Appropriate use

Treatment pathway
Neurostimulation Consultation
A clinician-led consultation to review whether neurostimulation may be considered for selected, persistent neuropathic pain after diagnosis and standard options have been reviewed.
New weakness, rapidly progressing numbness, severe pain, a hot swollen foot or a wound needs timely medical assessment and should not be delayed for symptom-based therapies.
Treatment overview
Care is shaped around the person, the diagnosis and the goal.
A clinician-led consultation to review whether neurostimulation may be considered for selected, persistent neuropathic pain after diagnosis and standard options have been reviewed. Neuropathy and foot pain can have different causes. A consultation reviews symptoms, sensation, circulation, medicines, medical history and functional goals before discussing whether a selected pain-management option is relevant.

Treatment context
Who may benefit
A clear assessment helps identify the right pathway.
New weakness, rapidly progressing numbness, severe pain, a hot swollen foot or a wound needs timely medical assessment and should not be delayed for symptom-based therapies.
01Starting with the diagnosis
02Appropriate use
How the pathway works
Understand the care before it begins.
Neuropathy and foot pain can have different causes. A consultation reviews symptoms, sensation, circulation, medicines, medical history and functional goals before discussing whether a selected pain-management option is relevant.
What to expect
Treatment is reviewed as needs change.
Assess
Any symptom-management approach should sit within a complete care plan and appropriate clinical governance. It does not treat the underlying cause automatically or replace daily foot checks, wound care, glucose management or urgent medical treatment when these are required.
Plan
The clinician explains the next step in the context of your findings.
Provide care
The clinician explains the next step in the context of your findings.
Follow up
The clinician explains the next step in the context of your findings.
Treatment modules
Practical care, explained clearly.
Appropriate use: Any symptom-management approach should sit within a complete care plan and appropriate clinical governance. It does not treat the underlying cause automatically or replace daily foot checks, wound care, glucose management or urgent medical treatment when these are required.
Protect your feet between reviews.
Keep changes protected, avoid unadvised self-treatment and seek advice if symptoms worsen or do not improve.
The next step should be clear.
A timely assessment helps match care to the diagnosis, risk and practical needs of the person.
Common questions
When should I seek medical advice?+
A new wound, spreading redness, swelling, discharge, odour, colour change, or a hot, cold or painful foot should be assessed promptly. If you feel very unwell, seek urgent or emergency care.
How is the right pathway chosen?+
A clinician considers the diagnosis, symptoms, skin or wound, sensation, circulation, pressure, footwear, medical history and your goals before recommending next steps.
What should I bring to an appointment?+
Bring recent reports, a medication list, details or photographs of changes over time and your usual footwear when relevant.
Continue the care journey
The right next step depends on the clinical picture.
Explore the related pathways that may be discussed after assessment.
Make an appointment
Find the right next step for neurostimulation consultation.
Our team can help you understand what needs assessment and what information to bring. Diagnosis and treatment depend on an in-person review.

Dr. A. Nirupan Chakkaravarthy
Consultant Podiatrist · Limb Salvage Specialist
This guide is for general education and does not replace an in-person assessment.


