Peripheral Neuropathy Doctor in San Antonio, TX
Dr. Darius Zagunis, MD, at San Antonio Pain Consultants, provides care for patients with peripheral neuropathy in San Antonio, TX. Common symptoms include numbness, tingling, burning, and weakness, often in the hands and feet. He focuses on creating personalized treatment plans to help manage these symptoms and improve daily living. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251.


Table of Contents:
What is peripheral neuropathy?
What are the causes of peripheral neuropathy?
What are the symptoms of peripheral neuropathy?
How is peripheral neuropathy prevented?
Peripheral neuropathy is caused by damage to the peripheral nerves and can lead to symptoms like weakness, numbness, tingling, or pain in the affected areas. Often, an underlying condition such as diabetes, infections, or neurological diseases like MS is responsible. The good news is that peripheral neuropathy can frequently be improved or even reversed by addressing these root causes.
At San Antonio Pain Management, we use thorough exams and diagnostic tests to identify the source of nerve damage. Our treatments focus on relieving symptoms, managing underlying conditions, and preventing further nerve damage through medication, physical therapy, lifestyle changes, and minimally invasive procedures. Early diagnosis is key to better outcomes.
At San Antonio Pain Management, we specialize in diagnosing and treating peripheral neuropathy—a condition caused by damage or dysfunction of peripheral nerves connecting the brain and spinal cord to the body. This condition can affect daily activities, mobility, and comfort.
Common Causes of Peripheral Neuropathy:
• Diabetes: High blood sugar damages nerves, causing numbness, tingling, and pain, especially in the feet and legs.
• Autoimmune Disorders: Conditions like rheumatoid arthritis and lupus cause inflammation, leading to nerve damage.
• Chronic Kidney and Liver Disease: Toxin buildup impairs nerve function.
• Nutritional Deficiencies: Lack of vitamins B12, B6, folate, and E affects nerve health.
• Toxin Exposure: Heavy metals and industrial chemicals can damage nerves.
• Infections: Lyme disease, shingles, HIV, hepatitis C, and syphilis can cause neuropathy.
• Physical Injury or Trauma: Accidents or repetitive stress may injure nerves.
• Medications & Alcohol: Certain drugs and alcohol abuse can lead to nerve toxicity.
• Inherited Disorders: Genetic conditions like Charcot-Marie-Tooth disease affect nerve structure.
• Idiopathic Neuropathy: Cases with unknown causes are also managed.
If you experience symptoms of peripheral neuropathy, trust our expert team at San Antonio Pain Management for advanced, compassionate care.
Peripheral neuropathy, treated effectively at San Antonio Pain Consultants, results from nerve damage affecting sensation, movement, and autonomic functions. Symptoms often start in the hands and feet and vary depending on nerve involvement.
Symptoms Commonly Experienced:
• Persistent muscle cramps or involuntary twitching
• Difficulty moving limbs or maintaining steady walking
• Irregular heartbeat or fluctuating blood pressure
• General muscle weakness affecting daily activities
• Heightened sensitivity or discomfort from light touch
• Challenges with balance and loss of coordination
• Numbness, tingling, or prickling sensations in fingers or toes
• Intense burning, freezing, shooting, or throbbing pain
• Excessive or unusual sweating unrelated to activity
Diagnosis of Peripheral Neuropathy
At San Antonio Pain Management, we provide expert diagnosis and management of peripheral neuropathy using a thorough, patient-centered approach.
The Diagnostic Process Includes:
• Comprehensive clinical evaluation: Detailed review of symptoms like numbness, tingling, burning, weakness, and pain, especially in hands and feet.
• Medical history assessment: Examining contributing factors such as existing conditions, medications, toxin exposure, lifestyle, and family history.
• Physical examination: Testing reflexes, muscle strength, coordination, and sensation, including vibration, temperature, pain, and positional awareness.
Advanced diagnostic tests:
• Nerve conduction studies and electromyography (EMG) to assess nerve and muscle electrical activity.
• Blood tests to detect diabetes, vitamin deficiencies (notably B12), autoimmune diseases, infections, and metabolic disorders.
• Imaging (MRI or CT) to identify structural issues or nerve compression when needed.
• Nerve biopsy in select cases for precise cause identification.
To deliver an accurate diagnosis and uncover the underlying cause of peripheral neuropathy, enabling personalized treatment plans that reduce symptoms, relieve pain, and improve quality of life.
Treatments for Peripheral Neuropathy
At San Antonio Pain Consultants, we specialize in treating peripheral neuropathy, focusing on relieving symptoms, addressing underlying causes and preventing further nerve damage to improve your quality of life.
The Treatment Approach Includes:
• Individualized Care: Diagnosing and managing underlying causes like diabetes, autoimmune disorders, vitamin deficiencies, or infections.
• Advanced Medication Plans: Using antidepressants, anticonvulsants, and topical treatments to control pain safely; opioids are rarely used.
• Interventional Procedures: Offering nerve blocks, spinal cord stimulation, and peripheral nerve stimulation for patients needing advanced pain relief.
• Physical Therapy: Customized exercise programs to strengthen muscles, improve balance, and enhance mobility.
• Lifestyle Counseling: Guidance on exercise, weight management, smoking cessation, and reducing alcohol to support nerve health.
• Complementary Therapies: Acupuncture, massage, and TENS as supplementary options for symptom relief.
• Minimally Invasive Surgery: For cases involving nerve compression, such as carpal tunnel syndrome, to relieve pressure and restore function.
• Supportive Care & Monitoring: Education on foot care, orthotics, and regular follow-ups to track progress and adjust treatments.
If you or a loved one suffers from peripheral neuropathy, contact San Antonio Pain Consultants to explore personalized, advanced treatment options.
At San Antonio Pain Consultants, we prioritize proactive, personalized care to prevent and manage peripheral neuropathy—nerve damage causing numbness, pain, tingling, and weakness.
Our prevention strategies include
• Managing underlying conditions: Controlling diabetes and monitoring blood sugar to reduce neuropathy risk.
• Limiting alcohol intake: Preventing alcohol-related nerve damage.
• Nutrition focus: Encouraging balanced diets rich in essential vitamins like B12 to support nerve health.
• Regular physical activity: Improving circulation, muscle strength, and nerve function with guided exercise plans.
• Avoiding nerve compression: Educating on reducing repetitive motions and prolonged pressure on nerves.
• Medication review: Assessing current medications to avoid neuropathy-related side effects.
• Early detection: Regular checkups to identify and manage contributing conditions like autoimmune diseases, kidney issues, or infections.
Our comprehensive approach helps reduce your risk of peripheral neuropathy and promotes a healthier, active lifestyle. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251. We serve patients from San Antonio TX, Helotes TX, Alamo Ranch TX, Leon Valley TX, Shavano Park TX, Balcones Heights TX, Fair Oaks TX, Fair Oaks Ranch TX, Castroville TX, and surrounding areas.


Conditions We Treat
▸ Back & Spine Pain
▸ Herniated Disc Treatment
▸ Sciatica
▸ Neck Pain
▸ Knee Pain
▸ Arthritis Pain
▸ Arm & Shoulder Pain
▸ Abdominal & Pelvic Pain
▸ Headaches & Migraines
▸ Hip Pain
▸ Neuropathy
▸ Cancer Pain