Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
Quick Answer
Vitamin B1 Thiamine vs. Benfotiamine [STOP Chronic Pain  relates to foot neuropathy — typically caused by nerve compression or systemic. Most patients improve in varies by cause with conservative care. Same-week appointments in Howell + Bloomfield Twp: (810) 206-1402.
✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
Treatment at Balance Foot & Ankle: Diabetic Foot & Circulation Screening →
Vitamin B1 Thiamine vs. Benfotiamine [STOP Chronic Pain & Neuropathy]
https://www.youtube.com/watch?v=BFjwxefiBUY Vitamin B1 Thiamine vs. Benfotiamine [STOP Chronic Pain & Neuropathy] 🦶28.4% of persons with diabetes (4.2 million) and 11.8% without diabetes (14.4 million) over 40 have peripheral neuropathy or chronic pain. New Vitamin B1 Studies regarding Benfotiamine & Thiamine can help!🦶 We review new studies for benfotiamine vs. thiamine (Vitamin B1) deficiency. We also review benfotiamine vs thiamine supplementation. Stop your diabetic neuropathy & chronic pain. 0:00 Vitamin B1 Deficiency & Thiamine Deficiency 0:41 What is a thiamine deficiency & Vitamin B1 Deficiency 1:08 Vitamin B1 Deficiency Symptoms 1:52 Benfotiamine (allithiamine) vs Vitamin B1 (Thiamine) 2:20 Measure thiamine levels (Vitamin B1 toxicity) 3:13 Best Vitamin b1 rich foods (thiamine foods) 3:40 thiamin vs. benfortiamine supplements 4:30 What does thiamine do? 5:20 Advanced glycation end products, diabetes and vitamin B1 5:43 Inflammatory foods 6:10 New benfotiamine research studies 6:26 Vitamin B1 Dosage 7:24 Vitamin B1 Toxicity 8:12 Best Benfotiamine supplements, levels and tips 👉 LINKS 👈 (With some links, we use affiliate links and may earn a commission. Check with your doctor before using any product!) 📢Disclaimer:📢 This video and description contain affiliate links, which means we may receive a commission if you click on one of the product links. Thank you for your support of this channel! Vitamin B12 Supplements: Video: https://youtu.be/s9xDeZyLb50 Best Seller Sublingual Vit B12: https://geni.us/CmtPD (Amazon) Budget 1,000mcg B12 Sublingual Tab: https://geni.us/LrBz (Amazon) Amazon Best Rated: B12 Sublingual: https://geni.us/ZpKg (Amazon) Vitamin D & Vitamin K2 Supplements: Video: https://youtu.be/sOA1RPT8suw Vitamin D 5,000 unit + Vitamin K2: https://geni.us/aNgo (Amazon) Vitamin K2 & Vitamin D Soft gels: https://geni.us/r7hJKt (Amazon) Vitamin D 5,000 unit: https://geni.us/6poa4 (Amazon) Vitamin D 5,000 unit (Year Supply): https://geni.us/bsEg9M (Amazon) Peripheral Neuropathy Supplements: Best Magnesium Supplements: Watch this video for details: https://youtu.be/sOA1RPT8suw 1st Magnesium citrate: https://geni.us/hQaNlBk (Amazon) 1st Magnesium Spray: https://geni.us/z7j2J8R (Amazon) Magnesium Citrate Powder: https://geni.us/2B7h3c (Amazon) Magnesium sulfate (Epsom Salts): https://geni.us/NuMOQh (Amazon) Turmeric (Anti-inflammatory benefit spice): Watch this for more: https://youtu.be/hIoGWnAv2YM Turmeric & Ginger Complex (Amazon Basics): https://geni.us/NI4Vebe (Amazon) Low-Cost Turmeric Seasoning: https://geni.us/oUGmjN (Amazon) Omega 3 Fatty Acid (Check how much EPA & EHA in it, not the total fat content): Watch this for more: https://youtu.be/8CVHgrf-FLQ High % EPA & DHA Omega 3 Fatty Acid: https://geni.us/OVn1vu (Amazon) First Over 50% EPA & DHA Option: https://geni.us/MhD5Bf (Amazon) Chondroitin & Glucosamine (Joint Cartilage Growth Factor): Watch this for more: https://youtu.be/8CVHgrf-FLQ Costco Brand (Kirkland) Combo: https://geni.us/0gAWarB (Amazon) Alpha Lipoic Acid (Antioxidant beneficial in Neuropathic pain, Diabetes. Watch this for more: https://youtu.be/9SROQJl-a6I R-Alpha Lipoic Acid (Needs to Be R- not S-Alpha Lipoic Acid) 👉 Shoes 👈 Best Shoes: https://www.michiganfootdoctors.com/podiatrist-recommended-shoes/ Best Products: https://www.michiganfootdoctors.com/recommended-foot-doctor-products/// 📢See a Podiatrist!📢 See a podiatrist if you have a specific foot, ankle, or health problem. This information is NOT specific to your medical problem. If you are in Michigan, consider seeing us at our clinic: https://www.michiganfootdoctors.com/. https://g.page/r/CaxJ9b-O6o27EAE This is opinion only: For the viewer or reader: Do not consider this video a substitute for professional medical advice, diagnosis, or treatment. We strongly urge you to contact your physician regarding your medical condition. If you have an emergency, call 911 immediately or see your physician. Do not allow this information to let you disregard your professional’s medical advice or delay seeking information from this content. Do not rely on the information provided by this general education video. Healthcare practitioners: The content here is for education purposes only. It does not reflect individual practices in other geographic areas. The authors have done their best to provide the most up-to-date, evidence-based information, but this content should not be considered by any medical standard. This is strictly for medical education purposes only, and it is not intended for diagnosis or treatment. The information in these videos is the author’s opinion and is not an official opinion of any organizations that the authors may be a part of. The authors or speakers are not associated with any of the above products.
Peripheral Neuropathy and Foot Nerve Pain: Clinical Care at Balance Foot & Ankle in Michigan
Michigan patients experiencing burning, tingling, numbness, or stabbing foot pain from peripheral neuropathy deserve clinical evaluation that goes beyond lifestyle modifications and supplements. At Balance Foot & Ankle, peripheral neuropathy evaluation includes a thorough lower extremity neurological examination, monofilament and vibratory threshold testing to quantify sensory loss, and coordination with neurology or primary care for electrodiagnostic testing (nerve conduction studies and EMG) when the cause of neuropathy is unclear. For patients with diabetic peripheral neuropathy — the most common cause of foot neuropathy in our Michigan patient population — we focus on protective footwear, ulcer risk stratification, and regular surveillance examinations to prevent the wound complications that diabetic neuropathy enables. For patients with compressive neuropathies (tarsal tunnel syndrome, Morton’s neuroma, common peroneal nerve entrapment) that are treatable with podiatric intervention, we provide definitive diagnosis and treatment rather than long-term symptom management. Michigan patients with foot neuropathy symptoms can call Balance Foot & Ankle at (810) 206-1402 to schedule at our Howell or Bloomfield Hills office.
Related Treatment Guides
- Diabetic Foot Care & Neuropathy
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
3980 E Grand River Ave, Suite 140
Howell, MI 48843
Get Directions →
Bloomfield Hills Office
43700 Woodward Ave, Suite 207
Bloomfield Hills, MI 48302
Get Directions →
Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentMore Podiatrist-Recommended Diabetic Essentials
Diabetic-Approved Walking Shoe
- Tie-Less Lacing System eliminates the need to tie laces. Heel strap enables to adjust the grip around the heel. Cushioning sole with a mild Rocker adds spring to your step. Soft, padded fabric interior with no overlays eliminates irritation.
Orthofeet Sprint — seamless, extra-depth, designed for neuropathic feet.
Seamless Diabetic Sock
- Provides continuous support of the Plantar Fascia by gently stretching the fascia tissue.
- Compression zones promote circulation, reduce impact vibration, boost recovery and strengthen feet.
- Lightweight, seamless design with extra cushioning provides support while still being comfortable.
- Supports the heel/arch and overall foot structure while stabilizing the tendon for better performance
- Made from high quality materials, the socks are moisture wicking and breathable.
OS1st FS4 — non-binding, moisture-wicking, protects fragile diabetic skin.
Recovery Slide for Indoor Wear
- Model ID: 1135061-BTRT
HOKA Ora 3 — protects diabetic feet from barefoot injury at home.
As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Product recommendations are based on clinical experience; prices and availability shown above update live from Amazon.
When to See a Podiatrist
One unnoticed blister on a neuropathic foot can become a limb-threatening ulcer in under 14 days. Medicare covers diabetic shoes (A5500) and comprehensive foot exams annually for most diabetic patients with neuropathy or circulation concerns. Balance Foot & Ankle runs a dedicated diabetic limb-preservation program — vascular screening, offloading, ulcer care, and shoe fitting — all in one visit. Schedule your annual diabetic foot exam today.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
In-Office Treatment at Balance Foot & Ankle
When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including Peripheral Neuropathy Treatment Michigan at our Howell and Bloomfield Hills clinics.
Same-day appointments available. Call (810) 206-1402 or book online.
Pros & Cons of Conservative Care for diabetic foot care
Advantages
- ✓ Daily inspection prevents amputation
- ✓ Most insurance covers DME
- ✓ Custom orthotics help
Considerations
- ✗ Daily commitment required
- ✗ Slow wound healing
- ✗ Charcot risk if neuropathy
Dr. Tom’s Recommended Products for diabetic foot care
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Drew Moonwalker Diabetic Shoe Dr. Tom’s Pick
Best for: Medicare-covered diabetic footwear
Diabetic Compression Socks Dr. Tom’s Pick
Best for: Daily protection + circulation
Ready to Get Back on Your Feet?
Same-day appointments in Howell + Bloomfield Twp. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Book Today — Same-Day Appointments Available
Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Twp, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has reached over one million views.
Frequently Asked Questions
Can a podiatrist help with neuropathy?
What does neuropathy in feet feel like?
Is foot neuropathy reversible?
- Plantar Fasciitis: Diagnosis and Conservative Management (PubMed)
- Plantar Fasciitis (APMA)
- Diagnosis and Treatment of Plantar Fasciitis (PubMed / AAFP)
- Heel Pain (APMA)
Recommended Products from Dr. Tom