An Individual Evaluation for Numbness, Tingling, Burning, and Balance Concerns
Neuropathy Symptoms and Nerve-Related Concerns in Jacksonville
Changes in sensation in the hands or feet have many possible causes, and several of them are medical. This page explains what these symptoms can involve and why evaluation, and often coordination with a physician, comes first.
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Website information is educational and is not a diagnosis or a substitute for individualized medical advice.
Urgent care guidance
Nerve Symptoms That Need Urgent Medical Care
Certain changes in sensation or strength need prompt medical evaluation.
- Sudden weakness, especially on one side of the body
- Stroke-like symptoms such as face drooping or slurred speech
- Rapidly progressing numbness or weakness
- A major loss of balance or repeated falls
- New bladder or bowel symptoms
- A wound, ulcer, or suspected infection on the foot, particularly with diabetes
Call 911 for anything that may be an emergency. Contact your physician promptly for a wound, suspected infection, or rapidly changing symptoms.
This website does not provide emergency care. If you are experiencing a medical emergency, call 911.
Quick answer
What to Know First
- Neuropathy symptoms have many possible causes.
- Several of those causes require evaluation by a physician or specialist.
- No nerve healing, regeneration, or reversal is claimed or implied here.
- Chiropractic care does not address diabetes, autoimmune disease, infection, or toxic exposure.
- Some symptom changes are urgent and need immediate medical care.
What you may be experiencing
What Patients Describe
These descriptions are educational. They do not establish a cause, and they do not indicate that any particular service is appropriate for you.
- Numbness in the hands or feet
- Tingling or a pins-and-needles sensation
- Burning sensations
- Altered or reduced sensation
- Weakness in a hand, foot, or limb
- Balance concerns, especially in the dark
- Symptoms that are worse at night
- Symptoms affecting both sides
Why similar symptoms differ
Why the Cause Matters So Much Here
- Metabolic conditions managed by a physician
- Autoimmune and inflammatory conditions
- Infection
- Medication and toxic exposures
- Nutritional factors
- Nerve compression at the spine or elsewhere
- Circulatory concerns
- Causes that remain unidentified after medical workup
Chiropractic care does not treat diabetes, autoimmune disease, infection, toxic exposure, or every cause of neuropathy. Identifying the cause is frequently a medical matter, and referral is often the appropriate recommendation.
How an evaluation works here
What May Happen During Your Visit
The order matters: questions and examination findings come before any conversation about care.
- 01
Listen
Describe what you are experiencing, when it started, what changes it, and what you need to get back to.
- 02
Review history
Discuss health history, prior injuries, imaging you already have, medications, and other care you are receiving.
- 03
Screen and examine
Check relevant sensation, strength, movement, and balance findings, and identify what points toward medical evaluation.
- 04
Discuss and refer
Review what the findings may and may not suggest, and discuss coordination with or referral to a physician when appropriate.
Possible next steps
What May Be Discussed After an Evaluation
Whether any of these is appropriate depends entirely on your examination. Nerve-related symptoms often need input from your medical provider as well, and we will say so when that is the right next step.
- Referral to or coordination with a physician or specialist
- General chiropractic care, when musculoskeletal findings support it
- Guided therapeutic exercise for balance and movement confidence
- Shockwave Therapy, only if the practice confirms this use and the evaluation supports it
Candidacy and limitations
What This Page Cannot Do
- No claim is made about healing damaged nerves, regenerating nerves, or reversing neuropathy.
- No claim is made about returning hands or feet to normal, or about permanent results.
- Nothing here suggests avoiding medication, surgery, or medical care.
- No proprietary system or number of technologies is advertised.
- Chiropractic care is not appropriate for every cause of neuropathy symptoms.
- Some concerns are best managed entirely by a physician or specialist.
What to expect
A Visit Built Around Your Questions
- 01A conversation about your concerns and goals before anything else
- 02An examination appropriate to what you describe
- 03A plain-language explanation of what was and was not found
- 04A discussion of reasonable options, alternatives, and expected costs
- 05A referral suggestion when another provider may be more appropriate
Why Castelli
Straight Answers Before Any Recommendation
Dr. Sebastian T. Castelli is a Doctor of Chiropractic and owner of the Jacksonville practice. Care here starts with an examination and a plain-language explanation of what the findings do and do not show.
Read Dr. Castelli’s BiographyKeep reading
Related Care and Concerns
A short, relevant list — not every page on the site.
Treatment information
Other patient concerns
Common questions
Frequently Asked Questions
These answers are educational and cannot establish what is causing your symptoms.
No. No reversal, nerve regeneration, or restoration of normal sensation is claimed. Anyone promising that should be questioned carefully.
Many things can, including metabolic, autoimmune, medication-related, circulatory, and compression-related causes. Identifying which applies is frequently a medical evaluation.
Chiropractic care does not treat diabetes or its complications. Care for diabetes-related nerve symptoms belongs with your physician, and foot wounds need prompt medical attention.
No technology is advertised for this purpose here. Available services and their appropriate uses are confirmed with the office and discussed after an evaluation.
No. Nothing here suggests changing, reducing, or stopping any medication. Those decisions belong to your prescribing clinician.
It may, when there are also musculoskeletal, movement, or balance concerns. Bring your prior evaluation details so care can be coordinated.
No. Similar symptoms can come from different causes, so nothing online can establish yours. An individual evaluation is what makes a useful conversation about next steps possible.
Use the booking button to open ChiroTouch, our secure scheduling system, in a new tab. You can also call or text the Jacksonville office if you would rather talk it through first.
Jacksonville location
Beach Boulevard, Jacksonville
Castelli Chiropractic Center is at 12187 Beach Blvd #1, Jacksonville, FL 32246, serving the Beaches, Southside and surrounding Jacksonville neighborhoods. Call or text if you would rather ask a question before booking.
Next step
Start With an Individual Evaluation
Book securely online, call, or text. What happens next depends on your examination, not on anything you read here.
Booking opens ChiroTouch, our secure scheduling system, in a new tab.