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Réhabital

Peripheral Diabetic Neuropathy Treatment

Feet that burn at night, numb toes, balance that feels unreliable: diabetic neuropathy changes walking profoundly and raises fall risk. Rehabilitation targets both symptoms and safety.

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Understanding This Condition

Prolonged high blood sugar damages small nerve fibres, starting with the longest ones in the feet. This produces positive symptoms (burning, tingling, night pain) and negative ones (loss of sensation and joint position sense). Sensory loss is the most dangerous: it reduces the information the brain uses to balance and prevents you from feeling a foot injury. Rehabilitation does not replace glucose control, but it lowers functional risk.

Common Symptoms

Burning or tingling in the feet, especially at night.
Numbness spreading from toes toward the ankle.
A feeling of walking on cotton.
Loss of balance, particularly in the dark.
Night calf cramps.
Foot injuries that go unnoticed.

Common Causes

Chronic hyperglycemia

Excess glucose damages nerve fibres and the small vessels feeding them.

Diabetes duration

Risk rises with years of disease, especially with irregular control.

Vascular factors

Smoking, hypertension and dyslipidemia accelerate nerve damage.

Nutritional deficiency

Vitamin B12 deficiency, common with metformin, worsens symptoms.

Our Treatment Approach

We work on three fronts. First safety: balance assessment, proprioceptive training, ankle and hip strengthening, footwear advice and daily foot inspection. Second symptoms: acupuncture and manual therapy can reduce burning and improve sleep, while soft tissue work and neural mobilisation improve nerve tolerance. Third circulation and capacity: progressive walking, aerobic exercise and strengthening, which also improve glucose control. Our naturopath can add nutritional support, coordinated with your physician.

What to Expect at Your First Visit

45 to 60 minute sessions, often weekly at first, with a home balance programme and monitoring of the skin on your feet.

At-Home Self-Care Tips

  • Inspect your feet daily, including between the toes.
  • Wear well fitted shoes, never go barefoot.
  • Do balance exercises daily with support nearby.
  • Walk regularly, splitting it into shorter bouts if needed.
  • Keep up glucose monitoring with your physician.

Prognosis & Recovery Timeline

Established nerve damage recovers slowly, but balance, strength and pain improve clearly with a consistent programme, and fall and ulcer risk drop.

When to See Us at Réhabital

Come in at the first numbness, or immediately for any foot wound, redness, or rapid loss of sensation.

Why Réhabital Clinic

We combine physiotherapy, acupuncture and naturopathic support to address both symptoms and functional consequences.

Why Choose Réhabital?

Lower fall risk
Better balance and walking
Relief of night burning
Foot ulcer prevention
Improved exercise capacity
Care coordinated with your physician

Frequently Asked Questions

Address

D4-5800 Cavendish Blvd
Côte Saint-Luc, QC H4W 2T5

Hours

Mon–Fri: 10AM–8PM
Sun: 10AM–4PM

Relieve Your Pain Today

Book online or call us for a comprehensive assessment with our qualified professionals.

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First visit: 10% off

Receive 10% off your first visit to Réhabital clinic in Côte Saint-Luc, on the Island of Montréal. Physiotherapy is excluded. This offer applies to your first clinic visit, not a first visit in each specialty.

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