Welcome to Anderson Podiatry Center!
We’re excited to meet you and partner with you on your journey back to full health—whether that means returning to work, enjoying life, or getting back to the activities you love.
Your Visit to APC
Our friendly and knowledgeable office team is here to answer any questions you have about foot and ankle conditions, as well as chronic pain affecting your body. To ensure your first visit goes smoothly, please review the information below.
Convenient Locations
Anderson Podiatry Center serves you from four easily accessible locations, including Fort Collins and Broomfield, Colorado. Click here for maps and directions.
New Patient Forms
Please arrive 15 minutes early for your first appointment to complete necessary paperwork.
Additional forms, such as the Medical Records Release Form, should only be completed if directed by our staff. You can download and print these forms ahead of time to bring with you.
Insurance and Payments
We accept most insurance plans—including Medicare, Anthem Blue Cross and Blue Shield, and many government programs—and will verify your benefits before your appointment.
We also accept checks and major credit cards, with financing options available through CareCredit to help make your care affordable.
We look forward to helping you thrive with expert foot care and personalized support every step of the way.
For many people diagnosed with restless leg syndrome or neuropathy, weight gain can be an unwanted side effect of the medications that are typically prescribed.
Weight gain can cause while treating neuropathy:
Increased blood pressure: Carrying extra weight puts more strain on your heart, causing it to work harder to pump blood, which can lead to higher blood pressure. Over time, this can damage your arteries, increasing the risk of heart disease and stroke.
Risk of developing diabetes: Excess weight, particularly around the abdomen, is a major risk factor for type 2 diabetes. Weight gain can lead to insulin resistance, where your body’s cells do not respond properly to insulin, causing blood sugar levels to rise.
Added stress on your feet: Your feet bear the weight of your entire body, and additional pounds can exacerbate foot pain and contribute to conditions such as plantar fasciitis and arthritis. For those already experiencing neuropathy, this added stress can worsen symptoms like pain and numbness.
Poor nerve function: Obesity can lead to metabolic and inflammatory changes that negatively impact nerve health. This can slow nerve function and worsen the symptoms of neuropathy, making it more difficult to manage.
Increased risk of developing cancer (and other diseases linked to obesity): Being overweight or obese is associated with a higher risk of several types of cancer, including breast, colon, and prostate cancer. Obesity can also increase the likelihood of developing conditions such as fatty liver disease, gallbladder disease, and sleep apnea.
In this video, Dr. Anderson talks about the dangerous potential of weight gain and how this can negatively affect your overall health.
Alternative Treatment Options for Neuropathy:
If you are experiencing these symptoms, there is hope. Many of our patients come to us with a desire to get off of their medications and explore other treatment options for neuropathy and restless leg syndrome. Here are some alternatives that may be beneficial:
Lifestyle Changes: Incorporating regular exercise, maintaining a healthy diet, and losing weight can significantly reduce symptoms. Exercise can improve circulation and nerve health, while a balanced diet can provide essential nutrients for nerve repair and maintenance.
Physical Therapy: Tailored exercises and physical therapy can help improve strength, balance, and flexibility, which can reduce symptoms and improve overall quality of life.
Supplements and Vitamins: Certain vitamins and supplements, such as B vitamins, alpha-lipoic acid, and omega-3 fatty acids, have been shown to support nerve health and reduce symptoms of neuropathy.
Alternative Therapies: Acupuncture, massage therapy, and chiropractic care are alternative treatments that some patients find beneficial in managing their symptoms without the side effects of medication.
Innovative Treatments: Advances in medical technology have led to new treatments such as electrical nerve stimulation and laser therapy, which can provide relief for some patients.
By addressing weight gain and exploring alternative treatments, it is possible to manage neuropathy and restless leg syndrome more effectively and improve your overall health and well-being.
If you are experiencing these symptoms, there is hope. Many of our patients come to us with a desire to get off of their medications and explore other treatment options for neuropathy and restless leg syndrome. To learn more about these options for peripheral neuropathy click here.
The more time I spend with patients, the more I see that no matter what their symptoms are, their primary desire is essentially the same. They want to get back to their previous activity level, and they want to do it fast. Whether they are a runner, busy parent, or professional who works on their feet, it’s important to get back to their normal, active life.
In the field of podiatry, many treatments we have utilized in the past have been successful at curing the patient’s complaint, but it often take months to complete. Traditional treatments like orthotics, walking boots, cortisone injections and physical therapy have their place in our specialty, but can take months to relieve foot or ankle symptoms.
The exciting thing is we now have innovative treatment options that allow us to get patients back to those activities significantly faster. We have modalities that allow us to heal the tissue that produces the inflammation, rather than doing the old standby treatments of cortisone, anti-inflammatories and ice. These treatments reduce the inflammation, but do not heal the injured tissue itself.
There are two innovative treatment options that we have today that not only address the inflammation, but can help to heal the injured tissue. These modalities, AmnioFix therapy, and laser therapy, work at a cellular level by creating a response to the inner tissue that helps it to heal more rapidly than we have ever seen before.
AmnioFix Therapy is a simple, in-office injection that enhances healing, reduces scar tissue formation, and reduces inflammation. MLS Laser therapy is an FDA-approved therapy that accelerates cellular reproduction and growth, and therefore helps damaged cells to repair faster.
The third treatment is the use of custom orthotics. Though this has been around for many years, we have found that when we use regenerative therapies like the laser and AmnioFix, combined with orthotics, patients are able to get back to their activities faster than ever before. Additionally, we are seeing less patients going on to surgery because of the success of these new treatments.
If you have been struggling with conditions like heel pain, arthritis, tendonitis, ligament sprains or tears, tendon tears, or plantar fasciitis, and haven’t been able to be as active as you once were, come see us. You don’t have to endure daily pain and there are options that can help. We will work with you based on your lifestyle and goals to get you back to where you want to be.
Lyrica, known generically as pregabalin, is an anticonvulsant medication commonly prescribed for conditions such as neuropathy, nerve pain, and restless legs syndrome (RLS). While it has received approval from the U.S. Food and Drug Administration (FDA) for these uses, many patients have reported significant side effects, with weight gain being among the most concerning.
Applications of Lyrica
Restless Legs Syndrome (RLS):
RLS is a neurological disorder characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. Traditionally, treatments have included dopaminergic medications like ropinirole and Mirapex, which function by increasing dopamine levels in the brain to alleviate symptoms. However, these drugs have become less favored due to severe withdrawal symptoms upon discontinuation. Consequently, Lyrica has gained popularity as an alternative treatment for RLS.
Neuropathy:
Neuropathy, whether diabetic or non-diabetic, involves nerve damage that leads to pain, tingling, or numbness, particularly in the extremities. Medical professionals often prescribe Lyrica as a primary medication to mitigate these symptoms. This is especially prevalent among older adults who develop type 2 diabetes and subsequently experience neuropathic pain.
Potential Risks and Side Effects
While Lyrica can be effective in managing nerve-related symptoms, it is associated with several side effects. Commonly reported issues include drowsiness and a feeling of spaciness, particularly at higher dosages. However, the most prominent concern among patients is weight gain. On average, individuals taking Lyrica may gain between 10 to 15 pounds, but there have been cases where patients have reported gains of 40 to 60 pounds.
This substantial increase in weight can lead to a cascade of other health problems, including elevated blood pressure and an increased risk of heart failure. Additionally, some patients experience fluid retention, resulting in significant peripheral edema in the feet and legs. The added weight also places extra stress on the joints in the lower extremities, potentially causing wear and tear that leads to osteoarthritis. In severe cases, this may necessitate surgical interventions. For those with pre-existing conditions like diabetes, high blood pressure, or obesity, Lyrica-induced weight gain can increase the risk of serious health complications.
Patient Experiences with Lyrica
Many patients have shared their experiences with Lyrica, particularly concerning weight gain. It’s common to hear accounts of individuals gaining 30, 40, or even 50 pounds after starting the medication. This sudden weight increase can have profound physical and psychological effects, leading to feelings of frustration and anger, especially when patients are unaware of alternative treatments that address the root cause of their condition. Some have expressed regret, feeling that they could have avoided or discontinued the medication earlier had they known about other options.
Evaluating the Effectiveness of Lyrica
While some patients experience significant relief from nerve-related symptoms with Lyrica, others find the benefits overshadowed by the side effects. Research into the medication’s effectiveness, particularly for conditions like RLS, is limited. For instance, a research assistant investigating studies on Lyrica’s efficacy in treating RLS found a surprising lack of substantial evidence supporting its use. He did this to provide data for the book I made called A Perfect Night’s Sleep which documents our research and the effectiveness of surgical reversal of restless legs. The assistant was shocked at how little research there is to show its effectiveness.
Patient Perspectives on Lyrica
Patients’ experiences with Lyrica can generally be categorized into three groups:
The “just say no” group: These individuals are strongly opposed to taking medications, often due to concerns about side effects. They prefer to avoid drugs like Lyrica and seek alternative treatments. We are a very over-drugged society and if you watch TV it seems like every other commercial is about a drug. These patients are very concerned about the side effects of any drug, not just Lyrica.
The “I’m stuck with this drug” group: This group experiences some relief from their symptoms with Lyrica but is eager to find other options to discontinue its use due to side effects like weight gain and drowsiness. They often explore treatments that address the underlying causes of their condition, such as nerve decompression procedures or non-drug therapies. It’s a love-hate thing with Lyrica: the drug helps but they pay the price with the common side effects.
The “Been there done that” group: These patients have tried Lyrica, often during periods of severe pain, but discontinued its use either because it was ineffective or due to intolerable side effects. Common complaints include feeling mentally foggy, excessive drowsiness, and significant weight gain.
You might be asking yourself, shouldn’t there be another group? And you are right, there should be. That would be the, “I take the drug, it’s awesome and I have no side effects!” Sadly, from my experience, this is the smallest group, and I seldom hear about it.
Imagine the negative physical and mental effects of carrying an extra 50 pounds. Many patients are angry and frustrated that they never knew about options that treat the root cause of the problem, and they could have avoided the medications or had an opportunity to get off the medications sooner in their life. We have had success by treating the root cause of neuropathy and restless legs with our surgical and non-surgical means and it has been rewarding for our patients who are reversing Lyrica weight gain.
How to Reverse Lyrica Weight Gain?
If you’ve gained weight on Lyrica, you’re not alone. Here are some strategies to help prevent and reverse Lyrica-related weight gain:
Evaluate Alternative Treatments – Nerve decompression therapy, physical therapy, and lifestyle changes may help manage pain without medication.
Stay Active – Light exercise like walking, yoga, or strength training can help maintain a healthy weight.
Watch Your Diet – Focus on high-protein, low-carb meals to counteract cravings and fluid retention.
Monitor Fluid Retention – Reduce salt intake and stay hydrated to minimize Lyrica-related bloating.
Talk to Your Doctor – Ask about lowering your dose or switching to a different nerve pain medication with fewer weight-related side effects.
Exploring Alternative Treatments
Given the potential risks and side effects associated with Lyrica, it’s crucial for patients to explore alternative treatment options. Addressing the root cause of neuropathic pain or RLS may offer more sustainable relief without the drawbacks of medication. For instance, nerve decompression surgery has been shown to improve symptoms in some patients by relieving pressure on compressed nerves.
Non-surgical treatments, such as electrical stimulation (ESTIM) and MLS laser therapy, have also demonstrated effectiveness in promoting nerve repair and reducing pain. ESTIM works by sending electrical pulses to stimulate nerve healing, while MLS laser therapy targets cells’ mitochondria to enhance energy production and repair processes.
Final Thoughts: Is Lyrica Worth the Risk?
While Lyrica remains a commonly prescribed medication for neuropathy, nerve pain, and restless legs syndrome, it’s essential for patients to be aware of its potential side effects, particularly significant weight gain. Exploring alternative treatments that address the underlying causes of these conditions may provide effective relief without the associated risks. Patients are encouraged to discuss these options with their healthcare providers to determine the most appropriate course of action for their individual needs.
If you’re looking for drug-free ways to manage neuropathy or restless legs, we can help! Contact us today to learn more about our proven non-surgical treatment options.
So, the message is that if you’re experiencing neuropathic pain from neuropathy or restless leg type symptoms start asking the more difficult question: what other options do I have? Is it worth the risk of potential weight gain, high blood pressure, diabetes or worsening of your diabetes, cancer, and arthritic joints by using Lyrica or other medicines?
Start looking behind another door, a door of hope. Consider shutting the door of drug treatment and learn about ways to make your nerve pain a memory!
What is Lyrica commonly prescribed for?
Lyrica is prescribed for conditions such as neuropathy, nerve pain, and restless legs syndrome.
What are the common side effects of Lyrica?
Common side effects include weight gain, drowsiness, and mental fogginess.
How much weight do patients typically gain on Lyrica?
Patients typically gain between 10 to 15 pounds, though some have reported gains of up to 60 pounds.
What are the potential health risks associated with Lyrica-induced weight gain?
Potential health risks include increased blood pressure, heart failure, fluid retention leading to peripheral edema, and added stress on lower extremity joints, which may result in osteoarthritis.
Are there alternative treatments to Lyrica for nerve-related conditions?
Yes, there are both surgical and non-surgical treatments that address the root causes of nerve-related conditions without relying solely on medication.
I’ve been a member, including past president and board member, of the Association of Extremity Nerve Surgeons for a long time. I routinely attend meetings and lectures and train nerve surgeons, and I recently attended their annual meeting. These meetings are important to me, but they are also important to some of you and people that you know, because some of the research we do provides us with new information that helps people with diabetic foot problems, including the risk of amputation.
Many diabetics suffer from neuropathy. They struggle with the typical diabetic symptoms as well as the burning, tingling, numbness and pain also associated with this disease, which leads to an increased risk of amputation.
What if you or someone that you know with diabetic neuropathy could reduce or eliminate the symptoms? What if something could be done to restore more normal nerve function? The risk of amputation in diabetics would be greatly reduced.
At the meeting I attended an important thing happened: two new studies regarding diabetics and neuropathy were discussed. One of the two studies was one that I have recently completed, and the other study was completed by Dr. Zhang from Shanghai, China.
Dr. Zhang’s study showed an improvement in lower extremity nerve function for patients he had performed surgical decompression surgery on (opening of the nerve tunnels), which is similar to carpal tunnel surgery done in the hand. His EMG studies showed improvement of the patients nerve function that lasted months and even years after having the procedure performed.
My study showed intraoperative improvement via EMG in nerve function within minutes of opening these nerve tunnels. This explains why many patients have immediate dramatic improvements in their symptoms, and can even feel their feet again.
The data from both studies demonstrates how quickly nerves can repair and that the effects are long term. These study results are supported clinically by other surgeons who also perform these procedures, and it supports what our patients are saying as well.
It is our desire to change the narrative, to change the thought of conventional medicine. Between our two studies we have a good scientific foundation that proves how much diabetic patients can be helped.
So next time you’re thinking about treatments for diabetic neuropathy for yourself or someone you know, ask yourself this question: are drugs, with their unwanted and often dangerous side effects, the best answer?
We continue to do surgical decompression surgery for patients suffering from diabetic and non-diabetic neuropathy. We have a large volume of scientific data that shows improvement in various nerves after surgery. So next time you or anyone you know says there’s nothing that can be done, or you hear the Lyrica ads on TV or are considering using Neurontin to help with your neuropathy pain, remember these studies. The real hope of relief from neuropathy pain and numbness is now clinically supported and available to help those in need. We are truly on the forefront of a treatment shift in dealing with this debilitating disease.
Our study will be published shortly and I will be sure to highlight the results with you. I enjoyed meeting and sharing our research with a surgeon so far away who is also trying to help to change how medicine treats such a dreaded problem. We hope to collaborate and present our findings more in the future, both here and in China and other parts of the world.
I had the rewarding experience recently of a patient sharing a story with me about how she gave a doctor a real lesson on nerve pain that seemed to put the doctor at a loss for words. The patient I’m referring to came to me with severe neuropathy symptoms. She was a very sweet lady and I soon learned to appreciate her brilliance (background in research) and quiet confidence.
On her first visit I got a complete history of her nerve pain story. She was diabetic and had problems with her walking and activity, and not so good of an experience using medications for her symptoms. She had very severe nerve symptoms and was beginning to get some weakness too.
On the first visit I try to take a lot of time to understand the patient, and educate them about the idea of nerve decompression surgery. For some, this may not be the appropriate option; for others, it is a option we pursue. As is often the case, I mention that what we do in the foot and leg is no different than what has been done in the hand and arms for many years: we simply open tight nerve tunnels like the carpel tunnel in the hand or ulnar nerve tunnel in the elbow.
I taught her about the five nerve tunnels we evaluate for potential compression. When she left, she was scheduled for a nerve test with our research assistant and returned to review the test the next week. However, before she returned to see me, she had gone to her cardiologist. She happened to bring up to that doctor what we had spoken about: the opportunity to do procedures to open her nerve tunnels to allow her nerves to function more normally.
She said at first the doctor was questioning the whole idea, the whole concept, and assumed that in today’s medical world nothing could be done. He was very skeptical. I know we doctors may seem scary to talk back to, but this patient kept educating this doctor. At the end of the conversation she shared the concepts that she had just learned. She posed this question to the doctor: If there are nerve tunnels in the foot and leg and nerve tunnels in the hands and arms, why must medicine treat each limb so differently? This stopped the doctor’s concerns in its tracks. He had no answer. Apparently, the doctor said that if you feel comfortable with this surgeon maybe you should consider it.
Wow! Why do I share this story? Because my goal with all of you when you come in with neuropathy or restless legs is to educate you. Do I succeed every time? Probably not. I’ll show videos, pictures, and explain how we test the nerves in surgery. My wife and staff probably say I talk too much.
Why do I do this? Because it’s my mission! I know knowledge is power, and once you step out of one of our offices you return to the world that is not as informed. A world, in my way of thinking, that is 30 to 40 years behind the medical knowledge of the nerves in the foot and leg versus the hands and arms. In time that will change. But for now, I’ve found how important it is to educate you, and for me this was a sweet story to share. It’s the story of an astute patient with a scientific mind who truly grasped the concepts we work with. She stirred up the status quo opinion of her cardiologist, and maybe stimulated yet more curiosity.
I guess in this patient’s own little way she offered a challenge. A challenge that my colleagues and I use when met with resistance to our concepts: prove me wrong!
Neuropathy is a frustrating, debilitating, painful, and, most discouragingly, a confusing disease. If you or someone you know has neuropathy, chances are they have really struggled with finding accurate knowledge on the subject, and with all the information out there it can be overwhelming deciphering what’s true from what isn’t.
Though neuropathy is a fairly common disease, it is not widely known about. One of the first struggles with neuropathy is getting it properly diagnosed. Also, there are so many thoughts and opinions on neuropathy that you may hear conflicting or even false information. As doctors who specialize in neuropathy and treatments for it, we have compiled a helpful list of fact versus fiction to finally help you better understand your neuropathy.
Neuropathy Facts:
There are a wide variety of symptoms, and not everyone experiences them all.
The most common symptoms include: muscle weakness, twitching, tingling, loss of balance, numbness, burning, prickling sensations, and/or nerve pain in your legs or feet, and symptoms can vary from one foot to the other.
Neuropathy is progressive.
This is one of the most important facts to know! Neuropathy will get worse over time, so if you have symptoms do not delay treatment. Some patients wait until their symptoms are more severe before seeking treatment, which can reduce the chance to reverse or alleviate them.
Neuropathy is a fancy word for nerve damage.
Though it may sound simple, this is exactly what neuropathy is. It’s the disease or dysfunction of one or more peripheral nerves.
There are treatments that can reverse neuropathy symptoms.
Though many don’t realize this, there are treatment options that have had huge success in reversing, or at the very least improving some people’s neuropathy. These treatments include:
MLS Laser Therapy– helps to reduce pain and inflammation and improve nerve function.
Nutritional counseling– when done in tangent with MLS and/or ESTIM can help reverse symptoms.
Nerve decompressing surgery– opens up the tight nerve tunnel to allow the nerve to function properly, is a viable option for the majority of patients, and offers the very real hope of reversing neuropathy’s effects, allowing you to move with little to no pain or instability.
Neuropathy Fiction:
Neuropathy only affects diabetics.
Although neuropathy is common in people with diabetes, it is a misconception that it only affects those with it. It can have many other causes including injury, infections, alcoholism, and even certain cancers. There are also unknown (idiopathic) causes
If the pain subsides or goes away, you are getting better.
False! This is a very dangerous fallacy. When symptoms seem to be getting better they are often actually getting worse, because the later stages of neuropathy can cause numbness making you not feel the pain that is actually there.
I will always have to be on medication.
Though medications are commonly the first step in treating neuropathy, they typically come with unwanted side effects or are ineffective. What people don’t understand is that by seeking other treatments options like the ones listed above, you can reduce or even get off your medication.
Any doctor can help treat neuropathy.
Although most doctors know what neuropathy is, they are not all equal in understanding or treating it. Our doctors at Anderson Podiatry Center are members of the Association of Extremity Nerve Surgeons. These national and international physician and PHD members receive specialty training and have a minimum two years’ experience in diagnosing and treating neuropathy. AENS members are committed to disseminating current effective treatment knowledge, and to ongoing research that supports the treatment of extremity nerve disease.
These are just some of the basic misunderstandings on neuropathy. If you suffer from neuropathy come see us today so you can finally get the help you deserve!
Your legs and feet are one of the most important parts of our body; they carry you everywhere you go. So, naturally, leg and feet issues can greatly disrupt your daily life. This is sadly the case for the many people who suffer from neuropathy– or nerve pain. Neuropathy is painful, frustrating, and debilitating, and with all the information out there it can be overwhelming finding good, accurate sources of information, but it doesn’t have to be.
First of all, you might have neuropathy and not even know it. Some symptoms to look for with neuropathy include muscle weakness, twitching, tingling, burning, loss of balance, numbness, prickling sensations, and/or nerve pain in your legs or feet. Neuropathy can be caused by diabetes, injury, infections, certain cancers, and alcohol, and it is progressive and will worsen over time.
To help you correctly live with and understand your neuropathy we have found three essential books to read:
Sugar Crush: How to Reduce Inflammation, Reverse Nerve Damage, and Reclaim Good Health– by Richard Jacoby, DPM
Even though this book is not solely on neuropathy, it is still an excellent resource for those who suffer from it. Sugar Crush was written by a leading peripheral nerve surgeon. In it he explains why sugar and carbohydrates are harmful to the body’s nerves, and how eliminating them may help mitigate or even reverse nerve damage.
He goes on to describe how a diet high in sugar, processed carbohydrates, and wheat compresses and damages the peripheral nerves of the body. This leads to pain, numbness, and tinging in hands and feet. Sound familiar? These are the same symptoms as neuropathy, which is why this book is a great resource for you!
Coping with Peripheral Neuropathy: How to handle stress, disability, anxiety, fatigue, depression, pain, and relationships– by Scott Berman, MD CIDP
Unfortunately, living with chronic pain and a debilitating disease affects much more than just your physical body. It affects your emotions, causes other problems such as anxiety and depression, and often affects those around you as well.
However, keep in mind that although this book may help you cope with the chronic pain you currently live with, you might not always have to. Just as Sugar Crush discusses, there are possible treatments that may reverse neuropathy symptoms and help stop chronic pain.
Mindfulness Meditation for Pain Relief: Guided Practices for Reclaiming Your Body and Your Life– by Jon Kabat-Zinn
Those who suffer from neuropathy often complain of chronic pain as well. If you live a life shaped by pain, you understand the physical and emotional sufferings that usually accompany it. In this book you can learn how to rely on meditation, rather than solely medication, to ease your pain. Often neuropathy patients complain about all the medications they have to take that don’t always work, and almost always come with unwanted side effects. Here is a great alternative.
According to customer reviews, this book offers meditation techniques for beginners, so anyone can use it and find relief, while also discovering new freedom and improved quality of life. However, same with the above book mentioned, remember that there are treatments for neuropathy that have been able to reverse symptoms for many patients, enabling them to live pain free.
These books are very helpful for living with neuropathy, but they are not your only source of information. Speak to a podiatrist to learn all about your disease, and more importantly how you may be able to reverse your symptoms with promising treatment options.
I recently read a book called The One Thing. The concept was simple: with all the noise and distractions that we have in our lives it’s important to focus on that one thing that is most important. Not an easy task.
Some of you may have remembered the movie City Slickers where the cowboy character Curly challenged the City Slicker character played by Billy Crystal who seemed to be going through a midlife crisis, and he needed to find that one thing.
At Anderson Podiatry Center for Nerve Pain when we explain nerve conditions in the lower extremity we try to keep it simple. We must play the role of a teacher, as most patients have no idea about our concepts of treating nerve conditions. We constantly have to introduce patients to the new concepts that we follow. So whether its neuropathy, drop foot or restless legs it gets back to that one thing.
It may not be by accident that you don’t know about the one thing. Some of you are not aware of the one thing as no doctor has told you, and most of all Big Pharma would never like for you to know what I’m telling you. They would rather keep you on the drugs. So what is this one thing? In one-word: compression. Yes, compression of nerves.
We all are born with nerve tunnels in the legs. Five of them lie below the knee. You probably have heard of carpel tunnel in the hand. There are several other nerve tunnels in the arms that frequently become tight and squeeze or compress the nerves traveling through them. NO one questions this, and drugs are frequently one of the last treatments recommended. The legs and feet should not be any different.
Sadly, the medical awareness and understanding of the tunnels in the lower extremity are 30 years behind understanding of the upper extremity. Why must medicine continue to offer less than optimal solutions for your neuropathy and restless legs problems? Why aren’t’ you educated about the potentials to have a chance of a permanent solution to your problem? The reasons are multiple, but that’s a discussion for another day.
So for now please open your mind to what I have been doing since 2002. When you come in we listen to where your symptoms are, and based upon that my attention is directed to one or more of these five tunnels. It’s really a very simple concept. We don’t discriminate. We simply treat the lower extremity like the upper extremity.
So, I challenge you to reconsider your options when you’re told that you have neuropathy or restless legs and there is nothing you can do except take drugs and live with it. Others may tell you that your nerve symptoms are from your back and you need a back injection, surgery or chiropractic care. It’s a constant story: my back or neuropathy.
Consider the one thing. It could be that your problem lies where your neuropathy pain or restless legs symptoms exist in the leg. We’ve learned not to discriminate because we consider the onething. And because of that knowledge I feel we are better able to give you a chance at permanent reversal of your problems.
Please give us an opportunity to help you understand that one thing: compression. It may make the difference between years of drugs, being inactive, weight gain, depression and lack of sleep.
Don’t do what most people do, give up searching and never learn about the one thing: compression, and the five nerves that it affects.
Your feet are a vital part of your daily activity; they are responsible for carrying your entire body around. When you suffer from foot pain, whether temporary or chronic, everyday activities suddenly—and frustratingly—become much harder to accomplish.
There are many causes for foot pain, but a common culprit is your body weight. As troublesome as foot pain is, it’s not hopeless!
It’s important to remember that your feet not only carry your body weight; they also absorb the impact of each step you take. When they’re carrying more weight around, they’re put under more stress, which in turn puts more stress on the tissue and wears down the foot structure. Being overweight by even 25 pounds increases the stress on your feet.
Here are four of the main ways that your weight can negatively affect your feet:
Tendon Inflammation – Carrying too much weight causes you to change your posture, which shifts your body weight to the inside. This weight shift puts extra pressure on your arches and tendons, often resulting in tendonitis.
Plantar Fascia Inflammation – The plantar fascia is the soft band of tissue on the sole of your foot that connects the heel bone to the toes. When it becomes inflamed it causes plantar fasciitis, a stabbing sensation in the heel that makes it painful to walk.
Osteoarthritis – This is the breakdown of cartilage in joints. Though this most commonly affects knees and hips, it also causes swollen and stiff joints in your ankles.
Nerve Pain – Burning, tingling, or numbness are typically a result of nerve pain, which stems from neuropathy and neuromas.
As discouraging as foot pain can be, there are ways to reduce or even eliminate it. Losing weight is one of the best ways to decrease foot pain, but since walking or even standing can be uncomfortable, it can be difficult to exercise.
Here are a few other ways to help decrease your weight-related foot pain:
Try regenerative medicine. Regenerative medicine is a minimally invasive treatment that is particularly helpful with tendon pain, plantar fasciitis, and arthritis. Regenerative treatments like AmnioFix change growth factors to the body’s own stem cells that reduce inflammation and scar-tissue formation to enhance healing. These treatments have minimal lay up so you can continue to work out and even do weight-bearing exercises.
Wear sufficiently cushioned shoes. Being overweight makes it difficult to bend over, and flip-flops or other slip-on shoes seem to be a good choice because they are easier to put on. These shoes offer little to no support, however, and will only make your foot pain worse.
Invest in orthotics. Custom orthotics are an excellent way to correct foot misalignment and decrease pain. Anderson also points out that “custom orthotics are hugely important, and take the support you need from shoe to shoe.” Orthotics combined with AmnioFix are commonly used in treating weight-related foot pain.
Do low-impact exercises. Low-impact exercises like swimming and cycling are a great way to shed some weight without the pain of higher-impact workouts like running or hiking.
Whether your foot pain is weight-related or caused by something else, it’s important to understand that foot pain is never normal, and you don’t have to live with it.
Understanding Why Numbness is More Dangerous Than Pain
For many of my diabetic patients, numbness develops so gradually they barely notice its progression. The sensation diminishes on such a slow gradient that they forget what normal foot sensitivity feels like. This adaptation becomes dangerous—when you can’t feel your feet, you can’t detect injuries, and if left untreated, these injuries can lead to amputation. The sobering reality is that amputation significantly shortens life expectancy for diabetic patients, with five-year mortality rates approaching 50% after major lower extremity amputation.
A numb foot is the most dangerous foot a diabetic can have.
As a podiatrist who has treated thousands of diabetic patients, I’ve witnessed how early intervention can dramatically change outcomes. Let me share two contrasting patient stories that illustrate why numbness should never be ignored.
Patient Stories of Foot Numbness: Two Different Paths
Patient One: Early Intervention Saves a Foot
Mrs. Johnson (name changed for privacy) visited our clinic with what she described as “feet that were killing her with chronic pain.” She had been taking Lyrica for her diabetic neuropathy, but it provided minimal relief. The burning, tingling pain had become unbearable, affecting her sleep and quality of life.
After a comprehensive evaluation, we discussed treatment options and agreed that nerve decompression surgery would be appropriate for her condition. However, life got busy, and she postponed the procedure. When she returned months later, I noticed the beginning of an ulcer on one toe—a dangerous development that made surgery an immediate priority. I explained how the procedure could not only alleviate her pain but potentially restore sensation, which would prevent future ulcers from developing unnoticed.
The results were remarkable. Almost immediately after surgery, her nerve pain subsided significantly, and she regained sensation in her toes. In her own words, “The foot you operated on feels so much warmer than the other foot.” The toe ulcer healed rapidly, and within weeks, we performed the same procedure on her other foot with equally successful results. Today, Mrs. Johnson has maintained both feet without complications, continues her regular diabetic foot care routine, and enjoys an active lifestyle.
Patient Two: Delayed Intervention Leads to Partial Loss
Mr. Thomas (name changed) had a different perspective on his numbness. To him, it “wasn’t that big a deal.” He could function adequately and sleep well. Yes, the numbness made walking more challenging, but he had adapted. By the time he sought treatment, he had already lost two toes to amputation.
The risk of amputating his foot and having the same issue affect his other foot is what drove him to come to our clinic. We performed nerve decompression surgery on the foot that had already undergone partial amputation. To his satisfaction, the results mirrored those of our first patient—increased warmth and restored sensation. While the surgery was successful in preventing further tissue loss, this case isn’t as positive as the first because permanent damage had already occurred. Had he sought treatment earlier, he might still have all his toes and better mobility.
The Medical Reality of Diabetic Neuropathy
Diabetic peripheral neuropathy affects approximately 50% of people with diabetes. The condition damages the nerves in your feet by:
Restricting blood flow to the nerves
Creating compression in natural nerve tunnels
Causing biochemical changes that damage nerve fibers
Insensate neuropathy: Advancing numbness with decreased ability to feel potential damage
While painful neuropathy is distressing, it typically prompts patients to seek treatment. Numbness, however, often goes untreated until complications arise.
Why Numbness is More Dangerous Than Pain
Consider these contrasting outcomes:
Pain = motivation to seek treatment = nerve restoration = no amputation = more active, healthy life
Numbness = no motivation to seek help = delayed treatment = potential amputation = reduced mobility = shortened lifespan
Research indicates that individuals who undergo lower extremity amputation experience:
Decreased mobility and independence
Higher risk of depression
Increased cardiovascular complications
Reduced life expectancy by 5-10 years
Treatment Options for Diabetic Neuropathy
Modern podiatric medicine offers several approaches to address diabetic neuropathy:
Nerve Decompression Surgery: Releasing compressed nerves to restore blood flow and sensation
Medical Management: Medications to address nerve pain and improve circulation
Advanced Wound Care: Specialized treatment for existing ulcers or injuries
Preventative Foot Care: Regular check-ups and proper footwear
Blood Sugar Control: Working with your primary physician to manage diabetes effectively
How to Assess Your Risk for Numbness due to Diabetic Neuropathy
Ask yourself these questions:
Can you feel a light touch on all areas of your feet?
Do you notice temperature changes on your feet?
Have you noticed any changes in foot color or unexplained calluses?
Do your feet feel unusually cold or warm?
Have you had any painless injuries on your feet?
If you answered “no” to the first two questions or “yes” to the others, you should consult with a podiatrist specialized in diabetic foot care immediately.
Don’t Wait Until It’s Too Late
The choice becomes clear when you consider the options: either surgery to remove part of your foot after damage occurs, or proactive treatment to restore nerve function and preserve your foot. This crucial message needs to reach more diabetic patients before complications develop.
Remember, while you may not be able to control the development of neuropathy, you can control the outcome through early intervention.
Take Action Today
If you’re experiencing any signs of diabetic neuropathy—whether painful symptoms or concerning numbness—schedule a comprehensive foot evaluation with our team at Anderson Podiatry Center. Early intervention is your best defense against the silent threat of diabetic foot numbness.
Dr. James Anderson, DPM, is a board-certified podiatrist specializing in diabetic foot care and nerve decompression surgery with over [X] years of experience helping patients maintain foot health and mobility.
eople that you know, because some of the research we do provides us with new information that helps people with 
