Neuropathy means damaged nerves. That can cause numbness, tingling, burning pain, or weakness—usually in the hands or feet. Physical therapy focuses on reducing pain, improving balance, restoring strength, and helping you move with less fear. This page gives clear, useful steps you can try and what to expect from a therapist.
What does a physical therapist do? First, they assess walking, balance, muscle strength, joint range, and how pain affects daily life. Then they make a simple plan with exercises, balance practice, and daily activity tips. Many therapists also use hands-on techniques, gentle stretching, and electrical stimulation to ease symptoms. The goal is to help you stay safe, reduce falls, and do more without constant pain.
Try ankle pumps: sit or lie down, point toes away then toward you for 1–2 minutes. Do seated toe raises: lift toes while keeping heels down, 2 sets of 10. Practice heel-to-toe walking for 1–2 minutes to build balance. Sit on a chair and do marching in place for 30–60 seconds to boost circulation. If you have numb feet, check your footing and stop if you feel sharp pain. These moves are gentle but helpful when done daily.
Start slow and track progress. Note pain levels before and after each session. If numbness or burning spikes, pause and consult your therapist. Small, consistent steps matter more than long, painful sessions.
Look for a therapist experienced in neuropathy, neuro-rehab, or balance training. Ask about outcomes: how they measure progress and how often they change the plan. Bring a list of daily activities that trouble you—walking, stairs, standing at work—so the therapist can tailor exercises. Wear comfortable clothes and bring shoes you use daily. Record exercises on your phone so you remember home practice.
Combine therapy with sensible habits: keep blood sugar under control if you have diabetes, avoid smoking, maintain a healthy weight, and wear supportive shoes. Ask your therapist about footwear, orthotics, or simple walking aids like poles if balance is shaky. Some people benefit from bedside foot baths, gentle massage, or topical creams—ask before trying new treatments.
When should you see a doctor? If weakness gets worse quickly, you have sudden balance loss, or new bladder or bowel changes, seek immediate medical care. For gradual symptoms, a referral to physical therapy often helps reduce falls and improve daily life.
Physical therapy won’t fix every nerve, but it often makes symptoms easier to live with and helps you stay active. Try small exercises, pick an experienced therapist, and track progress. With steady work, most people see better balance, less pain, and more confidence moving day to day.
Keep a simple log: date, exercise done, pain level, and steps walked. Share it with your therapist. Small wins matter—celebrate a longer walk or fewer numb moments. Consistency beats intensity when nerves are healing and improve long-term function too.
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