"The Leg Pain Clinic is amazing!! I walked out with less pain than I walked in with! Dr. Anwar is amazing and I love his bedside manner!! I didn't want another knee replacement surgery and now I don't have to get one!!"
Peripheral Neuropathy
Vascular treatment for peripheral neuropathy that improves circulation to affected nerves. No surgery.
Treatable without surgery
Understanding your condition
Peripheral Neuropathy explained
Peripheral neuropathy causes numbness, tingling, and burning pain in the legs and feet that is often attributed solely to diabetes or nerve damage. However, a significant proportion of patients have a vascular component that is missed. When circulation to the peripheral nerves is compromised, the nerves become starved of oxygen and nutrients, producing the same symptoms as purely neurological neuropathy. Dr. Anwer, a Stanford Fellowship trained interventional radiologist, assesses and treats the vascular cause of peripheral neuropathy using image-guided techniques to restore blood flow to the affected nerves.
Most patients return to normal activity in 24 to 48 hours, with nerve symptoms improving over weeks.
Dr. Anwer's approach
Dr. Anwer uses image-guided angioplasty to improve arterial blood flow to the legs and feet, addressing the circulatory cause of peripheral neuropathy. A thin catheter is inserted through a pinhole in the wrist or groin to the narrowed vessels. Approximately 60 minutes, no general anaesthesia.
Treatable without surgery
Key facts
Vascular neuropathy is frequently missed by neurological assessment alone
Restoring blood flow can significantly reduce nerve pain, numbness, and tingling
Image-guided angioplasty performed through a pinhole, no surgery needed
No general anaesthesia required
Outpatient procedure, typically 60 minutes
Covered by Medicare and most major insurance plans
Stanford Fellowship trained physician personally reviewing your imaging
Treatment overview
Is this the right treatment for you?
Every patient is different. These four areas will help you understand whether Peripheral Neuropathy treatment at LPVI is the right fit.
Who qualifies
Am I a good candidate?
Vascular treatment for peripheral neuropathy is most suitable for patients with confirmed circulatory insufficiency contributing to nerve symptoms in the legs or feet. This typically includes patients with diabetes, PAD, or risk factors for vascular disease whose neuropathy symptoms have not responded adequately to neurological or medical management. Dr. Anwer reviews your arterial imaging personally at your first consultation and will assess whether improving blood flow is likely to reduce your specific nerve symptoms.
Common symptoms
Symptoms we treat
Peripheral neuropathy symptoms in the legs and feet commonly include numbness, a persistent tingling or pins-and-needles sensation, and a burning or aching pain that is frequently worse at night. Some patients experience weakness in the feet or lower legs, loss of balance, or a feeling of walking on cotton wool. Cold feet and slow-healing foot wounds are signs of a vascular component. If your neuropathy symptoms have not responded to standard neurological treatment, a vascular assessment with Dr. Anwer in Houston may identify a treatable circulatory cause.
What to expect
The procedure
Dr. Anwer performs vascular treatment for peripheral neuropathy as an outpatient procedure using real-time X-ray guidance. A thin catheter is inserted through a pinhole in the wrist or groin and guided to the arteries supplying the lower legs and feet. Where narrowing is confirmed, angioplasty is used to open the vessel and restore blood flow to the peripheral nerves. The procedure takes approximately 60 minutes. There are no surgical incisions, no general anaesthesia, and no overnight hospital stay required.
After treatment
Recovery and results
Recovery from vascular treatment for peripheral neuropathy at LPVI is straightforward. Most patients are discharged the same day and return to light daily activity within 24 to 48 hours. Some mild bruising at the catheter entry site is possible for a day or two. Nerve symptom improvement is gradual. Most patients notice a reduction in burning, tingling, and numbness over several weeks as blood flow to the affected nerves improves. Dr. Anwer will arrange follow-up imaging to confirm blood flow has been restored and assess your clinical response.
Your treatment starts here
What's holding
What's holding
you back?
You may have more options than you've been told. Answer four quick questions and our engine matches you to the right minimally invasive treatment and connects you directly with Dr. Anwer.
This information is not a medical diagnosis. A consultation with Dr. Anwer will confirm your treatment options. Individual results may vary.
Do any of these sound familiar?
Common symptoms
You do not need all of these. Even two or three are worth discussing with Dr. Anwer at your first consultation.
Numbness or loss of sensation in the feet and lower legs
Persistent tingling or pins-and-needles in the feet
Burning or aching pain in the legs and feet, worse at night
Cold feet with reduced circulation or pallor
Weakness or instability when walking due to foot numbness
Slow-healing foot wounds alongside nerve symptoms
Our approach
How Dr. Anwer treats peripheral neuropathy
Dr. Anwer uses image-guided angioplasty to improve arterial blood flow to the legs and feet, addressing the circulatory cause of peripheral neuropathy. A thin catheter is inserted through a pinhole in the wrist or groin to the narrowed vessels. Approximately 60 minutes, no general anaesthesia.
Consultation with Dr. Anwer, arterial and nerve symptom review
Arterial imaging confirms vascular component, plan agreed
Outpatient angioplasty, 60 minutes, local anaesthesia only
Same-day discharge, follow-up imaging and review arranged
Why choose this approach
Minimally invasive vs conventional treatment
Conventional approach
Peripheral neuropathy is conventionally managed with medications such as gabapentin, pregabalin, or antidepressants that address symptoms but not the underlying vascular cause, and often carry significant side effects with variable results.
- Major surgery or invasive procedure
- General anaesthesia required
- Hospital stay of 1 to 5 days
- Recovery of 4 to 12 weeks
Dr. Anwer's approach at LPVI
Dr. Anwer identifies and treats the vascular component of peripheral neuropathy through image-guided angioplasty. No general anaesthesia, no surgery, same-day recovery. Improving circulation addresses the root cause rather than masking the symptoms with medication.
- Outpatient, no hospital admission
- Light sedation or local anaesthesia
- Pinhole incision, no stitches
- Same-day or next-day recovery
Many neuropathy patients have been on medications for years with only partial relief. A vascular assessment often reveals a treatable circulatory component that has been missed. Improving blood flow to the nerves can produce results that medication alone cannot achieve.
Patient stories
What our patients are saying
5.0
Based on Google reviews
"Dr. Bilal very professional and awesome physician. My left knee pain went down from 9 to 3. Front staff, nurses, OR staff all were amazing and very professional."
"Brought my mother in law to get help with her knees. She literally could not walk. After procedure she walked to car with minimal discomfort. Each day is getting better and better. I rate the entire place 10 of 10."
"Fantastic doctor, very thorough, explained everything. Staff is outstanding!!! I first heard of them via Facebook and after looking more into it I saw they can treat shoulder pain too. I feel great after my procedure."
"Doctor Anwer and his staff is totally awesome, they are very kind and respectful. Dr. Anwer does amazing work. I love them all."
"Excellent staff and doctor! Excellent care and caring!!! I would recommend this clinic to anyone who is looking for a caring, professional medical team."
"My husband thinks very highly of the doctor. The entire experience from start to finish was professional and compassionate."
"Sabrena Cummings: Fantastic doctor very thorough explained everything. Staff is outstanding!!!"
"The Leg Pain Clinic is amazing!! I walked out with less pain than I walked in with! Dr. Anwar is amazing and I love his bedside manner!! I didn't want another knee replacement surgery and now I don't have to get one!!"
"Dr. Bilal very professional and awesome physician. My left knee pain went down from 9 to 3. Front staff, nurses, OR staff all were amazing and very professional."
"Brought my mother in law to get help with her knees. She literally could not walk. After procedure she walked to car with minimal discomfort. Each day is getting better and better. I rate the entire place 10 of 10."
"Fantastic doctor, very thorough, explained everything. Staff is outstanding!!! I first heard of them via Facebook and after looking more into it I saw they can treat shoulder pain too. I feel great after my procedure."
"Doctor Anwer and his staff is totally awesome, they are very kind and respectful. Dr. Anwer does amazing work. I love them all."
"Excellent staff and doctor! Excellent care and caring!!! I would recommend this clinic to anyone who is looking for a caring, professional medical team."
"My husband thinks very highly of the doctor. The entire experience from start to finish was professional and compassionate."
"Sabrena Cummings: Fantastic doctor very thorough explained everything. Staff is outstanding!!!"
FAQ
Common questions about Peripheral Neuropathy
Yes. Angioplasty for vascular peripheral neuropathy is covered by Medicare and most major insurance plans in Houston when arterial insufficiency has been confirmed on imaging and is contributing to nerve symptoms. Our team at LPVI will verify your specific coverage before your consultation. Call us on 713-242-1139 and we will check your benefits and answer any questions about peripheral neuropathy treatment costs in Houston.
Recovery from vascular treatment for peripheral neuropathy at LPVI is quick. Most patients go home the same day and return to normal activity within 24 to 48 hours. Nerve symptom improvement is gradual and builds over several weeks as blood flow to the affected nerves recovers. Most patients notice a meaningful reduction in burning, tingling, and numbness within the first month. Dr. Anwer will arrange follow-up imaging to confirm the outcome and assess your clinical response.
Yes. A significant proportion of peripheral neuropathy cases have a vascular component caused by reduced arterial blood flow to the nerves in the legs and feet. This is particularly common in patients with diabetes, PAD, or cardiovascular risk factors. When circulation is compromised, the peripheral nerves become deprived of oxygen and nutrients, producing numbness, tingling, and burning pain. Dr. Anwer assesses for this vascular component at your first consultation using arterial imaging.
Peripheral neuropathy with an untreated vascular component typically worsens over time as circulation continues to decline. Numbness can progress, increasing the risk of unnoticed foot injuries and slow-healing wounds. In patients with diabetes, poor circulation combined with neuropathy is a major risk factor for foot ulcers and, in severe cases, amputation. Early vascular intervention at LPVI to restore circulation can protect nerve function and significantly reduce these risks.
Medications such as gabapentin and pregabalin reduce neuropathy symptoms but do not address the underlying vascular cause. They can also cause significant side effects including dizziness, fatigue, and cognitive effects. Vascular treatment at LPVI uses image-guided angioplasty to restore blood flow to the affected nerves, treating the root cause rather than masking the symptoms. For patients with a confirmed vascular component, this approach can produce more durable improvement.
Nerve symptoms improve more gradually than pain from arterial disease because nerves recover slowly once circulation is restored. Most patients notice a reduction in burning, tingling, and numbness over several weeks after vascular treatment. Some patients see earlier improvement, while others experience the full benefit over two to three months. Dr. Anwer will monitor your progress with follow-up imaging and a clinical review. The majority of patients at LPVI in Houston report meaningful symptom improvement within the first three months.
Coverage
We accept most major insurance plans
Dr. Anwer treats peripheral neuropathy with a vascular approach at LPVI clinics in Houston and Webster, serving patients from Pasadena, Baytown, League City, Clear Lake, and Friendswood. Vascular treatment for neuropathy is an outpatient procedure covered by Medicare and most major insurance plans. Patients across Greater Houston choose Dr. Anwer because he is Stanford Fellowship trained and identifies vascular causes of nerve pain that standard neurological assessment may miss.
Take the next step
Ready to address the vascular cause of your neuropathy?
Speak with Dr. Anwer about your peripheral neuropathy. Same-day appointments available. Most insurance accepted.
This information is not a medical diagnosis. A consultation with Dr. Anwer will confirm your treatment options. Individual results may vary.