Call (754) 547-2350 — The Rebuild Neuropathy Protocol™
Diagnosis first. Then the modality combination that matches what the diagnosis found.

The Rebuild Neuropathy Protocol™

The protocol pairs six clinical modalities against five root-cause categories: diabetic, peripheral, compressive, metabolic and chemotherapy-induced. What you receive depends on which of those is driving your symptoms, and on what remains treatable.

The principle

Diagnosis decides treatment, not the other way round

Root-cause diagnosis first, then a modality combination matched to the cause. Not a flat-fee one-size-fits-all program.

Most patients complete an initial protocol over 8 to 12 weeks, with maintenance typically quarterly afterward.

Four stages

How a course of treatment runs

  1. 01
    Root-cause diagnosis
    The first visit establishes what is damaging the nerve, not merely that something is. We review history, the full medication and supplement list, recent labs, and any prior nerve conduction study or EMG, then examine the affected territories with monofilament, vibration and reflex testing. Where the picture is incomplete, we order what is missing: A1c, B12, a thyroid panel, hormone levels, or imaging when root compression is suspected. Nothing is scheduled until there is a working cause.
  2. 02
    Modality matching
    Six modalities are available and most patients need three or four. Compressive findings bring in mechanical decompression with the Antalgic-Trac®. Poor glycemic control and an inflammatory metabolic picture bring in metabolic optimization and IV nerve support. Documented thyroid or sex hormone deficiency brings in hormonal correction. Your clinician explains which modalities were selected and, just as usefully, which were left out and why.
  3. 03
    Active treatment
    The initial course typically runs eight to twelve weeks of scheduled in-clinic sessions. Laser and shockwave are applied over the affected nerve territories, infusions are given in clinic, and the metabolic and hormonal components are managed alongside them under physician supervision. Progress is reassessed during the course using the same measures taken at baseline, so change is tracked rather than assumed. If a component is not contributing, it comes out of the plan.
  4. 04
    Maintenance
    Peripheral nerves regenerate slowly, and the metabolic conditions that damaged them usually persist. After the initial course, most patients move to a maintenance schedule that is typically quarterly, adjusted to how the nerves have responded. Maintenance is lighter than the initial protocol. Its purpose is to hold the ground gained rather than repeat the full course.

Why the cause changes the treatment

A B12 deficiency neuropathy and a compressive neuropathy produce overlapping symptoms and almost no overlap in effective treatment. Correcting a deficiency will not decompress an entrapped nerve root, and decompression will not fix a metabolic environment that keeps damaging axons. When the cause is misidentified, treatment can look reasonable and still produce nothing measurable. That is the argument for spending the first visit on diagnosis.

How the six modalities work

LightForce® XLi Class IV laser delivers near-infrared photonic energy over the affected nerve territories, applied with the intent of easing pain in the treated area and supporting local circulation there. Chattanooga Intelect RPW 2 shockwave delivers radial pressure waves over the same territories, applied with the intent of supporting circulation to the nerve's own vascular supply, the vasa nervorum, and reducing tension in the surrounding soft tissue. IV infusions deliver vitamin B12, alpha-lipoic acid and NAD+ into circulation, bypassing the gastrointestinal absorption limits that reduce oral supplementation efficacy in many neuropathy patients. Hormonal correction addresses thyroid, testosterone or estrogen deficiency where it is identified as a contributing cause, metabolic optimization combines physician-prescribed peptide therapy with dietary guidance intended to reduce the inflammatory environment driving progressive damage, and the Antalgic-Trac® addresses spinal nerve root compression.

What we measure

Baseline testing gives the protocol something to be judged against. Monofilament and vibration testing map where protective sensation is intact and where it is not, symptom location and night pain are recorded in the patient's own terms, and relevant labs are documented before treatment begins. The same measures are repeated during and after the course. If they have not moved, the plan changes.

Limits

Where this protocol reaches its limit

Conservative regenerative treatment addresses the functional spectrum of neuropathy, which means there has to be surviving nerve tissue to work with. Patients with advanced axonal degeneration from decades of uncontrolled diabetes or long-term chemotherapy may have permanent structural damage that limits the ceiling of functional recovery. End-stage neuropathy with complete loss of sensory or motor function, confirmed on nerve conduction studies showing absent potentials rather than reduced amplitudes, is irreversible structural damage, and this protocol does not reverse complete denervation. We would rather tell you that at consultation than take you through a course of treatment that cannot help.

If this is urgent

This clinic is not an emergency service. Progressive weakness in a leg or foot, a foot that drops when you walk, numbness across the groin or inner thighs, or any new change in bowel or bladder control is a surgical emergency, with or without pain — go to an emergency department the same day rather than booking a consultation here. A foot wound that is not healing, or any other new or rapidly worsening neurological change, needs your physician rather than a treatment protocol.

Frequently Asked Questions

How long does the initial protocol take?

Most patients complete an initial course over eight to twelve weeks. The exact schedule depends on which modalities your diagnosis calls for, since laser, shockwave and infusion sessions run on different intervals. Maintenance afterward is typically quarterly.

Do I need all six modalities?

Most patients do not. The combination is selected from what the diagnostic workup found, and a patient with a single correctable deficiency may need far less than a patient with diabetic neuropathy plus a compressive component. Your clinician will explain which modalities were chosen and which were left out.

Is the treatment painful?

Class IV laser is generally felt as warmth over the treated area. Shockwave produces a percussive sensation that some patients find uncomfortable at higher intensities, and the intensity is adjustable during the session. IV infusions involve a standard peripheral IV placement. Tell your clinician if anything goes beyond mild discomfort so the settings can be changed.

What if I am already taking gabapentin or pregabalin?

Those medications target symptom transmission rather than the cause of the nerve damage, and many patients arrive still taking them. The protocol addresses the underlying driver, which is a different objective. Any change to a prescribed medication is a decision for the physician who prescribed it, and we do not ask patients to stop medication on their own.

Find out what is actually causing the nerve damage.

Evaluation happens in clinic at 3320 N Federal Hwy, Lighthouse Point. Pricing is quoted at consultation.