For diabetic, idiopathic & chemo-induced neuropathy

Neuropathy doesn't just hurt your feet. It takes your nights, your walks, your independence.

Burning sheets at 2 a.m. Numb toes on the stairs. Pills that leave you foggy. Nerivoa puts therapeutic ultrasound, a therapy physical therapists have used for decades and researchers now study for nerve pain, into a handheld device you use at home in a few minutes a day.

Soothes burning, tingling and pins-and-needles

Gentle deep warmth that encourages local circulation

Drug-free, one-time cost, used from your couch

Made in an FDA-registered facility

90-day money-back guarantee

Reviewed by neurologist Dr. James Lee

88%

of patients with diabetic nerve pain responded to a low-dose ultrasound protocol in a 2025 clinical study of 180 people, vs. 53% on gabapentin.¹

Start my at-home therapy →

★★★★★ 4.3/5 from 190 reviews on Judge.me

Nerivoa handheld ultrasound therapy device

Free US shipping

Tracked, delivered in 5–8 days

90-day guarantee

Try it, or get your money back

Gel included

Ready for your first session

Real US support

lacynerivoa@nerivoa.com

How therapeutic ultrasound works

It doesn't just cover up the pain. It works where the discomfort starts.

Ultrasound therapy has been used in physical therapy clinics for decades. Nerivoa puts that same principle in a handheld device you can use at home.

1 MHz ultrasoundwith gentle 42°C warmth

1

Sound waves go in

The gel-coupled head sends high-frequency sound waves below the skin's surface.

2

Tissue warms gently

Those waves create a mild, deep warmth you can feel but that never burns.

3

Blood flow picks up

Warmth encourages local circulation, bringing more oxygen to tired tissue.

4

Nerves get room to recover

With better circulation and less tension, many users feel less burning and tingling over time.

The research

Not a gadget trend. Published, peer-reviewed science.

Therapeutic ultrasound has been tested against placebo, against prescription drugs, and in the lab. Here is what the studies found, with links so you can read them yourself.

Clinical study · diabetic nerve pain

88%responded

Low-dose ultrasound

88%

Medium-dose ultrasound

73%

Gabapentin

53%

180 patients with painful diabetic peripheral neuropathy. The low-dose ultrasound group had the biggest drop in pain scores and lower inflammation markers (TNF-α, CRP, IL-6) than the gabapentin group. All groups also received the same nerve-support medication.

Ji W. et al., Pakistan Journal of Medical Sciences, 2025.¹

Sham-controlled trial · nerve compression

74%vs 20% placebo

Real ultrasound

74%

Sham (device off)

20%

In carpal tunnel syndrome, a nerve-compression neuropathy, wrists treated with real ultrasound improved far more than wrists given a switched-off device. Nerve conduction tests improved too, and the benefit was still there six months later. No side effects were reported.

Ebenbichler G.R. et al., BMJ, 1998.²

Research review · nerve repair

Schwanncells

A 2022 review of laboratory research found low-intensity ultrasound supported nerve regeneration in animal models: more axons, better myelin, faster nerve conduction and functional recovery. Researchers believe it works by stimulating the Schwann cells that repair damaged nerves.

Acheta J. et al., Frontiers in Cellular Neuroscience, 2022.³

Measured in human muscle

2.5–5 cmdeep

Thermistors placed inside the calf muscle showed 1 MHz ultrasound heating tissue 2.5 to 5 cm below the skin, up to 0.38 °C per minute. Creams act on the surface. Ultrasound warms the tissue where nerves and blood vessels run.

Draper D.O. et al., Journal of Orthopaedic & Sports Physical Therapy, 1995.⁴

These studies used clinical ultrasound devices and protocols; they describe the therapy, not this specific device. In study [1], ultrasound was combined with a neurotrophic medication. Individual results vary.

What a daily session supports

Four things your feet have been missing.

Calmer nerve pain

In clinical research, ultrasound reduced pain scores in diabetic neuropathy and improved symptoms in nerve compression.¹²

Less inflammation

Patients on low-dose ultrasound showed lower inflammatory markers (TNF-α, CRP, IL-6) than those on medication alone.¹

Deep, soothing warmth

Ultrasound warms tissue centimeters below the skin, where creams can't reach, helping tight feet and calves relax.⁴

No pills, no fog

Drug-free, with no side effects reported in the sham-controlled trial.² Use it alongside the plan your doctor already has you on.

Why Nerivoa

Built for neuropathy. On purpose.

Comfortable armchair and footstool in a calm living room

Made for feet

Shaped to follow the foot, ankle and calf

The rounded head glides over the sole, arch and the nerve pathway up the lower leg, not just the spot that hurts most.

Digital control panel on the device handle

Clinic principle

Therapeutic ultrasound at 1 MHz

The same type of therapy physical therapists use, with soothing 42°C warmth, set for comfortable daily use at home.

Nerivoa device with conductive gel, unboxed

A full system

Device, gel and a 12-week routine

Everything you need is in the box, plus the simple 12-week routine on this page, so you know exactly what to do and when.

Expert perspective

“I've tried the Nerivoa device myself and walked through how it's used. For patients who want a drug-free option to use at home alongside their regular care, it's simple and comfortable to use.”

Dr. James Lee, MD, PhDNeurologist · Peripheral neuropathy · Ohio State

Dr. James Lee has reviewed the Nerivoa device. He has no financial relationship with Nerivoa. Individual experiences vary; this is not medical advice.

The Nerivoa Ultrasound System

Your 12-week plan, in one box.

One device, one routine, one price. No subscriptions, no clinic waiting rooms.

Nerivoa™ Ultrasound Therapy Device for Neuropathy & Nerve Pain Relief

$214

≈ $2.38/day over the 12-week plan

Nerivoa Ultrasound Therapy Device

Included

Conductive gel

Included

Quick-start guide

Included

Free US shipping (5–8 days)

Free

90-day money-back guarantee

Included

90-day warranty

Included

Or 4 interest-free payments of $53.50 with Shop Pay

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✓Secure SSL checkout✓Ships from the US✓90-day money-back guarantee

Your first 12 weeks

Nerves recover slowly. So we give you a plan.

One short session a day, every day. Here's exactly what to do, and what many users tell us they notice along the way.

Once a day · 5, 10 or 15 min

Your daily session

The same three steps every day. Pick a time you won't skip, like after dinner on the couch.

1Plug in, add gelA thin layer where you feel it most.

2Choose your time5, 10 or 15 minutes on the display.

Senior woman relaxing with her feet up at home

3Glide and relaxSlow, small circles over sole, ankle or calf.

WEEK 1WEEK 6WEEK 12 · 90-DAY GUARANTEE

Evening wind-down with herbal tea, candle and cozy socks

WEEKS 1–4

Build the habit

DoOne 5, 10 or 15-minute session a day, at the same time.

You may noticeA soothing warmth and easier evenings.

Tip: keep the device next to your evening chair so it's always in reach.

WEEKS 5–8

Feel the difference

DoKeep the routine steady. Jot a quick note about your evenings and sleep.

You may noticeFewer flare-ups and better sleep, as many users report.

Tip: consistency matters more than session length.

WEEKS 9–12

Get back to your day

DoKeep going daily, then settle into a maintenance pace.

You may noticeLonger walks, standing in the kitchen, more time with family.

Covered: all 12 weeks fall inside your 90-day money-back guarantee.

Results vary from person to person. Not intended to diagnose, treat or cure any disease.

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An honest comparison

How Nerivoa stacks up against the usual options.

Nerivoa Ultrasound

Clinic PT visits

Pain pills

Creams only

Where

At home

Clinic, by appointment

At home

Works below the skin

Yes, deep warmth

Yes

Systemic only

Surface only

Drug-free

Yes

No

Varies

Common side effects

Minimal when used as directed

Minimal

Drowsiness, dizziness

Skin irritation

Cost

$214 once

$75–$200 per visit*

Monthly refills

Ongoing

Guarantee

90 days

None

Varies

Where

Nerivoa: At home

Clinic PT visits: Clinic, by appointmentPain pills: At homeCreams only: At home

Works below the skin

Nerivoa: Yes, deep warmth

Clinic PT visits: YesPain pills: Systemic onlyCreams only: Surface only

Drug-free

Nerivoa: Yes

Clinic PT visits: YesPain pills: NoCreams only: Varies

Common side effects

Nerivoa: Minimal when used as directed

Clinic PT visits: MinimalPain pills: Drowsiness, dizzinessCreams only: Skin irritation

Cost

Nerivoa: $214 once

Clinic PT visits: $75–$200 per visit*Pain pills: Monthly refillsCreams only: Ongoing

Guarantee

Nerivoa: 90 days

Clinic PT visits: NonePain pills: NoneCreams only: Varies

*Typical US self-pay price for a follow-up physical therapy visit (45–60 min). Prices vary by clinic, location and insurance. Source: MedicalCostInfo, Physical Therapy Cost 2026, compiled from FAIR Health Consumer, Healthcare Bluebook and CMS fee schedules.

Three common mistakes

Why so many people stay stuck.

Relying on pills alone

The American Diabetes Association advises against opioids as first- or second-line treatment for nerve pain because of addiction risk.⁵ Other nerve-pain drugs commonly list drowsiness and dizziness as side effects.

Nerivoa: works below the skin to support circulation where nerves need it.

Using it once in a while

Nerves respond to consistency. Occasional use rarely shows what a routine can do.

Nerivoa: comes with a simple 12-week routine so you never guess.

Treating only the toes

Neuropathy often runs along the whole foot and up the lower leg.

Nerivoa: the rounded head covers the sole, ankle and calf.

Where are you today?

Neuropathy rarely stands still. Acting early matters.

60–70%

of people with diabetes develop some form of neuropathy, according to the National Institute of Diabetes and Digestive and Kidney Diseases.⁵ If you feel tingling today, it is easier to protect your nerves now than to wait for numbness.

STAGE 1

Tingling

Pins and needles, mostly at night.

STAGE 2

Burning

Pain that makes sleep hard.

STAGE 3

Numbness

Losing feeling in toes and soles.

STAGE 4

Balance

Unsteady steps, fear of falling.

STAGE 5

Independence

Needing help with daily life.

Customer reviews

Calmer evenings, in their own words.

★★★★★ 4.3 out of 5 · 190 reviews on Judge.me · Individual results vary.

★★★★★

“It feels like having professional therapy at home. The ultrasound technology is top-notch and provides deep, effective relief.”

Xavier Altenwerth · Judge.me review

★★★★★

“The relief from using this device is quick and noticeable. It's my go-to whenever I start feeling pain or numbness in my feet.”

Drew. B · Judge.me review

★★★★★

“I've noticed an improvement in circulation in my legs since using this device. My feet don't feel as cold, and there's less tingling sensation.”

Christ. M · Judge.me review

FAQ

Questions, answered plainly.

Still unsure? Email us at lacynerivoa@nerivoa.com.

How is this different from a TENS unit?

A TENS unit sends electrical pulses through pads on the skin to interrupt pain signals. Nerivoa uses sound waves and a conductive gel to create gentle deep warmth that supports circulation below the skin. Some people use both.

Is there real science behind ultrasound for nerve pain?

Yes. In a 2025 study of 180 people with painful diabetic neuropathy, 88% responded to low-dose ultrasound vs. 53% on gabapentin.¹ A sham-controlled trial in the BMJ found 74% of ultrasound-treated wrists improved at six months vs. 20% with a switched-off device.² Every study is linked at the bottom of this page.

How do I use it?

Plug the device in, apply a thin layer of the included gel, choose a 5, 10 or 15-minute session, then glide slowly in small circles over your sole, ankle or calf. Most people use it once a day. The quick-start guide in the box walks you through each step.

Is it safe with my medications?

Ultrasound therapy doesn't interact with medications. It is not recommended for people with pacemakers or other implanted electronic devices. If you are pregnant, have open wounds in the treatment area, or are unsure whether it is right for you, talk to your doctor before use.

When will I notice a difference?

Many people feel soothing warmth from the first session. Changes in burning or tingling usually take consistent daily use over several weeks. Results vary.

What's in the box?

The Nerivoa Ultrasound Therapy Device, conductive gel, a power cable & adapter (corded, so there's no battery to run out mid-session), and a quick-start guide.

What if it doesn't work for me?

You're covered by our 90-day money-back guarantee. Email lacynerivoa@nerivoa.com and we'll help you return it.

How long does shipping take?

Shipping is free within the US, and orders arrive in 5–8 days.

Specifications

Every number, published.

Therapy type

Therapeutic ultrasound

Title

Frequency

1 MHz

Title

Warmth

Gentle 42°C

Title

Session timer

5, 10 or 15 min

Title

Power

Corded, plug in and go

Title

Display

Large digital controls

Title

Manufacturing

FDA-registered facility

Title

Warranty

90 days

Title

Included

Device, conductive gel, power cable & adapter, quick-start guide

Title

Price

$214

Title

The hardest part is deciding

Six months from now, where do you want your feet to be?

Start the 12-week routine today. If it isn't right for you, send it back within 90 days.

✓Free tracked US shipping✓90-day money-back guarantee✓90-day warranty against defects

Start my at-home therapy →

Senior woman relaxing in a summer garden

90-DAY MONEY-BACK GUARANTEE

References

Read the research yourself

[1]

Ji W, Li M, Li L, Bai X, Wang F. Effects of ultrasound of different intensities plus neurotrophic factors on inflammatory markers and oxidative stress, and clinical efficacy in patients with diabetic peripheral neuropathic pain. Pak J Med Sci. 2025;41(9). pjms.org.pk

[2]

Ebenbichler GR, et al. Ultrasound treatment for treating the carpal tunnel syndrome: randomised "sham" controlled trial. BMJ. 1998;316:731–735. bmj.com

[3]

Acheta J, Stephens SBZ, Belin S, Poitelon Y. Therapeutic low-intensity ultrasound for peripheral nerve regeneration: a Schwann cell perspective. Front Cell Neurosci. 2022;15:812588. doi.org/10.3389/fncel.2021.812588

[4]

Draper DO, Castel JC, Castel D. Rate of temperature increase in human muscle during 1 MHz and 3 MHz continuous ultrasound. J Orthop Sports Phys Ther. 1995;22(4):142–150. doi.org/10.2519/jospt.1995.22.4.142

[5]

Pop-Busui R, et al. Diabetic neuropathy: a position statement by the American Diabetes Association. Diabetes Care. 2017;40(1):136–154. doi.org/10.2337/dc16-2042

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Individual results vary. Talk to your doctor before starting any new therapy.