Diabetic Peripheral Neuropathy Treatment in Baltimore, MD

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Treatment for Numbness, Tingling, and Balance Problems Caused by Diabetic Nerve Damage

If you're living with diabetes, you may already know that nerve damage in your feet — diabetic peripheral neuropathy — can be one of the most frustrating and limiting complications to manage.

It's not just about discomfort. It's about safety, balance, and staying ahead of complications.

Many people managing diabetic neuropathy notice:

Numbness or reduced sensation in the feet

Burning, tingling, or “pins and needles”

A “walking on cotton” sensation


Increasing difficulty with balance

Greater caution on stairs or uneven ground

Concern about cuts, sores, or injuries they can't feel


Blood sugar management is essential — and it's not the only piece of the puzzle.

Supporting your nerve function directly is something that may also help.

Why Diabetic Neuropathy Affects Balance and Sensation

Diabetic peripheral neuropathy happens when prolonged elevated blood sugar damages the small nerves that carry signals between your feet and your brain.

Those nerves act as sensors — telling your brain where your feet are, how pressure is distributed, and how to adjust your balance in real time. When diabetes damages this signaling pathway, your brain receives less reliable information from your feet.

This is why diabetic neuropathy so often shows up as both a sensation problem (numbness, burning, tingling) and a balance problem (unsteadiness, fear of falling, reliance on railings or support) at the same time.

Our Approach for Diabetic Peripheral Neuropathy

At deBorja Physical Therapy, we focus on supporting nerve function and communication — not just managing symptoms. For patients managing diabetic neuropathy, this means:

Identifying areas of nerve dysfunction through mapping

Applying targeted nerve stimulation with the Stimpod NMS460

Supporting circulation and tissue health around the affected areas

Helping restore clearer communication between your brain and your feet

This is part of our Advanced Nerve Restoration Program, and it is not a replacement for your diabetes management plan or your physician's care — it works alongside it.

Two Ways to Work With Us

Whether you prefer hands-on care in our office or the flexibility of treating at home, we offer two paths to the same goal: better nerve communication, steadier balance, and more confidence in your daily life.

In-Office Program

Best for: patients who want hands-on, in-clinic care alongside nerve stimulation.

Stimpod NMS460 nerve stimulation, delivered in-office

Combined with manual therapy

Myofascial release for surrounding tissue and circulation support

Lymphatic drainage to support circulation and reduce swelling

One-on-one sessions with Dr. deBorja

Ongoing progress tracking and hands-on adjustment

At-Home Rental Program

Best for: patients who want consistent treatment between visits, with guidance and support.

Stimpod NMS460 device rental for home use

In-office training session before take-home

Guided home treatment protocol

Zoom support calls as needed

Flexibility to treat on your own schedule

Ideal for consistent, frequent sessions between in-office visits

Not Sure Which Is Right for You? Let's Talk

The Technology We Use

We use pulsed radiofrequency nerve stimulation with the Stimpod NMS460.

This FDA-cleared device is designed to:

Stimulate affected nerve pathways

Restore and support communication between your brain and your feet

Go beyond surface-level stimulation like traditional TENS units

What Happens During Your First Visit

Your initial session is designed to give you clarity and a real experience of the treatment.

During your visit, we will:

Discuss your symptoms and history
Assess your balance and walking

Perform nerve mapping

Provide a trial treatment

Guide you on whether this approach is a good fit

Neuropathy Evaluation & First Treatment

$260

60-Minute One-on-One Session

✔ Nerve mapping + assessment

✔ First treatment experience

✔ Clear guidance on your next steps

Diabetic-Specific FAQ

Is this treatment safe for people with diabetes?

Many people with diabetes seek additional support for nerve-related symptoms alongside their regular diabetes management. We evaluate each case individually, and this approach is not a replacement for your physician's care or your blood sugar management plan.

Will this treatment help my blood sugar?

No. This treatment does not manage blood sugar and is not a substitute for diabetes care. It focuses specifically on supporting nerve function and communication for symptoms like numbness, tingling, and balance issues.

Can diabetic neuropathy actually improve?

In certain cases, yes. It depends on factors like blood sugar control, how long symptoms have been present, and how your nervous system responds. Many people focus less on ‘reversing everything’ and more on meaningful day-to-day improvements — steadier walking, better foot awareness, and more confidence.

I'm worried about cuts or sores I can't feel — does this help with that?

Improved sensation and nerve communication may help you become more aware of your feet day to day. This is not a substitute for routine diabetic foot checks with your physician or podiatrist, which remain an important part of your care.

Do I need a referral from my endocrinologist or primary care doctor?

A referral is not required, but we strongly encourage staying connected with your physician and diabetes care team. We see this as a complement to your medical care, not a replacement for it.

How is this different from the nerve pain medications I've tried?

Medication may help reduce discomfort for some people, but it doesn't directly improve how your nerves communicate with your brain. This approach focuses on supporting that communication directly, and may be used alongside medication depending on your situation.

What if my neuropathy has been getting worse despite managing my blood sugar well?

This is a common and understandable concern. Diabetic neuropathy can progress even with good blood sugar control. Our focus is on what may still be possible for your comfort, balance, and function — we evaluate each case individually during a trial visit.

Not sure if this is the right fit, or want to learn more about our full neuropathy program?

Visit our main Neuropathy Treatment page for the complete overview.

Book Your Diabetic Neuropathy Evaluation

✔ 60-minute one-on-one session

✔ Nerve mapping + assessment

✔ First treatment experience

✔ Clear guidance on next steps

$260

No pressure. Just clarity.

Clinic Hours By Appointment Only

Mon, Wednesday: 9:30 - 5 pm
Tuesday Thursday: 12 - 4 pm
Friday: 9:30 am - 4pm 
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MEDICAL DISCLAIMER

All information on this website is intended for instruction and informational purposes only. The authors are not responsible for any harm or injury that may result. Significant injury risk is possible if you do not follow due diligence and seek suitable professional advice about your injury. No guarantees of specific results are expressly made or implied on this website.