Background and Introduction

Diabetic neuropathy is a common complication of diabetes that can lead to significant discomfort and impact daily life. In mild cases, early intervention can effectively manage symptoms, prevent progression, and restore quality of life. This case study highlights a 55-year-old patient with early-stage neuropathy and our comprehensive approach to treatment.

Patient Case Overview

Patient: Female, 55 years old

Diabetes History: Type 2 diabetes for 8 years, moderately controlled with an HbA1c of 7.5%

Symptoms: Mild tingling and occasional burning sensations in the feet, especially at night; intermittent numbness in the toes

Impact on Life: Difficulty sleeping due to foot discomfort, mild balance issues during prolonged standing, but able to perform most daily activities

Initial Presentation and Assessment:

Symptom Severity: 3/10 on the pain scale

Areas of Involvement: Feet and toes

Physical Findings: Mild sensory loss in the toes, slightly diminished reflexes, normal motor strength

Customized Treatment Protocol

Our focus for mild neuropathy is to halt progression, reduce discomfort, and enhance nerve health through a multifaceted approach:

Class IV Laser Therapy

• Objective: Reduce pain, stimulate nerve regeneration, and improve microcirculation

• Procedure: Administered once weekly for 8 weeks, targeting the feet and toes. Low-level laser settings were used to minimize discomfort while promoting cellular repair and nerve regeneration

Pulsed Electromagnetic Field (PEMF) Therapy

• Objective: Enhance nerve function, reduce inflammation, and improve blood flow

• Procedure: Sessions were conducted once weekly, focusing on the lower extremities. PEMF therapy was customized to a low-frequency setting to enhance nerve cell metabolism and support mild neuropathic symptoms

Neurolight Therapy

• Objective: Improve circulation and support ongoing nerve health

• Procedure: Daily at-home therapy with a portable Neurolight unit, used in 15-minute sessions to enhance blood flow and maintain therapeutic benefits between clinic visits

Nutritional and Lifestyle Counseling

• Objective: Improve glycemic control and reduce systemic inflammation

• Plan: Implementation of a low-carb, anti-inflammatory diet, rich in antioxidants and essential nutrients. The patient was educated on portion control, meal planning, and the importance of regular physical activity tailored to her capabilities

Patient Outcomes

• Pain and Sensory Symptoms: Pain reduced from 3/10 to 1/10, with noticeable improvement in night-time symptoms and no further episodes of numbness

• Quality of Life: Improved sleep quality, increased energy levels, and the ability to stand for longer periods without discomfort

• Long-term Management: Continued lifestyle modifications and maintenance Neurolight therapy once a week to prevent recurrence