Neuropathy Specialist

What do burning pain, muscle wasting, gland dysfunction, and paralysis have in common? They all are symptoms of severe peripheral neuropathy, a common but very hard to treat condition that causes pain and damage in the extremities. If you’re suffering from this debilitating disease, Dr. Richard P. Jacoby at Extremity Health Centers in Scottsdale, Arizona, is eager to help. With over 40 years of experience, he has discovered the most effective way to treat peripheral neuropathy.

Neuropathy Q & A

What is peripheral neuropathy?

Your nervous system is divided into two regions – central and peripheral. The central system includes the brain and spinal cord, while the peripheral system includes all the nerve roots and extremity nerves emanating from it. It’s a broad network, and all of these peripheral nerves transmit vital motor and sensory information throughout the body. A peripheral neuropathy may interrupt or distort some of these transmissions. Diabetic neuropathy and chemo neuropathy are two of the most prevalent kinds.

What causes peripheral neuropathy?

The most common cause of peripheral neuropathy is diabetes. Sometimes the cause is completely unknown (idiopathic). Here are some other potential causes for neuropathy:

  • Autoimmune disorders rheumatoid arthritis or lupus
  • Chronic kidney disease
  • Infections such as HIV and liver infections
  • Low levels of vitamin B12 or other problems with your diet
  • Poor blood flow to the legs
  • Underactive thyroid gland
  • Toxin exposure such as lead, mercury, and solvents may lead to peripheral neuropathy.
  • Pharmaceutical drugs used to treat infections, cancer, seizures, or high blood pressure.

What are the signs and symptoms of neuropathy?

Signs and symptoms include:

  • Numbness or tingling in the hands or feet that gradually move upward into the extremities
  • Pain that is sharp or throbbing
  • Severe sensitivity to touch
  • Poor coordination
  • Frequent falls
  • Muscle weakness
  • Paralysis

What kind of treatments exist for peripheral neuropathy?

There are several treatments available for peripheral neuropathy.

  • Medications, including pain medications, neurologic modifying agents, non-steroidal anti-inflammatory drugs (NSDAIDs), and antidepressants
  • Surgery, including the Dellon® Procedure for diabetic neuropathy or nerve release for mono-neuropathies like carpal tunnel syndrome
  • Calmare® device, a non-invasive FDA-cleared medical device shown to effectively alleviate pain associated with neuropathy
  • Laser therapy using specific wavelengths of light having  a strong anti-inflammatory effect on tissues that help decrease pain
  • Injections, including steroids, numbing agents, and stem-cell rich anti-inflammatory injections

Despite treatments on the market, many patients come to Extremity Health Centers reporting their doctor was unable to alleviate their pain. Dr. Jacoby welcomes challenging cases and has achieved unprecedented results in many of these patients. If you suffer from peripheral neuropathy that has not been successfully treated despite medications, schedule a consultation with Dr. Jacoby today to learn more.


Extremity Health Center accepts the following insurances. Please contact the office for further information.

Humana ChoiceCare Network PPO
Medicare B
United Healthcare

Words from our patients

  • Demandforce

    "I was seen in a timely manner and everything was explained very well. Dr. Jacoby is very personable and even drew out pictures to make understanding easier."

    Kathryn D.
  • Demandforce

    "Timely and courteous. Doc was most kind helping me by cutting away a painful part of nail that was digging into my big toe."

    Diane P.
  • Demandforce

    "Staff is friendly and efficient and Dr. Jacoby is insightful and good at what he does."

    John W.
  • Demandforce

    "Appreciate Dr Jacoby spending time and solving my immediate problem. Very pleasant experience."

    Diane P.
  • Demandforce

    "Dr. Jacoby is very insightful and meticulous in his approach to medicine. Also, his entire staff is courteous, friendly, and good at what they do."

    John W.
  • Healthgrades

    "Dr. Jacoby is concerned about a patient's overall good health, not just a hyper-focused piece of the puzzle. This is a rare find in physicians these days."

    Verified Patient
  • Healthgrades

    "...After my visit with him I started physical therapy in his office. I only needed four treatments and I'm back to my daily walks again. Thank you Dr. Jacoby & Staff!"

    Verified Patient
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