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Neurostimulation Consultation care at Merina Medical Centre

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.

Neurostimulation Consultation supporting clinical detail at Merina Medical Centre

Treatment context

Assessment and prevention are connected to everyday foot protection.

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.

01

Appropriate use

What to expect

Treatment is reviewed as needs change.

01

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.

02

Plan

The clinician explains the next step in the context of your findings.

03

Provide care

The clinician explains the next step in the context of your findings.

04

Follow up

The clinician explains the next step in the context of your findings.

Treatment modules

Practical care, explained clearly.

01

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.

Specialist assessmentClear next stepsIndividual care planning
Dr. A. Nirupan Chakkaravarthy, Consultant Podiatrist and Diabetic Foot Care Specialist

Dr. A. Nirupan Chakkaravarthy

Consultant Podiatrist · Limb Salvage Specialist

This guide is for general education and does not replace an in-person assessment.