Neuropathy care in Dallas for diagnosed peripheral neuropathy
If you have been diagnosed with peripheral neuropathy, we can walk through your options. Our structured, multi-modal program combines PEMF, red light therapy, cold laser, a nutrition review, and physical therapy, with a plan set by your provider. Research on these modalities is limited, and individual results vary.
If you have been diagnosed with peripheral neuropathy and you’re looking for a structured program that reviews possible contributors to your symptoms alongside any medication you take, this page explains how it works.
What is peripheral neuropathy?
Peripheral neuropathy is damage to the nerves outside the brain and spinal cord — the peripheral nervous system. These nerves carry signals between your body and brain, controlling sensation, movement, and organ function. When they’re damaged, communication breaks down. The result? Pain, numbness, weakness, and a declining quality of life that can make even simple daily tasks feel overwhelming.
Common symptoms
- Tingling or “pins and needles” in hands and feet
- Burning or stabbing pain, especially at night
- Numbness that makes it hard to feel temperature or injuries
- Muscle weakness and difficulty with balance or coordination
- Sharp, shooting pain triggered by light touch or pressure
- Loss of reflexes, particularly in the ankles
- A feeling of wearing invisible socks or gloves
These symptoms typically start in the feet and hands and can progress over time. In some people, particularly with diabetes, peripheral neuropathy can lead to falls, foot wounds that are slow to heal, infections, and in serious cases amputation.
Neuropathy isn't a single condition
It has many causes, and identifying yours helps with planning your care. We build your plan around your diagnosis and history.
Diabetic neuropathy
The most common cause. Chronically elevated blood sugar damages nerve fibers over time. About one-third to one-half of people with diabetes have peripheral neuropathy, according to NIDDK (niddk.nih.gov).
Idiopathic neuropathy
In some cases, no identifiable cause is found. Symptoms can still be evaluated and discussed with your provider.
Chemotherapy-induced (CIPN)
Many chemotherapy drugs are toxic to peripheral nerves. Symptoms may appear during or after cancer treatment.
Age-related neuropathy
Natural degeneration of nerve fibers and reduced blood flow as we age.
Autoimmune neuropathy
Conditions like lupus, rheumatoid arthritis, and Guillain-Barré syndrome can trigger nerve damage.
Nutritional deficiencies
Low levels of B vitamins (especially B12), vitamin E, or copper can cause or worsen neuropathy.
Compression & trauma
Carpal tunnel syndrome, injuries, and repetitive stress are common mechanical causes.
Toxin & medication exposure
Alcohol, heavy metals, and certain prescription drugs can damage nerves.
Testing: what is done here and what is referred
Most patients come to us already diagnosed with peripheral neuropathy. Your first visits still include a careful look at your history and your nerves, so your plan fits your situation. Here is what happens in our Addison office and what we send out.
Done in the clinic
- History and medication review: when your symptoms started, where they are, what makes them worse, your diabetes or cancer history, alcohol use, and every medicine and supplement you take.
- Physical exam: a hands-on exam that can include checks of sensation, reflexes, strength and balance.
- Foot check: a look at the skin of your feet for dryness, calluses, cuts or sores you may not feel, which matters most for people with diabetes.
- Labs: blood work your provider may order, such as A1c for blood sugar and B12 and other nutrient levels for the nutrition review. Labs may be billable to insurance.
- Baseline assessments: structured symptom and functional assessments of pain, sensation, sleep, balance and mobility, used to track how you are doing over time.
Referred out
We do not perform EMG or nerve conduction studies here. If your provider thinks you need one, for example to confirm the type of neuropathy or rule out a pinched nerve, we refer you to an outside provider. EMG/nerve conduction testing is typically billable to insurance. If you already had one, bring the report to your first visit.
For more on diabetes and nerve damage, read our guide to diabetic peripheral neuropathy.
How the multi-modal program is set up
Standard care for nerve pain often includes medicines such as gabapentin, pregabalin, or antidepressants, which can ease symptoms for some people. Our program adds PEMF, red light therapy, and cold laser, along with a nutrition review and physical therapy. Research on these modalities for neuropathy is limited. A 2026 review of sham-controlled PEMF trials found no significant pain reduction in the peripheral neuropathy group, and a 2025 review of light therapy trials in type 2 diabetes called the nerve-related findings inconsistent and preliminary. We cannot tell you these modalities will improve your symptoms. They are cash-pay and are not typically covered by insurance. Individual results vary.
What’s included in the program
Each patient’s plan is customized, but the program typically incorporates:
- PEMF (pulsed electromagnetic field) therapy: a low-frequency magnetic pulse delivered through a mat or applicator. Cash-pay.
- Red light therapy: panels of red and near-infrared light. Cash-pay.
- Cold laser therapy — low-level laser applied to the extremities as part of the protocol. Cash-pay.
- Nutrition review: we check B12, B6, folate, vitamin D, and other nutrients on your labs and talk through any deficiency with you.
- Physical therapy: Rowena Calleja, PT works with neuropathy patients on balance, strength, and mobility.
- Medication review: Charles Ortega, PA-C reviews your current medications and may adjust them. Do not stop a prescribed medicine on your own.
- Lifestyle & metabolic counseling — guidance on diet and exercise, with a connection to our weight management program when weight or blood sugar is part of the picture.
How the program is organized
- EvaluationReview of your diagnosis, history, medications, and labs
- SessionsPEMF, red light, and cold laser, as your provider plans
- NutritionA lab review of key nutrients
- Physical therapyBalance, strength, and gait work
- Care teamPA-C and physical therapist in one clinic
Red light therapy and PEMF: what they are and what the research shows
People often search for red light therapy or PEMF near them before they call us. Here is a plain description of each one, what a session is like, and where the research stands. All three are cash-pay at Innovare Tx.
Red light therapy
Red light therapy uses panels of red and near-infrared light. During a session you sit or lie with the area being treated, usually the feet or hands, close to the panel. It does not involve needles or medicine. Your provider sets how often you come in.
PEMF (pulsed electromagnetic field) therapy
PEMF delivers a low-frequency magnetic pulse through a mat or applicator. During a session you rest on the mat or place your feet or hands on the applicator. Nothing is injected, and your provider sets the schedule.
Cold laser therapy
Cold laser, also called low-level laser therapy, applies low-level laser light to the extremities. It is called cold because it is not meant to heat or cut tissue. It is part of the same cash-pay protocol.
What the research shows
Research on these modalities for neuropathy is limited and mixed. A 2026 review of sham-controlled PEMF trials found no significant pain reduction in the peripheral neuropathy group, and a 2025 review of light therapy trials in type 2 diabetes called the nerve-related findings inconsistent and preliminary (both are linked above). Red light therapy, PEMF and cold laser are not FDA-approved treatments for peripheral neuropathy, and we do not offer them as a cure. We cannot tell you they will improve your symptoms. Individual results vary.
Are you a candidate?
The program may be discussed with adults who have been diagnosed with peripheral neuropathy, including:
- Diabetic neuropathy — numbness, tingling, or pain in feet or hands
- Chemotherapy-induced neuropathy that hasn't resolved
- Idiopathic neuropathy — nerve pain without a clear cause
- Age-related nerve degeneration or balance issues
- Symptoms that have continued despite medicines such as gabapentin or pregabalin
- Early-stage neuropathy that has been diagnosed
Who may not be a fit
We’re transparent about expectations. These modalities may not help everyone, and some health conditions or a very advanced neuropathy may make them a poor fit. That’s why we start with a clinical evaluation and a review of your diagnosis and history.
Your neuropathy care, step by step
Initial evaluation & review of your diagnosis
A thorough clinical evaluation for patients diagnosed with peripheral neuropathy — a review of your diagnosis, history, medications, labs, and lifestyle to build the right plan. If you need an EMG/nerve conduction study, we can coordinate that referral (typically billable to insurance).
Customized plan
Based on your evaluation, Charles Ortega develops a personalized protocol, explaining every component, the planned schedule, and realistic goals for your case.
Scheduled sessions
A structured schedule set by your provider, combining one or more modalities in each session.
Progress tracking & adjustments
We track your response through structured symptom and functional assessments — pain, sensation, sleep, balance, and mobility — and adjust your protocol as needed.
Ongoing support
After that, some patients choose periodic in-office sessions, at-home strategies, and ongoing physical therapy.
Charles Ortega’s approach
Charles Ortega, PA-C, MPAS brings 27 years of medical experience and a philosophy rooted in integrated, whole-person care. He focuses on understanding your whole picture and setting realistic goals with you.
- Comprehensive evaluation
- Review of possible causes of your neuropathy
- Integrated care under one roof
- Progress tracked through structured symptom and functional assessments
- Patient education so you know what to do at home
How we track your progress
We follow up with structured assessments:
- Structured symptom and functional assessments at baseline, mid-treatment, and post-treatment
- Patient-reported tracking of pain, sensation, sleep, and mobility
- Balance and gait assessments related to fall risk
- A review of your medications with your provider
We also offer autologous orthobiologic procedures
As a clinic that also provides orthobiologic procedures — including PRP and BMAC prepared from your own blood or bone marrow — we can talk with you about what these autologous procedures are. They are not FDA-approved for any specific condition, including peripheral neuropathy. Any decision to pursue one is made with your provider after a clinical evaluation.
PRP, PPP, BMAC, and A2M are autologous procedures prepared from your own blood or bone marrow. They are considered investigational and are not FDA-approved for the treatment of any specific orthopedic condition, including osteoarthritis. Individual results are not guaranteed. Any decision to pursue an orthobiologic procedure should be made with your provider after a clinical evaluation.
Costs and coverage
We believe in being transparent about cost. The protocol modalities — PEMF, red light therapy, and cold laser — are cash-pay and are not typically covered by insurance. Your office visits, labs, physical therapy, and any EMG/nerve conduction testing may be billable to insurance. We accept 200+ plans, including Aetna, BCBS, Cigna, Medicare, and UHC. Our team can check your benefits before you start, and we offer self-pay pricing and financing for the cash-pay portions.
Coverage & payment
- Insurance may apply to office visits, labs & PT, depending on your plan
- EMG / nerve conduction studies by referral, may be billable to insurance
- Protocol modalities (PEMF, red light, cold laser) — cash-pay
- Cherry payment plans — monthly installments
- Affirm financing — manageable monthly installments
- CareCredit — healthcare-specific financing
Frequently asked questions about neuropathy care
Want to dig deeper? Read peripheral neuropathy treatment options on our blog.
Neuropathy care for patients from Dallas, Plano, Richardson, Carrollton and Farmers Branch
Innovare Tx has one office, at 16901 Dallas Pkwy, Ste 210, Addison, TX 75001, on the Dallas North Tollway corridor in Addison. Patients come to us from Dallas, Plano, Richardson and Farmers Branch, as well as Carrollton and other nearby cities. All neuropathy visits, sessions and physical therapy take place at the Addison office.
Talk with us about your neuropathy
We'll review your diagnosis, explain your options, and give you an honest assessment. No pressure, no obligation.