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Are you suffering from burning feet, tingling hands, or numbness that won't go away? I'm Dr. James Mitchell, and in this video I break down the real science behind peripheral neuropathy - what actually causes nerve damage, why it affects your feet first, and what evidence-based treatments really work in 2025. What You'll Learn: • The 7 most common causes of peripheral neuropathy (diabetes is just one) • Why nerve damage starts in your toes and progresses upward • What's really happening at the cellular level when nerves malfunction • Evidence-based treatments proven in clinical trials • Why recovery takes months, not days (and what timeline to expect) • 10 actionable steps you can take today to support nerve health • The truth about supplements like alpha-lipoic acid and B vitamins • How to work WITH your doctor for better outcomes TIMESTAMPS: 00:00 - Introduction: Margaret's Story 02:15 - What Is Peripheral Neuropathy? 05:30 - The 7 Most Common Causes 10:45 - What's Happening at the Cellular Level 14:20 - Evidence-Based Treatment Options 18:30 - Lifestyle Factors That Actually Matter 20:00 - Realistic Expectations for Recovery 21:15 - 10 Actionable Steps You Can Take Today Subscribe for more evidence-based medical information without the hype! MEDICAL DISCLAIMER: This video is for educational purposes only and does not constitute medical advice. Always consult with your healthcare provider before making any changes to your treatment plan. #seniorhealth #chronicpain #neuropathy #diabeticneuropathy #nervepain #burningfeet #tinglinghands #diabetescomplications #nervehealth #evidencebasedmedicine #medicaladvice #healtheducation #painmanagement ======================================== SCIENTIFIC REFERENCES ======================================== 1. Feldman, E. L., Callaghan, B. C., Pop-Busui, R., et al. (2019). Diabetic neuropathy. Nature Reviews Disease Primers, 5(1), 41. 2. Callaghan, B. C., Price, R. S., & Feldman, E. L. (2015). Distal symmetric polyneuropathy: a review. JAMA, 314(20), 2172-2181. 3. The Diabetes Control and Complications Trial Research Group. (1993). The effect of intensive treatment of diabetes on the development and progression of long-term complications. New England Journal of Medicine, 329(14), 977-986. 4. Staff, N. P., Grisold, A., Grisold, W., & Windebank, A. J. (2017). Chemotherapy-induced peripheral neuropathy: A current review. Annals of Neurology, 81(6), 772-781. 5. Ziegler, D., Papanas, N., Vinik, A. I., & Shaw, J. E. (2014). Epidemiology of polyneuropathy in diabetes and prediabetes. Handbook of Clinical Neurology, 126, 3-22. 6. Hanewinckel, R., Ikram, M. A., & Van Doorn, P. A. (2016). Peripheral neuropathies. Handbook of Clinical Neurology, 138, 263-282. 7. Mijnhout, G. S., Alkhalaf, A., Kleefstra, N., & Bilo, H. J. (2012). Alpha lipoic acid: a new treatment for neuropathic pain in patients with diabetes? Netherlands Journal of Medicine, 70(4), 158-162. 8. Tesfaye, S., Chaturvedi, N., Eaton, S. E., et al. (2005). Vascular risk factors and diabetic neuropathy. New England Journal of Medicine, 352(4), 341-350. 9. Pop-Busui, R., Boulton, A. J., Feldman, E. L., et al. (2017). Diabetic neuropathy: a position statement by the American Diabetes Association. Diabetes Care, 40(1), 136-154. 10. Tesfaye, S., Vileikyte, L., Rayman, G., et al. (2011). Painful diabetic peripheral neuropathy: consensus recommendations on diagnosis, assessment and management. Diabetes/Metabolism Research and Reviews, 27(7), 629-638. ©️ COPYRIGHT DISCLAIMER: Copyright © 2026 ElderWellness Guide[Dr. James Mitchell, MD]. All Rights Reserved. This video, including all content, graphics, voiceover, music, and editing, is the intellectual property of ElderWellness Guide and is protected by copyright law. Unauthorized use is prohibited. 🔔 SUBSCRIBE FOR MORE HEALTH TIPS: If this video helped you, please: ✅ SUBSCRIBE to ElderWellness Guide for science-backed health solutions ✅ LIKE this video if you found it valuable