COVID-19 Precautions

Neuropathy Specialist

Sastry K. Topalli, MD -  - Interventional Pain Management

Atlantic Pain Interventions & Rehabilitation

Sastry K. Topalli, MD

Interventional Pain Management & Rehabilitation located in Chesapeake, VA

Neuropathy is common and affects up to 30% of Americans. Though symptoms vary, neuropathy can cause chronic pain. Interventional pain management specialist Sastry K. Topalli, MD, at Atlantic Pain Interventions & Rehabilitation in Chesapeake, Virginia, specializes in the diagnosis and treatment of neuropathy. He offers many innovative therapies to help alleviate symptoms and improve quality of life. To schedule a consultation, call the office or book online today.

Neuropathy Q & A


What is neuropathy? 

Neuropathy, or peripheral neuropathy, isn’t a disease but a series of conditions that occur due to disease or injury to one or more of your peripheral nerves.

Your peripheral nerves include the sensory, motor, and autonomic nerves found throughout your body. These nerves relay messages to your central nervous system, which includes your brain and spinal cord.  

When a peripheral nerve is damaged, the messages sent to your brain and spinal cord may be distorted or nonexistent.

What causes neuropathy?

There are many conditions that may lead to neuropathy. Some causes are more common than others:

Diabetic peripheral neuropathy

Diabetes is the leading cause of neuropathy in the United States. Diabetes is a chronic health condition that causes higher than normal blood sugar levels.

The excess sugar in the blood damages blood vessels and nerve endings, especially the small nerve fibers in the hands and feet. 

Compression neuropathy

Ligaments, herniated discs, and bone spurs may lead to compression neuropathy, which press on the nerve and alter the signal to your brain and spinal cord.

Carpal tunnel syndrome is a type of compression neuropathy that affects the median nerve as it travels through the carpal tunnel in your wrist. 

Idiopathic neuropathy

In some cases, the underlying cause of the neuropathy is unknown. This is called idiopathic neuropathy, and it may affect sensory and motor nerves.

What happens during a neuropathy consultation?

When you visit Atlantic Pain Interventions & Rehabilitation for a neuropathy consultation, Dr. Topalli conducts a thorough evaluation to fully understand the type of neuropathy you have and the underlying cause.

During your consultation, he reviews your symptoms and when they started. He also discusses your medical history and performs a physical and neurological exam. 

To confirm or rule out nerve damage, he may run various diagnostic tests such as blood work, nerve conduction study, or electromyography. 

How is neuropathy treated?

Dr. Topalli takes a personalized approach to care and creates customized treatment plans for neuropathy based on the underlying cause and the severity of your symptoms. 

Your treatment plan may include:

  • Prescription medication to manage symptoms
  • Nutrition therapy
  • Physical therapy
  • Mechanical devices
  • Steroid injections
  • Nerve blocks
  • Regenerative medicine
  • Laser therapy
  • Spinal cord stimulator

The goal of your treatment plan is to minimize symptoms and prevent further nerve damage. Dr. Topalli also provides treatments that may help repair the nerve damage for long-term pain relief.

To discuss neuropathy treatment options with an experienced interventional pain management expert, call Atlantic Pain Interventions & Rehabilitation, or request an appointment online today.