Burning feet at night
Often worse after a long day standing, and the weight of a sheet can set it off.
Neuropathy often starts in the toes or fingertips. It can burn like a sunburn, buzz like pins and needles, or feel like walking on cotton. Socks and bedsheets can hurt at night. Some people misstep on uneven sidewalks because their feet don’t report the ground clearly.
Peripheral neuropathy means the long nerves running to the hands and feet are signaling poorly. Diabetes, low vitamin B12, chemotherapy, infection and certain medications can all be behind it, and sometimes no cause is found. On top of the nerve problem, the spinal cord and brain can turn up the volume on what those nerves send.
Your doctor diagnoses the type of neuropathy and manages its cause. I work alongside that care with Neuropuncture, which treats the nerves themselves and how the nervous system processes their signals. For the feet, fine needles go near the tibial nerve at the inner ankle and the common fibular nerve beside the knee. For the hands, I work along the median and ulnar nerves in the forearm. Depending on what’s happening, I may also treat higher up, where those nerves begin. A gentle current then aims to help them signal more normally and to encourage blood flow to the area.
Most people have had blood work, sometimes a nerve test or imaging, and medication for nerve pain. Treating the cause is essential, and that stays with your doctor. Even when blood sugar or B12 levels improve, the nerves and spinal cord can stay sensitized. Medication can lower the intensity without changing how those nerves are signaling, and that signaling is the part I work on.
I ask what your doctor has found so far, where the symptoms started, and what time of day they are worst. Then the exam:
Your primary care doctor, endocrinologist, oncologist or neurologist manages the cause. I work alongside them, and if my findings suggest raising something with one of them, I’ll let you know and share what I found.
Yes. I work with neuropathy from diabetes, chemotherapy, B12 deficiency, infection and unknown causes. Your medical team manages the cause, which matters for how much the nerves can settle. My part is how the nerves are signaling, and how loudly the spinal cord and brain register those signals.
No, and I don’t present it that way. Its aim is to help influence how the nerves and spinal cord are signaling. Some people feel less burning and sleep better, but results vary.
It’s usually a combination, since misfiring nerves and a nervous system that amplifies them tend to occur together. Electroacupuncture targets the affected nerves directly, at the ankle, knee or forearm, or further up where they begin. Other points send input aimed at turning down how loudly the spinal cord and brain register those signals.
Neuropathy symptoms swing a lot early on, so the nerves need steady input. Depending on severity and response, that means two sessions a week across six weeks or three a week across four. I taper once night burning and walking comfort hold steady.
Yes, and that is common. Tests and imaging don’t always show nerves that are sensitized or signaling poorly. An exam that follows your symptoms along the nerve paths can still find what to treat.
Weakness or numbness that is spreading quickly, new bowel or bladder changes, or numbness in the saddle area need urgent care. So do fever, severe pain that won’t let up while you feel unwell, or any sudden neurologic change. If you’re unsure, see your doctor before starting.
Adults with pelvic floor, nerve and orthopedic pain, along with neurological conditions. Most of my patients come to me after other care hasn't fully settled things. If you're looking for general wellness acupuncture, I'm not the right fit.
We review your history and what you've already tried. I assess the muscles and nerves involved, and you're treated the same day.
It depends on the condition. Pelvic and orthopedic plans usually run 4 to 6 weeks. Neurological plans are usually 2 visits a week for 6 weeks or 3 a week for 4. After that, visits space out so the changes hold. These are typical timelines, not promises.
Yes. I work alongside doctors, physical therapists and specialists. If something I find needs a closer look from one of them, I'll tell you.
I'm an out-of-network provider. You pay at the time of your visit, and my office submits the claim so any reimbursement comes to you. Free benefit checks are available before your first visit through the verification form, and HSA and FSA cards work. I don't take Medicare or Medicaid, though some Medicare Advantage plans reimburse out-of-network care. Full insurance details
Yes. I treat adults, teens and children, though I don't specialize in infants or toddlers.
Yes. Book a free discovery call to ask your questions and see whether we're a good fit.
Dry needling is a form of acupuncture. Fine needles go into tight bands of muscle and trigger points to lower muscle tension and change how the area is signaling.
You may feel a brief twitch or a deep ache as the needle reaches tight muscle. It passes quickly, and any soreness afterward usually fades within a day or two.
Yes, with a properly trained practitioner. Needles are sterile and single-use, and I check your health history first, including blood thinners. In New York, dry needling can only be performed by licensed acupuncturists, MDs and DOs. Physical therapists and chiropractors aren't permitted to perform it.
Eat something light beforehand and wear loose clothing that lets me reach the area being treated.
Usually not. Ultrasound helps in a few specific cases, but it hasn't been shown to improve results for common trigger points. A careful hands-on exam is what guides the needle. More on ultrasound-guided dry needling
Dry needling aimed at the pelvic floor and the hip and abdominal muscles around it, for pain, tension and urinary symptoms driven by those muscles and their nerves. More on pelvic floor dry needling
Sometimes, depending on the muscles involved, and you'll be draped throughout. Treatment always follows your consent and comfort. I don't do internal exams or internal treatment.
No, though it helps if you've already seen a doctor or pelvic floor physical therapist. Bring any notes or imaging you have.
Completely. I've heard it all, and there's no judgment here, just a straightforward conversation so we can treat what's going on.
Yes, I treat adults of every gender and identity. After gender-affirming surgery involving the pelvis, bring your surgical notes and we'll decide together what fits.
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118 W. 72nd St, Rear Lobby, New York, NY 10023
Evidence-based acupuncture and dry needling on the Upper West Side. From chronic pain and headaches to pelvic floor dysfunction, Dr. Jordan Barber pairs the highest level of training with care that actually listens.
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