Dr. Marcus Pinto joins us to break down how to evaluate new numbness, tingling, and foot pain with simple bedside tests that separate true neuropathy from common mimics. Practical steps, key red flags, and a high-yield lab strategy give primary care and non-neuro clinicians a clear path forward.
• distinguishing positive vs negative symptoms
• using location and constancy to sort causes
• recognizing stocking–glove vs focal patterns
• bedside “eyes closed” test for persistence
• neuropathic pain descriptors vs mechanical pain
• autonomic clues: gastroparesis and orthostatic hypotension
• gait, heel–toe walking, and reflex triage
• light touch, pinprick, temperature, and vibration methods
• when vibration beats proprioception
• ulcers as a marker of severity and healing issues
• chronicity clues: atrophy, high arches, hammered toes
• targeted labs: CBC, CMP, HbA1c, lipids, B12, B1, B6, copper, zinc
• when to order EMG and what to avoid
• metabolic health and neuropathy progression
Find our work at theneurotransmitters.com and on X at neuro_podcast
Listen on: Apple Podcasts Spotify
The views expressed do not necessarily represent those of any associated organizations. The information in this podcast is for educational and informational purposes only and does not represent specific medical/health advice. Please consult with an appropriate health care professional for any medical/health advice.
