Neuropathy Pain Relief in El Paso: Best Medications

Neuropathy happens when nerves get damaged. It often causes burning pain, tingling, numbness, or weakness—usually in the feet and hands. Millions deal with this every day, and it can make simple tasks harder. At ChiroMed in El Paso, TX, the team uses an integrated approach to treat root causes rather than just mask symptoms (ChiroMed, n.d.).

Diabetes is the most common cause. High blood sugar harms the tiny blood vessels that feed nerves. Other triggers include injuries, infections, vitamin shortages, chemotherapy, autoimmune issues, or even gluten-related inflammation. While some neuropathy improves when the cause is fixed, diabetic cases often need ongoing management to slow progression and ease pain (HealthCentral, n.d.; ChiroMed, 2025b).

Patients at ChiroMed frequently ask the same questions:

• What caused my neuropathy?
• What is the best medication for this pain?
• Are there non-drug options that really work?
• Why does my pain get worse at night?
• What if my current treatment isn’t helping?

ChiroMed’s dual-credentialed provider, Dr. Alexander Jimenez, DC, APRN, FNP-BC, answers these directly. As both a Doctor of Chiropractic and board-certified Family Nurse Practitioner, he creates personalized plans that combine medication management with natural therapies.

Common Causes and Early Symptoms of Neuropathy

• Diabetes → damages nerves through poor circulation
• Injuries or spine issues → compress nerves
• Toxins & inflammation → including gluten sensitivity
• Vitamin deficiencies → especially B vitamins
• Autoimmune or chemotherapy-related damage

Early signs include tingling, burning feet, balance problems, or muscle weakness. Catching it early helps prevent complications such as falls or ulcers (Azar et al., 2020; ChiroMed, 2025a).

Best Medications for Neuropathy Pain

There is no single “best” pill—it depends on your health history. First-line medications that change how pain signals travel include:

• Gabapentin → calms overactive nerves; may cause dizziness
• Pregabalin → similar to gabapentin; often faster relief
• Duloxetine → an SNRI that boosts natural pain-fighting chemicals

These are recommended by guidelines for diabetic and other neuropathies (Attal et al., 2017; NHS, n.d.). At ChiroMed, Dr. Jimenez starts with the lowest effective dose, monitors side effects closely, and adjusts quickly because he holds both NP and chiropractic licenses.

Common side effects to expect:

• Mild drowsiness or dizziness
• Dry mouth or nausea
• Weight changes (especially with pregabalin)

Topical creams, such as lidocaine patches or capsaicin, are also used to relieve localized burning pain.

Why Neuropathy Pain Feels Worse at Night

Pain often spikes at night because:

• Fewer distractions let the brain focus on nerve signals
• Lying down changes blood flow and nerve pressure
• Temperature drops can make symptoms flare

Quick nighttime tips:

• Wear soft socks to keep your feet warm
• Use white noise or a fan
• Elevate feet slightly
• Take evening doses of medication if prescribed

Non-Drug Treatments That Work Well

Many patients prefer or need options beyond pills. ChiroMed offers several proven alternatives:

• Chiropractic adjustments → improve spinal alignment and blood flow to nerves
• Acupuncture → stimulates natural pain relief
• Therapeutic exercises & rehabilitation → build strength and balance
• Nutrition counseling → target inflammation and vitamin gaps
• Cold laser therapy → supports nerve healing
• TENS units → gentle electrical stimulation

Dr. Jimenez often uses chiropractic care for diabetic neuropathy and nerve damage linked to gluten sensitivity. These approaches reduce inflammation and enhance nerve function without relying solely on medication (ChiroMed, 2025a; ChiroMed, 2025b).

Additional helpful therapies:

• Manual soft-tissue work
• Functional movement training
• Naturopathic support for blood-sugar balance

What to Do When Medication Isn’t Enough

If pain continues, the next steps include:

• Dose adjustment or medication switch
• Adding non-drug therapies
• Diagnostic testing to rule out new causes
• Referral to advanced options like nerve stimulation

ChiroMed’s integrated model shines here—Dr. Jimenez can manage prescriptions as an NP while adding chiropractic and rehab as a DC.

How Nurse Practitioners at ChiroMed Help

Nurse practitioners provide full-scope care: prescribing medications, ordering labs, monitoring progress, and creating custom plans. At ChiroMed, NPs focus on:

• Safe medication management
• Foot safety education (key to diabetes)
• Lifestyle coaching for blood-sugar control
• Coordinating with your primary doctor

This whole-person approach improves daily function and reduces complications (Haddad et al., 2021; NurseTogether, n.d.).

Integrative Chiropractic Care at ChiroMed

Chiropractic at ChiroMed goes beyond adjustments. Dr. Alexander Jimenez uses:

• Spinal decompression
• Targeted rehabilitation
• Functional nutrition
• Electro-acupuncture

His 30+ years of experience show that combining chiropractic with medical care gives better long-term relief for neuropathy, sciatica, and chronic nerve pain (Jimenez, n.d.a; ChiroMed, n.d.).

Benefits patients notice:

• Less burning and tingling
• Better balance and walking
• Reduced need for high-dose medications
• Improved sleep and energy

The Power of Combined NP + Chiropractic Care at ChiroMed

ChiroMed’s unique advantage is having both services under one roof. Dr. Jimenez’s dual training means seamless coordination—no bouncing between offices. Patients get:

• Medication when needed
• Hands-on nerve relief
• Nutrition and rehab support
• One personalized treatment plan

This multidisciplinary model has helped thousands in El Paso reduce pain and regain mobility (Progressive Health Clinic, n.d.; ChiroMed testimonials).

Living a Full Life with Neuropathy

Neuropathy doesn’t have to control your days. With the right combination of medications, lifestyle changes, and integrated therapies, most people feel much better. ChiroMed in El Paso specializes in exactly this kind of care.

Practical daily tips:

• Walk or swim for gentle exercise
• Eat anti-inflammatory foods
• Check feet daily
• Stay consistent with treatment

Early action makes the biggest difference.

If you’re in El Paso and struggling with neuropathy pain, schedule a consultation at ChiroMed. Call (915) 412-6680 or visit https://chiromed.com/ to meet Dr. Alexander Jimenez and experience integrated relief.

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References

Attal, N., et al. (2017). Pharmacotherapy for neuropathic pain: A review. Pain and Therapy, 6(Suppl 1), 23–33. https://pmc.ncbi.nlm.nih.gov/articles/PMC5701897/

Azar, M., et al. (2020). Peripheral neuropathy: Evaluation and differential diagnosis. American Family Physician, 102(12), 732-739. https://www.aafp.org/pubs/afp/issues/2020/1215/p732.html

ChiroMed. (n.d.). Integrated medicine holistic healthcare in El Paso, TX. https://chiromed.com/

ChiroMed. (2025a). Chiropractic care: An overview of diabetic neuropathy. https://chiromed.com/chiropractic-care-an-overview-of-diabetic-neuropathy/

ChiroMed. (2025b). Chiropractic care approaches for nerve damage correlated with gluten. https://chiromed.com/chiropractic-care-approaches-for-nerve-damage-correlated-with-gluten/

Haddad, L. M., et al. (2021). Assessing practice patterns and influential factors for nurse practitioners who manage chronic pain. Pain Management Nursing, 22(4), 508-514. https://www.sciencedirect.com/science/article/abs/pii/S152490422100014X

HealthCentral. (n.d.). Neuropathy. https://www.healthcentral.com/condition/neuropathy

Jimenez, A. (n.d.a). Dr. Alex Jimenez. https://dralexjimenez.com/

NHS. (n.d.). Peripheral neuropathy – Treatment. https://www.nhs.uk/conditions/peripheral-neuropathy/treatment/

NurseTogether. (n.d.). Peripheral neuropathy nursing diagnosis & care plan. https://www.nursetogether.com/peripheral-neuropathy-nursing-diagnosis-care-plan/