Comparing two physical therapy approaches for diabetic nerve pain

This trial is testing two different physical therapy approaches to help people with diabetic peripheral neuropathy—a condition where high blood sugar damages nerves in the feet and legs, causing pain, numbness, and balance problems. One approach uses intraneural facilitation therapy, which gently stimulates the affected nerves, while the other uses the Otago Exercise Program, which focuses on strength training and balance exercises. The study will compare these two treatments head-to-head, and also test them together, to see which approach—or combination—works best at reducing pain, improving balance, and enhancing quality of life.

While both of these physical therapy approaches have shown promise individually, doctors don't yet know which one works better for diabetic nerve pain, or whether combining them is even more effective. This trial aims to answer that question so that patients can receive the most helpful treatment.