Boca Raton
(561) 488-4848
Tingling, burning, numbness, or pins and needles in your feet are often early signs of neuropathy, which is damage to the nerves that carry feeling to your feet. It’s one of the most common problems we see at both offices. Neuropathy has more than 100 possible causes, from diabetes and vitamin deficiencies to medications and autoimmune conditions, and sometimes no cause is found. That’s why we figure out what’s behind yours before recommending treatment.

Numbness or tingling in the toes or feet

Burning pain that’s often worse at night

A feeling that your socks are bunched up under your toes when they’re not

Loss of balance or a sense of unsteadiness while walking

Sharp, electric-shock-like pain in the feet
Occasional, brief tingling after sitting in one position isn’t unusual. But numbness, burning, or balance changes that persist, worsen, or start interfering with daily activity are worth having evaluated, especially for anyone with diabetes, a family history of nerve conditions, or a known vitamin deficiency.
For patients with diabetes in particular, new or worsening foot numbness deserves prompt attention, since reduced sensation can make it harder to notice a cut, blister, or pressure sore before it becomes a bigger problem.
1
Blood sugar control, addressing vitamin deficiencies, medication management, and footwear adjustments to reduce pressure and irritation.
2
Remy Laser therapy and SoftWave therapy, used to help manage symptoms in appropriate candidates.
3
Nerve decompression surgery, used rarely and only when conservative and advanced non-surgical treatment hasn’t provided adequate relief.

Diabetic neuropathy is generally considered a progressive condition, but consistent blood sugar management and early treatment may help slow progression and manage symptoms. Individual outcomes vary, and Dr. Pinsky can discuss realistic expectations based on your specific case.
Options can include blood sugar and vitamin management, footwear adjustments, Remy Laser therapy, and SoftWave therapy, depending on the underlying cause and severity identified during diagnostic testing.
Surgery is uncommon and reserved for select cases where nerve compression is confirmed and conservative and advanced non-surgical treatments haven’t provided adequate relief. Most neuropathy patients are managed without surgery.
This varies widely depending on the underlying cause, severity, and how early treatment starts. Some patients notice symptom changes within weeks of starting treatment, while others require a longer course; Dr. Pinsky can set expectations after your diagnostic workup.
Family Foot Center accepts all major insurance plans but does not accept HMO plans. Coverage for specific tests and treatments varies by plan, and our team can help verify your benefits before your visit.
Sudden numbness, especially with an unnoticed wound, discoloration, or signs of infection, should be evaluated promptly, particularly for patients with diabetes. Gradually developing tingling can typically be scheduled as a routine visit.