Nerve-Targeted Rehabilitation Approaches for Diabetic Peripheral Neuropathy

Diabetic peripheral neuropathy (DPN) primarily affects soft tissue structures such as the transverse arch of the foot, the tibialis anterior, tibialis posterior, and peroneus longus muscles. Neuromuscular taping (NMT), nerve mobilization, and nerve massage are examples of nerve-targeted therapies that show promise in reducing DPN symptoms. Nerve mobilization improves intrafascicular gliding by addressing compartment syndrome, fibrosis, and adhesions within the nerve, while nerve massage quickly reduces accumulated fluid. On the other hand, NMT stimulates peripheral nerve endings, facilitating mechanoreceptors and thereby promoting sensorimotor and proprioceptive feedback mechanisms.