
15/09/2025
🔹 What is Diabetic Neuropathy?
Diabetic neuropathy is nerve damage caused by chronically high blood sugar in diabetes.
It affects sensory, motor, and autonomic nerves.
The most common type is Peripheral Neuropathy, usually starting in the feet and legs.
Symptoms:
Numbness, tingling, or burning sensation in feet
Loss of protective sensation (patient doesn’t feel cuts, burns, blisters)
Muscle weakness & altered gait
Dry skin (due to autonomic involvement)
🔹 What is Diabetic Foot?
A complication of diabetes where nerve damage + poor circulation + infection risk leads to foot ulcers, deformities, and even gangrene.
Minor injuries may go unnoticed due to sensory loss, eventually causing chronic ulcers → amputation risk if untreated.
🔹 Role of Physical Therapy in Prevention
Physiotherapy helps by:
Education & Awareness
Teaching proper foot care, footwear choice, and daily inspection.
Improving Circulation
Aerobic exercise (walking, cycling) → enhances blood supply to extremities.
Calf pump exercises → reduce risk of peripheral arterial disease.
Neuromuscular Training
Balance & gait training → reduces fall and injury risk.
Strengthening intrinsic foot muscles → prevents deformities (claw toes, hammer toes).
Sensory Re-education
Vibration, texture stimulation, and balance training help maintain some sensory awareness.
Wound Healing Support
Modalities like TENS, LASER, or ultrasound (low intensity) may help tissue healing.
🔹 Preventive Measures in Diabetic Foot
Every diabetic patient should follow these foot-care tips:
Daily Foot Inspection
Check for cuts, blisters, redness, swelling, or nail problems. Use a mirror if needed.
Proper Footwear
Wear soft, well-fitted shoes (no high heels, no tight shoes).
Avoid walking barefoot (even indoors).
Skin Care
Keep feet clean and dry.
Moisturize but not between toes (prevents fungal infection).
Nail & Callus Care
Cut nails straight across.
Avoid sharp objects for cleaning calluses (risk of wounds).
Good Blood Sugar Control
Stable glucose prevents further nerve & vessel damage.
Regular Physiotherapy & Exercise
Walking, cycling, swimming improve circulation & muscle health.
Avoid high-impact exercise if neuropathy is severe (risk of injury).
Routine Medical Checkups
Annual foot exams with a podiatrist/physiotherapist.