A Guide to Chiropractors who treat Diabetic Neuropathy by a Podiatrist

The question is should Chiropractors treat Peripheral Neuropathy that is metabolic in nature and not occurring due to a spinal deformity.  These type of Neuropathies would include Diabetic, Cancer, Syphilis, Vitamin deficient or Alcholic Neuropathy.  All those conditions arise from a metabolic condition in the body that no spinal adjustment with correct.  Is there anything a Chiropractor can do for Diabetic Peripheral Neuropathy? The answer is yes and no.  The only proven treatments for Peripheral Neuropathy are drugs such as Lyrica, Cymbalta or Neurontin.  So when the patient presents the first question should be; have they tried these medications, and if the answer is no.  The patient should be referred to a Podiatrist or PCP so they can get on these medications.  However, that does not mean adjunct treatments cannot be performed in the mean time to help the patients.  Additionally, when the patient is on the medications, the Chiropractor can offer other treatments to help relieve the symptomatology of painful Diabetic Peripheral Neuropathy.  For further information on Peripheral Neuropathy, the Chiropractor may want to read the following books:

Now the first treatment, the chiropractor should start with is physical therapy, or stretching for the Neuropathy.  One of the worst problems that develops with neuropathy is an atrophy of the legs, due to the pain and not walking.  So any exercises and movement for the patient who suffers from Neuropathy is a positive.  Here are some examples of possible Neuropathy exercises to be performed:

Now another treatment that does under physical therapy is Anodyne treatment for the lower extremity.  Anodyne is not covered by Medicare but can be billed under a physical therapy code.  Anodyne has been shown to demonstrate improvement in the Neuropathy symptoms.  Anodyne is simply lasers directed at the feet to warm them an increase sensation as seen here;

The machines are not that expensive anymore, and they do require the patient to come in for regular treatments.  Here is a machine that only retails for about 130 dollars so after one patient and eight treatments, you will already be making a profit.


Another option for treating Neuropathy would be to sell a patient, vitamins to help suppliment their treatment.  Regardless of what you have heard there no facts, that vitamins are successful in the treatment of Neuropathy.  That does not mean they cannot be tried and sold to the patient for a reasonable profit.
Here an example of a few vitamins you can offer to patients: