When patients come in for Neuropathy treatment, we do careful initial evaluation and careful tracking of their progress. We want to make sure the treatment is actually working effectively for them. Since there are many causes of neuropathy, some treatments we offer may work better than others, depending on the individual. We will want to hear from you about the signs and symptoms of improvement you've been experiencing and ask you to rate your symptoms on a scale of 1-10, but that's not all we track. Because of something called the Placebo effect, we also track more concrete numbers. Basically, a placebo effect occurs when a patient starts a new medicine or treatment and they start feeling better...even if the treatment isn't working! There are a lot of psychological reasons for this. To make sure what you're experiencing is real change, we track numbers that you don't have control over. The doctor will administer several tests, to see if you can detect the feeling of hot and cold, feel the presence or absence of a foot poke, and feel the number of pokes. This way, the responses are purely physical. By using these methods, we are able to determine what is working best for our patients and try other treatments as needed.