Quick Answer
Peripheral neuropathy is identified by a symmetrical toes-first pattern spreading slowly upward, and a meaningful proportion has a treatable cause. Blood work and electrodiagnostic testing are performed and interpreted at 7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147.
Part ofThis guide sits beneath peripheral neuropathy, which covers the study itself, how it is performed and what the report should contain.
our Peripheral Neuropathy hub →Key Takeaways
- The characteristic pattern is symmetrical, toes-first, spreading slowly upward over months to years.
- Diabetes and prediabetes are commonest; B12 deficiency, thyroid disease and alcohol are all correctable.
- A normal standard nerve study does not exclude a small-fibre process causing burning pain.
- Reduced foot sensation degrades balance and lets injuries go unnoticed, so foot care is part of management.
- Blood work and electrodiagnostic testing at 7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147. Ask for the study to be graded, not only named.
Peripheral neuropathy
Peripheral neuropathy is damage to the nerves outside the brain and spinal cord. It commonly causes numbness, tingling, burning pain or weakness, usually beginning in the feet because the longest nerve fibres are affected first.
The pattern localises it, and the reversible causes are worth finding
Numbness and burning in the feet has many causes and the useful first step is the pattern, because distribution points to the level and the level points to the cause.
The pattern that defines a neuropathy
Symmetrical, worst at the toes, spreading slowly upward over months to years, and eventually involving the hands in a similar distal-first way. That length-dependent pattern is characteristic, and it differs from a defined strip of one hand suggesting a specific entrapped nerve, or a band down one limb suggesting a nerve root. Asymmetry, rapid progression over days, or prominent weakness rather than sensory change all point away from the common picture and warrant a different urgency.
The causes worth actively excluding
Diabetes and prediabetes, which together are the commonest cause and where glucose control changes the trajectory. Vitamin B12 deficiency, which is correctable and easy to miss, and worth noting that long-term metformin use and reduced stomach acid both contribute to it. Thyroid disease. Alcohol, which is a recognised cause and improves substantially with reduction, particularly where thiamine deficiency is corrected alongside. Kidney disease. And medication effects, including several chemotherapy agents. A meaningful proportion of neuropathy is caused by something treatable, and finding it changes the outcome rather than only the label.
What a normal nerve study does not exclude
Standard nerve conduction studies assess large nerve fibres. A small-fibre process, which typically causes burning pain and temperature sensitivity rather than numbness, can coexist with an entirely normal study. That is a common source of confusion and a common reason patients are told nothing is wrong when something is. Recognising that pattern clinically is what fills the gap.
The complication that matters most
Reduced sensation in the feet means an injury can go unnoticed until it is significant, and it also degrades balance because the brain loses feedback it depends on. Foot inspection and falls risk are therefore part of management rather than an afterthought, and in a warm climate where sandals are worn year-round that matters more than it might elsewhere.
| Also considered | How it is distinguished |
|---|---|
| Radiculopathy | A pinched nerve root follows a single dermatomal pattern rather than a symmetric stocking distribution. |
| Small-fibre neuropathy | Burning and temperature change dominate while standard nerve conduction studies can be normal. |
| Vascular claudication | Symptoms come on with walking and ease with rest rather than being present at rest and worse at night. |
| Carpal tunnel and other entrapments | Symptoms map to one nerve's territory; nerve conduction studies localise the site. |
What the assessment involves
01
What brings people in
Numbness, tingling or burning that is spreading, unsteadiness in the dark, or a need to know whether nerve damage is present and why.
02
What the evaluation settles
Whether measurable nerve damage is present, which fibres are involved, the distribution, and which treatable causes to screen for.
03
What you leave with
Objective electrodiagnostic results interpreted by the ordering neurologist, a cause-directed work-up, and a symptom-management plan.
Blood work first, because it finds the treatable causes
Glucose and HbA1c, vitamin B12, thyroid function, kidney function and others as indicated, ordered and interpreted here. That comes before or alongside nerve testing rather than after it, because identifying a correctable cause changes management immediately.
Electrodiagnostic testing performed and interpreted here
Nerve conduction studies and needle electromyography at both offices, in laboratories holding AANEM accreditation independently, described on the EMG page. The study confirms the pattern, grades severity, and separates a neuropathy from a nerve root or entrapment problem. Ask for it to be graded rather than only named, because severity rather than the finding is what informs decisions.
What treatment addresses
The cause where one is found, which is the part that changes the trajectory. Glycaemic control coordinated with primary care. Nutritional deficiency corrected. Neuropathic pain managed pharmacologically where it interferes with sleep or function, with expectations set honestly: treatment reduces pain rather than restoring sensation, and established nerve damage may not fully reverse.
What is not provided
No infusion suite, so immune-mediated neuropathies requiring infusion therapy are coordinated with outside providers. No interventional pain programme. No podiatry, though foot care matters and is coordinated. Adults 18 and older.
The first 30, 60 and 90 days
Step 1
First visit
History and neurological examination, a review of records and prior imaging, and a decision on which studies are actually indicated. You leave with the plan, not just a referral.
Step 2
Within 30 days
Indicated in-office studies are performed and interpreted by the neurologist who ordered them, in our AANEM-accredited laboratories. Results are explained in plain language.
Step 3
60 to 90 days
Follow-up to judge whether the plan is working, adjust it, and coordinate with your referring clinician. Where a diagnosis needs time to confirm, this is where it is revisited.
Attending from Las Vegas
The Las Vegas office is at 7751 W. Flamingo Road, Suite A-100, in Sunrise Medical Plaza, with parking on site. All six in-office studies are performed and interpreted there, so nothing is sent across to Henderson. If you are coming from Summerlin, Spring Valley or Enterprise this is almost always the shorter journey. Adults 18 and older.
Numbness, burning or weakness?
Ask for the nerve study to be graded rather than only named, and have the reversible causes checked.
The Bottom Line
Get the treatable causes checked and the study graded. A normal standard study does not rule out a small-fibre process.
Frequently Asked Questions
What pattern suggests a neuropathy?
Symmetrical numbness or burning worst at the toes, spreading slowly upward over months to years, eventually involving the hands in a similar distal-first way. Asymmetry, rapid progression over days, or prominent weakness point away from that picture. The rate of change matters as much as the distribution, so when you first noticed it is worth pinning down.
What causes are worth checking?
Diabetes and prediabetes, which are commonest. Vitamin B12 deficiency, which is correctable and easy to miss. Thyroid disease, alcohol, kidney disease and medication effects including several chemotherapy agents. A meaningful proportion of neuropathy has a treatable cause. A fasting glucose or HbA1c and a B12 level are usually the first two things checked.
My nerve study was normal but my feet burn. Why?
Because standard studies assess large nerve fibres. A small-fibre process, which typically causes burning pain and temperature sensitivity rather than numbness, can coexist with an entirely normal study. Recognising that pattern clinically fills the gap. A normal study is therefore not a dead end, and it does exclude the large-fibre causes that would need different treatment.
Can neuropathy be reversed?
Where a treatable cause is found and corrected, improvement is possible and sometimes substantial, particularly with nutritional deficiency or alcohol. Established nerve damage may not fully reverse, which is an argument for addressing it earlier rather than later. Even where sensation does not return, pain can frequently be managed, which is a separate goal worth pursuing.
Why does foot care matter so much?
Because reduced sensation means an injury can go unnoticed until it is significant, and it degrades balance by removing feedback the brain depends on. In a climate where sandals are worn year-round that matters more than it might elsewhere. Checking the feet daily, including between the toes, takes less than a minute and catches most problems early.
What should I ask about the nerve study?
That it be graded rather than only named. Severity rather than the finding is what informs decisions, and a report giving a conclusion without the measurements cannot be compared against a later study. Ask for a copy of the report itself rather than a summary letter, and keep it for comparison.
When is numbness urgent?
When it ascends from the feet over days rather than months, particularly with weakness. Sudden numbness affecting one side of the body is a stroke presentation and needs 911 rather than an appointment. Numbness with bowel or bladder change, or with band-like tightness around the trunk, also needs urgent assessment.
Does treatment restore feeling?
Treatment reduces pain rather than restoring sensation, and that expectation is worth setting honestly. Where a treatable cause is corrected early, improvement is possible; established damage may not fully reverse. Setting that expectation at the outset stops an effective treatment being judged a failure for not doing something it was never going to do.
Where exactly is the Las Vegas office?
7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147, in Sunrise Medical Plaza on the west side of the valley, with parking on site. All six in-office studies are performed and interpreted there, so nothing is referred across to the Henderson office. Summerlin, Spring Valley and Enterprise are generally closer to it than to Horizon Ridge Parkway.
Should I use the Las Vegas or the Henderson office?
Whichever is the shorter drive, since both are fully equipped and hold the same records. West Flamingo Road generally suits the west and southwest of the valley; West Horizon Ridge Parkway suits Green Valley, Anthem and Boulder City. If you can attend either, say so when booking, because availability differs between the two week to week.
How this page was sourced
Practice facts come from Clinical Neurology Specialists directly: that electrodiagnostic testing is performed and interpreted at both offices in independently accredited laboratories, that two neurologists focus on neuromuscular medicine, and that infusion therapy, genetic testing, muscle biopsy and rehabilitation therapies are coordinated with outside providers rather than performed on site. Clinical context is sourced to the organisations listed below.
No reference values, severity thresholds, prevalence figures or named medications appear, because electrodiagnostic values vary by nerve, age, height and temperature and treatment selection is a clinical decision. No outcome is promised. Scope is adults 18 and older.
Change log
- 2026-07-28 — page published; clinical content reviewed.
- 2026-07-28 — last reviewed against AAN, AANEM and NINDS guidance; internal links and schema verified.
- Review cadence: quarterly, or sooner if guidance changes.
How to cite this page
Clinical Neurology Specialists. “Neuropathy specialist Las Vegas.” Reviewed 2026-07-28. https://www.cnsnevada.com/conditions/peripheral-neuropathy/neuropathy-specialist-las-vegas/
References
- Muscular Dystrophy Association — patient information across neuromuscular disorders.
- American Association of Neuromuscular & Electrodiagnostic Medicine — electrodiagnostic standards and laboratory accreditation.
- National Institute of Neurological Disorders and Stroke — the reference catalogue of nervous-system disorders.
This page is for general information about a Clinical Neurology Specialists office and is not medical advice, a diagnosis, or a treatment recommendation. It does not create a physician-patient relationship. Adults 18 and older. For an active stroke, a first-time or prolonged seizure, sudden severe headache, sudden weakness, sudden vision loss, or a head injury with loss of consciousness, call 911 or go to the nearest emergency department.