Neuropathy In-Home Nursing and Care 

Maryland, Washington, D.C., and Northern Virginia

Your Local Neuropathy Home Care Professionals

We provide nurse-led in-home care for adults living with high-severity neuropathy—helping with pain relief, foot care, fall prevention, and daily support so you can feel safer and more comfortable at home while preventing future health problems. 

If numbness, burning, pain, or poor sensation in the feet and hands are making home life unpleasant, risky or exhausting, In-Home Nursing & Care for Neuropathy can help. Our medical and home aide team focuses on fall-prevention, foot care and ulcer treatment, effective medication routines, and comfortable sleep strategies so that life at home can be easy and enjoyable. Here, we’ll explain: 

• Who We Serve 
• What Care We Provide 
• What Areas We Serve – And Why 
• Why Neuropathy Patients Choose In-Home Nursing vs. Clinic-Based Care 
• Other Neuropathy-Focused Professionals & Programs We Collaborate With 
• How It Works – Step-by-Step 

Who We Serve 

We support adults with life-impacting neuropathy from any cause. The most common reason families call us is because they’re experiencing severe and painful neuropathy symptoms with a fear of amputations, and need our assistance with neuropathy treatments and prevention. Our patients often experience: 

• Walking/moving imbalance and a fear of falling 
• Active or recent diabetic foot ulcer (utilize home-health about 85% of their days.) [1] 
• Painful and annoying neuropathy impacting sleep, walking, cooking, and daily routines. 
• Dysautonomia (orthostatic hypotension, GI dysmotility) causes syncope/falls, dehydration, or nutritional issues. [2] 
• Hand dexterity problems that interfere with meds, glucose checks, cooking, dressing, or wound care. [3] 
• A recent hospitalization or ED visits related to falls, infection, or an ulcer. 
• A lack of external help because they live alone with limited support. 
• Multiple comorbidities (vision impairment, heart disease, diabetes) compound risk. 

We serve patients with peripheral neuropathy, diabetic neuropathy, chemotherapy-induced peripheral neuropathy (CIPN), B12-deficiency neuropathy, and other causes of neuropathy. Our in-home nursing care provides the treatment that individuals and families with neuropathy desire to create greater healing and independence. 

What Care We Provide 

We bring fall-prevention, foot-health, and comfort-focused care right into your home - pairing neuropathy home nursing with nurse-supervised caregivers so you can stay safe, steady, and more independent every day. Our nurses and caregivers can provide: 

• Nurse Assessments and Care Plans – We test all neuropathy symptoms to determine severity, track fall history, measure skin & foot status, understand pain/sleep, medications, provide specialized footwear/orthotics, and home layout. We then develop a personalized plan with clear goals (fewer falls, no new ulcers, better sleep, lower blood sugar) and design a simple daily checklist you and your care team can follow. 
• Medication & Pain Management - Medication reminders/administration for diabetes and neuropathic pain regimens with side-effect and interaction monitoring. Comfort routines (heat/cold safety coaching for reduced sensation, pacing, relaxation, TENS coordination if ordered) to improve function and sleep. 
• Foot Care & Ulcer Prevention - Daily foot/skin checks to catch redness, blisters, calluses, cracks, or drainage early. 
• Fall-Risk Reduction, Balance and Mobility - Home safety upgrades, Transfer training & movement support, and Daily balance/mobility exercises coordinated with PT/OT plans. 
• Activities of Daily Living Support - Bathing, dressing, and grooming with techniques that work around numbness, pain, and fatigue. Meal prep & hydration support with safe-handling strategies for reduced hand sensation. Household help (light laundry/tidying) to keep pathways clear and reduce trip hazards. 
• Blood Sugar and Lifestyle Support – Blood sugar lowering routines tied to your clinician’s plan with foot-friendly activity and sleep hygiene coaching to reduce nighttime pain flares. 
• Monitoring, Documentation and Early Escalation – Same-day nurse reviews for symptom tracking, vital/orthostatic checks, and red-flag checks to determine if there’s a need for escalation. We provide direct coordination with your PCP, endocrinology, oncology, podiatry, or wound care. 
• Caregiver Education and Family Support - Hands-on teaching for daily foot checks, safe transfers, device use, and home exercises. We coordinate caregiver respite hours to prevent burnout and keep families healthy. 
• Flexible Schedules - From a few hours per week to 24/7 care with overnight safety care. These are all supervised by an RN with routine check-ins and plan updates. 

What Areas We Serve - And Why 

We provide in-home nursing and care to those with neuropathy in Montgomery County MD, Prince George’s County MD, Howard County MD, Frederick County MD, Washington DC, Fairfax County VA, and Arlington County VA.

Among U.S. adults, peripheral neuropathy is common and rises with age: national surveys show about 10% in middle-aged and around 27% in older adults. Among people with diabetes, one-third to one-half have peripheral neuropathy. (PMC, NIDDK) 

Out of the estimated 306,533 individuals with neuropathy in the counties and jurisdictions that we serve, around 134,874 have high-severity neuropathy. These estimates show that a huge portion of those in the areas that we serve require personalized and effective neuropathy care similar to the care that Specialty Care Services provides. [19] We choose to provide in-home care to those with higher-severity neuropathy because: 

• Home care reduces fall & fracture risk: PN is a risk factor for falls and fractures in older adults; structured home programs and evidence-based classes reduce risk. [20] [21] 
• Home care can reduce diabetic foot ulcers: Early, at-home detection of skin breakdown and rapid wound clinic escalation prevents costly admissions. Medicare data show DFU episodes drive substantially higher utilization and costs, with 85% more home-health days vs. matched controls. [22] 
• Home care is effective in treating chemotherapy-induced peripheral neuropathy (CIPN): With about 68%  of those who receive chemotherapy are diagnosed with neuropathy within the first month, focused short-term home support during that window prevents injury and helps keep oncology plans on track. [23] 

Why Neuropathy Patients Choose In-Home Nursing vs. Clinic-Based Care 

• Less travel, less pain. Neuropathy often makes walking, driving, or using public transportation difficult. In-home nursing eliminates the need for frequent, tiring clinic trips. 
• Lower fall and injury risk. Many neuropathy patients struggle with balance, numb feet, or dizziness. Being cared for at home avoids the extra risk of falls in parking lots, waiting rooms, or during transfers in/out of vehicles. 
• Personalized home safety support. Nurses and caregivers can make your actual living space safer—recommending footwear, home modifications, and fall-prevention strategies tailored to your home. 
• On-time care and symptom monitoring. Instead of waiting for appointments, in-home nurses can check blood sugar, wounds, or medication timing daily—helping catch problems before they lead to ER visits. Diabetic foot ulcers (DFU) carry heavy utilization and cost, and data show DFU patients have ~85% more home health days and far more hospital/ED use than matched peers. 
• Comfort and convenience. Neuropathy symptoms like burning pain, hypersensitivity, or fatigue are easier to manage in your own home environment, where you can rest immediately after care. 
• Family involvement. Loved ones can observe, ask questions, and learn hands-on care strategies—something clinic settings rarely allow. 

Neuropathy-Focused Professionals and Programs We Collaborate With 

If you currently work with healthcare professionals (or need a professional recommendation), we collaborate with multiple types of healthcare professionals: 

• Primary Care Providers 
• Neurologists 
• Endocrinologists 
• Hematologists 
• Therapists (Physical therapists, occupational therapists, or speech therapists) 
• Chiropractors 
• Wound & limb preservation programs: GW Hospital Wound Healing & Limb Preservation Center (DC); MedStar Georgetown Wound Healing Institute (DC); Inova Wound Healing Centers (Fairfax region); VHC Health Wound Care & Hyperbaric Medicine (Arlington); UMMS Wound Centers (Baltimore-Washington corridor). [24] [25] [26] [27] [28] 
• Oncology/CIPN education programs: GW Cancer Center offers free clinician modules and patient-friendly resources on preventing/managing CIPN; Georgetown Lombardi Comprehensive Cancer Center maintains robust patient resources. We align home routines with their guidance. [29] [30] 
• Falls programs (referrals): County-run A Matter of Balance and Bingocize series in Northern Virginia (including Fairfax); Arlington’s 55+ fall-prevention events. [31] [32] [33] 

How It Works – Step-by-Step 

1. Start with a thorough assessment from a Registered Nurse 
   We review medical history, neuropathy type (DPN, CIPN, B12 deficiency, etc.), medications, home layout, footwear/orthotics, feet/skin status, and fall history. (NIDDK emphasizes regular foot checks and preventive routines.) [34] 
2. Receive your personalized care plan 
   May include medication management and administration at home, fall-prevention & balance techniques, necessary home modifications, referrals to professionals and providers as needed, foot care & ulcer prevention plan, neuropathy   safety coaching, and more. 
3. Receive care regularly 
   This can include personal care & companionship, nursing care, respite care (short-term care), and/or 24/7 care depending on your needs and desires. 
4. Regular check-ins from the nurse and caregivers 
   Scheduled nurse check-ins for stability checks, red flag analysis (new numbness, wounds, falls), and can trigger same-day RN review and referral if needed. 

How Neuropathy Home Care Patients Find Us 

To help families searching online, we included the terms and phrases that our patients often search to find our care and benefit from our care: 

Core service phrasing 
Neuropathy home care; neuropathy in-home care; neuropathy home nursing; home health for neuropathy; peripheral neuropathy home care; diabetic neuropathy home care; nerve pain home care; neuropathy care at home; live-in neuropathy care; 24/7 neuropathy home care. 

Service type—specific (problems & tasks) 
Medication management at home for neuropathy (diabetes meds, pain regimens); fall-prevention for neuropathy; balance & gait support; foot-drop safety; foot care & ulcer prevention at home; skin checks; footwear checks; numbness/tingling support; burning feet routines; chemotherapy-induced peripheral neuropathy (CIPN) home care; ADL assistance (bathing/dressing); pain & sleep routines; desensitization techniques; TENS coordination (as ordered); home safety modifications; transfer training; orthotics/AFO follow-through; PT/OT coordination at home (coordination, not provision). 

“Provider” language 
Neuropathy home health nurse; private-duty nurse for neuropathy; RN-led neuropathy home care; nurse-supervised caregivers for neuropathy; home health agency for neuropathy; neuropathy caregiver near me; respite care for neuropathy; live-in caregiver for neuropathy. 

Transactional synonyms 
Hire neuropathy caregiver; book a neuropathy home nurse; neuropathy home care cost; private-pay neuropathy care; schedule neuropathy in-home nursing; same-week neuropathy home care; overnight neuropathy care at home; 24-hour neuropathy care; post-hospital neuropathy home care; neuropathy recovery at home. 

Symptoms and condition expanders 
Peripheral neuropathy; diabetic neuropathy; nerve pain in feet; burning feet; tingling/numbness; balance problems; foot drop; CIPN; B12 deficiency neuropathy. 

Sources 

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Diabetic Neuropathy. 
https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/nerve-damage-diabetic-neuropathy 
Accessed September 2025. 

National Institutes of Health. Autonomic Neuropathy (Dysautonomia). 
https://www.ninds.nih.gov/health-information/disorders/autonomic-neuropathy 
Accessed September 2025. 

American Diabetes Association. Neuropathy. 
https://diabetes.org/diabetes/complications/neuropathy 
Accessed September 2025. 

National Institutes of Health – PubMed Central (PMC). Prevalence of Peripheral Neuropathy in Adults. 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4919709/ 
Accessed September 2025. 

Callaghan BC, et al. Diabetic Neuropathy: Clinical Manifestations and Current Treatments. The Lancet Neurology. 
https://doi.org/10.1016/S1474-4422(12)70239-2 
Accessed September 2025. 

Montgomery County Government. Population and Demographics. 
https://montgomerycountymd.gov/OPI/population.html 
Accessed September 2025. 

U.S. Census Bureau – Montgomery County, Maryland QuickFacts. 
https://www.census.gov/quickfacts/fact/table/montgomerycountymaryland 
Accessed September 2025. 

Prince George’s County Government. County Demographics. 
https://www.princegeorgescountymd.gov/ 
Accessed September 2025. 

U.S. Census Bureau – Prince George’s County, Maryland QuickFacts. 
https://www.census.gov/quickfacts/fact/table/princegeorgescountymaryland 
Accessed September 2025. 

Howard County Government. Demographics & Statistics. 
https://www.howardcountymd.gov/ 
Accessed September 2025. 

U.S. Census Bureau – Howard County, Maryland QuickFacts. 
https://www.census.gov/quickfacts/fact/table/howardcountymaryland 
Accessed September 2025. 

U.S. Census Bureau – Frederick County, Maryland QuickFacts. 
https://www.census.gov/quickfacts/fact/table/frederickcountymaryland 
Accessed September 2025. 

Government of the District of Columbia. Demographics & Statistics. 
https://dc.gov/ 
Accessed September 2025. 

U.S. Census Bureau – District of Columbia QuickFacts. 
https://www.census.gov/quickfacts/fact/table/DC 
Accessed September 2025. 

Fairfax County Government. Demographics. 
https://www.fairfaxcounty.gov/ 
Accessed September 2025. 

U.S. Census Bureau – Fairfax County, Virginia QuickFacts. 
https://www.census.gov/quickfacts/fact/table/fairfaxcountyvirginia 
Accessed September 2025. 

Arlington County Government. Demographics & Statistics. 
https://www.arlingtonva.us/ 
Accessed September 2025. 

U.S. Census Bureau – Arlington County, Virginia QuickFacts. 
https://www.census.gov/quickfacts/fact/table/arlingtoncountyvirginia 
Accessed September 2025. 

Specialty Care Services Analysis. Neuropathy Population Estimates in Service Areas. 
Internal calculation using Census and prevalence data. 

Centers for Disease Control and Prevention (CDC). Older Adult Falls Programs. 
https://www.cdc.gov/falls/programs 
Accessed September 2025. 

National Institute on Aging. Falls and Fractures in Older Adults. 
https://www.nia.nih.gov/health/prevent-falls-and-fractures 
Accessed September 2025. 

U.S. National Library of Medicine – PubMed. Diabetic Foot Ulcers and Healthcare Utilization. 
https://pubmed.ncbi.nlm.nih.gov/31589538/ 
Accessed September 2025. 

National Cancer Institute. Chemotherapy-Induced Peripheral Neuropathy (CIPN). 
https://www.cancer.gov/about-cancer/treatment/side-effects/neuropathy 
Accessed September 2025. 

George Washington University Hospital. Wound Healing & Limb Preservation Center. 
https://www.gwhospital.com/services/wound-healing 
Accessed September 2025. 

MedStar Georgetown University Hospital. Wound Healing Institute. 
https://www.medstarhealth.org/locations/medstar-georgetown-wound-healing-institute 
Accessed September 2025. 

Inova Health. Wound Healing Centers. 
https://www.inova.org/our-services/wound-healing 
Accessed September 2025. 

Virginia Hospital Center (VHC Health). Wound Care & Hyperbaric Medicine. 
https://www.vhchealth.org/medical-services/wound-care 
Accessed September 2025. 

University of Maryland Medical System. Wound Care. 
https://www.umms.org/services/wound-care 
Accessed September 2025. 

GW Cancer Center. Oncology & Survivorship Resources. 
https://cancercontroltap.smhs.gwu.edu/ 
Accessed September 2025. 

Georgetown Lombardi Comprehensive Cancer Center. Patient Resources. 
https://lombardi.georgetown.edu/ 
Accessed September 2025. 

Fairfax County Government. A Matter of Balance & Bingocize. 
https://www.fairfaxcounty.gov/ 
Accessed September 2025. 

Arlington County Government. 55+ Fall Prevention Programs. 
https://www.arlingtonva.us/ 
Accessed September 2025. 

National Council on Aging. Falls Prevention Programs. 
https://www.ncoa.org/older-adults/health/falls-prevention/ 
Accessed September 2025. 

NIDDK. Preventing Diabetes Problems: Keep Your Feet Healthy. 
https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems 
Accessed September 2025.