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  July 25, 2025

Living with Peripheral Neuropathy: A Guide for Patients and Caregivers (India)

In India, peripheral neuropathy is becoming increasingly common among individuals with diabetes, a history of cancer, and those of old age. 

It is a worsening illness that impairs sensation, mobility, and the autonomic system through damage to nerves outside the brain or spinal cord. If not treated, it can greatly affect how one lives and cause serious problems such as inability to move, long-term pain, or even total paralysis.

This guide offers insights into peripheral neuropathy symptoms, its impact on day-to-day activities, available neuropathy pain relief options, and practical support for carers.

What is Peripheral Neuropathy?

 

Peripheral neuropathy refers to a condition wherein the peripheral nervous system (the network of nerves connecting the brain and spinal cord to other parts of the body) is damaged. This causes problems such as pain, a loss of sensation, weakness, or tingling sensations. The disorder may involve one or all of the three types of nerves: sensory, motor, and autonomic.

Although it is a common problem worldwide, the number of Indians who are at risk of suffering from diabetes, malnutrition, and exposure to chemotherapy agents among cancer patients is on the rise.

Common Causes in India

Causes

Prevalence of Peripheral Neuropathy (India)

Diabetes Mellitus

Affects 77 million Indians; ~50% develop neuropathy

Vitamin B12 Deficiency

Common due to vegetarian diets

Chemotherapy

Seen in 30–40% of cancer patients

Alcoholism

Accounts for ~10% of neuropathy cases

Infectious Diseases

Leprosy, HIV, and Hepatitis B are regional contributors

In India, it is important to identify and treat diseases at an early stage because many people are growing old and suffering from diseases that are caused by lifestyle disorders.

Recognising Symptoms of Peripheral Neuropathy Early

Identifying peripheral neuropathy symptoms early can help avoid permanent nerve damage. As the signs appear slowly, they are frequently taken as tiredness or getting old.

Major Symptoms

 

  • Pins and needles in the extremities
  • Intense nocturnal pain
  • Weak muscles or falling often
  • Unsteadiness or clumsiness
  • Feeling too much, or when it is too cold or hot
  • Problems with digestion, vomiting, or problems related to urination

Fact: In India, patients usually postpone diagnosis, and most of them reveal signs of illness after a period of about 6 to 12 months.

If you have diabetes or are being treated for cancer and you feel continuous neuropathy pain in your feet, you should consider consulting a neurologist at one of the best neuro hospitals in Ahmedabad, India, like HCG, at the earliest.

How Neuropathy Affects Daily Life and Mobility

Peripheral neuropathy affects daily life as it disrupts normal activities and reduces self-reliance.

Challenges Faced

Area of Life

Impact of Neuropathy

Mobility

Increased risk of falls due to numb feet

Work Productivity

Difficulty with typing, lifting, or standing

Sleep

Night-time neuropathy pain interferes with rest

Mental Health

Anxiety, irritability, and depression from chronic pain

Social Life

Isolation due to limited physical activity

 

It is important for old people to have physical therapy and home modifications such as non-slip floors, handles, and good lighting to prevent falls and help them stay mobile.

Top Treatments for Neuropathy Pain in Feet and Hands

 

Neuropathy pain relief is not the same for everybody. Peripheral neuropathy treatments are tailor-made for them to meet the individual health needs of each patient. 

Commonly recommended peripheral neuropathy treatments include:

1. Medications

Medication Type

Common Drugs (India)

Purpose

Pain relievers

Paracetamol, Ibuprofen

Mild pain

Antidepressants

Amitriptyline, Duloxetine

Modify the brain’s pain signals

Anticonvulsants

Pregabalin, Gabapentin

Reduce nerve overactivity

Topical Treatments

Lidocaine patch, Capsaicin cream

Localized pain relief

Patients with peripheral neuropathy can speak to their doctor, who may prescribe appropriate medications based on the patient’s needs.

 

2. Physical Therapy

Physical therapy involves doing regular exercises that increase steadiness and flexibility and minimise discomfort surges, especially among the elderly.

3. Transcutaneous Electrical Nerve Stimulation (TENS)

TENS is a pain-blocking treatment that involves the use of mild electric pulses to gently stimulate the nerves in the extremities through the skin. The stimulated nerve cells release endorphins, which act as painkillers and block pain signals. It is a non-invasive treatment.

4. Alternative Treatments

  • Ayurveda and Yoga: Certain herbs, such as ashwagandha, turmeric, lavender, etc., are found to alleviate pain and discomfort caused by neuropathy. Certain asanas can also help alleviate neuropathy pain.
  • Acupuncture: Very useful for controlling nerve damage pain caused by chemotherapy.

Visit HCG, the best neuro hospital in India, for modern tests, multispecialty pain clinics, and both conventional and complementary therapies.

Effective Tips for Long-Term Nerve Pain Management

Patients who proactively adopt healthy habits often experience better outcomes in the long run in their attempts to manage peripheral neuropathy.

Lifestyle Management Tips

 

Habit

Why It Helps

Blood sugar control

Prevents further nerve damage in diabetics

Quit alcohol/smoking

Slows progression of nerve damage

Nutrient-rich diet

B vitamins (B1, B6, and B12) and omega-3s support nerve health

Daily exercise

Improves circulation and reduces stiffness

Regular foot care

Prevents unnoticed injuries that can lead to ulcers

 

Psychological Support

Participation in support groups and counselling, which are usually found in top neuro hospitals in India, such as HCG Hospitals, is encouraged, as it can help prevent emotional distress, anxiety, and depression that may arise from chronic pain.

Additional Reading: Neurological Rehabilitation: Restoring Function and Quality of Life | HCG Hospitals 

How Caregivers Can Support Loved Ones with Neuropathy

Carers play a crucial role in assisting patients to remain independent, particularly if neuropathy impairs their day-to-day activities.

Caregiver Responsibilities

  • Encourage regular checkups.
  • Make sure you take your drugs and vitamins properly.
  • Help with exercises to improve balance and provide walking sticks when necessary.
  • Give emotional support and stay calm and understanding.
  • Serve healthy food containing spinach, milk, beans, etc.
  • Adapt the house to prevent accidents; consider rubber mats, high chairs, and lamps at night.

In India, where family caregiving is deeply rooted, understanding the patient’s physical and emotional needs can help prevent complications and improve morale. Carers should also remember to care for their mental health and seek respite when needed.

Conclusion

Peripheral neuropathy goes beyond mere discomfort in the arms and legs, as it may lead to loss of freedom, self-assurance, and general health. Nevertheless, prompt identification of peripheral neuropathy symptoms, appropriate pain relief strategies, and personalised peripheral neuropathy treatment plans can restore a bearable state of existence.

If you or someone close to you has neuropathy pain in the feet, see a doctor immediately. HCG, the best neuro hospital in India, provides precise identification, multi-sided treatment, and aftercare services for a long period.

Take charge. Learn more. Make informed choices. With the right tools, knowledge, and support system, living with neuropathy doesn’t mean giving up on a quality life; it means adapting and thriving.

 

Author Bio

Dr. Urman Dhruv

Senior Consultant Physician

MBBS, MD (Internal Medicine)

Dr. Urman Dhruv is the director of the Department of Internal Medicine at HCG Hospitals, a leading multispeciality hospital in Ahmedabad. He holds diverse qualifications, including an MBBS, an MD in Internal Medicine, and a Bachelor of Laws (LLB). Dr. Dhruv has over three decades of experience, and his commitment to healthcare extends to public awareness programmes and diabetes management.

 

Appointment Link: Book an Appointment with Dr. Urman Dhruv

Dr. Urman Dhruv

Senior Consultant Physician

MBBS, MD (Internal Medicine)

Dr. Urman Dhruv is the director of the Department of Internal Medicine at HCG Hospitals, a leading multispeciality hospital in Ahmedabad. He holds diverse qualifications, including an MBBS, an MD in Internal Medicine, and a Bachelor of Laws (LLB). Dr. Dhruv has over three decades of experience, and his commitment to healthcare extends to public awareness programmes and diabetes management.

 

Appointment Link: Book an Appointment with Dr. Urman Dhruv

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