Diabetic Peripheral Neuropathy Exercises | Tingling, Burning & Balance Improvement

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Diabetic Peripheral Neuropathy is one of the most common complications of long-term diabetes and can significantly affect quality of life. Patients often experience burning sensation, tingling, pricking pain, numbness, electric-shock–like sensations, weakness, and loss of balance, especially in the feet and hands.

In this complete guide, Dr. Sanjeev Agrawal explains scientifically proven exercises that help improve nerve function, blood circulation, balance, muscle strength, and neuropathic symptoms in diabetic peripheral neuropathy and other types of neuropathy.

🔹 Common Symptoms of Peripheral Neuropathy
Burning sensation in feet or hands
Tingling or needle-like sensation
Numbness or loss of sensation
Sharp or electric-shock–like pain
Difficulty walking or imbalance
Weakness in legs or hands

Symptoms usually appear in areas covered by socks or gloves.

🔹 Types of Neuropathy Explained
Sensory Neuropathy – Burning, tingling, numbness
Motor Neuropathy – Muscle weakness, imbalance, difficulty walking
Autonomic Neuropathy – Affects heart rate, digestion, breathing
Mononeuropathy – Affects a single nerve
Idiopathic Neuropathy – Cause unknown

🔹 Causes of Peripheral Neuropathy
Diabetes (most common cause)
Vitamin B12 deficiency
Excess alcohol consumption
Chemotherapy
Heavy metal toxicity
Certain medications

🏃‍♂️ EXERCISES FOR DIABETIC PERIPHERAL NEUROPATHY
These exercises improve circulation, nerve signaling, balance, and muscle strength.
1️⃣ Toe Raising Exercise
2️⃣ Heel Raise Exercise
3️⃣ Dorsiflexion & Plantar Flexion
4️⃣ Inversion & Eversion of Foot
5️⃣ Windshield Wiper Leg Movement
6️⃣ Ankle Rotation (Clockwise & Anti-Clockwise)
7️⃣ Ankle & Fist Pump Exercise
8️⃣ Marching Exercise for Balance
9️⃣ Ball Rolling Under the Foot
🔟 Stand–Spin–Sit Balance Exercise
1️⃣1️⃣ Forward & Backward Lean (Ankle-Driven)
1️⃣2️⃣ Toe & Heel Rocking Exercise

🚴 CYCLING – MOST IMPORTANT EXERCISE
Stationary cycle or pedal exerciser
10–15 minutes after meals

Improves:
Blood sugar control
Blood circulation
Neuropathy symptoms
Heart health
For knee alignment issues:
Bow legs → keep feet closer
Knock knees → keep feet wider

💊 IMPORTANT MEDICAL & NUTRITIONAL SUPPORT
Strict blood sugar control
Diabetic-friendly diet
Treat Vitamin B12 deficiency
Supplements that may help:
Alpha lipoic acid
Benfotiamine
Vitamin B1, B6, B12
Magnesium
Zinc
Antioxidants

⚠️ For severe night pain, consult a doctor regarding medications like Pregabalin or Gabapentin. These are symptomatic and can often be tapered later.

✅ FINAL ADVICE
Control diabetes consistently
Follow a proper diet
Perform exercises daily
Use cycling regularly
Stay physically active

With consistency, burning, pain, tingling, numbness, and balance problems gradually improve.

Diabetic Peripheral Neuropathy Exercises | Tingling, Burning & Balance Improvement

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