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When neuropathy treatment isn’t working, it’s time to ask a different question: is it actually your circulation? At CiC we do a more comprehensive exam — because blocked blood vessels can cause symptoms almost identical to neuropathy, and those are treatable.
One in every 20 people over 50 has peripheral artery disease (PAD) — and its symptoms can be essentially identical to neuropathy. Almost 25% of people with PAD have no idea they have it. These signs are often confused with typical neuropathy:
Until recently, doctors were taught that neuropathy is a nerve condition that only gets worse. In recent years it’s increasingly understood that many “neuropathy” symptoms are actually vascular — caused by blockages in the small blood vessels, usually below the ankle, that starve the nerves of blood flow.
Our physicians do a more extensive, more comprehensive exam to find out which one you’re dealing with — before you spend more time and money on medications or “experimental” treatments that can’t work if circulation is the real problem.
When a blockage is confirmed, we offer an ultra-minimally-invasive treatment, performed in an office setting, that restores circulation — and symptoms can begin to ease in as little as hours after treatment.
No surprises. Here’s exactly what happens before, during, and after.
We start with a comprehensive exam and painless blood-flow studies to determine whether your symptoms come from your nerves, your circulation, or both. No guessing — and we verify your insurance benefits before anything is scheduled.
When blocked vessels are the cause, your doctor restores flow through a pinhole — a minimally invasive revascularization done in an office setting with light sedation, not general anesthesia.
You go home the same day. When poor circulation was the culprit, symptoms can begin to ease within hours to days of restored blood flow. We follow up to track your progress, and your regular doctor gets a full report.
A comprehensive vascular exam tells you whether it’s truly neuropathy — or a treatable circulation problem that’s been missed.
Untreated PAD can lead to non-healing wounds and even amputation. Finding and fixing it early changes that trajectory.
If treatment is needed, it’s ultra-minimally invasive, done in an office setting — and relief can begin within hours.
Because the symptoms of poor circulation are almost identical — and if blocked vessels are the real cause (or are making things worse), no neuropathy medication can fix that. If your treatment isn’t working, that itself is a clue worth investigating.
You’re at higher risk if you have diabetes, high blood pressure, or high cholesterol, are overweight, have family members with PAD — or if you smoke. Smoking increases the likelihood of PAD by 400%.
PAD is progressive. Left untreated it can lead to non-healing wounds and, in serious cases, amputation — and the outlook after a PAD-related amputation is worse than many cancers. The encouraging part: caught early, it’s very treatable, often with symptoms improving quickly.
Painless, non-invasive blood-flow studies — think blood-pressure cuffs and ultrasound, not needles. It’s a simple way to get a definitive answer.
Medicare and most major insurance plans cover medically necessary procedures like this one. And you won’t have to guess: we verify your benefits before anything is scheduled and tell you exactly what to expect, so there are no surprises.
Cramping in your calves or thighs when you walk — that eases when you rest — is the classic sign of PAD. Learn how we reopen blocked leg arteries through a pinhole.
Board-certified specialists in vascular, venous, and interventional care review every plan together — so you never feel handed off.
A comprehensive circulation exam gives you a real answer — same-week appointments are usually available.
Focus: vascular evaluation of neuropathy-pattern symptoms — distinguishing true peripheral neuropathy from below-the-ankle small-vessel occlusive disease, and treating the latter with office-based revascularization (pedal-loop angioplasty and tibial intervention under moderate sedation).
Consider referral for: “neuropathy” refractory to medical management, diabetics with distal symptoms and any wound concern, abnormal ABI/TBI or monophasic pedal waveforms, and suspected small-vessel disease below the ankle.
Workup we handle: ABI/TBI, arterial duplex, and full vascular assessment. Your office receives the complete report through the CiC physician portal.
