What Your Neuropathy Assessment Results Can Tell You About Your Nerve Health

Dr. Brad Pritchard • June 5, 2026

A neuropathy assessment can do more than confirm that something feels wrong. It can help show how your nerves are functioning, how severe your symptoms may be, and what type of care plan may make sense for your situation.


If you have burning, tingling, numbness, cold sensations, changes in balance, or pain in your feet or hands, the first step is to understand what your symptoms may be connected to. These are common peripheral neuropathy symptoms, but they do not always show up the same way from person to person.


That is why a proper assessment matters before any treatment plan is recommended.

Doctor examining a patient’s ankle in a clinic, hands holding the foot for inspection.

What Is Being Tested During a Neuropathy Assessment?

During a neuropathy assessment, the goal is to assess how your nerves are responding and how your symptoms affect your day-to-day function. This may include reviewing your health history, current symptoms, medications, previous testing, diabetes history, injuries, surgeries, chemotherapy history, and other relevant conditions.


The physical portion of the exam may assess sensation, reflexes, balance, strength, and how your hands or feet respond to different forms of stimulation. The doctor is not just looking for where you feel discomfort. They are also looking for areas where sensation may be reduced, delayed, or inconsistent.


That matters because neuropathy is not always experienced as pain. In some cases, numbness or reduced feeling can be just as important to identify, especially if it affects walking confidence, balance, or awareness of temperature and pressure.


If you are still learning what peripheral neuropathy is, this type of assessment can help connect the condition to what you are feeling in daily life.


How Severity May Be Measured

Some neuropathy assessments use a scoring system to help indicate the severity of nerve involvement. A score does not tell the whole story on its own, but it can help create a clearer starting point. It may show whether symptoms appear mild, moderate, or more advanced. It can also help the doctor compare your results with your symptoms and health history.


Severity matters because two patients with neuropathy may not need the same plan. One person may still have good sensation but frequent burning pain. Another may have less pain but more numbness, balance trouble, or reduced awareness in the feet. Those differences can affect treatment recommendations.


Small Fibre vs. Large Fibre Signs

Neuropathy can affect different types of nerve fibres. Small fibre involvement is often associated with symptoms such as burning, tingling, sharp pain, temperature sensitivity, or unusual sensations. Large fibre involvement may be associated with numbness, reduced vibration sensation, balance changes, weakness, or coordination concerns.


An assessment helps identify which patterns may be showing up. This does not replace medical testing by your primary care provider or specialist, but it can provide helpful information about how your nerve symptoms present.


What Happens After Your Results Are Reviewed?

After the assessment, your results should be explained in plain language. You should understand what was tested, what your results suggest, how severe your symptoms appear, and whether you may be a good candidate for care.


A strong care plan should be based on your assessment results, health history, symptom pattern, goals, and overall health. That is why Neuropathy Relief Centres does not use a one-size-fits-all approach. The most important takeaway is that assessment results are not just numbers. They are a starting point for understanding your nerve health and choosing the next step with more confidence.


To learn more or book an assessment, contact the Calgary neuropathy clinic, Saskatoon neuropathy clinic, or meet the Neuropathy Relief Centres team.

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