Solved! How Much Does Neuropathy Treatment Cost?

money laying on table with medical instruments

Neuropathy impacts physical well-being and financial stability, causing discomfort and creating challenges in managing healthcare expenses. Many individuals are concerned about the costs associated with treating this nerve condition. They question whether they can afford the necessary care to alleviate their symptoms.

Research indicates that neuropathy treatment can be expensive. A study found that patients with diabetic peripheral neuropathy had approximately $25,000 in annual all-cause medical costs, compared to about $5,000 for those with diabetes but without neuropathy.

This article summarizes expenses for various neuropathy treatments and offers suggestions to help manage costs.

What is Neuropathy and Its Impact?

Neuropathy is nerve damage that leads to pain, numbness, and weakness, significantly impacting daily activities like holding objects or maintaining balance. Its prevalence increases with age, affecting approximately 10.4% of middle-aged adults and between 26.8% and 39.2% of older adults.

In individuals with diabetes, neuropathy elevates the risk of foot ulcers and amputations. Notably, about 85% of lower limb amputations in people with diabetes are preceded by foot ulcers.

Additionally, the risk of lower extremity amputation is 15 to 46 times higher in individuals with diabetes compared to those without.

These complications not only deteriorate health but also lead to increased healthcare costs. For instance, diabetic foot complications are among the most frequent reasons for hospitalization in patients with diabetes, accounting for up to 25% of all diabetic admissions.

Addressing neuropathy promptly and effectively is crucial to mitigating these risks and managing associated healthcare expenses.

Factors Influencing Neuropathy Treatment Costs

Type of Treatment Required

Neuropathy treatment costs vary based on the type of care needed. Essential medications can cost as little as $10 for generic pills, but more complex care—including specialized drugs, nerve treatments, or surgery—can cost thousands of dollars. The price depends on the severity of nerve damage and its underlying cause.

Severity of the Condition

The severity of neuropathy significantly impacts costs. Mild cases require simple interventions like over-the-counter pain relievers or introductory physical therapy sessions, which are less expensive. However, severe cases often demand advanced treatments such as nerve stimulation therapy, custom orthotics, or even surgical procedures.

These interventions can cost thousands of dollars annually. For example, idiopathic painful neuropathy with small fiber involvement averages $8,055 per year, reflecting the complexity and intensity of care needed. The severity of neuropathy significantly impacts costs. Mild cases might need less care, while severe ones often require intensive and pricey treatments.

Frequency and Duration of Therapy

Treatment frequency and duration play a critical role in the total cost. Physical therapy, for instance, might require two to three visits per week for several months. Each session costs money, adding up to thousands over time. Early treatment may lead to shorter therapy durations and lower costs.

Geographic Location and Healthcare Provider

Treatment costs vary by location and provider. Specialists and big-city clinics often charge more than general practitioners or rural facilities. Advanced therapies may only be available in certain regions, impacting accessibility and price.

woman holding foot with neuropathy

Common Neuropathy Treatment Options and Their Costs

Treatment OptionCost RangeDetails
Physical Therapy$600 – $4,200 (12 sessions)Improves muscle strength and reduces pain; varies by location and therapist
Medications$10 – $500 (monthly)Includes generics and brand-name drugs like antidepressants and anticonvulsants
Nerve Stimulation Therapy$50 – $100/sessionUses mild electric pulses to ease pain; TENS units range from $30 to $100+
Laser Therapy$50 – $150/sessionRequires approximately nine treatments; Medicare may partially cover
Stem Cell Therapy$5,000 – $50,000Aims to repair damaged nerves; promising but still under research
Surgery$5,000 – $30,000+Often a last resort, includes deductibles and copays for insured patients

Physical Therapy

Physical therapy is a common treatment for neuropathy. It focuses on improving muscle strength and reducing pain. The cost per session typically ranges from $50 to $350, depending on location, duration, and the specific treatments involved.

Medications

Medications, such as antidepressants and anticonvulsants, are common in neuropathy treatment. Costs range from $10 for generics to $500 monthly for brand-name drugs. These ongoing expenses can add up significantly over time.

Nerve Stimulation Therapy

Nerve stimulation therapy, such as Transcutaneous Electrical Nerve Stimulation (TENS), uses mild electrical pulses to alleviate pain. This non-invasive treatment offers a medication alternative, often with fewer side effects. Studies suggest that TENS can be effective in managing neuropathic pain, including conditions like diabetic neuropathy.

The cost of TENS therapy varies based on factors like location and provider. Individual sessions can range from $50 to $100 without insurance, with patients typically paying a copay of $20 to $50 per session with insurance.

TENS units are available for purchase for those considering home use, with prices ranging from approximately $30 for basic models to over $100 for more advanced devices.

While insurance may cover part of the expense, it’s essential to consult a healthcare provider to assess the therapy’s effectiveness and affordability compared to other available treatments.

Laser Therapy

Laser therapy uses light to promote healing and ease pain. Sessions cost between $50 and $150; most patients need about nine treatments. Medicare may cover some of the costs depending on the provider and treatment plan.

Stem Cell Therapy

Stem cell therapy aims to repair damaged nerves by promoting regeneration. The cost of such treatments varies widely, typically ranging from $5,000 to $50,000, with an average of around $25,000.

While the expense is considerable, some patients consider the potential benefits—such as improved nerve function and pain relief—worth the investment. However, it’s important to note that the effectiveness of stem cell therapy for neuropathy is still under investigation, and more research is needed to establish its efficacy and safety.

Surgery

Surgery is often a last resort and can cost $5,000 to $30,000 or more. Insurance may cover part of the expense, but patients still face significant out-of-pocket costs, including deductibles and copays.

Neuropathy Treatment cost comparison bar graph

Insurance Coverage for Neuropathy Treatment

What is Typically Covered?

Medicare and private insurance plans often cover doctor visits, tests, and some therapies, providing a safety net for patients. After meeting their deductible, patients usually pay 20% of the approved amount. Coverage varies, so patients should confirm what is included in their plan.

Out-of-Pocket Costs to Expect

Out-of-pocket expenses include initial exams ($200–$500), ongoing therapy sessions ($600–$4,200 for 12 sessions), and medications ($10–$500 monthly). Budgeting for these costs is essential to effectively manage the financial impact of neuropathy treatment.

stem cells being injected into patients knee with neuropathy

Hidden Costs of Neuropathy Treatment

Lost Productivity and Quality of Life

Beyond medical bills, neuropathy affects daily life, often reducing work hours or causing job loss. In the U.S., neuropathic pain-related healthcare and lost productivity cost about $600 billion yearly. These hidden costs can significantly impact a patient’s financial stability and should be considered when planning for neuropathy treatment.

Long-Term Medication Expenses

Long-term drug costs can be significant. Patients with painful diabetic peripheral neuropathy spend an average of $5,188 annually on medications alone. Planning for these ongoing expenses is crucial.

Comparing Traditional vs. Advanced Treatment Costs

Standard Treatments

Standard treatments like pain relievers and anti-seizure drugs are generally less expensive but require ongoing use. Depending on the medication and dosage, costs range from $30 to $500 monthly.

Cutting-Edge Therapies

Advanced options like stem cell therapy have higher upfront costs but may provide longer-lasting relief. These treatments range from $5,000 to $50,000, with about 85% of patients seeing positive changes within three months.

Tips to Manage and Reduce Neuropathy Treatment Costs

Explore Payment Plans

Many clinics offer payment plans that let patients spread costs over several months, making treatment more accessible.

Research Insurance Options

Checking insurance plans for specific neuropathy coverage can help reduce out-of-pocket costs. Comparing policies may reveal better options for covering medications and therapies.

Consider Alternative Therapies

Alternative treatments like acupuncture and massage can complement standard therapies. Discussing these options with a doctor can help tailor a cost-effective plan.

Conclusion

Neuropathy treatment costs vary widely depending on the condition’s severity and chosen therapies. While some patients may pay hundreds, others face thousands in expenses. Thoughtful planning, thorough research, and open communication with healthcare providers can help manage these costs. You can consult your healthcare provider for personalized advice tailored to your condition. With the right approach, managing neuropathy doesn’t have to break the bank.

doctor evan norum

About the Author

Dr. Evan Norum, co-owner of Advantage Chiropractic in New Berlin, WI, holds a Doctorate of Chiropractic from Northwestern Health Sciences University. Inspired by personal experiences with chiropractic care, he specializes in family-based treatments and is board-certified in chiropractic care, neuropathy, and the Torque Release Technique®. With internships at leading chiropractic centers and co-founding Advantage Chiropractic in 2017, Dr. Evan Norum is dedicated to promoting health from within.