Diabetic Neuropathy

Diabetic Neuropathy

Diabetic Neuropathy Therapy refers to medical and supportive treatments aimed at managing nerve damage caused by prolonged high blood sugar levels in people with diabetes.
Diabetic neuropathy most commonly affects the feet, legs, hands, and arms, causing symptoms like numbness, tingling, burning pain, and weakness.
The goal of therapy is to reduce pain, improve nerve function, prevent complications (like foot ulcers), and enhance quality of life.

Types of Diabetic Neuropathy

  1. Medical Management

    • Medications for nerve pain (e.g., pregabalin, duloxetine, gabapentin)

    • Blood sugar control to prevent further nerve damage

  2. Physical Therapy

    • Exercises to improve strength, flexibility, and balance

    • Gait training to prevent falls

  3. Ayurvedic / Alternative Therapies (optional in integrative approach)

    • Abhyanga (oil massage) – Improves circulation and reduces stiffness

    • Marma therapy – Stimulates nerve function

    • Herbal medicines – For nerve nourishment

  4. Foot Care Therapy

    • Regular cleaning, moisturizing, and inspection to prevent wounds and infections

  5. Lifestyle Therapy

    • Dietary adjustments

    • Stress management techniques like yoga and meditation

How it Works

  • Blood Sugar Control: Prevents further nerve damage and helps slow progression.

  • Pain Management: Medications and therapies target nerve pain and discomfort.

  • Nerve Stimulation: Physiotherapy and massage increase blood flow to nerves, supporting healing.

  • Muscle Support: Exercises maintain mobility and prevent muscle weakness.

  • Foot Care: Prevents serious complications like ulcers or gangrene.

Benefits of Diabetic Neuropathy

  • Reduces burning, tingling, and stabbing pain

  • Improves balance and walking ability

  • Prevents foot injuries and ulcers

  • Enhances blood circulation in affected limbs

  • Slows down nerve degeneration

  • Improves sleep and quality of life

  • Reduces dependency on pain medications (when managed well)

Precautions

  • Always check blood sugar before and after exercise

  • Avoid walking barefoot to prevent injuries

  • People with severe foot ulcers or infections should not do certain therapies until healed

  • Inform the therapist about other health conditions like heart disease or kidney problems

  • Any alternative therapy should be supervised by a qualified professional

Typical Session

  • Duration: 30–60 minutes

  • Process:

    1. Health assessment and foot inspection

    2. Gentle massage or physiotherapy exercises

    3. Nerve stimulation techniques (manual or device-assisted)

    4. Relaxation and circulation-enhancing activities

    5. Patient education on home care and foot safety

  • Frequency: 2–3 times per week for active therapy; ongoing home care daily

  • Aftercare: Maintain foot hygiene, wear proper footwear, and monitor blood sugar regularly