What assessment may include
History, footwear review, skin and nail inspection, sensation testing, pulses and reflexes help define risk. Clinicians may consider B12, thyroid, kidney or other tests when appropriate.
Treatment has several parts
Improving glucose safely, addressing a cause such as B12 deficiency when present, choosing suitable symptom treatment, and daily foot protection work together.
Protect a numb foot
Check both feet daily, avoid barefoot walking and hot-water bottles, test bath water safely, and use properly fitting footwear. Treat small injuries early.
Frequently asked questions
Can neuropathy be cured?
Symptoms can improve and progression may be slowed, but established nerve damage may not fully reverse. Early risk control matters.
Why is pain worse at night?
Neuropathic symptoms are often more noticeable at rest, but other causes should still be considered.
Guidelines and references
Dr. Pratyush Kumar · DNB Family Medicine, Sir Ganga Ram Hospital · DFID Diabetes Fellowship, Christian Medical College, Vellore
Updated and medically reviewed October 2026 · General education, not an individual prescription.