Diabetic Neuropathy

Diabetic neuropathy is a type of nerve damage that can occur in people with diabetes, causing pain, numbness, or tingling, often in the hands, feet, arms, or legs.

Diabetic neuropathy doesn't just affect your nerves—it touches every part of your life, every part of you. It's a persistent companion, often an unwelcome one, and we understand how it can make you feel alone and misunderstood. But we want you to know you're not alone.

Our team is made up of highly skilled professionals who are not only experts in the field of diabetic pain management but also compassionate listeners who truly care about your well-being. Our goal is to help you manage your pain, regain your strength, and rediscover the joys of living that neuropathy may have overshadowed.


The basics

Diabetic neuropathy is a common complication of diabetes that occurs when high blood sugar levels damage the nerves over time. It can affect different types of nerves in the body, causing symptoms such as numbness, tingling, muscle weakness, and digestive problems. Diabetic neuropathy affects approximately 50% of people with diabetes and can lead to serious complications if left untreated. However, with early diagnosis and proper management, the progression of the condition can be slowed, and symptoms can be managed effectively. Treatment options may include lifestyle changes, medication, and physical therapy. Regular check-ups with a healthcare provider to monitor nerve function and manage blood sugar levels are crucial for people with diabetes.

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The presentation of diabetic neuropathy can vary depending on the type of nerve damage and the affected area of the body. Symptoms may develop slowly and can be mild at first, but may worsen over time. Some of the common symptoms associated with diabetic neuropathy include:

  • Numbness or tingling in the hands or feet
  • Muscle weakness and loss of coordination
  • Digestive problems such as nausea, vomiting, and diarrhea
  • Urinary tract infections
  • Sexual dysfunction
  • Vision changes
  • Decreased sensation in the feet or hands
  • Increased sensitivity to touch or pain
  • Sharp or burning pain in the extremities

In some cases, people with diabetic neuropathy may not experience any noticeable symptoms, particularly in the early stages of the disease. However, it is important for people with diabetes to have regular check-ups with their healthcare provider to monitor their nerve function and manage their blood sugar levels.

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Therapies & treatments

Specialised Pain Medicine

With a targeted approach, our pain specialists utilise a variety of evidence-based interventions, including medications, supplementation, and in some cases, procedures, to augment the function of peripheral nerves affected by neuropathy.


We'll work closely with you to tailor a medication strategy and manage prescriptions — ensuring effective pain relief, while minimising side effects and risk of dependence. People with diabetes often find benefit in a multifaceted approach, involving a combination of anti-neuropathic medications, topical medicated creams or patches, and supplementation compounds to support nerve health.

Percutaneous Electrical Nerve Stimulation (PENS) Therapy

PENS is a specialised medical procedure involving low-level electrical stimulation of the damaged peripheral nerves, delivered through small needle-like electrodes for between 20-30 minutes. The procedure is typically performed with local anaesthetic to minimise discomfort. You may feel a tingling or buzzing sensation during the electrical stimulation, but it should not be painful.

PENS can offer extended periods of pain relief and is particularly effective for those who have had limited success with frontline treatments.

Nutrition & Dietetics

Our team of nutritionists and dieticians can help you develop an appropriate diet plan, taking into account your individual nutritional needs and any dietary restrictions due to diabetes, aiming to improve your overall health and mitigate neuropathic symptoms.

Pain Coaching

Our pain coaches offer an added layer of support, guiding you through your treatment options, developing your self-management strategies and keeping you on track towards your goals.


Our physiotherapists will design personalised exercise routines that promote mobility, improve strength and balance, and alleviate neuropathic pain, enabling you to lead a more active, fulfilling life.

Occupational Therapy

Our occupational therapists can help you manage daily activities more comfortably, providing techniques to lessen pain and fatigue, and adapt your environment to accommodate any physical limitations caused by neuropathic conditions.

Patient Education

Access a range of free digital courses to help you on your journey towards independent pain management.

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Self-care strategies

Control blood sugar levels

Consistently managing blood sugar levels is one of the most important self-care strategies for individuals with diabetic neuropathy. This involves monitoring blood sugar levels regularly, taking medication as prescribed, and following a healthy diet and exercise plan.

Exercise regularly

Engaging in regular physical activity, such as walking, swimming, or cycling, can help improve circulation, reduce inflammation, and alleviate pain associated with diabetic neuropathy. It is important to speak with a healthcare provider before starting any new exercise program.

Maintain a healthy diet

Eating a healthy diet that is rich in fruits, vegetables, whole grains, and lean protein can help regulate blood sugar levels and reduce inflammation, which can help manage symptoms of diabetic neuropathy. Avoiding processed and sugary foods is also important.

Wear comfortable shoes

Wearing shoes that fit well and provide adequate support can help reduce the risk of developing foot ulcers, which can be a complication of diabetic neuropathy.

Check feet regularly

Checking feet daily for any signs of cuts, blisters, or other injuries is important in preventing foot ulcers and other complications associated with diabetic neuropathy.

Avoid smoking

Smoking can exacerbate symptoms of diabetic neuropathy, as well as contribute to other health problems. Quitting smoking is an important step in managing this condition.

Manage stress

Chronic stress can worsen symptoms of diabetic neuropathy, so engaging in stress-reducing activities such as deep breathing, meditation, or yoga can help manage symptoms and improve overall well-being.

Practice good sleep hygiene

Getting enough restful sleep is important in managing diabetic neuropathy symptoms. Establishing a regular sleep routine, avoiding screens before bedtime, and creating a comfortable sleep environment can all help promote restful sleep.

Seek social support

Living with diabetic neuropathy can be challenging, and seeking social support from friends, family, or support groups can provide emotional support and help manage stress.

Educate yourself

Learning as much as possible about diabetic neuropathy can help individuals better manage their symptoms and work more effectively with their healthcare team. Reading reliable sources of information, attending support groups, and asking questions during doctor appointments can all be helpful in this regard.

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Diabetic Neuropathy

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