Physical Therapy for Painful Diabetic Neuropathy

  • Karin Pieber
  • Malvina Herceg
  • Tatjana Paternostro-Sluga


For conservative treatment of diabetic PN different types of physical therapy are available. Therapeutic interventions focus on different symptoms like pain, reduced muscle strenght, impaired balance and physical functioning or feet ulcers. Also different pathogenetic mechanisms like impaired circulation and oxygenation, increased plantar pressure or reduced muscle mass and glycogen utilization are taken into account. A combined individualized treatment with focus on the major complaints is required and mostly consists of exercise therapy, medical training therapy, and electrotherapy. A multidisciplinary management of painful diabetic PN is most beneficial.


Diabetic Neuropathy Laser Therapy Diabetic Peripheral Neuropathy Exercise Therapy Transcutaneous Electrical Nerve Stimulation 
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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Karin Pieber
    • 1
  • Malvina Herceg
    • 1
  • Tatjana Paternostro-Sluga
    • 1
  1. 1.Department of Physical Medicine and RehabilitationMedical University of Vienna, General Hospital of ViennaViennaAustria

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