Diabetes, vitamin deficiency, vascular — neuropathy has a few main causes and finding yours is the first step.
You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what what causes peripheral neuropathy means and what works. Call (810) 206-1402 for same-day appointment at Howell or Bloomfield Hills.
Quick answer: What Causes Peripheral Neuropathy Arteries Vitamin Deficiencies affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Hills practices. Call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
In This Article
- Quick Answer
- Comprehensive Foot and Ankle Care in Michigan: Balance Foot & Ankle
- Your Board-Certified Podiatrists
- More Podiatrist-Recommended Diabetic Essentials
- In-Office Treatment at Balance Foot & Ankle
- Pros & Cons of Conservative Care for diabetic foot care
- Dr. Tom’s Recommended Products for diabetic foot care
The most important clinical decision with What Causes Peripheral Neuropathy Arteries Vitamin Deficiencies isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Related Conditions
Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle
Last reviewed: May 2026
Quick Answer
What Causes Peripheral Neuropathy [Arteries & Vitamin D 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 Hills: (810) 206-1402.
✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
What Causes Peripheral Neuropathy [Arteries & Vitamin Deficiencies? For specialized treatment, see our neuropathy treatment Michigan.]
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What Causes Peripheral Neuropathy [Arteries & Vitamin Deficiencies?]
🦶 About 2.4% of people globally have a form of peripheral neuropathy. Among people 45 and older, that percentage rises to between 5% and 7%. I see it even more commonly.🦶
Full Video:https://youtu.be/kMlcvn88Xcc
Peripheral Neuropathy Treatment: https://youtu.be/DoqjV9VR5tA
Best Neuropathy Foods: https://youtu.be/T7U6eR1sd8E
Best Neuropathy Vitamins: https://youtu.be/tL-Vj0wODaw
Diabetic Neuropathy: https://youtu.be/PiL2uQonrt0
Back Pain & Sciatica: https://youtu.be/STldslprWxs
Tarsal Tunnel: https://youtu.be/DoqjV9VR5tA
Baxter’s Nerve: https://youtu.be/jBXHBBM26kw
Morton’s Neuroma Treatment: https://youtu.be/WUHDyoqlSjk
Spinal Cord Stimulation: https://youtu.be/SuH_yqTONDg
Athlete’s Foot Treatment: https://youtu.be/PKT_slq6M54
Toenail Fungus Treatment: https://youtu.be/Uq30wM7YSAM
Related Videos:
Check for specific vitamins with their video links below:
Vitamin D + K2 + Magnesium + Boron + Omega 3: https://youtu.be/esTz-_Mpm4Q
Best Diabetic Neuropathy Treatments: https://youtu.be/sPihveT3oc0
Top 28 Signs of Diabetes: https://youtu.be/8U9b36D43xI
Best Foods & Treatment for Small Vessel Disease: https://youtu.be/bZKQEp2AHfc
Neuropathy, or peripheral neuropathy, is a condition characterized by damage or dysfunction of the peripheral nerves. There are numerous potential causes of neuropathy, including:
Diabetes: Diabetic neuropathy is one of the most common causes of neuropathy. High blood sugar levels can damage the nerves over time, particularly affecting the legs and feet.
Autoimmune diseases: Conditions such as rheumatoid arthritis, lupus, and Guillain-Barré syndrome can cause inflammation and damage the peripheral nerves.
Trauma or injury: Physical injuries, such as fractures, compression, or direct trauma to nerves, can lead to neuropathy.
Vitamin deficiencies: Deficiencies in certain vitamins, such as vitamin B12, can cause nerve damage and peripheral neuropathy.
Infections: Certain viral or bacterial infections can damage nerves, including Lyme disease, shingles (herpes zoster), HIV/AIDS, and leprosy.
Alcohol abuse: Excessive alcohol consumption can cause nerve damage and peripheral neuropathy, often called alcoholic neuropathy.
Medications and toxins: Certain medications, such as some chemotherapy drugs, antiretroviral drugs, and certain antibiotics, may have a side effect of nerve damage. Exposure to certain toxins, including heavy metals like lead or mercury, can also cause neuropathy.
Hereditary or genetic disorders: Some individuals may have inherited genetic mutations that lead to neuropathy, such as Charcot-Marie-Tooth disease.
Kidney or liver disease: Impaired kidney or liver function can cause a buildup of toxins in the body, leading to nerve damage.
Cancer: Neuropathy can occur as a side effect of cancer or as a result of cancer treatment, such as chemotherapy or radiation therapy.
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👉 LINKS 👈
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DISCLAIMER:
Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2 separate traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and separately in Foot & Ankle Surgery. His use of “doctor” or “Dr.” about himself solely refers to that degree. Dr. Biernacki is a licensed podiatrist in Michigan. This video is for general informational purposes only. It should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best if you did not change your health regimen or diet before consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.
Comprehensive Foot and Ankle Care in Michigan: Balance Foot & Ankle
At Balance Foot & Ankle, Michigan patients find a podiatric practice dedicated to delivering exceptional clinical care for the full range of foot and ankle conditions. Our fellowship-trained podiatrists combine advanced surgical skills with a thorough conservative care approach — ensuring that patients receive the right treatment for their specific condition at the right stage of their diagnosis. We believe in transparent communication: patients leave every visit with a clear understanding of their diagnosis, the rationale for their treatment plan, and realistic expectations for recovery.
Related Treatment Guides
- Tarsal Tunnel Syndrome Treatment
- Diabetic Foot Care & Neuropathy
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
Our Howell office at 4330 E Grand River and Bloomfield Hills office at 43494 Woodward Ave #208 are equipped with in-office digital X-ray, ultrasound for diagnostic imaging and guided procedures, and the full range of conservative and interventional podiatric technologies including MLS laser therapy and EPAT shockwave therapy. We accept all major Michigan insurance plans and verify coverage before every appointment. New patients throughout Livingston, Oakland, and surrounding counties are welcome — call Balance Foot & Ankle at (810) 206-1402 to schedule your first appointment today.
Medical References & Sources
- NIH NINDS — Peripheral Neuropathy
- American Diabetes Association — Neuropathy
- PubMed Research — Peripheral Neuropathy Treatment
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
4330 E Grand River Ave
Howell, MI 48843
Get Directions →
Bloomfield Hills Office
43494 Woodward Ave, #208
Bloomfield Township, MI 48302
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Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
More Podiatrist-Recommended Diabetic Essentials
Diabetic-Approved Walking Shoe
Orthofeet Sprint — smooth, extra-depth, designed for neuropathic feet.
Seamless Diabetic Sock
OS1st FS4 — non-binding, moisture-wicking, protects fragile diabetic skin.
Recovery Slide for Indoor Wear
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 Hills. 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 Township, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Dr. Tom’s Top 3 — The Premium Foot Pain Stack (2026)
If you only buy three things for foot pain, get these. PowerStep + CURREX orthotics correct the underlying foot mechanics, and Dr. Hoy’s pain gel delivers fast topical relief. This is the exact stack Dr. Tom Biernacki, DPM gives his Michigan podiatry patients on visit one — over 10,000 patients have used this exact combination.
Dr. Tom Biernacki, DPM is a board-certified podiatrist + Amazon Associate. Picks shown are products he prescribes to patients at Balance Foot & Ankle Specialists. We earn a commission on qualifying purchases at no extra cost to you. All products independently tested + reviewed for 30+ days minimum. Last verified: April 28, 2026.
PowerStep Pinnacle MaxxDr. Tom’s #1 Brand
4.5
(28,341+ reviews)
Dr. Tom’s most-prescribed OTC orthotic. Lateral wedge corrects overpronation that causes 90% of foot pain. Deep heel cradle stabilizes the ankle. Built by podiatrists, used by patients worldwide.
- Lateral wedge corrects pronation
- Deep heel cradle stabilizes ankle
- Dual-density EVA — comfort + support
- Trim-to-fit any shoe
- Used by 10,000+ podiatrists
- Trim-to-size required
- 5-7 day break-in for some
This single insole eliminates plantar fasciitis pain in 60% of patients within 2 weeks. The lateral wedge is the active ingredient — it stops the overpronation that causes the fascia to overstretch with every step. Pair with a max-cushion shoe for compound effect.
CURREX RunProDr. Tom’s #1 Brand
4.4
(4,000+ reviews)
3 arch heights for custom fit (Low/Med/High). Carbon-reinforced heel + dynamic forefoot — the closest OTC orthotic to a $500 custom orthotic. Engineered in Germany.
- 3 arch heights for custom fit
- Carbon-reinforced heel cup
- Dynamic forefoot zone
- Premium German engineering
- Sport-specific support
- Pricier than PowerStep
- 7-10 day break-in
Choose your arch height from a wet-foot test (low/med/high). Wrong arch = re-injury. For runners, athletes, or anyone who failed standard insoles — this is the closest you can get to custom orthotics without paying $500. The carbon heel is what professional athletes use.
Dr. Hoy’s Natural Pain Relief GelDr. Tom’s #1 Brand
4.6
(5,500+ reviews)
Menthol-based natural pain relief — Dr. Tom’s #1 brand for fast relief without greasy residue. Safe for diabetics + daily use. Cleaner formula than Voltaren or Biofreeze.
- Menthol-based natural formula
- No greasy residue
- Safe for diabetics
- Fast cooling relief — 5-10 minutes
- Cleaner ingredient list than Biofreeze
- Pricier than Biofreeze
- Strong menthol scent at first
Apply to plantar fascia + calves before bed. Combined with stretching, eliminates morning fascia pain. The clean formula means you can use it daily long-term — Voltaren has 30-day limits, Dr. Hoy’s doesn’t.
Doctor Hoy’s Natural Pain Relief Gel
Natural topical pain relief I use in our clinic. Arnica + camphor formula — apply directly to the area 3–4x daily. ($20–25)
Ready for Expert Care?
Same-day appointments in Howell & Bloomfield Hills, MI.
4.9★ | 1,123 Reviews | 3,000+ Surgeries
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