New York Spine Institute provides high-quality care and individualized treatment for individuals dealing with reflex sympathetic dystrophy. Our offices throughout greater New York city are dedicated to relieving your symptoms so you can live a healthy life. We are here to help you on your way toward recovery.


The team of specialists at New York Spine Institute are some of the best back and neck doctors, surgeons, and physical therapists in the industry. We offer various offices located around the Greater New York City area, offering our clients the freedom to choose which is most convenient for them. The NYSI strives to provide high quality care for neck and back pain at an affordable price, every step of the way.*

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Quality Care

Our experienced doctors based here at NYSI, are prepared to give all of our patients personalized and high quality care. They do this based upon your specific diagnosis in order to assure that you are given the proper treatment options for your condition.

Industry Leaders

Under the guided leadership of our medical director, Alexandre B. de Moura, M.D. FAAOS. The spine doctors at NYSI are industry leaders in various neck and spine disorders and will provide our patients with the appropriate treatment options.

Multiple Languages

At NYSI, our professional staff speaks various languages to accommodate our various patients. Our languages include Spanish, Portuguese, French, Italian, German, and Russian. It is our pleasure to serve all of our patients needs.

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Understanding the Causes Of Your Diabetic Neuropathy

Diabetic neuropathy is a common and serious complication of diabetes.There are different types of diabetic neuropathy that affect different areas of your body, causing a variety of symptoms. Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar (glucose) can injure nerves throughout your body. Diabetic neuropathy most often damages nerves in your legs and feet.*

DPN damages two different types of nerves close to the surface of your skin. This condition can impact the small nerves that protect your body by sending signals about pain and temperature changes to your brain. Diabetic neuropathy can be broken into several types. This is because we have different kinds of nerves in our bodies that serve different functions. Your symptoms and treatments depend on which type of diabetic neuropathy you have.*

There are several types of DPN, these include*:

  • Peripheral neuropathy refers to the conditions that result when nerves that carry messages to and from the brain and spinal cord from and to the rest of the body are damaged or diseased.
  • Proximal neuropathy A rare and disabling type of nerve damage in your hip, buttock, or thigh. This type of nerve damage typically affects one side of your body and may rarely spread to the other side
  • Autonomic neuropathy when the nerves that control involuntary bodily functions are damaged. It can affect blood pressure, temperature control, digestion, bladder function and even sexual function.
  • Focal neuropathy conditions in which you typically have damage to single nerves, most often in your hand, head, torso, or leg. This type of nerve damage is less common than peripheral or autonomic neuropathy.
Dr. Alexandre de Moura - NY Spine Institute - Long Island spine surgeon, manhattan back surgeon
Alexandre B. de Moura, M.D., FAAOS

Cervical Lumbar Spine Specialist, Medical Director
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Diagnosing Your Diabetic Neuropathy

If you’ve been diagnosed with pre diabetes or type 1 or type 2 diabetes, getting checked for diabetic peripheral neuropathy—damage to nerves in your feet, lower legs, hands and elsewhere—is critical.*

It’s essential to get a health screening as well as a few tests will rule out other causes of nerve damage such as thyroid problems, vitamin B12 deficiency, infections like Lyme disease or hepatitis B, some medications and more. A key part of your screening is a foot exam. It is recommended that people with diabetes should have a comprehensive foot exam at least once a year*

Peter Passias M.D. FAAOS - NY Spine Institute Staff Link
Peter Passias, M.D.

Cervical, Lumbar, Adult & Pediatric Scoliosis and Spinal Deformity Specialist
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Treatment Options For Diabetic Neuropathy

Symptoms for Diabetic Neuropathy include:

  • Pain
  • Burning, stabbing or electric-shock sensations
  • Numbness (loss of feeling)
  • Tingling
  • Muscle weakness
  • Poor coordination
  • Muscle cramping and/or twitching
  • Insensitivity to pain and/or temperature
  • Extreme sensitivity to even the lightest touch
  • Symptoms get worse at night. 

Diabetic neuropathy has no known cure. The goals of treatment are to:

  • Slow progression of the disease
  • Relieve pain
  • Manage complications and restore function

Treatment varies depending on the severity and patient. It’s best to talk with your doctor in order to come up with the best treatment option for you, some options include: medications, injections, braces, surgery, and orthopedic shoes.*

Angel Macagno M.D. FAAOS - NY Spine Institute Staff - Link
Angel Macagno, M.D.

Cervical, Lumbar, Adult & Pediatric Scoliosis and Spinal Deformity Specialist

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Need a Consultation for Your Diabetic Neuropathy?