Diabetic Peripheral Neuropathy and Neurodynamics

Abstract

Diabetic peripheral neuropathy is a common, disabling, and costly complication of diabetes mellitus. In order to reach an exact diagnosis of electrophysiological studies and the evaluation of diabetic neuropathy it is crucial to obtain information about these variables. The information provided by electrodiagnosis is functional and not static, telling the practitioner how nerve and muscle are functioning. It is known that after a peripheral nerve, peripheral sensitization aberrant regeneration may occur alongside this the mobilization of the nervous system is an essential approach to physical treatment of pain. Neurodynamics encompasses interactions between mechanics and physiology of the nervous system. Alongside this, neurodynamic as a physical innovative therapy has been seldom used and in fact may be beneficial in preserving nerve function thus preventing the adverse effects of intraneural edema. That is, the rationale for the use of neurodynamic diagnosis and treatment is that it is considered capable of detecting the increased nerve structure associated with these conditions.

A study protocol on nerve mobilization induced diffusion tensor imaging values in posterior tibial nerve in healthy controls and in patients with diabetic neuropathy-multigroup pretest posttest design

“…Hyperglycemia leads to the altered nerve biomechanics due to fluid accumulation in the nerve [16] which can be targeted through nerve mobilization (NM) in the form of the neurodynamics and the nerve massage [[17], [18], [19]]. The NM techniques are useful in restoring the normal physiological function through both the intraneural and extra neural effect [20,21].…”