Neurogenx

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mandrew

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Does anyone have any experience/knowledge regarding Neurogenx? Thanks for your input.
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All of the testimonials are podiatrists. Make of that what you will.

Its an office "powerful" TENS, and the patient has to come back 16-24 times at 20-40 minutes a go for reapplication and it also requires a nerve block for the first few sets.

The website description of speaking to the office "benefit coordinator" suggests to me that it isn't covered by insurance.

There's a lot of interest in podiatry in monetizing common conditions that no one else wants to treat. Ideally the doctor doesn't even have to do anything. The patient simply shows up and pays cash over and over again.
 
heybrother said:
All of the testimonials are podiatrists. Make of that what you will.

Its an office "powerful" TENS, and the patient has to come back 16-24 times at 20-40 minutes a go for reapplication and it also requires a nerve block for the first few sets.

The website description of speaking to the office "benefit coordinator" suggests to me that it isn't covered by insurance.

There's a lot of interest in podiatry in monetizing common conditions that no one else wants to treat. Ideally the doctor doesn't even have to do anything. The patient simply shows up and pays cash over and over again.
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Ah yes everything I hate about this profession.
 
heybrother said:
All of the testimonials are podiatrists. Make of that what you will.

Its an office "powerful" TENS, and the patient has to come back 16-24 times at 20-40 minutes a go for reapplication and it also requires a nerve block for the first few sets.

The website description of speaking to the office "benefit coordinator" suggests to me that it isn't covered by insurance.

There's a lot of interest in podiatry in monetizing common conditions that no one else wants to treat. Ideally the doctor doesn't even have to do anything. The patient simply shows up and pays cash over and over again.
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This is some pure podiatry d o g s h i t .

Let's monetize this useless, non-insured crap and con our patients into paying out the ass. Just like laser and PRP.

If it ain't covered by insurance, that's usually for a reason, and it's not because it's some hidden gem that the powers that be are hiding from needy patients
 
Homo sapien said:
This is some pure podiatry d o g s h i t .

Let's monetize this useless, non-insured crap and con our patients into paying out the ass. Just like laser and PRP.

If it ain't covered by insurance, that's usually for a reason, and it's not because it's some hidden gem that the powers that be are hiding from needy patients
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What do you think of shockwave?
 
heybrother said:
All of the testimonials are podiatrists. Make of that what you will.

Its an office "powerful" TENS, and the patient has to come back 16-24 times at 20-40 minutes a go for reapplication and it also requires a nerve block for the first few sets.

The website description of speaking to the office "benefit coordinator" suggests to me that it isn't covered by insurance.

There's a lot of interest in podiatry in monetizing common conditions that no one else wants to treat. Ideally the doctor doesn't even have to do anything. The patient simply shows up and pays cash over and over again.
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Sounds like an absolute pain in the ass
 
Worked at a practice that had it. Used it a handful of times, never saw any benefit whatsoever. It is cash pay for sure. The 'best' part is it takes 30-40 minutes and you don't need to be in the exam room during treatment. The perfect grift.
 
pod squad said:
Worked at a practice that had it. Used it a handful of times, never saw any benefit whatsoever. It is cash pay for sure. The 'best' part is it takes 30-40 minutes and you don't need to be in the exam room during treatment. The perfect grift.
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So podiatry
 
If you look at their basis for claiming this work its that ENFD increases (and I don't think there's a paper for this - the website just says "Patient results tracked for more than a decade.")

ENFD is already a disaster. Its a real test for small fiber peripheral neuropathy, but its massively overused by podiatrists for practice management purposes. Small fiber is a diagnosis of exclusion. Insurance companies know this - they don't want to pay for it in diabetics, people with known metabolic disease or in people with NC studies showing neuropathy. Podiatrists will literally order ENFD on diabetics with Medicare, put people on vitamins, and then try to order ENFD again to show the "vitamins are working".
 
At the end of the day you can test for neuropathy but what’re you gonna do to fix it?

If I knew Id be retired by now
 
Homo sapien said:
If it ain't covered by insurance, that's usually for a reason
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x1000

I tell my patients this every day.

I tell my patients if they cured neuropathy they would never work another day nor would their great great great grandkids. But these red light gimicks and whatnot are being advertised on facebook and cash pay (usually chiropractors in my area). Why do they have to adverstise this junk? Why doesnt insurance cover? Because its a scam.

So sad.

I thought the other thread comparing competency of DPMs vs DO/MD was a really dumb read. But after reading this maybe it has some merit.
 
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I prefer Nugenix.

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heybrother said:
If you look at their basis for claiming this work its that ENFD increases (and I don't think there's a paper for this - the website just says "Patient results tracked for more than a decade.")

ENFD is already a disaster. Its a real test for small fiber peripheral neuropathy, but its massively overused by podiatrists for practice management purposes. Small fiber is a diagnosis of exclusion. Insurance companies know this - they don't want to pay for it in diabetics, people with known metabolic disease or in people with NC studies showing neuropathy. Podiatrists will literally order ENFD on diabetics with Medicare, put people on vitamins, and then try to order ENFD again to show the "vitamins are working".
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What the hell is ENFD? is this like how some boomer podiatrist gives b12 injection to "help the neuropathy "
 
ENFD and EMG/NCV are dumb. If you have neuropathy, you have neuropathy. Just treat it.
 
mandrew said:
How do you “treat” neuropathy?
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Silly question. Obviously you cant cure it. You just try to manage the symptoms. I typically stick with fat soluble B vitamins, R-alpha lipoic acid and N-acetylcysteine… gabapentinoids and antidepressants if needed, then involve family MD to take over refills, etc.
 
heybrother said:
If you look at their basis for claiming this work its that ENFD increases (and I don't think there's a paper for this - the website just says "Patient results tracked for more than a decade.")

ENFD is already a disaster. Its a real test for small fiber peripheral neuropathy, but its massively overused by podiatrists for practice management purposes. Small fiber is a diagnosis of exclusion. Insurance companies know this - they don't want to pay for it in diabetics, people with known metabolic disease or in people with NC studies showing neuropathy. Podiatrists will literally order ENFD on diabetics with Medicare, put people on vitamins, and then try to order ENFD again to show the "vitamins are working".
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Yep. Just what I like to do…..poke some holes in a diabetic with neuropathy and PVD. Let’s create some new wounds for useless information. But heh, do enough and you may get a free Bako hat or umbrella.
 
ExperiencedDPM said:
Yep. Just what I like to do…..poke some holes in a diabetic with neuropathy and PVD. Let’s create some new wounds for useless information. But heh, do enough and you may get a free Bako hat or umbrella.
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And cocaine?
 
Shiyuan said:
Silly question. Obviously you cant cure it. You just try to manage the symptoms. I typically stick with fat soluble B vitamins, R-alpha lipoic acid and N-acetylcysteine… gabapentinoids and antidepressants if needed, then involve family MD to take over refills, etc.
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You sound all sciency I just do gabapentin maybe I will look into this B and R and N stuff

Edit - wait is this a pill you conveniently sell in your office?
 
air bud said:
You sound all sciency I just do gabapentin maybe I will look into this B and R and N stuff

Edit - wait is this a pill you conveniently sell in your office?
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No. I give them a sheet and tell them buy it on Amazon or health food store. A bunch of those “all-in-one” neuro supplements have a toxic dose of B6. I had a patient in my last practice who was developing unilateral Parkinson symptoms from hypervitaminosis B6…. Which is why I have them take one supplement at a time for that reason.

I hate selling crap in my office. My new job carries powersteps which are at least a decent thing to sell but even those I don’t push.
 
Shiyuan said:
Silly question. Obviously you cant cure it. You just try to manage the symptoms. I typically stick with fat soluble B vitamins, R-alpha lipoic acid and N-acetylcysteine… gabapentinoids and antidepressants if needed, then involve family MD to take over refills, etc.
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Interesting. Havn't heard of this either.
 
Shiyuan said:
Silly question. Obviously you cant cure it. You just try to manage the symptoms. I typically stick with fat soluble B vitamins, R-alpha lipoic acid and N-acetylcysteine… gabapentinoids and antidepressants if needed, then involve family MD to take over refills, etc.
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Much like DYK, I tell all of my patients that if I had a good solution for neuropathy, I’d be rich. And retired in the mountains somewhere. I tell them that if they find someone who cures their neuropathy to tell me who it is so I can send everyone to them. Shockingly, nobody has found that provider…

I will recommend alpha lipoic acid (print them off a bottle from Amazon) for mild symptoms. I have them take 600mg QD for one month and if it helps, congrats, if not oh well, they’re out like $10. Otherwise I will start people on gabapentin and then transfer management to PCP. If they are on gabapentin and symptoms are primarily only keeping them up at night, I’ll add amitriptyline and then again transfer management to PCP.
 
wakaflocka88 said:
thanks @DYK343 , I used your neuropathy discovery rich line today and worked great.
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I try to involve my patients by using inclusive language, which according to a seminar I went to once, is very important. For example, " If we discover a cure for fungal nails, we will each be able to purchase our own private islands." Never been sued, just saying.
 
Gabapentin indefinitely. Then referral for DCS trial.

Although, typically my AAA battery powered "Red LED" light therapy work wonders. Sorry guys, proprietary to my office.
 
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