US & HILT Comparative Effect on Neuropathic Pain, Strength & QOF in Diabetic Foot

Comparative Effects of Therapeutic Ultrasound and High Intensity Laser Therapy on Neuropathic Pain ,Strength and Quality of Life in Diabetic Foot

To compare the effects of therapeutic ultrasound and high intensity laser therapy on neuropathic pain , strength and quality of life in patients with diabetic foot

therapeutic ultrasound and laser therapy with routine physical therapy are used to improve neuropathic pain and foot related quality of life. the scarcity of evidence regarding the application of high intensity laser therapy necessitates a comprehensive investigation. The effects of HILT and comparative effects with ultrasound remains largely unexplored in diabetic peripheral neuropathy

Inclusion Criteria:

• Patients with type 2 diabetes.
• Diabetic Patients of age 50 to 75 years.
• Diabetic patient of Both genders
• Diagnosed Diabetes Mellitus with at least 7 years of duration
• Distal symmetrical or asymmetrical polyneuropathy with pain in the lower extremity for ≥6 months
• DNS (Diabetic neuropathy symptoms questionnaire) score greater than 4 (90 percent probability of neuropath

Exclusion Criteria:

• Pregnant females

• Lower limb Amputated patients

• History or evidence of neurological disorders other than peripheral neuropathy associated with Diabetes mellitus.

  • Evidence of musculoskeletal dysfunctions like scoliosis, lumbar disc prolapses and lumbar spine associated radiculopathy.
  • History of any low back surgeries and lower limb surgeries

• Patient with malignancy. Patient with epilepsy

• Patient with hemophilia

• Patient with pacemaker, metal implants prosthesis and internal fixation screws.

• Patient with severe cervical and lumbar neuropathy, rheumatoid arthritis, hereditary neuropathy

• Patient with a history of neurosurgery