peripheral Neuropathy: A Chiropractic Priority Hidden in Plain Sight
Recognizing Early Neuropathy in Clinical Practice
Many cases of neuropathy begin subtly, especially in diabetic or idiopathic forms. Small-fiber nerves (unmyelinated C fibers and Aδ fibers), responsible for pain, temperature, and autonomic regulation, are affected first. This leads to altered sensation, mitochondrial stress, and progressive nerve degradation—long before motor symptoms appear.
Moreover, systemic inflammation and metabolic dysfunction, including insulin resistance, are now recognized as major contributors to nerve damage—even in non-diabetic patients. This intersection of neurology, metabolic health, and systemic inflammation makes chiropractic care uniquely suited to address neuropathy comprehensively.
A Systems-Based Chiropractic Approach
The chiropractic model naturally integrates structural correction, lifestyle guidance, and non-pharmacologic strategies—all essential for managing early-stage neuropathy. Spinal and extremity adjustments help alleviate mechanical nerve stress, while exercise and nutritional support can address metabolic contributors to nerve damage.
But to be truly effective, this holistic approach must be paired with targeted technologies that promote nerve healing and symptom modulation.
Supporting Nerve Health with HILT and RPW Therapy
High-intensity laser therapy (HILT) and radial pressure wave (RPW) therapy are two modalities gaining traction for their effects on nerve health. Research in photobiomodulation (PBM)—the mechanism by which therapeutic lasers stimulate tissue repair—has shown:
- Activation of cytochrome c oxidase to enhance ATP production.
- Upregulation of superoxide dismutase, reducing oxidative stress
- Release of neuropeptides that regulate inflammation and nociception
A Combined-Modality Strategy for Early Intervention
A sample treatment protocol might include:
- HILT: 2–3 sessions per week at 4–8 J/cm², targeting dermatomes and distal extremities
- RPW: Once weekly, 2,000–3,000 pulses at 10–15 Hz for circulatory stimulation
- At-home support: Guided use of light therapy, nutritional supplements (e.g., alpha-lipoic acid, B12, benfotiamine), and functional exercises
Don’t Miss the Metabolic Link
Peripheral neuropathy doesn’t exist in isolation—it’s often a signal of broader metabolic issues. Chiropractors can play a pivotal role in identifying insulin resistance, mitochondrial dysfunction, and systemic inflammation by incorporating simple screenings like waist circumference, fasting glucose, and HbA1c when appropriate.
When we help patients improve both neurological symptoms and metabolic health, we reduce the risk of progression to ulcers, falls, and long-term disability.
Chiropractic Care for Neuropathy: The Time Is Now
Peripheral neuropathy is more than tingling feet—it’s a complex, progressive condition that requires an integrative response. Chiropractors are well-positioned to lead that response with a systems-based model of care supported by evidence-based technologies like Class 4 laser therapy and radial pressure wave therapy.
By combining diagnostic insight, effective modalities, and functional strategies, we have the opportunity not only to reduce symptoms but to reframe the trajectory of this chronic condition.
Further Reading
Explore our Class 4 Lasers and Shockwave Therapy Device
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Take the next step in treating peripheral neuropathy—without medication
Support your patients with Medray’s Class 4 laser and Softshock 2.0 radial pressure wave (RPW) devices—tools designed to enhance nerve health through evidence-informed, non-invasive care. With strong research support and clinical guidance from leaders like Dr. Christopher Proulx, our technologies empower chiropractors to address neuropathy symptoms earlier, improve outcomes, and expand treatment options.
Ready to learn how Medray devices can support your neuropathy protocols? Call us at (573) 745-1086 or visit our Contact Us page to request a free info packet or schedule a hands-on demo.
Medray Laser & Technology manufactures and distributes FDA-cleared medical devices designed to support circulation, tissue stimulation, and pain relief. Our products are intended for use by licensed healthcare professionals. While clinical research and practitioner experience support the use of laser and radial pressure wave (RPW) therapy in various applications, some uses described in this article may be considered off-label and are not explicitly cleared by the FDA. Patients should consult their healthcare provider to determine the best treatment for their individual needs. The information provided in this article is for educational purposes only and should not be considered medical advice or a substitute for consultation with a licensed medical professional.
Educational content is for licensed healthcare providers and may include discussion of clinical uses not cleared by the FDA. Provided for scientific exchange and not intended as promotional.
The FDA has cleared therapeutic lasers and shockwave devices for increasing circulation, tissue stimulation, and pain relief. Some of the use cases described in this article reflect how clinicians may apply shockwave therapy in practice, based on peer-reviewed research. This information is provided for educational purposes only and does not imply FDA clearance or approval for specific conditions.